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Pesquisa : A02.835.232.834.803 [Categoria DeCS]
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[PMID]:29384961
[Au] Autor:Pan X; Dong Y; Yuan T; Yan Y; Tong D
[Ad] Endereço:Department of Radiology.
[Ti] Título:Two cases of hemolymphangioma in the thoracic spinal canal and spinal epidural space on MRI: The first report in the literature.
[So] Source:Medicine (Baltimore);96(52):e9524, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Hemolymphangioma is a rare, noninvasive benign tumor of mesenchymal origin resulting from malformation of vascular and lymphatic vessels. The incidence of hemolymphangioma in the spinal canal is low. PATIENT CONCERNS: This report describes 2 patients with a lesion located in the thoracic spinal canal or spinal epidural space, who were misdiagnosed with suspected meningioma or suspected schwannoma, respectively, based on magnetic resonance imaging (MRI). DIAGNOSES: Hemolymphangioma. INTERVENTIONS: The application of a surgery was designed to treat the 2 patients. OUTCOMES: 2 patients stated that symptoms were improved after the operation. LESSONS: This report should raise awareness among clinicians that careful image analysis and consideration of patient history and pathology is required for accurate differential diagnosis of hemolymphangioma in the spinal canal and spinal epidural space.
[Mh] Termos MeSH primário: Espaço Epidural/patologia
Hemangioma/patologia
Linfangioma/patologia
Canal Vertebral/patologia
Vértebras Torácicas/patologia
[Mh] Termos MeSH secundário: Diagnóstico Diferencial
Feminino
Hemangioma/diagnóstico
Hemangioma/cirurgia
Seres Humanos
Linfangioma/diagnóstico
Imagem por Ressonância Magnética
Masculino
Meia-Idade
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009524


  2 / 2921 MEDLINE  
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[PMID]:29023556
[Au] Autor:Korse NS; Kruit MC; Peul WC; Vleggeert-Lankamp CLA
[Ad] Endereço:Department of Neurosurgery, Leiden University Medical Centre, Leiden, the Netherlands.
[Ti] Título:Lumbar spinal canal MRI diameter is smaller in herniated disc cauda equina syndrome patients.
[So] Source:PLoS One;12(10):e0186148, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Correlation between magnetic resonance imaging (MRI) and clinical features in cauda equina syndrome (CES) is unknown; nor is known whether there are differences in MRI spinal canal size between lumbar herniated disc patients with CES versus lumbar herniated discs patients without CES, operated for sciatica. The aims of this study are 1) evaluating the association of MRI features with clinical presentation and outcome of CES and 2) comparing lumbar spinal canal diameters of lumbar herniated disc patients with CES versus lumbar herniated disc patients without CES, operated because of sciatica. METHODS: MRIs of CES patients were assessed for the following features: level of disc lesion, type (uni- or bilateral) and severity of caudal compression. Pre- and postoperative clinical features (micturition dysfunction, defecation dysfunction, altered sensation of the saddle area) were retrieved from the medical files. In addition, anteroposterior (AP) lumbar spinal canal diameters of CES patients were measured at MRI. AP diameters of lumbar herniated disc patients without CES, operated for sciatica, were measured for comparison. RESULTS: 48 CES patients were included. At MRI, bilateral compression was seen in 82%; complete caudal compression in 29%. MRI features were not associated with clinical presentation nor outcome. AP diameter was measured for 26 CES patients and for 31 lumbar herniated disc patients without CES, operated for sciatica. Comparison displayed a significant smaller AP diameter of the lumbar spinal canal in CES patients (largest p = 0.002). Compared to average diameters in literature, diameters of CES patients were significantly more often below average than that of the sciatica patients (largest p = 0.021). CONCLUSION: This is the first study demonstrating differences in lumbar spinal canal size between lumbar herniated disc patients with CES and lumbar herniated disc patients without CES, operated for sciatica. This finding might imply that lumbar herniated disc patients with a relative small lumbar spinal canal might need to be approached differently in managing complaints of herniated disc. Since the number of studied patients is relatively small, further research should be conducted before clinical consequences are considered.
