Complications of Surgery for Impingement of Dorsal Spinous Processes

2021 ◽  
pp. 833-842
Author(s):  
Luis M. Rubio‐Martinez
Author(s):  
Daniel A. Brinton ◽  
Charles P. Wilkinson

Retinal Detachment: Principles and Practice provides a historical review of current information on the diagnosis and treatment of retinal detachment. It is intended as both an introduction for graduate students in ophthalmology and a concise review or reference for practicing ophthalmologists. The volume defines the types of retinal detachments, their classifications and causes, and covers preoperative examination, preoperative management, prophylactic procedures, surgery, complications of surgery, and results of reattachment surgery. It also includes a historical introduction, suggested readings at the end of each chapter, and the classic article 'The Technique of Binocular Indirect Ophthalmoscopy,' by Morten L. Rosenthal.


2020 ◽  
Vol 11 (1) ◽  
pp. 301
Author(s):  
Sławomir Paśko ◽  
Wojciech Glinkowski

Scoliosis is a three-dimensional trunk and spinal deformity. Patient evaluation is essential for the decision-making process and determines the selection of specific and adequate treatment. The diagnosis requires a radiological evaluation that exposes patients to radiation. This exposure reaches hazardous levels when numerous, repetitive radiographic studies are required for diagnostics, monitoring, and treatment. Technological improvements in radiographic devices have significantly reduced radiation exposure, but the risk for patients remains. Optical three-dimensional surface topography (3D ST) measurement systems that use surface topography (ST) to screen, diagnose, and monitor scoliosis are safer alternatives to radiography. The study aimed to show that the combination of plain X-ray and 3D ST scans allows for an approximate presentation of the vertebral column spinous processes line in space to determine the shape of the spine’s deformity in scoliosis patients. Twelve patients diagnosed with scoliosis, aged 13.1 ± 4.5 years (range: 9 to 20 years) (mean: Cobb angle 17.8°, SD: ±9.5°) were enrolled in the study. Patients were diagnosed using full-spine X-ray and whole torso 3D ST. The novel three-dimensional assessment of the spinous process lines by merging 3D ST and X-ray data in patients with scoliosis was implemented. The method’s expected uncertainty is less than 5 mm, which is better than the norm for a standard measurement tool. The presented accuracy level is considered adequate; the proposed solution is accurate enough to monitor the changes in the shape of scoliosis’s spinous processes line. The proposed method allows for a relatively precise calculation of the spinous process lines based on a three-dimensional point cloud obtained with a four-directional, three-dimensional structured light diagnostic system and a single X-ray image. The method may help reduce patients’ total radiation exposure and avoid one X-ray in the sagittal projection if biplanar radiograms are required for reconstructing the three-dimensional line of the spinous processes line.


2013 ◽  
Vol 150 (2) ◽  
pp. 275-281 ◽  
Author(s):  
Hossein Mahboubi ◽  
Omar H. Ahmed ◽  
Amy Y. Yau ◽  
Yasmina C. Ahmed ◽  
Hamid R. Djalilian

2002 ◽  
Vol 96 (1) ◽  
pp. 122-126 ◽  
Author(s):  
Tateru Shiraishi

✓ The author describes a new technique for exposure of the cervical spine laminae in which the attachments of the semispinalis cervicis and multifidus muscles to the spinous processes are left untouched. It provides a conservative exposure through which a diverse range of posterior cervical surgeries can be performed. In contrast to conventional cervical approaches, none of the muscular attachments to the spinous processes is compromised. In this paper the author describes the technical details and discusses the applications of the procedure.


2005 ◽  
Vol 3 (1) ◽  
pp. 29-33 ◽  
Author(s):  
Noboru Hosono ◽  
Hironobu Sakaura ◽  
Yoshihiro Mukai ◽  
Takahiro Ishii ◽  
Hideki Yoshikawa

Object. Although conducting cervical laminoplasty in patients with multisegmental cord compression provides good neurological results, it is not without shortcomings, including C-5 palsy, axial neck pain, and undesirable radiologically detectable changes. Postoperative kyphosis and segmental instability can cause neurological problems and are believed mainly to result from neck muscle disruption. The authors developed a new laminoplasty technique, with the aim of preserving optimal muscle function. Methods. The present technique is a modification of unilateral open-door laminoplasty. By using an ultrasonic osteotome in small gaps of muscle bellies, a gutter is made without disrupting muscles, spinous processes, or their connections on the hinged side. Ceramic spacers are then positioned between elevated laminae and lateral masses at C-3, C-5, and C-7 on the opened side, which is exposed in a conventional manner. This new procedure was used to treat 37 consecutive patients with compression myelopathy. Postoperative computerized tomography (CT) scanning revealed a significant difference in a cross-sectional area of muscles between the hinged and opened side. The mean follow-up period was 40.2 months (range 24–54 months). Changes in alignment were observed in only one patient, and vertebral slippage developed in two. Performed at regular intervals, CT scanning demonstrated that the elevated laminae remained in situ throughout the study period. Conclusions. In using the present unilateral open-door laminoplasty technique, deep extensor muscles are left intact along with their junctions to spinous processes on the hinged side. Radiologically documented changes were minimal because the preserved muscles functioned normally immediately after the operation.


1905 ◽  
Vol 5 (1) ◽  
pp. 39-51
Author(s):  
K. A. Grachev

In March 1902 prof. Grocco notes a new symptom with effusion pleurisy. On the opposite side of the exudate, with percussion on the back side of the chest, a three-angle space of a blunt sound is obtained, the inner side of which goes along the spinous processes of the vertebrae, the lower, horizontal, stretches by 3-6 cent., And the outer one falls from top to bottom from the upper border of pleuritic accumulation to the outer point of the horizontal border.


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