Frozen recapping laminoplasty: a new technique to treat spinal tumor
|
|
- Jade Day
- 5 years ago
- Views:
Transcription
1 EUROSPINE September, Barcelona, Spain Frozen recapping laminoplasty: a new technique to treat spinal tumor Noritaka Yonezawa, Hideki Murakami, Satoru Demura, Satoshi Kato, Katsuhito Yoshioka, Hiroyuki Hayashi, Kazuya Shinmura, Noriaki Yokogawa, Takaki Shimizu, Norihiro Oku, Ryo Kitagawa, Hiroyuki Tsuchiya Department of Orthopedic Surgery, Kanazawa University, Kanazawa, Japan
2 Background Recapping T-saw laminoplasty is performed as treatment for any type of spinal tumor and provides extensive exposure for tumor removal. Tomita and Kawahara et al. reported successful results with recapping T-saw laminoplasty. Photograph showing the Gigli saw, the thread-wire saw, and 1-0 Dexon (polyglycolic acid) suture thread. Drawings showing the operative technique for recapping laminoplasty with use of the threadwire saw. The thread-wire saw is introduced with use of a T-saw guide (left side of spine), and the pedicle is cut through the transverse process (right side of spine). Tomita K, Kawahara N (1996) The threadwire saw: a new device for cutting bone. J Bone Joint Surg Am 78: Kawahara N, Tomita K, Shinya Y, Matsumoto T, Baba H, Fujita T, Murakami H, Kobayashi T (1999) Recapping T-saw laminoplasty for spinal cord tumors. Spine (Phila Pa 1976). 24(13): Department of Orthopedic Surgery, Kanazawa University, Kanazawa, Japan
3 Recapping T-saw laminoplasty We applied this technique to frozen autograft using liquid nitrogen for complete resection of spinal tumor. Yonezawa N, Murakami H, Kato S, Hayashi H, Tsuchiya H (2018) Successful treatment of a diffuse type tenosynovial giant cell tumor in the thoracic spine mimicking spinal metastasis by frozen recapping laminoplasty in a patient with thyroid cancer. Eur Spine J: 27: Department of Orthopedic Surgery, Kanazawa University, Kanazawa, Japan
4 Reconstruction using an autograft containing tumour treated by liquid nitrogen Tsuchiya et al. reported that reconstruction using frozen tumor-bearing bone is a safe and effective method; no local recurrences from tumor-bearing autografts have been reported. Using frozen autografts has various advantages, including low cost, maintenance of osteoinductive and osteoconductive properties, good fit between graft and host bone, and no transmission of disease or immunological rejection. Tsuchiya H, Wan SL, Sakayama K, Yamamoto N, Nishida H Tomita K (2005) Reconstruction using an autograft containing tumor treated by liquid nitrogen. J Bone Joint Surg Br 87: year-old, girl: Osteosarcoma of proximal tibia 2y2m: Normal Function!
5 Case presentation A 35-year-old woman was diagnosed with papillary thyroid cancer, and a right lobectomy was performed. One month after surgery, the patient underwent an FDG-PET study to evaluate the extent of the disease. PET/computed tomography (CT) showed an incidental FDG-avid lesion in the T7 lamina with an SUV max of 10.4, suggesting metastatic disease from thyroid cancer. The patient was referred to our hospital for excisional surgery of the T7 spinal tumor. CT revealed a cm lytic bone lesion involving the left T7 vertebral lamina, pedicle, and T6-7 facet joint. A heterogeneous hypointense lesion was revealed on T1-weighted magnetic resonance imaging (MRI), and T2-weighted sequences also revealed a low-intensity lesion. Gadolinium-enhanced MRI demonstrated a uniformly enhancing mass.
6 Surgical procedure The surgery was performed via a posterior approach. In the first step, en bloc resection of the left T6 spinous process and left inferior articular process, including the tumor, was performed. The thread-wire saw is introduced with use of a T-saw guide.
7 Surgical procedure Thereafter, en bloc resection of the posterior element of T7, including the tumor at the left superior articular process, was performed via pediculotomy on the side of the tumor as well as cutting from the pedicle to the transverse process on the opposite side of the tumor, using a flexible multifilament threadwire saw (T-saw; Promedical Co, LTD, Kanazawa, Japan). En bloc laminectomy provided extensive exposure for tumor removal, and piecemeal total resection of the residual tumor was performed at the left T6/7 foramen.
8 Surgical procedure Frozen autograft After en bloc laminectomy, the tumor and soft tissue were curetted away from the resected lamina. Then, the resected lamina was frozen with liquid nitrogen for 20 min and then used as a frozen autograft for spinal reconstruction with posterior instrumentation
9 Pathological findings of the resected tumor (hematoxylin and eosin staining) Pathological analysis revealed synovial-type tissue with a fibrohistiocytic reaction. Small mononuclear cells showing spindle- to oval-shaped nuclei were diffusely distributed and mixed with several multinucleated giant cells, which is characteristic of TGCT-D. There was no evidence of malignancy. Immunohistochemistry showed that the majority of cells were vimentin- and CD68-positive, but negative for CD1a, CD3, CD20, CD138, and S-100.