[Mh] Termos MeSH primário: Deslocamento do Disco Intervertebral/diagnóstico por imagem
Imagem por Ressonância Magnética/métodos
Polirradiculopatia/diagnóstico por imagem
Ciática/cirurgia
Canal Vertebral/patologia
[Mh] Termos MeSH secundário: Adulto
Descompressão Cirúrgica
Discotomia
Feminino
Seres Humanos
Deslocamento do Disco Intervertebral/complicações
Deslocamento do Disco Intervertebral/patologia
Deslocamento do Disco Intervertebral/cirurgia
Masculino
Meia-Idade
Polirradiculopatia/etiologia
Polirradiculopatia/patologia
Polirradiculopatia/cirurgia
Complicações Pós-Operatórias/classificação
Canal Vertebral/diagnóstico por imagem
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171024
[Lr] Data última revisão:
171024
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171013
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0186148


  3 / 2921 MEDLINE  
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[PMID]:28799840
[Au] Autor:Martin JE; Bookland M; Moote D; Cebulla C
[Ad] Endereço:Division of Neurosurgery, Department of Surgery, Connecticut Children's Medical Center; and.
[Ti] Título:Standardized method for the measurement of Grabb's line and clival-canal angle.
[So] Source:J Neurosurg Pediatr;20(4):352-356, 2017 Oct.
[Is] ISSN:1933-0715
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE Grabb's line-the perpendicular distance from the basion-C2 line (pB-C2)-is a widely used radiographic measurement with significant clinical implications in patients with a complex Chiari malformation. Rigorous demonstration of the reproducibility of this measurement has not previously been reported. The authors report a standardized measurement technique with excellent inter- and intrarater reliability on T1-weighted sagittal MRI. METHODS The authors developed a standardized measurement technique that included specifications of midline slice selection, landmark and reference line definitions, and measurement technique on T1-weighted sagittal images. Twenty MR images were reviewed by 2 pediatric neurosurgeons, 1 pediatric radiologist, and 1 undergraduate student. Measurements were performed using the technique specified on 2 separate occasions. Intrarater and interrater reliabilities were calculated using the intraclass correlation coefficient. RESULTS A combined interrater reliability of 0.879 was achieved for the pB-C2, and 0.916 for the clival-canal angle, another measure of interest in patients with complex Chiari malformations. Intrarater reliability for these measurements exceeded 0.858 for all 4 reviewers. CONCLUSIONS Grabb's line-the pB-C2-can be measured with excellent reliability using a standardized measurement protocol. Individual clinicians and collaborative databases should consider using validated measurement techniques to guide clinical decision making in patients with craniocervical junction pathology.
[Mh] Termos MeSH primário: Malformação de Arnold-Chiari/diagnóstico por imagem
Fossa Craniana Posterior/diagnóstico por imagem
Imagem por Ressonância Magnética/métodos
Imagem por Ressonância Magnética/normas
Canal Vertebral/diagnóstico por imagem
[Mh] Termos MeSH secundário: Malformação de Arnold-Chiari/cirurgia
Vértebras Cervicais/diagnóstico por imagem
Fossa Craniana Posterior/cirurgia
Seres Humanos
Neurocirurgiões/psicologia
Variações Dependentes do Observador
Processo Odontoide/diagnóstico por imagem
Processo Odontoide/cirurgia
Valores de Referência
Canal Vertebral/cirurgia
Estudantes/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171006
[Lr] Data última revisão:
171006
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170812
[St] Status:MEDLINE
[do] DOI:10.3171/2017.5.PEDS17181


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[PMID]:28671073
[Au] Autor:Mackenzie CJ; Haggett EF; Pinchbeck GL; Marr CM
[Ad] Endereço:Rossdales Veterinary Surgeons, Newmarket, Suffolk CB9 7NN, United Kingdom. Electronic address: catriona.mackenzie@rossdales.com.
[Ti] Título:Ultrasonographic assessment of the atlanto-occipital space in healthy Thoroughbred foals and Thoroughbred foals with neonatal maladjustment syndrome.
[So] Source:Vet J;223:55-59, 2017 May.
[Is] ISSN:1532-2971
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Ultrasonography of the atlanto-occipital (AO) space may be useful as a non-invasive diagnostic tool in neonatal foals. The aims of the study were establish a range of values for ultrasonographic measurements of the AO space in healthy Thoroughbred foals and to compare these variables in healthy foals with foals diagnosed with neonatal maladjustment syndrome (NMS). Ultrasonography of the AO space was performed on 38 healthy Thoroughbred foals and 28 Thoroughbred foals with NMS≤4days of age. Transverse image spinal cord height (P=0.001), width (P<0.001) and spinal cord cross sectional area (P<0.001), and longitudinal image dorsoventral diameter of the ventral spinal artery, were significantly smaller in foals with NMS than in healthy foals. Ratios of spinal canal to cord width and cross sectional area were significantly smaller in healthy foals than in foals with NMS (P<0.001). Spinal canal variables were not significantly different between groups. Several ultrasonographic measurements of the AO space were significantly different between healthy foals and foals with NMS. Further investigation is warranted to investigate the clinical application of this technique.
