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  • Complications  (2)
  • Interventional radiology  (2)
  • CT  (1)
  • Computerized tomography  (1)
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Surgical and radiologic anatomy 5 (1983), S. 141-151 
    ISSN: 1279-8517
    Keywords: Lumbar radicular canal ; Lateral recess ; Lumbar root ; Computerized tomography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Le canal radiculaire est défini comme la portion latérale du canal rachidien dans laquelle circule la racine depuis sa sortie du cul-de-sac dural jusqu'au foramen (ou trou de conjugaison) compris. Cet hémicylindre creux, ouvert vers la ligne médiane, peut être divisé en trois portions: rétrodiscale, parapédiculaire (récessus latéral à proprement parler) et foraminale. Les différentes parois (notamment du récessus latéral) sont décrites. Une revue des principaux moyens d'exploration radiographiques du canal radiculaire normal est au mieux précisée grâce à ces bases anatomiques. Enfin, après cette description statique du canal radiculaire lombaire moyen et de ses variations selon l'étage lombaire ou sacré considéré, les auteurs exposent les modifications entraînées par la mise en charge, l'extension et la flexion du rachis lombaire.
    Notes: Summary The radicular canal is defined as the lateral part of the spinal canal containing the spinal nerve root from its point of emergence through the dural envelope up to and including the intervertebral foramen. The radicular canal, resembling a hollow hemicylinder opened towards the midline, can be divided into three parts, i.e. retrodiscal, parapedicular (the lateral recess per se) and foraminal. The different walls of the canal (notably those of the lateral recess) are described. A review of the main types of roentgenographic exploration of the radicular canal are presented based on these anatomical findings. Finally, this static description of the typical lumbar radicular canal and its variations according to the lumbar or sacral level under consideration is followed by a presentation of the modifications which arise in the upright position and during extension and flexion of the lumbar spine.
    Type of Medium: Electronic Resource
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  • 2
    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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  • 3
    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
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  • 4
    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
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  • 5
    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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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    European spine journal 7 (1998), S. 438-444 
    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
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