10 Postoperative MRI findings 2 year after surgery At the 2-year post-surgery follow-up, MRI revealed no evidence of local recurrence. Postoperative radiological findings 3 year after surgery Postoperative radiography and computed tomography images obtained 3 years after spinal surgery. At the 3-year post-surgery follow-up, there was no loosening of the posterior instrumentation. Bone union after frozen recapping laminoplasty was obtained (white arrows)
11 Reconstruction using frozen autograft for spine surgery This reconstruction technique has been concurrently performed in total en bloc spondylectomy at our institute since 2010 for the patients with spinal metastasis. This technique eliminates graft harvest site morbidity, decreases blood loss, and shortens surgical time. Murakami H, et al (2013) PLoS One 8:e64818, 2013 Murakami H, et al (2014) Eur Spine J 23:222 7 Ishii T, Murakami H, et al (2016) Asian Spine J 10: None of the patients had recurrence from the liquid nitrogen-treated tumor-bearing autograft. Igarashi T, Murakami, et al. (2018) J Orthop Sci 23: Department of Orthopedic Surgery, Kanazawa University, Kanazawa, Japan
12 Conclusions Using frozen autografts has various advantages, including low cost, maintenance of osteoinductive and osteoconductive properties, good fit between graft and host bone, and no transmission of disease or immunological rejection. The combination of recapping laminoplasty and reconstruction using a frozen tumor-bearing vertebra may offer an ideal surgical option for the complete resection of spinal tumors, as shown in the present case, in terms of prevention of local recurrence and preservation of the posterior spinal elements. Disclosure I have nothing to disclose. Department of Orthopedic Surgery, Kanazawa University, Kanazawa, Japan
Abdominal Trunk Muscle Weakness is Associated with Chronic Low Back Pain and Locomotive Syndrome
Abdominal Trunk Muscle Weakness is Associated with Chronic Low Back Pain and Locomotive Syndrome Norihiro Oku, Satoshi Kato, Hideki Murakami, Satoru Demura, Kazuya Shinmura, Noriaki Yokogawa, Takaki Shimizu,
More informationRisk factors of instrumentation failure after multilevel total en bloc spondylectomy
ORIGINAL ARTICLE SPINE SURGERY AND RELATED RESEARCH Risk factors of instrumentation failure after multilevel total en bloc spondylectomy Katsuhito Yoshioka 1), Hideki Murakami 1), Satoru Demura 1), Satoshi
More informationONCOLOGY LETTERS 11: , 2016
1778 Therapy for thoracic lumbar and sacral vertebrae tumors using total spondylectomy and spine reconstruction through posterior or combined anterior posterior approaches PINGLIN YANG, XIJING HE, HAOPENG
More informationCASE REPORT TOTAL EN BLOC SPONDYLECTOMY FOR L2 CHORDOMA: A CASE REPORT
Nagoya J. Med. Sci. 73. 197 ~ 203, 2011 CASE REPORT TOTAL EN BLOC SPONDYLECTOMY FOR L2 CHORDOMA: A CASE REPORT NORIMITSU WAKAO 1, SHIRO IMAGAMA 1, ZENYA ITO 1, KEI ANDO 1, KENICHI HIRANO 1, RYOJI TAUCHI
More informationSpinous Process-Splitting Hemilaminoplasty for Intradural and Extradural Lesions
www.jkns.or.kr http://dx.doi.org/10.3340/jkns.2015.58.5.494 J Korean Neurosurg Soc 58 (5) : 494-498, 2015 Print ISSN 2005-3711 On-line ISSN 1598-7876 opyright 2015 The Korean Neurosurgical Society Technical
More informationUnusual presentation of giant cell tumor originating from a facet joint of the thoracic spine in a child: a case report and review of the literature
Siribumrungwong et al. Journal of Medical Case Reports 2013, 7:178 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Unusual presentation of giant cell tumor originating from a facet joint of the
More informationEUROSPINE 2017 Scientific Programme oral presentations
EUROSPINE 2017 Scientific Programme oral presentations Wednesday, 19 September, 2018 15:50 17:30 Degenerative Cervical Spine, Tumor 10 PATIENT-REPORTED OUTCOMES AFTER SURGICAL TREATMENT FOR DEGENERATIVE
More informationPRIMARY STUDIES EN BLOC VERSUS DEBULKING
PRIMARY STUDIES EN BLOC VERSUS DEBULKING I Study ID II Method III Patient characteristics IV Intervention(s) V Results primary outcome VI Results secondary and other outcome(s) VII Critical appraisal of
More informationPrimary Bone Tumors: Spine Surgery Live -Video Techniques Mobile Spine
