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1دورية أكاديمية
المؤلفون: Baig Mirza, Asfand, Bartram, James, Sinha, Siddharth, Gebreyohanes, Axumawi, Boardman, Timothy, Vastani, Amisha, Dyson, Edward, Lavrador, Jose Pedro, Russo, Vittorio, Choi, David, Vasan, Ahilan Kailaya, Grahovac, Gordan
المصدر: Acta Neurochirurgica; May2022, Vol. 164 Issue 5, p1217-1228, 12p
مصطلحات موضوعية: ARACHNOID cysts, OPERATIVE surgery, POSTOPERATIVE pain, ELECTRONIC records, DRAINAGE, SPINAL surgery
مستخلص: Purpose: Evaluation of the presentation and outcomes of different surgical treatment approaches for spinal intradural arachnoid cysts (SIAC). Methods: Cases were identified from electronic records of two major neurosurgical centres in London over the last 10 years (October 2009–October 2019) that have been surgically treated in both institutions. Clinical findings, surgical technique, and recurrence by procedure were statistically analysed. Statistical analysis was performed with STATA 13.1 Software. Results: A total of 42 patients with SIAC were identified for this study with a mean age at the time of surgery of 53.6 years and a male:female ratio of 8:13. There were 31 patients with primary SIACs and 11 with secondary SIACs. The most common presenting symptom was paraesthesia (n = 27). The most common location of the cyst was in the thoracic region (n = 33). Syrinx was present in 26.2% of SIACs (n = 11). Resection was associated with significantly better postoperative pain compared to other surgical techniques (p = 0.01), significantly poorer postoperative urinary function (p = 0.029), and lower rates of sensory recovery in patients who presented preoperatively with sensory deficit (p = 0.041). No significant difference was seen in symptomatic outcomes between patients with primary and secondary SIACs. Conclusion: Resection and drainage are both effective methods of managing SIACs. In this observational study, resection was associated with significantly reduced pain postoperatively when compared with drainage, however also with significantly less improvement in postoperative urinary function. Therefore, resection should be the gold standard management option for SIACs, with drainage as an option where resection is unsafe, and drainage should also be considered in patients presenting with urinary dysfunction. [ABSTRACT FROM AUTHOR]
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2دورية أكاديمية
المؤلفون: Vukas, Duje, Ledić, Darko, Grahovac, Gordan, Kolić, Zlatko, Rotim, Krešimir, Vilendečić, Milorad
المصدر: https://hrcak.srce.hr/110637Test ; Acta clinica Croatica ; Volume 52. ; Issue 1. ; ISSN 0353-9466 (Print) ; ISSN 1333-9451 (Online.
مصطلحات موضوعية: Annular closure device, Lumbar spine, Intervertebral disk, Disk herniation, Diskectomy, outcome, Proteza za rekonstrukciju defekta anulusa, Lumbalni segment kralježnice, Intervertebralni disk, Hernija diska, Diskektomija, Ishod, BIOMEDICINA I ZDRAVSTVO. Kliničke medicinske znanosti. Kirurgija, BIOMEDICINE AND HEALTHCARE. Clinical Medical Sciences. Surgery
الوصف: Annular Reinforcement Device represents a modification of operative treatment of intervertebral disk herniation. It is a prosthesis that is anchored into the body of the vertebra. The intradiscal part of the implant is placed in the inner part of the annulus fibrosus defect. The aim of this technique is to reduce the incidence of reherniation and the degree of intervertebral space collapse, which is the most frequent adverse effect of diskectomy. Clinical outcomes of the treatment group indicated a statistically significant improvement with respect to the control group. Furthermore, over the period of two years, no cases of symptomatic reherniation were recorded. Considering that no serious complications occurred during the procedures, it would appear that this is an implant that, given its encouraging results, should be further verified in carefully designed future studies. ; Ugradnja proteze za rekonstrukciju defekta anulusa čini modifikaciju operacijskog liječenja hernije intervertebralnog diska. Radi se o protezi koja se ugrađuje (usidri) u korpus kralješka. Intradiskalni dio implantata postavlja se s unutarnje strane defekta anulusa fibrozusa. Cilj navedene tehnike je smanjivanje incidencije rehernijacija te smanjivanje stupnja kolapsa intervertebralnog prostora kao najčešćih neželjenih posljedica diskektomije. Klinički ishod ispitivane skupine pokazao je statistički značajan napredak u odnosu na kontrolnu skupinu. Također tijekom dvije godine nije zabilježen nijedan slučaj simptomatske rehernijacije. S obzirom na to da nije bilo ozbiljnih komplikacija tijekom samog zahvata, smatramo da se radi o implantatu čiji početni rezultati ohrabruju te se moraju potvrditi u slijedećim dobro dizajniranim prospektivnim studijama.
