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  • 1
    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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    Paper (German National Licenses)
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  • 2
    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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    Paper (German National Licenses)
    Fulltext
  • 3
    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
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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