Primary Bone Tumors: Spine Surgery Live -Video Techniques Mobile Spine Christopher Ames MD Professor of Neurosurgery and Orthopedic Surgery Director of Spine Tumor And Deformity Surgery UCSF Department
More informationHealing of Autologous Bone in a Titanium Mesh Cage Used in Anterior Column Reconstruction After Total Spondylectomy
Healing of Autologous Bone in a Titanium Mesh Cage Used in Anterior Column Reconstruction After Total Spondylectomy SPINE Volume 27, Number 13, pp E329 E333 2002, Lippincott Williams & Wilkins, Inc. Tomoyuki
More informationSegmental Pedicle Screw Fixation for a Scoliosis Patient with Post-laminectomy and Post-irradiation Thoracic Kyphoscoliosis of Spinal Astrocytoma
Segmental Pedicle Screw Fixation for a Scoliosis Patient with Post-laminectomy and Post-irradiation Thoracic Kyphoscoliosis of Spinal Astrocytoma a* a a a b a a b ʼ 2 ʼ August 2012 Spinal Deformity with
More informationExtensive total spondylectomy for recurrent giant cell tumor in the thoracic spine
J Neurosurg Spine 6:600 605, 2007 Extensive total spondylectomy for recurrent giant cell tumor in the thoracic spine Case report MORIO MATSUMOTO, M.D., 1 KEN ISHII, M.D., 2 HIRONARI TAKAISHI, M.D., 2 MASAYA
More informationBiological Reconstruction after Excision of Juxta-articular Osteosarcoma around the Knee: A New Classification System
Biological Reconstruction after Excision of Juxta-articular Osteosarcoma around the Knee: A New Classification System HIROYUKI TSUCHIYA 1, MOHAMED E. ABDEL-WANIS 2 and KATSURO TOMITA 1 1 Department of
More informationEn bloc spondylectomy has been developed and. Late instrumentation failure after total en bloc spondylectomy. Clinical article
J Neurosurg Spine 15:320 327, 2011 Late instrumentation failure after total en bloc spondylectomy Clinical article Morio Matsumoto, M.D., 1 Kota Watanabe, M.D., 2 Takashi Tsuji, M.D., 1 Ken Ishii, M.D.,
More informationCase Report Four-Rod Stabilization of Severely Destabilized Lumbar Spine Caused by Metastatic Tumor
Volume 2013, Article ID 254684, 6 pages http://dx.doi.org/10.1155/2013/254684 Case Report Four-Rod Stabilization of Severely Destabilized Lumbar Spine Caused by Metastatic Tumor Isao Shibuya, Koichi Sairyo,
More informationGiant schwannoma with extensive scalloping of the lumbar vertebral body treated with one-stage posterior surgery: a case report
Iizuka et al. Journal of Medical Case Reports 2014, 8:421 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Giant schwannoma with extensive scalloping of the lumbar vertebral body treated with one-stage
More informationDelayed Spinal Epidural Hematoma after En Block Spondylectomy for Vertebral Ewing s Sarcoma
Asian Spine Journal Vol. 4, No. 2, pp 118~122, 2010 doi:10.4184/asj.2010.4.2.118 Delayed Spinal Epidural Hematoma after En Block Spondylectomy for Vertebral Ewing s Sarcoma Boram Kim 1, Seong-Hwan Moon
More informationDual-time-point FDG-PET/CT Imaging of Temporal Bone Chondroblastoma: A Report of Two Cases
Dual-time-point FDG-PET/CT Imaging of Temporal Bone Chondroblastoma: A Report of Two Cases Akira Toriihara 1 *, Atsunobu Tsunoda 2, Akira Takemoto 3, Kazunori Kubota 1, Youichi Machida 1, Ukihide Tateishi
More informationTumeurs Malignes du Rachis
DESC de Chirurgie Pédiatrique Session de Mars 2008 - PARIS Tumeurs Malignes du Rachis G. BOLLINI We will exclude from this presentation the tumor involving the sacrum which are particular entities more
More informationTHE VERTEBRAL COLUMN. Average adult length: In male: about 70 cms. In female: about 65 cms.
THE VERTEBRAL COLUMN Average adult length: In male: about 70 cms. In female: about 65 cms. 1 Vertebral Column (Regions and Curvatures) Curvatures of the vertebral column: A. Primary curvature: C-shaped;
More informationSurgical Treatment for Cervical Diffuse Idiopathic Skeletal Hyperostosis as a Cause of Dysphagia
ORIGINAL ARTICLE SPINE SURGERY AND RELATED RESEARCH Surgical Treatment for Cervical Diffuse Idiopathic Skeletal Hyperostosis as a Cause of Dysphagia Katsuhito Yoshioka, Hideki Murakami, Satoru Demura,
More informationMinamide A*, Yoshida M*, Yamada H*, Hashizume H*, NakagawaY*, Iwasaki H*, Tsutsui S*, Hiroyuki Oka H**.
