ISSN:1050-6438    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Ankylosing spondylitis (AS), a common rheumatologic disorder affecting the spinal column, has an estimated incidence of 1 to 2% in the general population. These patients are specifically prone to neurologic complications secondary to spinal column fractures, progressive spinal deformity, atlantoaxial subluxation, and spinal stenosis. We outline the pathophysiology of this disorder, describe the common spinal complications, and then detail the medical and surgical management of these conditions. We review our 5-year retrospective experience with 33 patients who underwent 41 surgical procedures for spinal disorders secondary to ankylosing spondylitis. Seventeen cervical procedures, 14 thoracic, and 10 lumbar surgeries were performed. Eight patients had two or more disorders during the evaluation period requiring surgery. Thirteen patients had preoperative neurologic deficits that improved in 9 patients and stabilized in 4 after surgery. We conclude that neurologic compromise is common in these patients due to the brittle nature of the spine and the tendency for fractures or deformity to occur. Our experience suggests that thorough radiologic evaluation, extreme caution with endotracheal intubation and with Halo or traction applications, early surgical spinal immobilization, and aggressive postoperative mobilization of patients are necessary for successful outcome. Satisfactory neurologic outcome can be achieved when patients are carefully managed.

ISSN:1050-6438    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Ependymomas are the most common intramedullary spinal cord tumor in the adult. Although unencapsulated, these tumors are typically well circumscribed and noninfiltrative. Many of these tumors are histologically benign. Accumulating clinical experience indicates that longterm tumor control or cure with preservation of neurologic function is best achieved with microsurgical removal alone. The clinical and radiographic features of spinal cord ependymoma are reviewed. The technique of intramedullary tumor removal is described. The need for careful, longterm follow-up and avoidance of management pitfalls is stressed.

ISSN:1050-6438    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

This comprehensive review of corrective skeletal surgery is based on our personal neurosurgical experience with >80 patients with achondroplasia and other rarer forms of congenital skeletal deformity. In addition to a classification of skeletal dysplasia, we provide details on conditions that frequently require neurosurgical intervention for decompression and fusion, including achondroplasia, Morquio syndrome, osteogenesis imperfecta, and other rare craniospinal deformities. Particular emphasis is placed on surgical indications, surgical approaches, and controversial aspects of treatment. The potential for improvement of evaluation and treatment of these conditions is also described when possible.

ISSN:1050-6438    

出版商:OVID    

年代:1993

数据来源: OVID

ISSN:1050-6438    

出版商:OVID    

年代:1993

数据来源: OVID