[Mh] Termos MeSH primário: Animais Recém-Nascidos
Doenças do Sistema Nervoso Central/veterinária
Doenças dos Cavalos/diagnóstico por imagem
Canal Vertebral/diagnóstico por imagem
Medula Espinal/diagnóstico por imagem
Ultrassonografia/veterinária
[Mh] Termos MeSH secundário: Animais
Doenças do Sistema Nervoso Central/diagnóstico por imagem
Atlas Cervical
Cavalos
Osso Occipital
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170704
[St] Status:MEDLINE


  5 / 2921 MEDLINE  
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[PMID]:28658093
[Au] Autor:Wang S; Chen L; Cao Z; Mao X; Zhang L; Wang B
[Ad] Endereço:aShandong Medical Imaging Research Institute, Shandong University bDepartment of Radiology, Affiliated Hospital of Binzhou Medical University cMedical Imaging Research Institute, Binzhou Medical University dDepartment of Pathology, Affiliated Hospital of Binzhou Medical University, China.
[Ti] Título:Inflammatory myofibroblastic tumor of the lumbar spinal canal: A Case Report With Literature Review.
[So] Source:Medicine (Baltimore);96(26):e6488, 2017 Jun.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Inflammatory myofibroblastic tumor (IMT) is a rare type of mesenchymal tumor. IMT can arise in multiple anatomic locations. IMT of the lumbar spinal canal is exceptionally rare. PATIENT CONCERNS: Here, we report the case of a 56-year-old male patient with an IMT who was in good health until 1 year prior to admission, when he began experiencing pain in both lower extremities and the lower back. INTERVENTIONS: A space-occupying lesion in the lumbar canal was identified by magnetic resonance imaging and then surgically resected. DIAGNOSES: Histopathological analysis of the lesion revealed a composition of mucous edema, inflammatory cells, collagenous fibers, and spindle cells that were diffuse and positive for smooth muscle actin and CD68; focal positive for vimentin and desmin; and negative for CD34 (marker of vascular endothelial cells), CD21, CD23, CD35, S-100, Epstein-Barr virus infection, Ki-67, and anaplastic lymphoma kinase. Thus, the diagnosis was an IMT of the lumbar canal. OUTCOMES: In the spinal canal, IMT should be considered in the evaluation of tumors although it is a very rare diagnosis. It is a benign lesion, but it has potential for invasion and recurrence. LESSONS: There are no characteristic imaging features of these tumors, but they can be addressed by complete surgical excision. Patients with these lesions should undergo frequent long-term follow-up to detect and address recurrence.
[Mh] Termos MeSH primário: Granuloma de Células Plasmáticas/diagnóstico por imagem
Granuloma de Células Plasmáticas/cirurgia
Canal Vertebral
Doenças da Coluna Vertebral/diagnóstico por imagem
Doenças da Coluna Vertebral/cirurgia
[Mh] Termos MeSH secundário: Diagnóstico Diferencial
Granuloma de Células Plasmáticas/patologia
Seres Humanos
Vértebras Lombares
Masculino
Meia-Idade
Doenças da Coluna Vertebral/patologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170718
[Lr] Data última revisão:
170718
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170629
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000006488


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[PMID]:28512052
[Au] Autor:Zhang L; Zhang Z; Yang W; Jia W; Xu Y; Yang J
[Ad] Endereço:Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University No. 6, Tiantan Xili, Beijing, People's Republic of China.
[Ti] Título:Cystic Dilation of the Ventriculus Terminalis: Report of 6 Surgical Cases Treated with Cyst-Subarachnoid Shunting Using a T-Catheter.