Efficacy of Posterior Segmental Decompression Surgery for Pincer Mechanism in Cervical Spondylotic Myelopathy -A retrospective case control study using propensity score matching Minamide A*, Yoshida M*,
More informationMetastatic mechanism of spermatic cord tumor from stomach cancer
Int Canc Conf J (2013) 2:191 195 DOI 10.1007/s13691-013-0-9 CANCER BOARD CONFERENCE Metastatic mechanism of spermatic cord tumor from stomach cancer Masahiro Seike Yoshikazu Kanazawa Ryuji Ohashi Tadashi
More informationASJ. Myxopapillary Ependymoma of the Cauda Equina in a 5-Year-Old Boy. Asian Spine Journal. Introduction
Asian Spine Journal 846 Masashi Case Uehara Report et al. Asian Spine J 2014;8(6):846-851 http://dx.doi.org/10.4184/asj.2014.8.6.846 Asian Spine J 2014;8(6):846-851 Myxopapillary Ependymoma of the Cauda
More informationORIGINAL ARTICLE. Introduction SPINE SURGERY AND RELATED RESEARCH
ORIGINAL ARTICLE SPINE SURGERY AND RELATED RESEARCH Radiological Examination of Postoperative Cervical Alignment and Stability in Patients with Dialysis-Associated Spondylosis Excluding Destructive Spondyloarthropathy:
More informationRadiographic Dimensional Analysis of Open Door Laminoplasty with Plate in Cervical Spondylotic Myelopathy
Radiographic Dimensional Analysis of Open Door Laminoplasty with Plate in Cervical Spondylotic Myelopathy Woo-Kie Min,MD,PhD Department of Orthopedic Surgery, Kyungpook National University College of Medicine,
More informationPrimary dumbbell-shaped Ewing's sarcoma of the cervical vertebra in adults: Four case reports and literature review
ONCOLOGY LETTERS 3: 721-725, 2012 Primary dumbbell-shaped Ewing's sarcoma of the cervical vertebra in adults: Four case reports and literature review QING ZHU, JISHENG ZHANG and JIANRU XIAO Department
More informationCase Report Treatment of Renal Cell Carcinoma with 2-Stage Total en bloc Spondylectomy after Marked Response to Molecular Target Drugs
Case Reports in Orthopedics Volume 2013, Article ID 916501, 4 pages http://dx.doi.org/10.1155/2013/916501 Case Report Treatment of Renal Cell Carcinoma with 2-Stage Total en bloc Spondylectomy after Marked
More information42 yr old male with h/o Graves disease and prior I 131 treatment presents with hyperthyroidism and undetectable TSH. 2 hr uptake 20%, 24 hr uptake 50%
Pinhole images of the neck are acquired in multiple projections, 24hrs after the oral administration of approximately 200 µci of I123. Usually, 24hr uptake value if also calculated (normal 24 hr uptake
More informationMulticentric localized giant cell tumor of the tendon. sheath
Multicentric localized giant cell tumor of the tendon sheath Toshihiro Akisue, Tetsuji Yamamoto ( ), Teruya Kawamoto, Toshiaki Hitora, Takashi Marui, Tetsuya Nakatani, Takafumi Onga, and Masahiro Kurosaka.
More informationINTRODUCTION CASE REPORT.
www.jkns.or.kr http://dx.doi.org/10.3340/jkns.2014.56.5.431 J Korean Neurosurg Soc 56 (5) : 431-435, 2014 Print ISSN 2005-3711 On-line ISSN 1598-7876 Copyright 2014 The Korean Neurosurgical Society Case
More informationPredictive value of pedicle involvement with MRI in spine metastases
/, Vol. 7, No. 38 Predictive value of pedicle involvement with MRI in spine metastases Wang Mi Liu 1,*, Rong Xing 1,*, Chong Bian 1, Yun Liang 1, Libo Jiang 1, Chen Qian 1, Jian Dong 1 1 Department of
More informationSelective laminoplasty for cervical spondylotic myelopathy: a comparative study with a minimum 5-year follow-up
Selective laminoplasty for cervical spondylotic myelopathy: a comparative study with a minimum 5-year follow-up Minori Kato*, Hiroaki Nakamura**, Koji Tamai**, Kazunori Hayashi**, Akira Matsumura**, Sadahiko
More informationCase Report. Li ZHANG 1, Yu SUN 1, Yongchong JIANG 2, Yong WANG 3 INTRODUCTION CASE REPORTS ABSTRACT
DOI: 10.5137/1019-5149.JTN.15052-15.1 Received: 19.05.2015 / Accepted: 21.09.2015 Published Online: 24.06.2016 Case Report Posterior Cervical Pedicle Screw-Rod/Plate Instrumentation Combined with Unilateral
More informationInt J Clin Exp Med 2018;11(2): /ISSN: /IJCEM Yi Yang, Hao Liu, Yueming Song, Tao Li
Int J Clin Exp Med 2018;11(2):1278-1284 www.ijcem.com /ISSN:1940-5901/IJCEM0063093 Case Report Dislocation and screws pull-out after application of an Isobar TTL dynamic stabilisation system at L2/3 in
More informationReview Article Chondrosarcoma of the Mobile Spine and Sacrum
Sarcoma Volume 2011, Article ID 274281, 4 pages doi:10.1155/2011/274281 Review Article Chondrosarcoma of the Mobile Spine and Sacrum Ryan M. Stuckey and Rex A. W. Marco Department of Orthopaedics, University
More informationCase Report Monostotic fibrous dysplasia involved in cervical vertebrae
Int J Clin Exp Pathol 2017;10(3):3577-3581 www.ijcep.com /ISSN:1936-2625/IJCEP0043508 Case Report Monostotic fibrous dysplasia involved in cervical vertebrae Yi Yang *, Litai Ma *, Lingli Li, Hao Liu Department
More informationIn Vivo Heat-stimulus Triggered Osteogenesis
In Vivo Heat-stimulus Triggered Osteogenesis Kunihiro Ikuta 1, Hiroshi Urakawa 1, Eiji Kozawa 1, Shunsuke Hamada 1, Naoki Ishiguro 2, Yoshihiro Nishida 1. 1 Nagoya University, Nagoya, Japan, 2 Nagoya Graduated
More informationEn bloc spondylectomy for spinal metastases: a review of techniques
Neurosurg Focus 15 (5):Article 6, 2003, Click here to return to Table of Contents En bloc spondylectomy for spinal metastases: a review of techniques KEVIN C. YAO, M.D., STEFANO BORIANI, M.D., ZIYA L.
