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  • Anterior approach  (2)
  • Arnold's neuralgia  (1)
  • CT diskography  (1)
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Surgical and radiologic anatomy 14 (1992), S. 203-208 
    ISSN: 1279-8517
    Keywords: Cervical spine ; Anterior approach ; Hypoglossal nerve ; Superior and inferior laryngeal nerves
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Les suites de la chirurgie du rachis cervical par voie antérieure présternocléidomastoïdienne sont marquées dans un nombre de cas non négligeable par des troubles de la déglutition et de la phonation, et ce, d'autant que l'abord est étendu. 35 dissections sur cadavres ont été réalisées afin de préciser la topographie par rapport aux niveaux vertébraux, le trajet et les variations des éléments nerveux rencontrés lors de cet abord cervical : nerfs laryngés supérieur et récurrent, nerf hypoglosse et la racine supérieure de l'anse cervicale. A partir de cette étude morphologique, les auteurs suggèrent quelques points d' amélioration technique, à chacune des étapes de la dissection, en pratique chirurgicale.
    Notes: Summary The results of the surgical anterior approach to the cervical spine are marked in a number of cases by dysphagia and dysphonia, especially when the approach is extensive or performed at the upper cervical spine. 35 cadaver dissections were performed to define the topography of the nerve structures during operative exposure at various vertebral levels : superior and recurrent laryngeal nerves, hypoglossal nerve and its superior root of the ansa cervicalis. The authors suggest some technical improvements, for each stage of surgical dissection.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Surgical and radiologic anatomy 11 (1989), S. 205-210 
    ISSN: 1279-8517
    Keywords: N. of Arnold ; Arnold's neuralgia
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Cette étude porte sur le rameau dorsal du deuxième n. spinal cervical (ou grand n. occipital d'Arnold); nous avons voulu préciser, par des dissections sur cadavres formolés, le trajet sinueux de ce nerf, en essayant de le situer par rapport à des repères cliniques ou radiographiques, ceci afin de guider au mieux des infiltrations de ce nerf. De façon concomitante, il a été réalisé une étude dynamique pour reconnaître les rapports du nerf avec les éléments l'entourant lors des divers mouvements du cou, ce qui peut conduire à proposer des manœuvres cliniques sensibilisant les conflits et faisant apparaître les zones de vulnérabilité du nerf.
    Notes: Summary This study concerns the posterior ramus of the second cervical spinal n., or greater occipital of Arnold. By means of dissections in formalin embalmed cadavers, an attempt was made to define its winding course and to locate it in relation to clinical or radiographic landmarks, so as to provide a guide for infiltration of the nerve with local anesthetic. At the same time a dynamic study was made to elucidate the relations of the nerve to adjacent structures during the different movements of the neck. This allowed us to propose clinical tests of nerve involvement and to reveal the zones where the nerve is anatomically vulnerable.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-1920
    Keywords: Disk herniation ; CT ; CT diskography ; Postoperative changes
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Thirty-three patients with recurrent sciatica after lumbar-disk surgery were studied for recurrent herniated nucleus pulposus (HNP) by CT alone and CT-diskography (CTD). Twenty-six patients underwent surgical reexploration allowing correlation with CTD. CTD made a correct diagnosis of recurrent HNP in twenty-one patients showing an extravasation of the contrast medium from the disk space into the medullary canal. In two cases CTD was positive for recurrent HNP but surgery showed only fibrosis. The amount of contrast leak was very small in these two cases along the posterior common longitudinal ligament, and the junction with the disk was very narrow. Because of their clinical presentation three patients with negative studies were operated upon. One showed only fibrosis and the two others showed an associated disk fragment. Among the twenty-one true-positive cases, seven showed a combination of recurrent HNP and scarring. Contamination of CSF by the contrast medium through the dura was observed in two patients. Although a prospective comparative study between CTD and IV-contrast-enhanced CT is necessary, CTD appears to be a useful diagnostic procedure for recurrent HNP after surgery of the lumbar spine.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    European journal of orthopaedic surgery & traumatology 10 (2000), S. 177-181 
    ISSN: 1432-1068
    Keywords: Cervical spine ; Anterior approach ; Complications ; Dysphagia ; hoarseness
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The authors present a retrospective study of 535 consecutive anterior approaches to the cervical spine back to 5 years. The data were analyzed for post-operative complications. This surgical procedure has been commonly used for more than 40 years, but the post-operative complications due to the anterior approach itself were presented with few accompanying statistics, with various and contradictory results. Injury to nearly all of the structures has been reported in the literature, the more frequent problems are hoarseness and dysphagia; other complications include perforation of the oesophagus, hematomas, vascular injury⋯ Analysis of this data allows to understand better the specific problems related to this surgical approach, and to suggest precautions at each stage of the course of exposure of cervical vertebrae.
    Type of Medium: Electronic Resource
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