[So] Source:World Neurosurg;104:522-527, 2017 Aug.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Cystic dilation of the ventriculus terminalis (CDVT) is a rare anatomic variation that and may become symptomatic. Literature regarding CDVT is limited, and thus the clinical characteristics and management strategy of CDVT are unclear. Here we report 6 cases of CDVT seen in our institution, and provide a review of the current literature. METHODS: The study cohort comprised 6 patients with CDVT seen at Beijing Tiantan Hospital between September 2010 and June 2015. All 6 patients were managed surgically. Data on age, sex, clinical presentation, radiologic features, operative methods, and surgical outcomes were reviewed retrospectively. We evaluated the clinical outcomes and postoperative radiologic changes of these patients and compared them with findings of similar previous reports. RESULTS: All 6 patients were female, with a median age of 50.0 years (interquartile range [IQR], 25.8-54.0 years). Surgical management of cyst-subarachnoid shunting using T-catheter after myelotomy was successfully performed in all patients. During an average follow-up of 41 months, relief of clinical symptoms, especially low-back pain and sciatica, were observed in all 6 patients. No patients experienced symptom recurrence during follow-up, and postoperative magnetic resonance imaging revealed no regrowth of the lesion. Patients with focal neurologic deficits and sphincter disorders also achieved symptom relief from the procedure. CONCLUSIONS: CDVT is an extremely rare cause of conus medullaris syndrome with an unclear treatment strategy. Our successful surgical management of 6 cases through cystic-subarachnoid shunting using a T-catheter for CDVT drainage provides a potential option for treating CDVT.
[Mh] Termos MeSH primário: Dor Lombar/etiologia
Dor Lombar/cirurgia
Vértebras Lombares/anormalidades
Vértebras Lombares/cirurgia
Defeitos do Tubo Neural/diagnóstico
Defeitos do Tubo Neural/cirurgia
Ciática/etiologia
Ciática/cirurgia
Canal Vertebral/anormalidades
Canal Vertebral/cirurgia
Compressão da Medula Espinal/etiologia
Compressão da Medula Espinal/cirurgia
Vértebras Torácicas/anormalidades
Vértebras Torácicas/cirurgia
Ventriculostomia/métodos
[Mh] Termos MeSH secundário: Adulto
Derivações do Líquido Cefalorraquidiano
Diagnóstico Diferencial
Dilatação Patológica
Feminino
Seguimentos
Seres Humanos
Dor Lombar/diagnóstico por imagem
Vértebras Lombares/diagnóstico por imagem
Imagem por Ressonância Magnética
Meia-Idade
Paracentese
Estudos Retrospectivos
Ciática/diagnóstico por imagem
Canal Vertebral/diagnóstico por imagem
Medula Espinal/diagnóstico por imagem
Medula Espinal/cirurgia
Compressão da Medula Espinal/diagnóstico por imagem
Vértebras Torácicas/diagnóstico por imagem
Escala Visual Analógica
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170928
[Lr] Data última revisão:
170928
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170518
[St] Status:MEDLINE


  7 / 2921 MEDLINE  
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[PMID]:28427979
[Au] Autor:Yu JX; Hong T; Ma YJ; Ling F; Zhang HQ
[Ad] Endereço:Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, China International Neuroscience Institute (China-INI), Beijing, China.
[Ti] Título:A New Type of Spinal Epidural Arteriovenous Fistulas Causes Spinal Epidural Hemorrhage: An Analysis of Five Cases and Natural History Consideration.
[So] Source:World Neurosurg;103:371-379, 2017 Jul.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Spinal epidural arteriovenous fistulas (SEDAVFs) are peculiar and poorly understood lesions with a poorly understood natural history. They usually are subclassified into 2 types according to their drainage components. This study aimed to describe a new type of SEDAVFs that is featured with a unique drainage pattern and present our natural history hypothesis of SEDAVFs. METHODS: Five SEDAVF cases of the new type were reviewed retrospectively from a high case-volume spinal vascular malformation database. The clinical manifestations, neuroradiologic findings, angioarchitecture, treatment strategies, and clinical outcomes were assessed. RESULTS: All patients presented with spontaneous spinal epidural hematoma, and 2 of them exhibited rebleeding. The median age at the initial episode was 20 years. Spinal digital subtraction angiography revealed slow-flow epidural fistulas drained by spinal epidural venous plexus without intradural drainage or engorged venous pouches in all 5 patients. Three patients underwent microsurgical treatment. The outcomes of all of the patients were favorable. CONCLUSIONS: Our study reported a special type of hemorrhagic SEDAVF without an intradural drainage component or epidural mass effect. The key diagnostic clue was early opacification of spinal epidural venous plexus on spinal angiogram. We believe SEDAVFs may form at an early age and gradually develop with time. Different types of SEDAVFs may represent different developing stages of one disease, and our type may represent the early stage of SEDAVFs.