More informationOsteosarcoma of the spine: surgical treatment and outcomes
Feng et al. World Journal of Surgical Oncology 2013, 11:89 WORLD JOURNAL OF SURGICAL ONCOLOGY CASE REPORT Open Access Osteosarcoma of the spine: surgical treatment and outcomes Dapeng Feng 1, Xinghai Yang
More informationSurgical Treatment of Spine Surgery Experience Primary Spinal Neoplasms ( ) Ziya L. Gokaslan, MD, FACS Approximately 3500 spine tumor
Surgical Treatment of Primary Spinal Neoplasms Ziya L. Gokaslan, MD, FACS Donlin M. Long Professor Professor of Neurosurgery, Oncology & Orthopaedic Surgery Vice Chairman Director of Spine Program Department
More informationSpinal Metastases From Myxoid Liposarcoma Warrant Screening With Magnetic Resonance Imaging
1815 Spinal Metastases From Myxoid Liposarcoma Warrant Screening With Magnetic Resonance Imaging Joseph H. Schwab, MD 1 Patrick J. Boland, MD 1 Cristina Antonescu, MD 2 Mark H. Bilsky, MD 3 John H. Healey,
More informationA rare case of osteoblastoma combined with severe scoliosis deformity, coronal and sagittal imbalance
Wang et al. BMC Musculoskeletal Disorders (2017) 18:538 DOI 10.1186/s12891-017-1902-9 CASE REPORT Open Access A rare case of osteoblastoma combined with severe scoliosis deformity, coronal and sagittal
More informationLaura M. Fayad, MD. Associate Professor of Radiology, Orthopaedic Surgery & Oncology The Johns Hopkins University
Society of Pediatric Radiology, May 2013 Laura M. Fayad, MD Associate Professor of Radiology, Orthopaedic Surgery & Oncology The Johns Hopkins University Describes surgical techniques that resect and reconstruct
More informationK-1 (Kyung Hee University, S )
Case History K-1 (Kyung Hee University, S12-00829) A 17-year-old male presented with posterior neck pain and numbness in both upper extremities after a diving injury. He had no relevant medical history.
More informationSolitary vertebral metastasis of primary clear cell carcinoma of the liver: a case report and review of literature
Case Report Solitary vertebral metastasis of primary clear cell carcinoma of the liver: a case report and review of literature Karthikeyan Maharajan 1, Hwee Weng Dennis Hey 2, Ivan Tham 3, Thomas Paulraj
More informationRiver North Pain Management Consultants, S.C., Axel Vargas, M.D., Regional Anesthesiology and Interventional Pain Management.
River North Pain Management Consultants, S.C., Axel Vargas, M.D., Regional Anesthesiology and Interventional Pain Management. Chicago, Illinois, 60611 Phone: (888) 951-6471 Fax: (888) 961-6471 Clinical
More informationSports Medicine Part I : ANATOMY OF THE SPINE, ABDOMEN AND SHOULDER COMPLEX
Sports Medicine 25 1.1 Part I : ANATOMY OF THE SPINE, ABDOMEN AND SHOULDER COMPLEX c.w.p. Wagner High School, Sports Medicine, A. Morgan, T. Morgan 2008 Anatomy of the Upper Body In this section of the
More informationSpondylolysis repair using a pedicle screw hook or claw-hook system. a comparison of bone fusion rates
ORIGINAL ARTICLE SPINE SURGERY AND RELATED RESEARCH Spondylolysis repair using a pedicle screw hook or claw-hook system. a comparison of bone fusion rates Ko Ishida 1), Yoichi Aota 2), Naoto Mitsugi 1),
More informationORIGINAL PAPER. Surgical outcomes of decompressive laminoplasty with spinous process osteotomy to treat lumbar spinal stenosis
Editors Choice ORIGINAL PAPER Nagoya J. Med. Sci. 80. 1 9, 2018 doi:10.18999/nagjms.80.1.1 Surgical outcomes of decompressive laminoplasty with spinous process osteotomy to treat lumbar spinal stenosis
More informationAxial Skeleton: Vertebrae and Thorax
Axial Skeleton: Vertebrae and Thorax Function of the vertebral column (spine or backbone): 1) 2) 3) Composition of Vertebral column The vertebral column is formed by 33 individual vertebrae (some of which
More informationOrthopaedics and Rehabilitation Medicine Fuculty of Medical Sciences University of Fukui
Quantitative analysis and prognostic value of changes in spinal cord signal intensity on magnetic resonance imaging in patients with cervical compressive myelopathy Orthopaedics and Rehabilitation Medicine
More information1 Introduction. 2 Materials and methods. LI Na 1 LI Yaming 1,* YANG Chunming 2 LI Xuena 1 YIN Yafu 1 ZHOU Jiumao 1
Nuclear Science and Techniques 20 (2009) 354 358 18 F-FDG PET/CT in diagnosis of skeletal metastases LI Na 1 LI Yaming 1,* YANG Chunming 2 LI Xuena 1 YIN Yafu 1 ZHOU Jiumao 1 1 Department of Nuclear Medicine,
More informationSUBAXIAL CERVICAL SPINE TRAUMA- DIAGNOSIS AND MANAGEMENT
SUBAXIAL CERVICAL SPINE TRAUMA- DIAGNOSIS AND MANAGEMENT 1 Anatomy 3 columns- Anterior, middle and Posterior Anterior- ALL, Anterior 2/3 rd body & disc. Middle- Posterior 1/3 rd of body & disc, PLL Posterior-
More information, Kensaku Abe, Yuta Taniguchi,
Higuchi et al. BMC Surgery (2018) 18:12 https://doi.org/10.1186/s12893-018-0346-y CASE REPORT Successful joint preservation of distal radius osteosarcoma by en bloc tumor excision and reconstruction using
More informationInterlaminar Bony Fusion after C3-6 Double-Door Laminoplasty for Cervical Spondylotic Myelopathy: Its Predictors and Characteristics
Interlaminar Bony Fusion after C3-6 Double-Door Laminoplasty for Cervical Spondylotic Myelopathy: Its Predictors and Characteristics Yoshiro Nanjo, Hideki Nagashima, Shinji Tanishima,Tokumitsu Mihara,
More informationDisclosures: T. Yoshii: None. T. Yamada: None. T. Taniyama: None. S. Sotome: None. T. Kato: None. S. Kawabata: None. A. Okawa: None.
