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Upper cervical technique

Xuan Cai, Xiaoqing Yi, Haopeng Li, Xijing He
PURPOSE: The Anterior Atlantoaxial Non-Fusion Fixation System (AANFS) was a novel motion preservation device for atlantoaxial instability to replace traditional fusion techniques. The purpose of this in vivo study was to evaluate the clinical features and biomechanical properties of this new device in a canine model by comparing it with a conventional method. METHODS: Eighteen adult male canines were randomly divided into group 1, which received the AANFS replacement, group 2 which received the Harms rigid fixation procedures, and group 3, which served as the control group...
February 13, 2019: European Spine Journal
Briggs M Ahearn, Harlan M Starr, John G Seiler
Traumatic upper trunk brachial plexopathy, also known as a stinger or burner, is the most common upper extremity neurologic injury among athletes and most commonly involves the upper trunk. Recent studies have shown the incidence of both acute and recurrent injuries to be higher in patients with certain anatomic changes in the cervical spine. In addition, despite modern awareness, tackling techniques, and protective equipment, some think the incidence to be slowly on the rise in contact athletes. The severity of neurologic injury varies widely but usually does not result in significant loss of playing time or permanent neurologic deficits if appropriate management is undertaken...
February 5, 2019: Journal of the American Academy of Orthopaedic Surgeons
Yutaka Tokairin, Yasuaki Nakajima, Kenro Kawada, Akihiro Hoshino, Takuya Okada, Tairo Ryotokuji, Taichi Ogo, Masafumi Okuda, Yuichiro Kume, Yudai Kawamura, Kazuya Yamaguchi, Kagami Nagai, Tatsuyuki Kawano, Yusuke Kinugasa
PURPOSE: A prospective trial evaluated the feasibility and safety of "mediastinoscopic esophagectomy with lymph node dissection" (MELD). METHODS: Eligible patients had thoracic esophageal squamous cell carcinoma, excluding T4, a bulky primary lesion or distant metastasis. Ten patients were enrolled and treated between September 2015 and March 2018. Additionally, to verify the integrity of the mediastinal lymph node dissection, thoracoscopic observation and lymph node dissection were followed...
February 8, 2019: Esophagus: Official Journal of the Japan Esophageal Society
Jin Hee Ahn, Doyeon Kim, Nam-Su Gil, Yong Hun Son, Bong Gyu Seong, Ji Seon Jeong
Pediatric patients have large heads and relatively small bodies, making it difficult to perform intubation even in the sniffing position. Therefore, this study was planned on the assumption that hand-assisted elevation and caudad traction of the shoulder (HA-ECTS) would compensate for the laryngoscopic view. In this observational study, 45 pediatric patients aged 0-36 months with an ASA physical status of I-III and scheduled for elective surgery under general anesthesia were enrolled. HA-ECTS was defined as hand-assisted personalized traction in the upper and caudad directions with both hands under the lower cervical area...
February 4, 2019: Scientific Reports
Naci Balak, Oguz Baran, Emine Seyma Denli Yalvac, Aysegul Esen Aydin, Necmettin Tanriover
The cervical oblique corpectomy (OC) approach has the advantages of no grafting or instrumentation necessities and theoretically maintains natural neck motions. However, the risk of cervical sympathetic trunk (CST) injury and Horner's syndrome is one of the main difficulties of this demanding surgical approach. The upper necks of 3 adult human cadavers (6 sides) were dissected under a Zeiss surgical microscope. OC was performed in a stepwise manner to simulate the surgical procedure. We specifically studied the technique of the protection of the CST during the cervical OC approach...
February 1, 2019: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
Pablo Pérez-Lanza, Pedro Almiñana-Pastor, Francisco Alpiste-Illueca
A 15-year-old patient is referred to the Department of Periodontics of the University of Valencia. The patient reported dissatisfaction with the position of upper right canine after orthodontic treatment. Previously, in a private center, surgical approaches were performed for the traction of the canine included. On clinical examination at first appointment, generalized plaque-induced gingivitis was observed, with palatal fenestration of the root of upper right lateral incisor of approximately 75% of the total surface, with suppuration and very little gingiva inserted at the cervical level, which presents a buccal torque of the crown...