وصف الملف: application/pdf
العلاقة: Sveučilište u Rijeci. Medicinski fakultet. Katedra za neurokirurgiju.; University of Rijeka. Faculty of Medicine. Department of Neurosurgery.; https://www.unirepository.svkri.uniri.hr/islandora/object/medri:2032Test; https://urn.nsk.hr/urn:nbn:hr:184:488221Test; https://www.unirepository.svkri.uniri.hr/islandora/object/medri:2032/datastream/FILE0Test
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3دورية أكاديمية
المؤلفون: Vukas, Duje, dvukas@net.hr, Ledić, Darko, Grahovac, Gordan, Kolić, Zlatko, Rotim, Krešimir, Vilendečić, Milorad
المصدر: Acta Clinica Croatica (acta@kbcsm.hr); Vol.52. No.1.; ISSN 0353-9466 (Print); ISSN 1333-9451 (Online)
مصطلحات موضوعية: Proteza za rekonstrukciju defekta anulusa, Lumbalni segment kralježnice, Intervertebralni disk, Hernija diska, Diskektomija, Ishod, Annular closure device, Lumbar spine, Intervertebral disk, Disk herniation, Diskectomy, outcome
الوصف: Ugradnja proteze za rekonstrukciju defekta anulusa čini modifikaciju operacijskog liječenja hernije intervertebralnog diska. Radi se o protezi koja se ugrađuje (usidri) u korpus kralješka. Intradiskalni dio implantata postavlja se s unutarnje strane defekta anulusa fibrozusa. Cilj navedene tehnike je smanjivanje incidencije rehernijacija te smanjivanje stupnja kolapsa intervertebralnog prostora kao najčešćih neželjenih posljedica diskektomije. Klinički ishod ispitivane skupine pokazao je statistički značajan napredak u odnosu na kontrolnu skupinu. Također tijekom dvije godine nije zabilježen nijedan slučaj simptomatske rehernijacije. S obzirom na to da nije bilo ozbiljnih komplikacija tijekom samog zahvata, smatramo da se radi o implantatu čiji početni rezultati ohrabruju te se moraju potvrditi u slijedećim dobro dizajniranim prospektivnim studijama. ; Annular Reinforcement Device represents a modification of operative treatment of intervertebral disk herniation. It is a prosthesis that is anchored into the body of the vertebra. The intradiscal part of the implant is placed in the inner part of the annulus fibrosus defect. The aim of this technique is to reduce the incidence of reherniation and the degree of intervertebral space collapse, which is the most frequent adverse effect of diskectomy. Clinical outcomes of the treatment group indicated a statistically significant improvement with respect to the control group. Furthermore, over the period of two years, no cases of symptomatic reherniation were recorded. Considering that no serious complications occurred during the procedures, it would appear that this is an implant that, given its encouraging results, should be further verified in carefully designed future studies.
وصف الملف: pdf
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4
المؤلفون: Vukas, Duje, Ledić, Darko, Grahovac, Gordan, Kolić, Zlatko, Rotim, Krešimir, Vilendečić, Milorad
المصدر: Acta clinica Croatica
Volume 52.
Issue 1.مصطلحات موضوعية: Diskektomija, Ishod, Annular closure device, BIOMEDICINA I ZDRAVSTVO. Kliničke medicinske znanosti. Kirurgija, Proteza za rekonstrukciju defekta anulusa, BIOMEDICINE AND HEALTHCARE. Clinical Medical Sciences. Surgery, Hernija diska, Lumbalni segment kralježnice, Lumbar spine, Intervertebralni disk, Intervertebral disk, Diskectomy, outcome, Disk herniation, Diskectomy, outcome
الوصف: Annular Reinforcement Device represents a modification of operative treatment of intervertebral disk herniation. It is a prosthesis that is anchored into the body of the vertebra. The intradiscal part of the implant is placed in the inner part of the annulus fibrosus defect. The aim of this technique is to reduce the incidence of reherniation and the degree of intervertebral space collapse, which is the most frequent adverse effect of diskectomy. Clinical outcomes of the treatment group indicated a statistically significant improvement with respect to the control group. Furthermore, over the period of two years, no cases of symptomatic reherniation were recorded. Considering that no serious complications occurred during the procedures, it would appear that this is an implant that, given its encouraging results, should be further verified in carefully designed future studies.
Ugradnja proteze za rekonstrukciju defekta anulusa čini modifikaciju operacijskog liječenja hernije intervertebralnog diska. Radi se o protezi koja se ugrađuje (usidri) u korpus kralješka. Intradiskalni dio implantata postavlja se s unutarnje strane defekta anulusa fibrozusa. Cilj navedene tehnike je smanjivanje incidencije rehernijacija te smanjivanje stupnja kolapsa intervertebralnog prostora kao najčešćih neželjenih posljedica diskektomije. Klinički ishod ispitivane skupine pokazao je statistički značajan napredak u odnosu na kontrolnu skupinu. Također tijekom dvije godine nije zabilježen nijedan slučaj simptomatske rehernijacije. S obzirom na to da nije bilo ozbiljnih komplikacija tijekom samog zahvata, smatramo da se radi o implantatu čiji početni rezultati ohrabruju te se moraju potvrditi u slijedećim dobro dizajniranim prospektivnim studijama.وصف الملف: application/pdf
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=dedup_wf_001::ffbad64243855fa59b222b40653524a2Test
https://www.bib.irb.hr/674475Test