Dynamic Changes in Spinal Cord Compression by Cervical Ossification of the Posterior Longitudinal Ligament Evaluated by Kinematic Computed Tomography Myelogram Toshitaka Yoshii, Tsuyoshi Yamada, Takashi
More informationPrimary Pulmonary Colloid Adenocarcinoma: How Can We Obtain a Precise Diagnosis?
doi: 10.2169/internalmedicine.1153-18 Intern Med 57: 3637-3641, 2018 http://internmed.jp CASE REPORT Primary Pulmonary Colloid Adenocarcinoma: How Can We Obtain a Precise Diagnosis? Shinsuke Ogusu 1, Koichiro
More informationSleeve lobectomy for lung adenocarcinoma treated with neoadjuvant afatinib
Case Report Sleeve lobectomy for lung adenocarcinoma treated with neoadjuvant afatinib Ichiro Sakanoue 1, Hiroshi Hamakawa 1, Reiko Kaji 2, Yukihiro Imai 3, Nobuyuki Katakami 2, Yutaka Takahashi 1 1 Department
More informationRadiology Pathology Conference
Radiology Pathology Conference Sharlin Johnykutty,, MD, Cytopathology Fellow Sara Majewski, MD, Radiology Resident Friday, August 28, 2009 Presentation material is for education purposes only. All rights
More informationSurvival Rate and Neurological Outcome after Operation for Advanced Spinal Metastasis (Tomita s Classification Type 4)
Original Article DOI 10.3349/ymj.2009.50.5.689 pissn: 0513-5796, eissn: 1976-2437 Yonsei Med J 50(5): 689-696, 2009 Survival Rate and Neurological Outcome after Operation for Advanced Spinal Metastasis
More informationShinji Yoshioka, 1 Yuji Arai, 2 Kazuya Ikoma, 2 Shinya Fujita, 2 Takanori Akai, 1 Ryuichi Sakuragi, 1 Katsuhito Muneyasu, 1 and Toshikazu Kubo 2
Case Reports in Orthopedics Volume 2013, Article ID 691739, 4 pages http://dx.doi.org/10.1155/2013/691739 Case Report Two Cases of Inferior Dislocation of the Patella with Impaction into the Femoral Trochlea
More informationGiant cell tumors are rare neoplasms representing
J Neurosurg Pediatrics 8:000 000, 8:367 371, 2011 Giant cell tumor of the odontoid in an adolescent male: radiation, chemotherapy, and resection for recurrence with 10-year follow-up Case report Ali Shirzadi,
More informationCodes for Back and Spinal Procedures
20930 Allograft for spine surgery only; morselized 20931 Allograft for spine surgery only; structural 20936 Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process,
More informationThe frequency of tumors is increasing and metastases. Spinal Oncologic Reconstruction ABSTRACT
WScJ 3: 176-183, 2010 Spinal Oncologic Reconstruction Cem Copuroglu, Erol Yalniz Department of Orthopaedics and Traumatology, School of Medicine, Trakya University, Edirne, Turkey ABSTRACT The frequency
More informationDisclosures. Giant Cell Rich Tumors of Bone. Outline. The osteoclast. Giant cell rich tumors 5/21/11
Disclosures Giant Cell Rich Tumors of Bone Andrew Horvai, MD, PhD Associate Clinical Professor, Pathology This lecture discusses "off label" uses of a number of pharmaceutical agents. The speaker is describing
More informationHarrington rod stabilization for pathological fractures of the spine NARAYAN SUNDARESAN, M.D., JOSEPH H. GALICICH, M.D., AND JOSEPH M. LANE, M.D.
J Neurosurg 60:282-286, 1984 Harrington rod stabilization for pathological fractures of the spine NARAYAN SUNDARESAN, M.D., JOSEPH H. GALICICH, M.D., AND JOSEPH M. LANE, M.D. Neurosurgery and Orthopedic
More informationMonophasic Synovial Carcinoma of knee joint- A Case Report and Review of Literature
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 17, Issue 3 Ver.5 March. (2018), PP 13-17 www.iosrjournals.org Monophasic Synovial Carcinoma of knee
More informationUnusual Osteoblastic Secondary Lesion as Predominant Metastatic Disease Spread in Two Cases of Uterine Leiomyosarcoma
49 Unusual Osteoblastic Secondary Lesion as Predominant Metastatic Disease Spread in Two Cases of Uterine Leiomyosarcoma Loredana Miglietta a Maria Angela Parodi b Luciano Canobbio b Luca Anselmi c a Medical
More informationCase Report A Case of Nonunion Avulsion Fracture of the Anterior Tibial Eminence
Case Reports in Orthopedics Volume 2016, Article ID 9648473, 5 pages http://dx.doi.org/10.1155/2016/9648473 Case Report A Case of Nonunion Avulsion Fracture of the Anterior Tibial Eminence Satoru Atsumi,
More informationASJ. Cervical Myelopathy Caused by Disc Herniation at the Segment of Existing Osteochondroma in a Patient with Hereditary Multiple Exostoses
sian Spine Journal 840 Ko Ikuta Case et al. Report sian Spine J 2014;8(6):840-845 http://dx.doi.org/10.4184/asj.2014.8.6.840 sian Spine J 2014;8(6):840-845 Cervical Myelopathy Caused by Disc Herniation
More informationARMS. Reconstruction of Large Femur and Tibia Defect with Free Vascularized Fibula Graft and Locking Plate INTRODUCTION.
