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Technique: A novel technique of multilevel opening of the spinal canal is introduced into pediatric neurosurgery. Split laminotomy helps to preserve the spinal column integrity in cases of posterior exposure of the spinal canal. The spinal processes are cut in the midline and the laminae are separated and retracted while the lesion in the spinal canal is explored. At closure the lamina are simply sutured.
Results And Discussion: Excellent postoperative results were obtained in patients from different age groups. Pediatric peculiarities of the new method are discussed.
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http://dx.doi.org/10.1007/s00381-003-0848-4 | DOI Listing |
Front Vet Sci
February 2025
Division of Small Animal Surgery, Department of Clinical Veterinary Medicine, Vetsuisse-Faculty, University of Bern, Bern, Switzerland.
Introduction: The delicate anatomy of the feline sacrum presents challenges for surgeons to perform a safe and accurate surgery without risking to damage vital neurovascular structures. In this context computer-assisted surgery represents an attractive minimally invasive surgical solution to increase the accuracy and safety of the intervention. This cadaveric study evaluates the feasibility and safety of a minimally invasive approach by a novice surgeon using computer navigation compared to traditional fluoroscopy as well as a new method for patient reference array positioning.
View Article and Find Full Text PDFJ Spine Res Surg
February 2025
Department of Translational Research, College of Osteopathic Medicine of the Pacific, Western University of Health Sciences, Pomona, California 91766 USA.
Lumbar spinal stenosis (LSS) is a common condition caused by the narrowing of the spinal canal, resulting in compression of neural and vascular structures. This compression leads to symptoms such as claudication, paresthesia, and lower extremity weakness. LSS is the leading cause of low back pain and functional limitations, affecting over 103 million people worldwide.
View Article and Find Full Text PDFRadiographics
April 2025
From the Departments of Radiology (S.B.L., M.B., J.D.) and Neurosurgery (B.B.), Children's Health Care of Atlanta, Emory University, Atlanta, Ga; and Department of Radiology, Vanderbilt University Medical Center, Monroe Carell Jr. Children's Hospital, 2200 Children's Way, Nashville, TN 37323 (A.S., S.P.).
Craniovertebral junction (CVJ) instability, fixation, and stenosis in children are closely related conditions that are often challenging to diagnose and are associated with significant morbidity. Groups at higher risk for CVJ abnormalities include children with trisomy 21, juvenile idiopathic arthritis, upper respiratory infection or other inflammatory conditions of the head and neck, and certain skeletal dysplasias. Radiography, CT, and MRI play complementary roles in the evaluation of pathologic conditions of the CVJ.
View Article and Find Full Text PDFVasc Endovascular Surg
March 2025
Department of Cardiovascular Surgery, Kitasato University School of Medicine, Sagamihara, Japan.
A lumbar artery pseudoaneurysm following a lumbar vertebral compression fraction is rare. Cauda equina syndrome due to spinal canal compression is a rarer complication of this pseudoaneurysm. Endovascular treatment, which involves embolization of the inflow and outflow vessels, is the first-line treatment for lumbar artery pseudoaneurysms.
View Article and Find Full Text PDFFront Vet Sci
February 2025
IVC Evidensia Small Animal Referral Hospital Arnhem, Neurology, Arnhem, Netherlands.
Introduction: Volumetric studies in relation to CM/SM have not been reported in Pomeranians. In this study, we aim to (1) report the intermodality agreement between CT- and MRI-based volumetric measurements of the skull and cervical spinal canal, and (2) assess for differences and associations between the volumetric measurements and CM/SM status.
Methods: Pomeranians were included that underwent CT and MRI studies during the period of February 2022-June 2024.
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