December 2018: Journal of Clinical and Experimental Dentistry
Su Jiang, Wei Chen, Yun-Dong Shen, Yan-Qun Qiu, Ai-Ping Yu, Wen-Dong Xu
OBJECTIVE: Contralateral C7 nerve root transfer surgery has been successfully applied to rescue motor function of a hemiplegic upper extremity in patients with central neurological injury. This surgical technique is challenging, and limited anatomical space makes it difficult to manipulate tissues and may lead to higher complication rates. The authors hypothesis a new surgical route in which cervical nerve roots of both donor and recipient sides are exposed from a posterior intradural approach and neurorrhaphy is performed easily and clearly...
January 25, 2019: British Journal of Neurosurgery
Sumin Zhu, Jie Lin, Shu Huang
BACKGROUND: Esophageal leiomyomas, the most common benign primary tumors of the esophagus, are esophageal subepithelial lesions treated by surgery traditionally. In recent years, endoscopic submucosal dissection and related endoscopic treatment techniques are adopted by endoscopists to resect gastrointestinal submucosal tumors. But if a giant esophageal leiomyoma approaches the esophagus entrance and originates from the deep layer of muscularis propria, it will be difficult for both endoscopic resection and surgical treatment...
January 21, 2019: Journal of Cardiothoracic Surgery
Afsah Ayub, Muhammad Osama, Shakeel Ahmad
BACKGROUND: Neural mobilization is an effective technique in the management of cervical radiculopathy (CR). However, the difference between active versus passive upper extremity (UE) neural mobilization techniques in the management of cervical radiculopathy is not well established. OBJECTIVE: To determine the role of active versus passive UE neural mobilization in females with cervical radiculopathy. METHODS: A double blind randomized controlled trial was conducted at Shifa International Hospital from Sep 2016 to Feb 2017, and 44 females were included and randomized into 2 groups, receiving 12 treatment sessions in total...
January 11, 2019: Journal of Back and Musculoskeletal Rehabilitation
Yongpeng Lin, Siyuan Rao, Yongjin Li, Shuai Zhao, Bolai Chen
PURPOSE: Cervical stenosis with myelopathy caused by ossification of the ligamentum flavum is relatively rare, and surgical treatment is the preferred option. Previous surgical procedures usually require assisted internal fixation, while some problems may occur, such as large trauma, intraoperative bleeding, wound infection and internal fixation failure. The aim of this paper is to introduce a new minimally invasive surgical procedure for the treatment of upper cervical spinal stenosis complicated with myelopathy...
January 12, 2019: World Neurosurgery
José Júlio Bechir Maués, Heather Lynn Hauter
A 47-year-old male police officer presented at an outpatients consulting room complaining of exertional dyspnea and swelling and pain in the right arm. He had suffered a perforating gunshot wound of the right infraclavicular region 7 months previously. A chest tomography showed considerable dilatation of the subclavian and cervical veins and veins of the right upper limb, with no clear point of arteriovenous communication. His symptoms exacerbated and he was admitted to hospital before the date scheduled for treatment...
July 2018: Jornal Vascular Brasileiro
Stephan R Jaiser, Dipayan Mitra, Timothy L Williams, Mark R Baker
Mills' syndrome is an idiopathic, slowly progressive, spastic hemiparesis. We describe three cases that have been under review for a minimum of 11 years (range 11-19). In all patients, symptoms started in a leg, with a mean age of onset of 59 years (range 53-63). The only abnormality on laboratory investigations was a mildly elevated CSF protein in one case. MRI demonstrated focal T2 hyper-intensity located eccentrically in the cervical cord ipsilateral to the symptomatic side. No cerebral abnormality was demonstrated...
January 10, 2019: Journal of Neurology
Victoria Ortiz-de la Tabla, Félix Gutiérrez
Cervicitis is the inflammation of the cervix. It is usually caused by an infectious agent, usually sexually transmitted. Cervicitis is frequently asymptomatic and silent infection can cause complications of the upper genital tract. The symptoms are usually nonspecific, the most significant being an increase in vaginal discharge and/or intermenstrual bleeding. For its diagnosis, there are commercial systems based on molecular techniques that include almost all of the known pathogens associated with cervicitis, although cultures should not be abandoned due to the need to conduct studies of susceptibility to antibiotics...
