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44,353 results
  • Cervical canal stenosis due to cervical spondylotic myelopathy C4-C5: A case report. [Journal Article]
  • IJInt J Surg Case Rep 2019 Jun 04; 60:82-86
  • Rahyussalim AJ, Saleh I, … Kurniawati T
  • CONCLUSIONS: Cervical spondylotic myelopathy is a complex disease that may lead to significant clinical morbidity. The management requires an extensive knowledge of the anatomy, biomechanics, and surgical options. The variable clinical findings, radiological evidence and scoring system, such as JOA, are important for preoperative evaluation and individualising surgical planning. The choice of the most appropriate technique is affected by patient's clinical condition and radiologic findings as well as surgeon's experience. It is demonstrated that the Kurokawa-type laminoplasty that involves splitting the spinous processes in the midline offers the advantage of reduced bleeding as the lateral epidural venous plexus is not disturbed in comparison to that with the former Hirabayashi's expansive open-door laminoplasty. Moreover, the body symmetry is preserved; therefore, this procedure may be considered more anatomical and physiological. However, differences in the outcomes between the two approaches remain unknown.These findings suggest that the decompression and posterior stabilisation method may help achieve good patient outcomes.
  • Cervical Laminectomy With or Without Lateral Mass Instrumentation: A Comparison of Outcomes. [Journal Article]
  • CSClin Spine Surg 2019 Jun 14
  • Kim BS, Dhillon RS
  • CONCLUSIONS: In carefully selected patients with normal preoperative cervical sagittal alignment, stand-alone cervical laminectomy may offer acceptably low rates of postoperative kyphosis. In patients with preoperative loss of cervical lordosis and/or kyphosis, posterior fusion is recommended to reduce the risk of progression to postoperative kyphotic deformity, bearing in mind that radiologic evidence of kyphosis may not necessarily correlate with poorer clinical outcomes. Furthermore, the specific risks associated with posterior fusion (instrumentation failure, pseudarthrosis, infection, C5 nerve root palsy, and vertebral artery injury) need to be considered and weighed up against potential benefits.
  • Chiari I malformation and altered cerebrospinal fluid dynamics-the highs and the lows. [Journal Article]
  • CNChilds Nerv Syst 2019 Jun 16
  • Mukherjee S, Kalra N, … Chumas PD
  • CONCLUSIONS: In paediatric ACM, the management of intracranial hypotension involves thorough radiological assessment and inclusion/adjustment of a valve in the case of lumboperitoneal shunting or epidural blood patch or interventional techniques in the case of spontaneous CSF leak. Thereby, unwarranted posterior fossa decompression surgery is avoided. In the case of IIH and Chiari I malformation, children who have recurrent symptoms despite adequate posterior fossa decompression surgery (failed Chiari), there is a strong role for intracranial pressure monitoring as raised intracranial pressure may indicate long-term CSF diversion.
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