scholarly journals Cervical Myelopathy Secondary to Metallic Irritation of the Dura Mater Following Insertion of a Spinal Cord Stimulator in a Patient with Ossification of Posterior Longitudinal Ligament

Pain Medicine ◽  
2017 ◽  
Vol 19 (3) ◽  
pp. 631-634
Author(s):  
Jung Eun Kim ◽  
Jae Hyuk Yang ◽  
Mi Kyoung Lee ◽  
Seung Woo Suh ◽  
Sung Wook Kang
1990 ◽  
Vol 39 (1) ◽  
pp. 264-266
Author(s):  
Yutaka Itou ◽  
Shinya Kawai ◽  
Kouzou Sunago ◽  
Minoru Saika ◽  
Tosihiko Taguchi ◽  
...  

2021 ◽  
Author(s):  
Ning Jiang ◽  
Kuibo Zhang ◽  
Jie Shang ◽  
Bin Wang ◽  
Junlong Zhong ◽  
...  

Ossification of the posterior longitudinal ligament (OPLL), one of spinal disease causing to myelopathy, is characterized by the ectopic ossification and narrowing the spinal cord. However, the pathogenesis of OPLL...


2017 ◽  
Vol 13 (6) ◽  
pp. 661-669 ◽  
Author(s):  
Shiro Imagama ◽  
Kei Ando ◽  
Kazuyoshi Kobayashi ◽  
Tetsuro Hida ◽  
Kenyu Ito ◽  
...  

Abstract BACKGROUND Surgery for thoracic ossification of the posterior longitudinal ligament (T-OPLL) is still challenging, and factors for good surgical outcomes are unknown. OBJECTIVE To identify factors for good surgical outcomes with prospective and comparative study. METHODS Seventy-one consecutive patients who underwent posterior decompression and instrumented fusion were divided into good or poor outcome groups based on ≥50% and <50% recovery rates for the Japanese Orthopaedic Association score. Preoperative, intraoperative, and postoperative findings were compared in the 2 groups, and significant factors for a good outcome were analyzed. RESULTS Patients with a good outcome (76%) had significantly lower nonambulatory rate and positive prone and supine position tests preoperatively; lower rates of T-OPLL, ossification of the ligamentum flavum, high-intensity area at the same level, thoracic spinal cord alignment difference, and spinal canal stenosis on preoperative magnetic resonance imaging; lower estimated blood loss; higher rates of intraoperative spinal cord floating and absence of deterioration of intraoperative neurophysiological monitoring; and lower rates of postoperative complications (P < .0005). In multivariate logistic regression analysis, negative prone and supine position test (odds ratio [OR]: 17.00), preoperative ambulatory status (OR: 6.05), absence of T-OPLL, ossification of the ligamentum flavum, high-intensity area at the same level (OR: 5.84), intraoperative spinal cord floating (OR: 4.98), and lower estimated blood loss (OR: 1.01) were significant factors for a good surgical outcome. CONCLUSION This study demonstrated that early surgery is recommended during these positive factors. Appropriate surgical planning based on preoperative thoracic spinal cord alignment difference, as well as sufficient spinal cord decompression and reduction of complications using intraoperative ultrasonography and intraoperative neurophysiological monitoring, may improve surgical outcomes.


1989 ◽  
Vol 3 (0) ◽  
pp. 137-141 ◽  
Author(s):  
Kimihiko Mii ◽  
Hideo Iida ◽  
Shigekuni Tachibana ◽  
Takashi Ohwada ◽  
Kenzo Yada

1873 ◽  
Vol 19 (87) ◽  
pp. 465-466
Author(s):  
Batty Tuke

Professor Betz, of Kiew, has lately produced brain sections, which have attracted very considerable attention in Vienna. His specimens are of vast extent. He appears to be able to produce thin sections of an entire hemisphere. We append his method of hardening and cutting as it is stated in the “Correspondentze Blatt der deutschen Gesellschaft für Psychiatrie und Gerichtlich Psychologie, Jan., 1873.” The method of hardening which we wish to bring into notice is as follows:—observing that differences exist in the treatment of the spinal-cord, cerebrum and cerebellum. The spinal-cord—after tbe careful removal of the dura mater, it is placed in spirit of from 75 to 80 per cent., which is tinged a clear brown colour by the addition of Iodine. After from one to three days, during which the preparation must stand in a cool temperature, the Pia Mater and the Arachnoid are also removed; the specimen remaining in the spirit, to which a few drops of Iodine must be added daily for three days, maintaining an ordinary temperature. It is then transferred to a three per cent. solution of Chromate of Potass, and back again to the cool temperature. Here it hardens thoroughly, which is known by the fluid becoming turbid, and by the formation of a brown deposit upon the preparation. When this occurs, it must be immediately thoroughly washed with water, and immersed in a solution of Chromate of Potass, from a half to one per cent. strength, in which it will not become too hard or brittle.


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