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11. |
A Novel Technique for Delivery of Epidural Steroids and Diagnosing the Level of Nerve Root Pathology |
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Journal of Spinal Disorders & Techniques,
Volume 16,
Issue 2,
2003,
Page 186-192
Thomas Larkin,
Eugene Carragee,
Steven Cohen,
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摘要:
Transforaminal epidural steroids are a commonly used technique for diagnosis and treatment of nerve root irritation secondary to herniated disc material. The recent reported occurrences of severe complications using the transforaminal technique have led to the search for a novel alternative that is both a safe and accurate method of steroid delivery. The technique described offers improved safety and diagnostic accuracy over traditional transforaminal steroid injections.
ISSN:1536-0652
出版商:OVID
年代:2003
数据来源: OVID
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12. |
Spinal Epidermoid Tumors: Novel Approach to Aseptic Meningitis |
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Journal of Spinal Disorders & Techniques,
Volume 16,
Issue 2,
2003,
Page 193-194
John Kapoor,
Roger Kapoor,
Cynthia Buzea,
Mitchell Gropper,
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摘要:
Intraoperative hydrocortisone irrigation of the cerebrospinal fluid pathways may reduce symptoms attributed to aseptic meningitis, which often follow the resection of epidermoid spinal tumors. Here, 20 patients undergoing surgical resection of epidermoid tumors were randomly assigned to two groups: Group I received intraoperative hydrocortisone irrigation, whereas Group II served as a control. No patient receiving hydrocortisone experienced fevers or meningismus, but nontreated patients experienced fevers (100%) and meningismus (78%). Nausea and vomiting were reduced (9%) in the treatedversusuntreated groups (22%vs.11%, respectively), whereas none in the treated group noted dizziness, vertigo, or diabetes insipidus. As steroid irrigation significantly decreased the perioperative morbidity of epidermoid tumor resection, indications for intravenous steroids may become more limited, thereby reducing cost.
ISSN:1536-0652
出版商:OVID
年代:2003
数据来源: OVID
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13. |
The Incidence of Whiplash Trauma and the Effects of Different Factors on Recovery |
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Journal of Spinal Disorders & Techniques,
Volume 16,
Issue 2,
2003,
Page 195-199
Ylva Sterner,
Göran Toolanen,
Björn Gerdle,
Christer Hildingsson,
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摘要:
We performed a prospective study of patients with a whiplash trauma to the cervical spine to describe the incidence of these injuries and to evaluate prognostic factors for disability and recovery. A total of 356 patients were enrolled in the study. All the patients received a comprehensive questionnaire after the injury, and 296 cases responded to the follow-up protocol more than 1 year after the accident. Disability related to the whiplash trauma was used as the outcome variable for the assessment of prognostic factors. The annual incidence of acute whiplash trauma in the catchment area was 4.2 per 1,000 inhabitants and 3.2 per 1,000 for whiplash-associated disorder grades 1–3. Thirty-two percent reported persisting disability at follow-up. The following factors were significantly associated with a poor prognosis: pretraumatic neck pain, low educational level, female gender, and whiplash-associated disorder grades 2–3.
ISSN:1536-0652
出版商:OVID
年代:2003
数据来源: OVID
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14. |
The Relationship Between Lumbar Lordosis and Radiologic Variables and Lumbar Lordosis and Clinical Variables in Elderly, African-American Women |
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Journal of Spinal Disorders & Techniques,
Volume 16,
Issue 2,
2003,
Page 200-206
Steven George,
Gregory Hicks,
Michael Nevitt,
Jane Cauley,
Molly Vogt,
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摘要:
Several authors have hypothesized that there is a link between lumbar lordosis and low back pain. These relationships have not been previously described in a sample consisting exclusively of elderly, African-American women. The purpose of this study was to describe the relationship between lumbar lordosis and radiologic variables and lumbar lordosis and clinical variables in elderly, African-American women. A total of 475 African-American women enrolled in the multicenter Study of Osteoporotic Fractures participated in this ancillary, cross-sectional, study of lumbar lordosis. These women received lumbar spine radiographs and completed a questionnaire on low back pain and its impact on their daily lives. Lumbar lordosis tertiles were created based on radiographic measurements. Comparisons were made between the tertiles for differences in radiologic and clinical variables. Significant differences (p < 0.0025) were observed between the lordosis tertiles and the presence of spondylolisthesis, intervertebral disc space, and vertebral wedging. No significant differences were observed between the lordosis tertiles for the occurrence of low back pain, symptoms associated with low back pain, and disability experienced from low back pain. The degree of lumbar lordosis was associated with radiologic variables but was not associated with symptoms or decreased function from low back pain. These findings question the clinical utility of the lumbar lordosis measurement in elderly, African-American women.