[Mh] Termos MeSH primário: Fístula Arteriovenosa/complicações
Hematoma Epidural Espinal/complicações
[Mh] Termos MeSH secundário: Adolescente
Adulto
Edema/etiologia
Espaço Epidural/irrigação sanguínea
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Canal Vertebral/irrigação sanguínea
Doenças da Coluna Vertebral/etiologia
Artéria Vertebral/anormalidades
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170422
[St] Status:MEDLINE


  8 / 2921 MEDLINE  
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[PMID]:28328849
[Au] Autor:Cai S; Kong X; Yan C; Wang Y; Wan X; Zhang J; Qiu G; Yu K
[Ad] Endereço:aDepartment of Orthopaedic Surgery bDepartment of Neurosurgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China cDepartment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Harvard University, MA.
[Ti] Título:Protrusion of a rod into the spinal canal 10 years after segmental lumbar spine surgery.
[So] Source:Medicine (Baltimore);96(12):e6425, 2017 Mar.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The objective of this article is to report an unusual case of a spinal rod that protruded into the spinal canal after lumbar spine surgery.Only 4 cases of spinal rod migration with protrusion into the spinal canal have been reported. This is the first report of a case involving the use of posterior low lumbar segmental instrumentation with a screw-rod system. The left side of the rod gradually migrated and finally protruded into the canal and compressed the cord.A 60-year-old woman presented with pain and numbness of the posterior aspect of the left leg after a long-distance walk. Intermittent claudication became worse, and she developed pain and numbness in the perineal region. An x-ray showed that the left side of a spinal rod among the segmental spinal instruments that had been placed 10 years previously had protruded into the spinal canal.We removed the rod and decompressed the canal at the level of L5-S1. The patient became totally asymptomatic.Rods used as spinal instrumentation have the possibility of protruding into the spinal canal and endangering the nervous system. Long-term follow-up with radiological examinations should be conducted upon completion of spinal operations conducting using instrumentation.
[Mh] Termos MeSH primário: Fixadores Internos/efeitos adversos
Vértebras Lombares/cirurgia
Falha de Prótese/efeitos adversos
Canal Vertebral/lesões
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Meia-Idade
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170410
[Lr] Data última revisão:
170410
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170323
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000006425


  9 / 2921 MEDLINE  
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[PMID]:28246416
[Au] Autor:Morabito S; Auriemma E; Zagarella P; Mercuriali E; Domenech O; Gandini G; Gagliardo T; Zini E; Specchi S
[Ad] Endereço:Department of Diagnostic Imaging (Morabito, Auriemma, Specchi), Department of Neurology (Zagarella, Mercuriali), and Department of Internal Medicine (Zini), Istituto Veterinario di Novara, Strada Provinciale 9, 28060, Granozzo con Monticello (NO), Italy; Department of Veterinary Medical Sciences, Un
[Ti] Título:Computed tomographic and angiographic assessment of spinal extradural arteriovenous fistulas in a dog.
[So] Source:Can Vet J;58(3):275-279, 2017 Mar.
[Is] ISSN:0008-5286
[Cp] País de publicação:Canada
[La] Idioma:eng
[Ab] Resumo:A 6-month-old German shepherd dog was presented for progressive paraparesis. Multiple arteriovenous fistulae and hyperostosis of the thoracic vertebrae with secondary thoraco-lumbar spinal cord compression were diagnosed. Arteriovenous spinal fistula is a rare condition but should be considered as a differential diagnosis in young dogs with progressive paraparesis.
[Mh] Termos MeSH primário: Fístula Arteriovenosa/veterinária
Doenças do Cão/diagnóstico por imagem
Compressão da Medula Espinal/veterinária
[Mh] Termos MeSH secundário: Angiografia/veterinária
Animais
Fístula Arteriovenosa/diagnóstico por imagem
Cães
Masculino
Paraparesia/diagnóstico por imagem
Paraparesia/veterinária
Canal Vertebral/irrigação sanguínea
Canal Vertebral/diagnóstico por imagem
Compressão da Medula Espinal/diagnóstico por imagem
Vértebras Torácicas
Tomografia Computadorizada por Raios X/veterinária
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170913
[Lr] Data última revisão:
170913
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170302
[St] Status:MEDLINE


  10 / 2921 MEDLINE  
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[PMID]:28241724
[Au] Autor:Xu XN; Liu HY
[Ad] Endereço:Department of Spinal Surgery, Peking University People's Hospital, Beijing 100044, China.
