Evaluation and treatment of congenital and developmental anomalies of the cervical spine. Invited submission from the Joint Section Meeting on Disorders of the Spine and Peripheral Nerves, March 2004

Journal of Neurosurgery. Spine
Arnold H Menezes

Abstract

Congenital and developmental osseous abnormalities of the cervical spine can result in neural compression ranging from the medulla oblongata to the cervicothoracic spinal cord junction. These may present in infancy as scoliosis and even limb weakness. A high index of suspicion is essential. Neurodiagnostic imaging relies on high-resolution computerized tomography (CT) scanning and three-dimensional CT reconstructions as well as magnetic resonance imaging and angiography. The anatomical/physiological CT factors considered when developing a surgical approach are: 1) the stability and reducibility of the lesions; 2) direction and manner of encroachment of the lesion on the neural structures; 3) neural and vascular abnormalities; and 4) growth potential of the affected area. Primary stabilization is required for reducible lesions, whereas irreducible lesions are decompressed in the manner in which encroachment has occurred. Instability, whether present before or after operative intervention, required spinal stabilization. Illustrative examples of this approach are presented.

References

Jun 1, 1983·AJR. American Journal of Roentgenology·J A GehweilerL Roberts
Nov 1, 1994·Australasian Radiology·D N Jones, J Price
Jul 1, 1994·Journal of Neurosurgery·T C Ryken, A H Menezes
Dec 1, 1993·Journal of Neurosurgery·Y KomatsuT Nose
Mar 1, 1993·Journal of Computer Assisted Tomography·G SimmonsC L Truwit
Apr 1, 1997·Pediatric Neurosurgery·B I DeviP N Jayakumar
Apr 2, 1998·The Journal of Hand Surgery·T J Graham, D S Louis
Jan 9, 2001·Journal of Neurosurgery·D MayA Faundez
Apr 15, 2003·Journal of Neurosurgery·R Shane TubbsW Jerry Oakes
Sep 6, 2003·Journal of Neurosurgery·Dragan F DimitrovAllan H Friedman

❮ Previous
Next ❯

Citations

Apr 5, 2008·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Arnold H Menezes
Apr 11, 2008·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Arnold H Menezes
May 8, 2008·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Wendy R K Smoker, Geetika Khanna
Apr 19, 2008·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Arnold H Menezes
Apr 5, 2008·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Raheel AhmedArnold H Menezes
Feb 3, 2012·Journal of Neurosurgery. Pediatrics·Nader S DahdalehArnold H Menezes
Jun 5, 2012·Journal of Neurosurgery. Pediatrics·Mahesh KarandikarAnthony M Avellino
Jul 22, 2015·The Spine Journal : Official Journal of the North American Spine Society·Joshua BakhsheshianZachary A Smith
Jun 14, 2016·The Spine Journal : Official Journal of the North American Spine Society·Yi LiaoWeibin Sheng
May 1, 2009·Neurosurgery·Arnold H Menezes, Kathleen A Fenoy
Mar 5, 2010·Neurosurgery·Justin S SmithArnold H Menezes
Jul 15, 2005·Journal of Paediatrics and Child Health·Kiran P Sawardekar

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.