1,721,169 research outputs found
Pitfalls in Cervical Spine Surgery. Avoidance And Management Of Complications.
No full textSpinal surgery is a unique area in the process of continuous development. New skills are applied daily in this delicate field by the spinal surgeon: this professional can be either an orthopaedic surgeon or a neurosurgeon dedicated to the treatment of spinal diseases. This book offers a comprehensive approach and reviews all of the possible errors encountered by spinal surgeons in the clinical practice. It is mainly directed towards young surgeons approaching spinal surgery and also to experienced surgeons with regards to complications related to the latest technologies in the spinal field. This approach of treating and understanding problems in cervical spine surgery is unique and will guide the reader towards an improved level of attention regarding pitfalls in cervical spine surgery, therefore fostering the ability of preventing major complications and medicolegal consequences
Vertebroplasty and Kyphoplasty: Reasons for Concern?
No full textTwo different minimally invasive percutaneous vertebral augmentation methods for cement application into the vertebral body for the management of symptomatic compression fractures without neurologic impairment have been developed, namely, vertebroplasty and kyphoplasty. In vertebroplasty, polymethylmethacrylate cement is injected percutaneously into a collapsed vertebral body. Kyphoplasty involves placing an inflatable bone tamp percutaneously into a vertebral body. The inflation of the bone tamp with fluid allows restoration of vertebral height and correction of the kyphosis. After deflation, the cavity that has been produced is filled by injection of polymethylmethacrylate. This article provides an overview of the state of the art in vertebroplasty and kyphoplasty, discussing the indications, techniques, results, and pitfalls
Securing Hemostasis in Pediatric Low-Grade Posterior Cerebral Fossa Tumors: The Value of Thrombin-Gelatin Hemostatic Matrix
No full textWe report our preliminary experience concerning the use of thrombin-gelatin hemostatic matrix to strengthen the final hemostasis after posterior fossa low-grade tumor surgery in children. To our knowledge, this is the first report regarding the use of hemostatic matrix in pediatric neurosurgery
Upper cervical spine injuries: Indications and limits of the conservative management in Halo vest. A systematic review of efficacy and safety
No full textINTRODUCTION: The integrity of the upper cervical spine is essential for survival and function, because of the neurovascular structures contained within its bony elements. Fractures of the upper cervical spine (C1-C2) are frequent. This systematic review assesses the efficacy and safety of the conservative management in Halo vest for patients with upper cervical spine fractures.
MATERIALS AND METHODS: Two reviewers independently identified studies in English, by a systematic search of CINAHL, Embase, Medline, HealthSTAR, and the Cochrane Central Registry of Controlled Trials, from inception of each database to 28 January 2010, using various combinations of the keywords terms "odontoid fractures", hangman's fractures", "axis fractures", "axis", "atlas", "Jefferson fractures", "C1 arch fractures", "C1 fractures", "C2 fractures", "cervical spine", "injuries", "fracture", "trauma", "neck injury", "surgery".
RESULTS: A total of 43 citations were obtained. An additional 4 papers were obtained from the reference list of the studies included. The 47 studies that were included described a total of 1078 patients with C1-C2 fractures managed by halo fixator.
CONCLUSIONS: The halo fixator has a well defined place in the management of fractures of the cervical spine. Clearly, studies of higher level of evidence, for instance large randomised trials, should be conducted, even though the available evidences suggest that management of upper cervical spine fracture with halo fixator is safe and effective
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