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  • Cervical spine  (3)
  • Complications  (2)
  • Interventional radiology  (2)
  • CT  (1)
  • 1
    Electronic Resource
    Electronic Resource
    Anatomical basis of the anterior cervical spine approach: topographic study of the nerve structure (1992)
    Springer
    Surgical and radiologic anatomy 14 (1992), S. 203-208 
    Details
    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
    URL: http://dx.doi.org/10.1007/BF01794939
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Anatomical bases of the study of the constraints to which the cervical spine is subject in the sagittal plane A study of the center of gravity of the head (1986)
    Springer
    Surgical and radiologic anatomy 8 (1986), S. 169-173 
    Details
    ISSN: 1279-8517
    Keywords: Cervical spine ; Head
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Les auteurs ont déterminé la situation du centre de gravité de 6 têtes formolées isolées par méthode de suspension en se référant aux travaux de l'anthropologue bordelais Beauvieux qui considère que la ligne nasion-opisthion (racine du nez-bord postérieur du trou occipital) caractérise l'horizontalité de la tête quelle que soit l'espèce considérée. Ce centre de gravité se situe au milieu de la ligne nasion-inion (racine du nez-protubérance occipitale externe) en arrière de la selle turcique, au-dessus et légèrement en avant du conduit auditif externe (CAE). De profil, l'axe de gravité abaissé à partir de ce centre passe en avant du rachis cervical qui s'équilibre grâce à un levier inter appui dont les deux bras de levier sont égaux quand le regard est dirigé à 30o vers le bas par rapport à l'horizontale, véritable position de référence du rachis cervical dans le plan sagittal.
    Notes: Summary The authors have determined the position of the center of gravity of six isolated formolized heads by the suspension method, based on the work of the Bordeaux anthropologist, Beauvieux; in his opinion, the nasion-opisthion line (root of nose to posterior edge of the foramen magnum) characterizes the horizontality of the head, irrespective of species. The center of gravity is situated at the middle of the nasion-inion line (root of nose to external occipital protuberance), behind the sella turcica, above and slightly in front of the external auditory meatus. In profile, the axis of gravity falls on leaving the center of gravity and passes in front of the cervical spine, which remains in balance thanks to a fulcrum lever whose two arms are equal when the gaze is directed 30o downwards in relation to the horizontal. This is the true reference position for the cervical spine in the sagittal plane.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02427845
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    CT-diskography in the evaluation of the postoperative lumbar spine (1988)
    Springer
    Neuroradiology 30 (1988), S. 232-238 
    Details
    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
    URL: http://dx.doi.org/10.1007/BF00341834
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  • 4
    Electronic Resource
    Electronic Resource
    Asymptomatic cervical haemangioma treated by percutaneous vertebroplasty (1996)
    Springer
    Neuroradiology 38 (1996), S. 392-394 
    Details
    ISSN: 1432-1920
    Keywords: Key words Vertebral haemangioma ; Interventional radiology ; Vertebroplasty
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We report a 17-year-old asymptomatic patient with a partially collapsed seventh cervical vertebra due to a haemangioma revealed by conventional radiographs performed for army enrolment. Given radiological evidence of aggressiveness, percutaneous vertebroplasty by injection of methyl methacrylate cement was performed to prevent complications. CT a year later showed no progression of the lesion. The patient remains asymptomatic.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00596601
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    Paper (German National Licenses)
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  • 5
    Electronic Resource
    Electronic Resource
    Asymptomatic cervical haemangioma treated by percutaneous vertebroplasty (1996)
    Springer
    Neuroradiology 38 (1996), S. 392-394 
    Details
    ISSN: 1432-1920
    Keywords: Vertebral haemangioma ; Interventional radiology ; Vertebroplasty
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We report a 17-year-old asymptomatic patient with a partially collapsed seventh cervical vertebra due to a haemangioma revealed by conventional radiographs performed for army enrolment. Given radiological evidence of aggressiveness, percutaneous vertebroplasty by injection of methyl meth-acrylate cement was performed to prevent complications. CT a year later showed no progression of the lesion. The patient remains asymptomatic.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00596601
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    Paper (German National Licenses)
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  • 6
    Electronic Resource
    Electronic Resource
    Complications following anterior approaches to the cervical spine (2000)
    Springer
    European journal of orthopaedic surgery & traumatology 10 (2000), S. 177-181 
    Details
    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
    URL: http://dx.doi.org/10.1007/BF01682311
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  • 7
    Electronic Resource
    Electronic Resource
    Complications of vertebral metastasis surgery (1998)
    Springer
    European spine journal 7 (1998), S. 438-444 
    Details
    ISSN: 1432-0932
    Keywords: Key words Vertebral metastases ; Complications ; MRI
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The authors report their experience concerning complications of spinal metastasis surgery. The purpose of this study was to assess the frequency of such complications and analyse the factors influencing their occurrence. The records of 145 patients treated between 1982 and 1991 for metastatic disease of the spine were retrospectively reviewed for intra- and postoperative complications. Other factors such as radiation therapy, emergent nature of surgery, and neurologic deficits were analysed for potential correlations with the frequency of complications. Twenty-seven (18.6%) patients developed postoperative complications. Wound dehiscence and infection (11%) were the most frequent complications. Statistical analysis showed a significant influence of three factors: preoperative radiation therapy, paraplegia before surgery, and surgery under emergency conditions. The rate of complications in this surgery is lower than might be expected and can be significantly reduced. Surgery should be performed before radiation therapy and before appearance of substantial neurologic deficits.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s005860050105
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    Paper (German National Licenses)
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