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Decompression, Surgical (0):
Recent article
Decompression, Surgical
Abstract
Microvascular decompression is an etiological strategy for the therapy of trigeminal neuralgia (TN). Preoperative identification of neurovascular compression, therefore, could have an impact on the determination of appropriate treatment for TN.
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PMID: 21835888
PDF is available here.
PDF is available here.
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Abstract
To study therapeutic effects of early stage operation for type I sacral fracture accompanied by neurological damage.
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PMID: 21786555
PDF is available here.
PDF is available here.
Abstract
In TOS patients, the widths of the vertebral end and sternal end of the first rib were significantly wider than the control group (both, P = 0.0001). CONCLUSION: Patients with wider vertebral end width of the first rib (>15 mm) or wider sternal end width of the first rib (>20 mm) may develop TOS...
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PMID: 21550326
PDF is available here.
PDF is available here.
Abstract
Thoracic disc herniations (TDHs) may occasionally present with an acute myelopathy, defined as a variable degree of motor, sensory, and sphincter disturbances developing in less than 24 hours, and resulting in a Frankel Grade C or worse. Confronted with such a patient, the surgeon ha...
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PMID: 21314281
PDF is available here.
PDF is available here.
Le infezioni in medicina : rivista periodica di eziologia, epidemiologia, diagnostica, clinica e terapia delle patologie infettive (19)1 2011
Abstract
We present a rare case of spinal hydatid disease. The patient was a 38-year-old housewife with a vertebral echinococcosis revealed by acute paraplegia of the legs. Medical treatment with albendazole and surgical intervention improved the clinical symptoms. This case is emblematic both for the unusua...
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PMID: 21471745
PDF is available here.
PDF is available here.
Presse Medicale (40)3 2011
Abstract
Abstract
Migraine headache can be a debilitating condition that confers a substantial burden to the affected individual and to society. Despite significant advancements in the medical management of this challenging disorder, clinical data have revealed a proportion of patients who do not adequately respond t...
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PMID: 20871488
PDF is available here.
PDF is available here.
Neurology India (59)3 2011
Abstract
Neurology India (59)3 2011
Abstract
We report a lady who presented with progressive quadriparesis, with cervical extradural lesion on magnetic resonance imaging. She underwent decompression of the lesion and histological diagnosis of the lesion was Rosai-Dorfman disease. On one-year follow-up, she had complete improvement of the defic...
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PMID: 21743179
PDF is available here.
PDF is available here.
Abstract
In this chapter the presentation and management of common orbital diseases are discussed. An accurate clinical history and assessment are essential, with computed tomography being the imaging of choice. Magnetic resonance imaging provides detail of intrinsic optic nerve disease and orbital apical or...
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PMID: 21601077
PDF is available here.
PDF is available here.
Abstract
We present a case report of 20-year-old girl with an undiagnosed leukemia, initially manifesting as paralysis. En bloc spondylectomy with chemotherapy postoperatively constituted the treatment of choice for this tumor. After two courses of chemotherapy, the patient made a good postoperative recovery...
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PMID: 21712785
PDF is available here.
PDF is available here.
Abstract
Acute compartment syndrome occurs when pressure within a fibro-osseous space increases to a level that results in a decreased perfusion gradient across tissue capillary beds. Compartment syndromes of the hand, forearm, and upper arm can result in tissue necrosis, which can lead to devastating loss of...
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PMID: 21205767
PDF is available here.
PDF is available here.
Turkish Neurosurgery (21)2 2011
Abstract
We present a case that had two separate facet joints on the same side causing an intervertebral instability. The embryological pathogenesis of the congenital existence of two separate facet joints on the same side of the vertebra is not conclusively known. A 68-year-old woman presented with lower bac...
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PMID: 21534210
PDF is available here.
PDF is available here.
Abstract
Abstract
Abstract
To investigate the clinical effects of one-stage posterior-anterior decompression and internal fixation for the treatment of the severe fractures and dislocations combined with the spinal cord injuries of the lower cervical spine.
From August 2005 to August 2009, 48 patients (male 28 and female 20,...
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PMID: 21265205
PDF is available here.
PDF is available here.
Abstract
Biological attempts at disc regeneration are promising; however, disc degeneration is closely related to other predisposing factors such as alteration of disc height, intradiscal pressure, load distribution, and motion. The restoration of the physiological status of the affected spinal segment is th...
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PMID: 21039146
PDF is available here.
PDF is available here.
Abstract
I and II) versus high-grade (Meyerding III, IV, and V) groups. Both univariate and multivariate analyses were performed.
In the 10,242 cases of DS and IS reported, there were 945 complications (9.2%) in 813 patients (7.9%). The most common complications were dural tears, wound infections, implant co...