Original Article ARMS Archieves of Reconstructive Microsurgery pissn 2383-5257 eissn 2288-6184 Arch Reconstr Microsurg 2015;24(2):68-74 http://dx.doi.org/10.15596/arms.2015.24.2.68 Reconstruction of Large
More informationof thoracolumbar angular kyphosis.
spine clinical article J Neurosurg Spine 23:42 48, 2015 Expanded eggshell procedure combined with closing-opening technique (a modified vertebral column resection) for the treatment of thoracic and thoracolumbar
More informationVertebral Column. Backbone consists of 26 vertebrae. Five vertebral regions. Cervical
Vertebral Column Backbone consists of 26 vertebrae. Five vertebral regions Cervical vertebrae (7) in the neck. Thoracic vertebrae (12) in the thorax. Lumbar vertebrae (5) in the lower back. Sacrum (5,
More informationASJ. Spinal Metastasis from Struma Ovarii: Case Report and Review of the Literature. Asian Spine Journal. Introduction
Asian Spine Journal Asian Spine Case Journal Report Asian Spine J 2015;9(2):281-285 Thoracic http://dx.doi.org/10.4184/asj.2015.9.2.281 metastasis of struma ovarii 281 Spinal Metastasis from Struma Ovarii:
More informationTotal spondylectomy for primary tumor of the thoracolumbar spine
(2000) 38, 146 ± 152 ã 2000 International edical Society of Paraplegia All rights reserved 1362 ± 4393/00 $15.00 www.nature.com/sc Total spondylectomy for primary tumor of the thoracolumbar spine E Abe*,1,
More informationRadiological and histological analysis of synthetic bone grafts in recurring giant cell tumour of bone: a retrospective study
Journal of Orthopaedic Surgery 2010;18(1):63-7 Radiological and histological analysis of synthetic bone grafts in recurring giant cell tumour of bone: a retrospective study Hiroyuki Hattori, Hiroaki Matsuoka,
More informationPediatric cervical spine injuries with neurological deficits, treatment options, and potential for recovery
SICOT J 2017, 3, 53 Ó The Authors, published by EDP Sciences, 2017 DOI: 10.1051/sicotj/2017035 Available online at: www.sicot-j.org CASE REPORT OPEN ACCESS Pediatric cervical spine injuries with neurological
More informationAPPENDICULAR SKELETON 126 AXIAL SKELETON SKELETAL SYSTEM. Cranium. Skull. Face. Skull and associated bones. Auditory ossicles. Associated bones.
SKELETAL SYSTEM 206 AXIAL SKELETON 80 APPENDICULAR SKELETON 26 Skull Skull and associated s 29 Cranium Face Auditory ossicles 8 4 6 Associated s Hyoid Thoracic cage 25 Sternum Ribs 24 Vertebrae 24 column
More informationCASE REPORT. Utility of a 3-dimensional full-scale NaCl model for rib strut grafting for anterior fusion for cervicothoracic kyphosis
Nagoya J. Med. Sci. 77. 525 ~ 530, 2015 CASE REPORT Utility of a 3-dimensional full-scale NaCl model for rib strut grafting for anterior fusion for cervicothoracic kyphosis Kazuyoshi Kobayashi 1, Shiro
More informationPatient Information. Spinal Fusion Using the ST360 or Silhouette Pedicle Screw System
Patient Information Spinal Fusion Using the ST360 or Silhouette Pedicle Screw System Spinal Fusion Using the ST360 or Silhouette Pedicle Screw System Your doctor has recommended spinal fusion surgery using
More informationClinical Application of Computed Radiography in Orthopedic Surgery
Clinical Application of Computed Radiography in Orthopedic Surgery Satoru Fujita, Masamichi Tanaka, Sigeaki Hirota, and Takeshi Fuji Since 1988, Fuji Computed Radiography (FCR) system (Fuji Medical Systems,
More informationPrimary leiomyosarcoma of the spine treated with total en bloc spondylectomy: the first case in Thailand a case report and literature review
Case Report Primary leiomyosarcoma of the spine treated with total en bloc spondylectomy: the first case in Thailand a case report and literature review Tinnakorn Pluemvitayaporn, Chaiwat Piyaskulkaew,
More informationEn bloc resection in the spine: a procedure of surgical oncology
Editorial En bloc resection in the spine: a procedure of surgical oncology Stefano Boriani IRCCS Istituto Ortopedico Galeazzi, Milan, Italy Correspondence to: Stefano Boriani, MD. IRCCS Istituto Ortopedico
More informationASJ. Magnification Error in Digital Radiographs of the Cervical Spine Against Magnetic Resonance Imaging Measurements. Asian Spine Journal
Asian Spine Journal Asian Spine Clinical Journal Study Asian Spine J 2013;7(4):267-272 Magnification http://dx.doi.org/10.4184/asj.2013.7.4.267 error in cervical spine 267 Magnification Error in Digital
