1,721,003 research outputs found
Spine Surgery in neurologic lesions of the cervicothoracic junction: multicentric experience on 33 consecutive cases
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Spinal meningiomas: prognosis and recovery factors in 22 cases with severe motor deficits
No full textIn Reply to the Letter to the Editor Regarding "Acute Spinal Epidural Hematoma After Acupuncture. Case Report and Literature Review"
No full textIn response to the remarks from Gan et al.1 concerning our article, “Acute Spinal Epidural Hematoma After Acupuncture: Case Report and Literature Review,” 2 we would like to highlight
the following important points. Regarding the precise acupuncture technique performed in the case reported in the article, we decided to report exactly what explained by the acupuncturist concerning both the entry points and the needles employed. A higher level of accuracy could not be reached because 4 months had passed from the time of the acupuncture treatment to our interview with the acupuncturist, and no detailed report about this treatment was ever compiled
Nontraumatic acute spinal subdural hematoma: report of five cases and review of the literature
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Prognostic aspects and recovery factors in 23 patients operated on for spinal meningioma with severe motor deficits
No full textIn reply to "Ways to improve outcome of decompressive craniectomy: judicious utilization of microneurosurgical technique adjuncts"
No full textWe read with interest the article “Measurement of bone flap surface area and midline shift to
predict overall survival after decompressive craniectomy ”. 1 Decompressive craniectomy is
associated with multitude of therapeutic effects including enlargement of the intracranial
volume , re-opening up of perimesencephalic cisterns, improvement of cerebral compliance,
increase in cerebral blood flow and cerebral perfusion, improvement of cerebrovascular regulation
and reduction in midline shift, and intracranial pressure . However, outcome of decompressive
craniectomy depends on various factors i.e. age of patient, primary intracranial pathology, size of
decompressive craniectomy, preoperative midline shift, preoperative rise in intracranial pressure
level, co-morbid illness, neurological status, mass effect and still controversy exists regarding size of
decompressive craniectomy, optimal patient group, timings and surgical technique
Traumatic sacral fractures: navigation technique in instrumented stabilization.
No full textBackground: Sacral fractures are a challenge regarding treatment and classification. Surgical techniques using spinal navigation systems can improve treatment, especially if used in collaboration among different specialists. Methods: Between 2015 and 2017, we treated 25 consecutive cases of sacral fracture. Twelve patients (48%) underwent mechanical ventilation due to hypovolemic shock for severe thoracoabdominal trauma; bleeding was blocked with pelvic packing in 9 cases (36%) and transcatheter embolization in 2 cases (8%). External fixation was used in 7 cases (28%). In 20 cases (80%) spinal fractures were associated. All patients were operated on using spinal navigation by a team of neurosurgeons and orthopedic surgeons. Results: The mean time from first observation to surgery was 18 days (range 8–31). Surgical treatment consisted of iliosacral fixation in 19 cases (76%) and spinopelvic fixation in 6 cases (24%). The mean number of screws for spinopelvic fixation was 9.67 (range 6–17) with a mean operation time of 323.67 minutes (range 247–471); in iliosacral osteosynthesis the mean screw number was 1.37 (range 1–3) and mean surgical time was 78.93 minutes (range 61–130). Postoperative computed tomography showed the correct screw placement. Wound infection occurred in 2 cases (8%), managed with vacuum-assisted closure therapy; in 1 case (4%) a sacral screw was removed for decubitus. Conclusions: Navigation systems in instrumented spinopelvic and sacropelvic reconstruction provide greater safety, reducing learning times and malpositioning. Multidisciplinary management allows us to achieve optimal results, especially when the sacral fracture is combined with spinal and pelvic lesions. The use of navigation systems could represent an important advancement
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