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PMID: 21039149
PDF is available here.
PDF is available here.
Abstract
The surgical approach and treatment of thoracolumbar osteoporotic vertebral collapse with neurological deficit have not been documented in detail. Anterior surgery provides good decompression and solid fusion, but the surgery-related risk is relatively higher than that associated with the posterior...
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PMID: 21039153
PDF is available here.
PDF is available here.
Abstract
We added gadolinium (GD) in three patients. All subjects had intraoperative electrocorticogram recordings and an audiologic follow-up. The three subjects who underwent injection of the DEX-GD solution were followed-up with magnetic resonance imaging. The audiological data are presented during a foll...
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PMID: 20974338
PDF is available here.
PDF is available here.
Abstract
We have demonstrated for the first time an inverse (ie, negative) correlation between hand surgery volumes performed by plastic surgeons in relation to the US economy, as represented by the 3 major market indices. In contrast, orthopedic hand surgery volume and cosmetic surgery show a parallel (ie,...
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PMID: 20948427
PDF is available here.
PDF is available here.
Abstract
We reviewed the medical records of all lymphoma patients who underwent endoscopic retrograde cholangiopancreatography (ERCP) and/or percutaneous biliary drainage (PBD) for obstructive jaundice between June 2002 and October 2008.
We identified 35 lymphoma patients who underwent ERCP and/or PBD for ob...
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PMID: 20632106
PDF is available here.
PDF is available here.
Abstract
We present here the first reported case of chronic traumatic SEH in a 3-yr-old boy. He was admitted with axillary pain and slowly progressive weakness after a fall that had occurred 4 wks before. On admission, he could not stand or hold a spoon. Magnetic resonance imaging revealed epidural hematomas...
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PMID: 20657264
PDF is available here.
PDF is available here.
Abstract
To summarize and analyze preventive strategies of secondary spinal cord injury caused by subaxial cervical trauma.
From April 2004 to April 2009, 67 patients with secondary spinal cord injury caused by subaxial cervical trauma were retrospectively analyzed. There were 40 males and 20 females, with a...
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PMID: 21254684
PDF is available here.
PDF is available here.
Abstract
By discussing different ways on prediction, prevention and treatment of femur head necrosis (FHN), to provide a theory reference for future clinical application. By searching, reading and summarizing related-literatures through CNKI, VIP, CBM and foreign-related literature, to sum up the relevance m...
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PMID: 21254692
PDF is available here.
PDF is available here.
Abstract
Case study with unique laboratory analysis.
To present a potentially serious adverse event that may occur in unique individuals when using recombinant human bone morphogenetic protein-2 (rhBMP-2) to augment fusion in posterior cervical spine surgery.
The use of rhBMP-2 to augment posterior cervical...
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PMID: 20938385
PDF is available here.
PDF is available here.
Abstract
A retrospective multicenter study of series of 12 patients with spinal cord sarcoidosis who underwent surgery.
To evaluate the postoperative outcomes of patients with cervical spinal cord sarcoidosis accompanied with compressive myelopathy and effect of decompressive surgery on the prognosis of sarc...
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PMID: 20736887
PDF is available here.
PDF is available here.
Abstract
We conducted a "before and after study" on severe obstructive jaundice patients as a model of inhibition of the excessive process by bile duct decompression. Specimens of liver biopsies were taken before and after decompression of the bile duct and then stained by terminal deoxynucleotide transferas...
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PMID: 20943462
PDF is available here.
PDF is available here.
Zhongguo Xiufu Chongjian Waike Zazhi/Chinese Journal of Reparative and Reconstructive Surgery (24)10 2010
Abstract
To investigate the effect of methylprednisolone sodium succinate (MP) and mouse nerve growth factor (mNGF) for injection in treating acute spinal cord injury (ASCI) and cauda equina injury.
Between December 2004 and December 2007, 43 patients with ASCI and cauda equina injury were treated, including...
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PMID: 21049601
PDF is available here.
PDF is available here.
Abstract
In spite of the prevalence and impact of spinal trauma, significant controversy surrounds many of the topics in the field. The role and timing of surgical intervention after spinal trauma remains one of the most contested topics. This focus issue contains 3 studies, which respectively attempt to def...
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PMID: 20881456
PDF is available here.
PDF is available here.
Abstract
Systematic review.
To determine whether early spinal stabilization in the multiple trauma patient is safe and does not increase morbidity or mortality.
There is no consensus regarding the timing of surgical stabilization of the injured spine, especially in patients with multiple trauma. Designing an...
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PMID: 20881461
PDF is available here.
PDF is available here.
Abstract
We have performed a thorough literature search based on the following question: "Is there a role for urgent (within 24 hours from injury to surgery) surgical decompression in acute central cord syndrome without fracture or instability specifically to enhance neurologic recovery?" Data including pati...
