Syringomyelia caused by loosening of multistrand cables following C1–2 Brooks-type fusion in the rheumatoid cervical spine

2002 ◽  
Vol 97 (3) ◽  
pp. 366-368 ◽  
Author(s):  
Jun Mizutani ◽  
Shunji Tsubouchi ◽  
Muneyoshi Fukuoka ◽  
Takanobu Otsuka ◽  
Nobuo Matsui
Keyword(s):  
Rheumatoid Arthritis ◽  
Cervical Spine ◽  
Rare Case ◽  
Content Type ◽  
History Of ◽  
Good For ◽  
Fine Print

✓ The authors report a very rare case of syringomyelia caused by loosening of multistrand cable wires following C1–2 Brooks-type fusion in a 36-year-old woman with a 13-year history of rheumatoid arthritis (RA). The syrinx vanished immediately after removal of the cables, and 2 years later no recurrence of symptoms or deterioration has occurred. The authors contend that multistrand titanium cables should not be used to fix a graft-assisted C1–2 construct in patients with RA, although this material is good for fixing rods. The phenomenon observed in this case adds to our understanding of the pathogenesis of noncommunicating syringomyelia.

Delayed intracranial migration of cervical sublaminar and interspinous wires and subsequent cerebellar abscess

2002 ◽  
Vol 97 (1) ◽  
pp. 113-117 ◽  
Author(s):  
Kevin L. Stevenson ◽  
Matthew Wetzel ◽  
Ian F. Pollack
Keyword(s):  
Cervical Spine ◽  
Neurological Injury ◽  
Cervical Fusion ◽  
Content Type ◽  
Cerebellar Abscess ◽  
Delayed Complication ◽  
History Of ◽  
Delayed Complications ◽  
The Wire ◽  
Fine Print

✓ Delayed complications associated with sublaminar and interspinous wiring in the pediatric cervical spine are rare. The authors present a case of delayed complication in which a cervical fusion wire migrated into the cerebellum, causing subsequent cerebellar abscess 2 years after posterior cervical arthrodesis. A craniotomy was required to remove the wire and drain the abscess. Despite their history of safety and successful fusion, procedures involving sublaminar and interspinous wiring carry a risk of neurological injury secondary to wire migration. A thorough neuroimaging evaluation is required in patients who have undergone fusion and who have neurological complaints to detect late instrumentation-related sequelae.

Cervical laminectomy without fusion in patients with rheumatoid arthritis

1999 ◽  
Vol 90 (2) ◽  
pp. 186-190 ◽  
Author(s):  
Dan Christensson ◽  
Hans Säveland ◽  
Stefan Zygmunt ◽  
Kjell Jonsson ◽  
Urban Rydholm
Keyword(s):  
Rheumatoid Arthritis ◽  
Cervical Spine ◽  
Cord Compression ◽  
Spinal Instability ◽  
Decompressive Laminectomy ◽  
Content Type ◽  
Fusion Procedure ◽  
Cervical Laminectomy ◽  
Flexion Extension ◽  
Fine Print

Object. The authors performed a prospective study to determine whether cervical laminectomy without simultaneous fusion results in spinal instability. Methods. Because of clinical and radiographic signs of cord compression, 15 patients with rheumatoid arthritis (including one with Bechterew's disease) and severe involvement of the cervical spine underwent decompressive laminectomy without fusion performed on one or more levels. Preoperative flexion—extension radiographs demonstrated dislocation but no signs of instability at the level of cord compression. Clinical and radiological reexamination were performed twice at a median of 15 months (6–24 months) and 43 months (28–72 months) postoperatively. One patient developed severe vertical translocation 28 months after undergoing a C-1 laminectomy, which led to sudden tetraplegia. She required reoperation in which posterior fusion was performed. No signs of additional instability at the operated levels were found in the remaining 14 patients. In three patients increased but stable dislocation was demonstrated. The results of clinical examination were favorable in most patients, with improvement of neurological symptoms and less pain. Conclusions. The authors conclude that decompressive laminectomy in which the facet joints are preserved can be performed in the rheumatoid arthritis-affected cervical spine in selected patients in whom signs of cord compression are demonstrated, but in whom radiographic and preoperative signs of instability are not. Performing a simultaneous fusion procedure does not always appear necessary. Vertical translocation must be detected early, and if present, a C-1 laminectomy should be followed by occipitocervical fusion.

Transoral decompression for myelopathy caused by rheumatoid arthritis of the cervical spine

1972 ◽  
Vol 37 (4) ◽  
pp. 493-497 ◽  
Author(s):  
Michael H. Sukoff ◽  
Milton M. Kadin ◽  
Terrance Moran
Keyword(s):  
Rheumatoid Arthritis ◽  
Cervical Spine ◽  
Cervical Myelopathy ◽  
Transoral Approach ◽  
Anterior Decompression ◽  
Posterior Decompression ◽  
Content Type ◽  
Transoral Decompression ◽  
Fine Print

✓ A case of rheumatoid cervical myelopathy that responded to posterior decompression and fusion is presented. Progression of the disease ultimately required anterior decompression through a transoral approach.

Non-neoplastic expanding lesions of the vermis cerebelli

1972 ◽  
Vol 37 (1) ◽  
pp. 55-64 ◽  
Author(s):  
Göran Sundbärg ◽  
Arne Brun ◽  
Hans-Olof Efsing ◽  
Nils Lundberg
Keyword(s):  
Rheumatoid Arthritis ◽  
Cardiovascular Disease ◽  
Clinical Significance ◽  
Content Type ◽  
Postoperative Course ◽  
Histological Picture ◽  
Roentgen Diagnosis ◽  
Perifocal Edema ◽  
History Of ◽  
Fine Print

✓ This report describes the clinical, roentgenological, and histopathological findings in 13 patients in whom the preoperative roentgen diagnosis was tumor of the vermis cerebelli but in whom no neoplasm was found at operation nor suggested by postoperative course. There was a striking clinical conformity; the majority of the patients were between 50 and 70 years of age, had a history of rheumatoid arthritis and/or cardiovascular disease, and a histological picture characterized by small cavernous-capillary hemangiomas and spongiosis indicating perifocal edema. The pathogenesis and clinical significance of the lesions are discussed.