ISSN:1536-0652
出版商:OVID
年代:2003
数据来源: OVID
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15. |
Spinal Arachnoid Cysts Associated With Syringomyelia: Report of Two Cases and a Review of the Literature |
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Journal of Spinal Disorders & Techniques,
Volume 16,
Issue 2,
2003,
Page 207-211
Akihiko Takeuchi,
Kei Miyamoto,
Seiichi Sugiyama,
Mitsuru Saitou,
Hideo Hosoe,
Katsuji Shimizu,
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摘要:
We describe two cases of spinal arachnoid cyst associated with syringomyelia and report the clinical results after surgical treatment using excision of the cyst without a shunt operation for the syringomyelia. Case 1 is a 73-year-old woman who presented with a spastic gait and numbness of her bilateral lower extremities. Magnetic resonance imaging (MRI) showed the presence of a spinal arachnoid cyst extending from T3 to T8 and syringomyelia from T8 to T10. The cyst had compressed the spinal cord anteriorly. We excised the cyst without applying a shunt tube for the syringomyelia. Case 2 is a 68-year-old woman who presented with gait disturbance and numbness of her left lower extremity. MRI indicated that the spinal cord had been compressed anteriorly by a spinal arachnoid cyst extending from T10 to T11. Syringomyelia existed just caudal to the cyst at T11. In our surgical treatment, we excised only the cyst. In both cases, neurologic examination after the operation showed amelioration of the condition. Postoperative MRI indicated that the spinal cord had moved to the center, its original position, and the syringomyelia had decreased in size. Conclusively, spinal arachnoid cyst associated with syringomyelia can be treated by simple excision of the cyst without shunting the syrinx if the decompression effect resulting from removal of the cyst is sufficient.
ISSN:1536-0652
出版商:OVID
年代:2003
数据来源: OVID
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16. |
Intramedullary Histoplasmosis Spinal Cord Abscess in a Nonendemic Region: Case Report and Review of the Literature |
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Journal of Spinal Disorders & Techniques,
Volume 16,
Issue 2,
2003,
Page 212-215
Jonathan Hott,
Eric Horn,
Volker Sonntag,
Stephen Coons,
Andrew Shetter,
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摘要:
An immunocompetent patient from a nonendemic region developed a rare intramedullary thoracic histoplasmoma. A native Arizonan, with no history of travel to endemic regions, received 3 months of itraconazole for confirmed gastrointestinal histoplasmosis at an outside institution. Two years later she experienced the rapid onset of paraplegia and lost bowel and bladder function. Magnetic resonance imaging demonstrated a ring-enhancing intramedullary lesion at T2 and signal abnormality from C2 to T5. Emergent T2–T3 laminectomy was performed with ultrasonographically guided intradural exploration and midline myelotomy. The intramedullary abscess was drained. She was nonambulatory, but motor function was partially restored. An Ommaya reservoir was later placed to deliver amphotericin and a new antifungal agent, voriconazole. Magnetic resonance imaging confirmed that the infection had resolved. Intramedullary spinal histoplasmoma is a rare manifestation of disseminated histoplasmosis, particularly in nonendemic regions. Surgery for focal mass lesions and aggressive antifungal chemotherapy are the optimal treatment. Newer central nervous system-penetrating antibiotics show promise in refractory cases.
ISSN:1536-0652
出版商:OVID
年代:2003
数据来源: OVID
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17. |
Lateral Atlantoaxial Joint Arthrography in Atlantoaxial Rotatory Fixation |
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Journal of Spinal Disorders & Techniques,
Volume 16,
Issue 2,
2003,
Page 216-220
Noboru Hosono,
Kazuo Yonenobu,
Koichi Tada,
Hideki Yoshikawa,
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摘要:
There has been much debate about the pathogenesis of atlantoaxial rotatory fixation. Intraarticular abnormality has not been well documented thus far. This is the first case of chronic atlantoaxial rotatory fixation in which atlantoaxial joints were examined by consecutive arthrography. A 7-year-old girl was diagnosed with atlantoaxial rotatory fixation on a three-dimensional CT scan. Arthrography of the lateral atlantoaxial joints indicated a rupture of the joint capsule on the dislocated side at first, followed by a successful repair after 5 weeks' immobilization with a halo apparatus. Because torticollis recurred after taking off the halo vest, we performed surgery in which severe adhesion of the cartilage surface of facet joint was noted on the undislocated side and release of the adhesion was needed to mobilize the atlas. Atlantoaxial arthrodesis by screw fixation facilitated a solid fusion of the segment.
ISSN:1536-0652
出版商:OVID
年代:2003
数据来源: OVID
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18. |
Transoral Approach Using the Mandibular Osteotomy for Atlantoaxial Vertical Subluxation in Juvenile Rheumatoid Arthritis Associated With Mandibular Micrognathia |
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Journal of Spinal Disorders & Techniques,
Volume 16,
Issue 2,
2003,
Page 221-224
Yasuo Kanamori,
Kei Miyamoto,
Hideo Hosoe,
Hideki Fujitsuka,
Norichika Tatematsu,
Katsuji Shimizu,
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摘要:
We report a case of atlantoaxial vertical subluxation with mandibular micrognathia associated with juvenile rheumatoid arthritis. The patient was treated by odontoidectomyviathe transoral approach and required a sagittal split mandibular osteotomy because of the mandibular micrognathia. The clinical outcome was excellent.
ISSN:1536-0652
出版商:OVID
年代:2003
数据来源: OVID
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19. |
Letters to the EditorAuthor’s Reply |
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Journal of Spinal Disorders & Techniques,
Volume 16,
Issue 2,
2003,
Page 225-226
Finn Christensen,
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ISSN:1536-0652
出版商:OVID
年代:2003
数据来源: OVID
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20. |
Announcements |
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Journal of Spinal Disorders & Techniques,
Volume 16,
Issue 2,
2003,
Page 227-228
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ISSN:1536-0652
出版商:OVID
年代:2003
数据来源: OVID
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