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PMID: 20881460
PDF is available here.
PDF is available here.
Abstract
Systematic review.
To determine the indications for surgical intervention and optimal surgical treatment technique for patients with post-traumatic syringomyelia and spinal cord tethering.
The proper management strategy for post-traumatic syringomyelia has not been established. Most modern surgical...
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PMID: 20881468
PDF is available here.
PDF is available here.
Abstract
The current Spine Focus Issue reflects the collective efforts of members of the Spine Trauma Study Group, and seeks to summarize as well as critically evaluate many of the key controversies related to the management of spinal trauma and spinal cord injury. Some of the topics discussed in this issue...
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PMID: 20881457
PDF is available here.
PDF is available here.
Abstract
Systematic literature review.
A systematic review was designed to answer 3 primary research questions: (1) What is the most useful classification system for surgical and nonsurgical decision-making with regard to thoracolumbar (TL) spine injuries? (2) For a TL burst fracture with incomplete neurolog...
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PMID: 20881467
PDF is available here.
PDF is available here.
Abstract
We undertook a systematic review of the applied preclinical and clinical published data regarding the timing of decompression following SCI. A 20-question survey was sent to orthopedic and neurosurgical spine surgeons across the world. Response frequencies were compiled for respondent demographics a...
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PMID: 20881458
PDF is available here.
PDF is available here.
Anesthesia & Analgesia (111)3 2010
Abstract
We highlight the ongoing debate about the use of decompressive craniectomy to control intracranial pressure after traumatic brain injury; included is a summary of review of the most recent literature on the effect of decompressive craniectomy on increased intracranial pressure after traumatic brain...
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PMID: 20686006
PDF is available here.
PDF is available here.
Abstract
Immediate and complete relief of SUNCT and SUNA symptoms occurred in 6/9 (67%) cases. This was sustained for a follow-up period of 9-32 months (mean 22.2). In 3/9 (33%) cases, there was no benefit. Ipsilateral hearing loss was observed in one case. CONCLUSION: Medically intractable SUNCT and SUNA su...
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PMID: 20462914
PDF is available here.
PDF is available here.
Journal de Radiologie (91)9 Pt 2 2010
Abstract
Some early complications (hematoma, spondylodiscitis, pseudomeningocele) can occur with all types of surgery while late complications vary with the type of surgery. After discectomy, postsurgical changes (osseous and ligamentous defects, scar tissue, granulation tissue) should be distinguished from...
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PMID: 20814393
PDF is available here.
PDF is available here.
Orthopedics (33)9 2010
Abstract
Musculotendinous variations around the medial epicondyle can contribute to subluxation of the ulnar nerve at the elbow. This article reviews the presenting symptoms, operative findings, and results of surgery for subluxation of the ulnar nerve at the elbow. A retrospective evaluation was performed o...
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PMID: 20839711
PDF is available here.
PDF is available here.
Abstract
Repair of massive rotator cuff tears is technically difficult but often feasible. Technical and biological challenges to a successful repair include inelastic poor-quality tendon tissue, scarring, muscle atrophy, and fatty infiltration. Fatty infiltration of the involved rotator cuff muscles has bee...
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PMID: 20686065
PDF is available here.
PDF is available here.
Abstract
Peritoneal fluid did not activate PMNs but increased CD11b expression on monocytes. When used as a primer for fMLP- or PMA-induced activation, peritoneal fluid significantly increased CD11b and CD18 expression on PMNs and monocytes. Peritoneal fluid collected at 6 and 12 h post decompressive laparot...
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PMID: 20466401
PDF is available here.
PDF is available here.
Obstetrics & Gynecology (116 Suppl 2)supplement 2010
Abstract
BACKGROUND: Epidural abscess is a rare complication of regional anesthesia, and spontaneous formation is even more uncommon. Diabetes mellitus, concomitant infection, intravenous drug use, and immune suppression are risk factors for spontaneous epidural abscess. CASE: A 29-year-old white woman prese...
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PMID: 20664432
PDF is available here.
PDF is available here.
Abstract
Abstract
The combination of Healos hydroxyapatite sponge and bone marrow aspirate plus local allograft had significantly slower fusion rates but equal clinical outcomes compared with cancellous allograft plus local autograft when used for posterolateral fusion in patients with degenerative lumbar scoliosis....
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PMID: 20672956
PDF is available here.
PDF is available here.
Abstract
Seventeen studies were included in analysis comprising 598 patients with degenerative lumbar scoliosis and treated by operative treatment. Overall, 451 patients received correction procedure. All trials were non-randomized and noncomparative studies. Almost all level evidence of the study was level...