Distinctions between pituicytoma and ordinary pilocytic astrocytoma

2003 ◽  
Vol 98 (2) ◽  
pp. 404-406 ◽  
Author(s):  
Toshiro Katsuta ◽  
Tooru Inoue ◽  
Hiroyuki Nakagaki ◽  
Morishige Takeshita ◽  
Ken Morimoto ◽  
...  
Keyword(s):  
Pilocytic Astrocytoma ◽  
Rare Case ◽  
Sellar Region ◽  
Magnetic Resonance Study ◽  
Content Type ◽  
Spindle Cells ◽  
History Of ◽  
Pituitary Lesion ◽  
Fine Print ◽  
Transsphenoidal Resection

✓ The authors present a rare case of pituicytoma. A dynamic magnetic resonance study performed after Gd injection revealed a markedly, homogeneously enhanced, early-phase pituitary lesion in a 32-year-old woman with a 1-year history of amenorrhea. The tumor bled easily during transsphenoidal resection. The lesion consisted of plump spindle cells and lacked Rosenthal fibers and granular bodies, and thus was different from ordinary pilocytic astrocytoma or any other form of this tumor. Although pituicytoma is often confused with pilocytic astrocytoma when it appears in the sellar region, these two kinds of gliomas should be distinguished on the basis of histological differences.

Chondroblastoma of the cervical spine

1973 ◽  
Vol 38 (6) ◽  
pp. 763-766 ◽  
Author(s):  
Marian Wisniewski ◽  
Cyril Toker ◽  
Paul J. Anderson ◽  
Yun P. Huang ◽  
Leonard I. Malis
Keyword(s):  
Differential Diagnosis ◽  
Cervical Spine ◽  
Rare Case ◽  
Benign Lesions ◽  
Content Type ◽  
Fine Print

✓ A rare case of benign chondroblastoma of the cervical spine is described, and the differential diagnosis of benign lesions in the spine discussed.

Spondylolisthesis of the cervical spine

1971 ◽  
Vol 34 (1) ◽  
pp. 99-101 ◽  
Author(s):  
John A. Dawley
Keyword(s):  
Cervical Spine ◽  
Content Type ◽  
X Ray ◽  
Congenital Origin ◽  
History Of ◽  
Fine Print

✓ A case of spondylolisthseis involving the cervical spine in an 11-year-old girl is reported. The age, x-ray appearance, and absence of history of trauma suggest a congenital origin.

Cervical spine chordoid meningioma

2005 ◽  
Vol 2 (2) ◽  
pp. 195-198 ◽  
Author(s):  
Ahmed Ibrahim ◽  
Malcolm Galloway ◽  
Clarence Leung ◽  
Tamas Revesz ◽  
Alan Crockard
Keyword(s):  
Cervical Spine ◽  
Rare Case ◽  
Prognostic Significance ◽  
Careful Consideration ◽  
Chordoid Meningioma ◽  
Content Type ◽  
Histological Assessment ◽  
Spinal Region ◽  
Systemic Symptoms ◽  
Fine Print

✓ Chordoid meningiomas are a rare but increasingly recognized subtype of meningioma. Although some cases have been associated with systemic symptoms, in many instances the clinical features are indistinguishable from those associated with other subtypes of meningioma. Given the prognostic significance of the diagnosis of chordoid meningioma, careful consideration should be given to the diagnosis during histological assessment. The authors describe a rare case of chordoid meningioma in the cervical spinal region.

Cough induced by ossification of the ligamentum flavum in the high cervical spine

2004 ◽  
Vol 100 (4) ◽  
pp. 364-366 ◽  
Author(s):  
Yu-Cheng Chou ◽  
Chau-Chin Lee ◽  
Pao-Sheng Yen ◽  
Jui-Feng Lin ◽  
Chain-Fa Su ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Traffic Accident ◽  
Rare Case ◽  
Ligamentum Flavum ◽  
Pathophysiological Mechanism ◽  
Decompressive Laminectomy ◽  
Content Type ◽  
High Cervical ◽  
Fine Print

✓ The authors report a very rare case of high cervical ossification of the ligamentum flavum (OLF) in a 40-year-old woman who developed an intractable cough after a traffic accident. The patient's symptoms subsided immediately after decompressive laminectomy and removal of the lesion. To the authors' knowledge, this is the first reported case of high cervical OLF in a patient who presented with a cough. The pathophysiological mechanism underlying the cough was determined to be symptomatic of high cervical spine OLF.

History of skeletal traction in the treatment of cervical spine injuries

1970 ◽  
Vol 33 (1) ◽  
pp. 54-59 ◽  
Author(s):  
John D. Loeser
Keyword(s):  
Cervical Spine ◽  
Cervical Vertebrae ◽  
Spine Fractures ◽  
Skeletal Traction ◽  
Content Type ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
History Of ◽  
Cervical Spine Fractures ◽  
Fine Print

✓ Therapy of cervical spine fractures is reviewed from the time of the Egyptians (4000 B.C.) to the present day. Immobilization has been practiced for slightly more than a century; devices for exerting traction upon the skull have been in use for 37 years. The Renaissance surgeon, Fabricus Hildanus, designed a tool for exerting traction upon the cervical vertebrae, but this method did not become popular. Until the 20th century, few physicians considered the therapy of this common injury.

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