European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
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Review Case Reports
Cerebral venous thrombosis: an unexpected complication from spinal surgery.
To provide new insights into the pathophysiology, prevention and diagnosis of cerebral venous thrombosis (CVT) associated with iatrogenic cerebrospinal fluid (CSF) leaks and/or external CSF drainage. ⋯ A few reports have associated CVT with various forms of spinal meningeal injury. However, it has been rarely documented following spinal surgery complicated by accidental durotomy and/or external lumbar CSF drainage. CSF hypovolemia may precipitate CVT in patients having prothrombotic risk factors. Patients who have or had CSF leaks and/or lumbar CSF drains who present with symptoms of intracranial CSF hypotension should remain in the horizontal position to prevent CVT. In that context, the diagnosis of CVT depends on a high degree of suspicion.
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Review Case Reports
Cervical dermal sinus complicated with intramedullary abscess in a child: case report and review of literature.
Dermal sinus tract (DST) is an uncommon spinal dysraphism presenting in childhood along the midline neuroaxis. Cervical DST less frequent is in association with intramedullary abscess. ⋯ Literature review confirms that an early diagnosis followed by prompt surgical spinal cord decompression gives a functional neurological recovery.
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To report the surgical techniques and clinical results of one-stage transoral anterior revision surgeries for basilar invagination (BI) with atlantoaxial dislocation (AAD) after posterior decompression. ⋯ Anterior revision surgeries using the TARP system achieved reduction, decompression and fixation of C1-C2 in one stage for BI with IAAD. This technique offers an effective, simple and safe method for the revision of such cases after posterior decompression.
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Case report. ⋯ Although endometriosis is a rare possible cause of periodical low back pain in women of childbearing age, we suggest that if a woman suffering from periodical low back pain is encountered, do not ignore the possibility of endometriosis in the spine.
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Is the 4 mm height of the vertebral artery groove really a limitation of C1 pedicle screw insertion?
To explore the feasibility and effectiveness of C1 pedicle screw fixation in patients whose atlas vertebral artery groove (defined as the C1 pedicle) height is less than 4 mm, but with a medullary canal. ⋯ If there is a medullary canal in the C1 pedicle, a 3.5- or 4.0-mm-diameter pedicle screw can be safely inserted into the atlas and C1 pedicle screw fixation can be performed without any impact on fixation stability and clinical efficacy, even if the C1 pedicle height is less than 4.0 mm.