[Ti] Título:[Clinical analysis of cervical posterior internal fixation titanium plate and silk suspension internal fixation cervical spondylosis].
[So] Source:Zhonghua Wai Ke Za Zhi;55(3):214-219, 2017 Mar 01.
[Is] ISSN:0529-5815
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:To evaluate the clinical effect and imaging evaluation of cervical spine myelopathy treated with Centerpiece. A retrospective study of 60 patients underwent posterior cervical spine surgery because of cervical myelopathy in Spinal Department of Peking University People's Hospital from July 2011 to January 2013.According to the different fixation methods, all patients were divided into cervical posterior open-door Centerpiece fixation group (group A) and cervical posterior open-door silk suspension fixation group (group B). There were 40 patients in group A, including 25 males and 15 females, mean age (59.7±11.9) years old, average course of disease before surgery (53.6±61.5) months, average follow-up time (28.5±3.1) months after operation.There were 20 patients in group B, including 15 males and 5 females, mean age (58.3±9.6) years old, average course of disease before surgery (50.4±14.9) months, average follow-up time (28.3±1.9) months after operation.The operation time, intraoperative blood loss, postoperative drainage, preoperative and postoperative Japanese Orthopaedic Association(JOA) score, the neck disability index(NDI) score, visual analog scale (VAS) score, postoperative axial pain, C(5) nerve root palsy, postoperative "re-closing" and other related complications were observed.Imaging assessment projects include: before and after surgery of cervical curvature, range of motion(ROM), spinal anteroposterior diameter, spinal canal expansion rate, the whole spinal cord backward shift distance and area of the spinal canal and the opening angle. There was no significant difference in general data between the two groups ( >0.05). Group A the average operation time was(117.7±23.4)min, the average amount of operative bleeding was (152.0±122.7) ml, and the postoperative drainage volume was (268.7±222.1) ml.The average operation time of group B was (141.7±23.9) min, the average amount of operative bleeding was (166.7±42.5) ml, and the postoperative drainage volume of group B was (255.3±47.0) ml.There was no significant difference between the two groups in the amount of operative bleeding and postoperative drainage volume (both >0.05), the operation time between the two groups was statistically significant ( <0.05). At the end of the follow-up, the JOA score, NDI score, and VAS score were significantly improved ( <0.05) in both group A and group B and there was no significant difference between the two groups ( >0.05). C(5) nerve root paralysis was not occurred in both two groups after operation.There were 1 case of axial pain in the group A and 7 cases in the group B and there were significant differences between the two groups ( <0.05). The group A was not found "re-closing" during the follow-up and 12 patients of group B found to be "re-closing" phenomenon, there were statistically different between the two groups ( <0.05). Comparison of preoperative and postoperative, there were no significant differences in cervical curvature and ROM in both groups ( >0.05). Butthe spinal canal diameter and the vertebral canal area were statistically different after surgery ( <0.05). There was no statistical difference between the two groups of cervical curvature and ROM ( >0.05). There was no statistical difference between the two groups of spinal canal diameter, spinal canal area and spinal canal diameter enlargement rate( >0.05). There was no statistical difference between the two groups of the whole spinal cord backward shift distance( >0.05). There were significant differences between the two groups at the angle of the open door ( <0.05). Centerpiece cervical posterior titanium plate can achieve good clinical efficacy in the treatment of multi segmental spinal cervical spondylosis.
[Mh] Termos MeSH primário: Placas Ósseas
Vértebras Cervicais
Fixação Interna de Fraturas
Espondilose/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Laminectomia
Masculino
Meia-Idade
Pescoço
Duração da Cirurgia
Ortopedia
Complicações Pós-Operatórias
Período Pós-Operatório
Amplitude de Movimento Articular
Estudos Retrospectivos
Seda
Canal Vertebral
Doenças da Medula Espinal
Titânio
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Silk); D1JT611TNE (Titanium)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170807
[Lr] Data última revisão:
170807
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170301
[St] Status:MEDLINE
[do] DOI:10.3760/cma.j.issn.0529-5815.2017.03.010



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