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PMID: 20718168
PDF is available here.
PDF is available here.
Journal of Neurotrauma (27)8 2010
Abstract
Human spinal cord injury (SCI) is usually accompanied by persistent cord compression. Experimental data demonstrate that compression of the traumatized cord results in rapid neurological decline over hours. Undertaking decompression in humans within this time frame has proved impractical, with the t...
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PMID: 20504158
PDF is available here.
PDF is available here.
Abstract
Spinal epidural hematoma is a rare condition that usually presents with acute, severe pain at the location of the hemorrhage, with radiation to the extremities. It can rapidly develop to include progressive and severe neurologic deficit. The pathophysiology often remains unclear. However, epidural h...
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PMID: 20675642
PDF is available here.
PDF is available here.
Abstract
Complete reduction and fusion were achieved. The neurologic symptoms improved after the surgery. At follow-ups of 1 year and 6.5 years, there was no further slippage of the vertebrae. They were satisfied with the treatment outcomes. CONCLUSION: Posterior decompression, reduction, internal fixation,...
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PMID: 20628328
PDF is available here.
PDF is available here.
Abstract
A total of 67 patients (27%) had significant lower urinary tract symptoms in our study group. The mean/median number of levels decompressed was 1.5/1 in high AUAss and 1.8/2 in low AUAss group. Decompressive surgery had beneficial effect on both the AUAss and Oswestry Disability Index in both groups...
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PMID: 20628335
PDF is available here.
PDF is available here.
Abstract
Both patients were successfully decompressed via an endoscopic, endonasal approach which provided access to the cranio-vertebral junction and upper cervical spine. CONCLUSION: An endoscopic, endonasal approach is feasible for the surgical management of cranio-vertebral junction stenosis; such an app...
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PMID: 20003599
PDF is available here.
PDF is available here.
Abstract
A total of 289 patients enrolled in the RC and 365 patients enrolled in the OC. An as-treated analysis combining the RC and OC and adjusting for potential confounders found that the clinically significant advantages for surgery previously reported were maintained through 4 years, with treatment effe...
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PMID: 20453723
PDF is available here.
PDF is available here.
Zhonghua Yixue Zazhi (90)23 2010
Abstract
To investigate the recognition and approach of the hidden related vascular in hemifacial spasm patients during the operation of microvascular decompression.
The clinical records of 85 patients of hemifacial spasm were analyzed at our hospital. The hidden related vessel was found in 7 patients. REZ (...
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PMID: 20979752
PDF is available here.
PDF is available here.
Abstract
We report a pregnant woman who developed non-traumatic spinal subdural and epidural hematoma. A 31-year-old woman at 28 weeks of gestation developed progressive ascending paralysis. MRI suggested the presence of spinal subdural hematoma at T4-6 and spinal epidural hematoma at T4-9. An emergency cesa...
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PMID: 20560387
PDF is available here.
PDF is available here.
Abstract
The proportion of dogs with clinical success was significantly higher for dogs that underwent EAP (15/19) than for dogs that underwent DSX (4/10); the proportion of dogs with clinical success for dogs that underwent DSX + EAP was intermediate (8/11). CONCLUSIONS AND CLINICAL RELEVANCE: EAP was more...
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PMID: 20513202
PDF is available here.
PDF is available here.
Abstract
Needle thoracostomy decompression was attempted in 1.5% (142/9689) of patients. Among patients with blunt injuries, the incidence was 1.4% (101/7073). Patients transported by helicopter (74%) received a 4.5-cm sheath. The remainder (26% ground transport) received a 3.2-cm catheter. A minority in eac...
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PMID: 20507791
PDF is available here.
PDF is available here.
Neurocirugia (21)3 2010
Abstract
We report a 8-year-old boy with two month history of pain and stiffness in his left lower extremity. On x-ray, MRI and scintigraphy examinations a lytic lesion affecting the body and posterior arc of his third lumbar vertebral become evident. The tumour was excised through a double, anterior and pos...
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PMID: 20571728
PDF is available here.
PDF is available here.
The Surgeon (8)3 2010
Abstract
Journal of Trauma (68)6 2010
Abstract
There was only one level I recommendation. A patient with documented abdominal compartment syndrome should undergo decompressive laparotomy. CONCLUSION: The open abdomen technique remains a heroic maneuver in the care of the critically ill trauma or surgical patient. For the best outcomes, a protoco...
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PMID: 20539186
PDF is available here.
PDF is available here.
Neurological Surgery (38)6 2010
Abstract
This study demonstrates that meticulous evaluation of AMR findings intraoperatively can help to improve the results of surgery. We believe that intraoperative AMR monitoring is useful in microvascular decompression for HFS....
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PMID: 20543226
PDF is available here.
PDF is available here.