More informationRetro-odontoid pseudotumors are mass lesions formed
SURGICAL TECHNIQUE Microscopic Posterior Transdural Resection of Cervical Retro-Odontoid Pseudotumors Yasushi Fujiwara, MD, PhD,* Hideki Manabe,* Tadayoshi Sumida,w Nobuhiro Tanaka,z and Takahiko Hamasakiy
More informationResection of the First Rib With Preservation of the T1 Nerve Root in Pancoast Tumors of the Lung
Special Report Resection of the First Rib With Preservation of the T1 Nerve Root in Pancoast Tumors of the Lung Andreas K. Filis, MD, Lary A. Robinson, MD, and Frank D. Vrionis, MD, PhD Background: Surgical
More informationMEDICAL IMAGING OF THE VERTEBRAE
MEDICAL IMAGING OF THE VERTEBRAE Vertebrae are your friends Matthew Harper MS-IV LECTURE OBJECTIVES INTRODUCE THE MOST COMMON MODALITIES OF MEDICAL IMAGING AND BASIC TECHNIQUES FOR READING THESE IMAGES
More informationSigns of Nature in Spine Radiology
Open Access Review Article DOI: 10.7759/cureus.2456 Signs of Nature in Spine Radiology MN Baig 1, Fergus Byrne 2, A Devitt 3, J P. McCabe 3 1. Trauma & Orthopaedic Surgery, Galway University Hospital,
More informationJing Tao Zhang 1, Lin Feng Wang 1, Yue Ju Liu 2, Jun Ming Cao 1, Jie Li 1, Shuai Wang 1 and Yong Shen 1*
Zhang et al. BMC Musculoskeletal Disorders (2015) 16:267 DOI 10.1186/s12891-015-0728-6 RESEARCH ARTICLE Open Access Relationship between developmental canal stenosis and surgical results of anterior decompression
More informationAXIAL SKELETON FORM THE VERTICAL AXIS OF THE BODY CONSISTS OF 80 BONES INCLUDES BONES OF HEAD, VERTEBRAL COLUMN, RIBS,STERNUM
AXIAL SKELETON FORM THE VERTICAL AXIS OF THE BODY CONSISTS OF 80 BONES INCLUDES BONES OF HEAD, VERTEBRAL COLUMN, RIBS,STERNUM APPENDICULAR SKELETON BONES OF THE FREE APPENDAGES & THEIR POINTS OF ATTACHMENTS
More informationAnterior Cervical Discectomy and Fusion Surgery
Disclaimer This movie is an educational resource only and should not be used to manage orthopaedic health. All decisions about the management of orthopaedic conditions must be made in conjunction with
More informationEvaluation of prognostic scoring systems for bone metastases using single center data
MOLECULAR AND CLINICAL ONCOLOGY 3: 1361-1370, 2015 Evaluation of prognostic scoring systems for bone metastases using single center data HIROFUMI SHIMADA 1, TAKAO SETOGUCHI 2, SHUNSUKE NAKAMURA 1, MASAHIRO
More informationDisclosures. Introduction. Purpose. Morphologic Variation in Lumbar Spinal Canal Dimensions by Gender, Race and Age
Disclosures Morphologic Variation in Lumbar Spinal Canal Dimensions by Gender, Race and Age Jeremy D. Shaw, MD, MS; Daniel L. Shaw, BA; Daniel R. Cooperman, MD; Jason D. Eubanks, MD; Ling Li, MSPH; David
More informationPosterior Thoracic Corpectomies with Cage Reconstruction for Metastatic Spinal Tumors: Comparing the MiniOpen Approach to the Open Approach
Posterior Thoracic Corpectomies with Cage Reconstruction for Metastatic Spinal Tumors: Comparing the MiniOpen Approach to the Open Approach Darryl Lau, MD and Dean Chou, MD Department of Neurological Surgery
More informationCatastrophic Dropped Head Syndrome Requiring Multiple Reconstruction Surgeries after Cervical Laminoplasty
CASE REPORT SPINE SURGERY AND RELATED RESEARCH Catastrophic Dropped Head Syndrome Requiring Multiple Reconstruction Surgeries after Cervical Laminoplasty Seiichi Odate, Jitsuhiko Shikata and Tsunemitsu
More informationELY ASHKENAZI Israel Spine Center at Assuta Hospital Tel Aviv, Israel
nterior cervical decompression using the Hybrid Decompression Fixation technique, a combination of corpectomies and or discectomies, in the management of multilevel cervical myelopathy J ORTHOP TRUM SURG
More informationContiguous Spinal Metastasis Mimicking Infectious Spondylodiscitis 감염성척추염과유사하게보였던연속적척추전이의증례
Case Report pissn 1738-2637 / eissn 2288-2928 http://dx.doi.org/10.3348/jksr.2015.73.6.408 감염성척추염과유사하게보였던연속적척추전이의증례 Chul-Min Lee, MD 1, Seunghun Lee, MD 1 *, Jiyoon Bae, MD 2 1 Department of Radiology,
More informationModule: #15 Lumbar Spine Fusion. Author(s): Jenni Buckley, PhD. Date Created: March 27 th, Last Updated:
Module: #15 Lumbar Spine Fusion Author(s): Jenni Buckley, PhD Date Created: March 27 th, 2011 Last Updated: Summary: Students will perform a single level lumbar spine fusion to treat lumbar spinal stenosis.
More information