January 7, 2019: Enfermedades Infecciosas y Microbiología Clínica
Guilherme Santos Piedade, Jan Vesper, Apostolos Chatzikalfas, Philipp J Slotty
INTRODUCTION: Dorsal root ganglion stimulation is a meanwhile established but rather new technique of neuromodulation to treat chronic pain states of different origin. While being primarily used in the lumbar region, dorsal root ganglion (DRG) stimulation also can be used in the upper thoracic and cervical region with slight alterations of the surgical approach. This offers new therapeutic options especially in the treatment of neuropathic pain states of the upper extremities. Data on surgical technique, outcome and complications rates of DRG in this region are limited...
January 8, 2019: Neuromodulation: Journal of the International Neuromodulation Society
Shkarubo An, Chernov, Andreev
BACKGROUND: Surgical treatment of ventral pathological lesions of the craniovertebral junction and upper cervical spine is extremely difficult due to the limited accessibility, as well as the difficulty of performing surgical manipulations in a deep narrow wound in conditions of limited surgical freedom and angle of attack. METHODS: In this article we present two clinical cases in which transoral approach was used to treat ventral meningiomas of the craniovertebral junction...
December 31, 2018: World Neurosurgery
Z B Yang, J D Niu, Y Ma, J N Li, J Y Shen, M Yao
Objective: To explore the application value of computed tomography angiography (CTA) and three-dimensional reconstruction in repairing high-voltage electrical burn wounds in necks, shoulders, axillas, and upper arms with tissue flaps. Methods: From December 2014 to December 2018, 12 patients with high-voltage electrical burns in necks, shoulders, axillas, and upper arms were hospitalized. The size of wounds ranged from 13 cm×10 cm to 32 cm×15 cm after complete debridement. Before tissue flap repair, the subclavian artery-axillary artery-brachial artery and their branches were examined by CTA...
December 20, 2018: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
Selaiman Ahmad Noori, Semih Gungor
RATIONALE: Continuous epidural infusion of local anesthetic may be an alternative to sympathetic blocks in refractory cases of complex regional pain syndrome (CRPS). Spinal epidural abscess (SEA) is a well-known complication associated with this technique, especially in patients with immune deficiencies. We herewith report a cervical SEA associated with an epidural catheter in a woman with CRPS and selective IgG3 subclass deficiency. PATIENT CONCERNS: Severe pain interfering with activities of daily living...
December 2018: Medicine (Baltimore)
Ian Wong, Simon Law
Despite the rise in incidence of adenocarcinoma, squamous cell cancer of the oesophagus remains the commonest cell type worldwide and is predominant in the East. Except for very early tumours where endoscopic therapy can be performed with curative intent, in more advanced but potentially curative cancers, treatment for mid and upper third tumours is primarily surgery with extended lymphadenectomy, together with multimodal therapies such as preoperative chemotherapy or chemoradiotherapy. Definitive chemoradiotherapy is utilized in those who decline surgery or in those who are unfit for major procedures...
October 2018: Best Practice & Research. Clinical Gastroenterology
Timothy J Reynolds, Joseph Paul Coviello, Michael Costello
Background and Purpose: There have been few published studies regarding the treatment of patients with non-ossifying fibromas (NOFs), either conservatively or operatively. The purpose of this case report is to discuss the clinical presentation and conservative management of a teenage athlete diagnosed with a proximal humerus NOF. Case Description: The subject was a 13-year-old male middle school student with a diagnosis of left shoulder pain over the prior year preventing him from participating in sports activities...
December 2018: International Journal of Sports Physical Therapy
Sümeyye Cildan Uysal, Emine Handan Tüzün, Levent Eker, Ender Angın
BACKGROUND: Fibromyalgia is characterized by a chronic and common musculoskeletal system pain that affects cervical mobility and inspiration. This may cause changes in thoracic mechanics. OBJECTIVE: To investigate the effectiveness of the muscle energy technique applied to cervical accessory respiratory muscles on respiratory muscle strength and endurance in patients with fibromyalgia. METHODS: The participants were 37 women diagnosed with fibromyalgia...
November 16, 2018: Journal of Back and Musculoskeletal Rehabilitation
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