Document Detail

Hyperthermia during occipito-cervical fusion with acrylic cement. Epidural thermometry in 23 cases.
MedLine Citation:
PMID:  1441954     Owner:  NLM     Status:  MEDLINE    
In 22 patients, 23 posterior occipito-cervical fusions using acrylic cement were studied; 18 had seropositive rheumatoid arthritis and 4 traumatic atlanto-axial instability. The mean age was 60 (39-75) years. During the curing of the cement, epidural temperature measurements were performed over the cerebellum and between the foramen magnum and C1. Temperatures up to 69 degrees C were recorded. Cooling with profuse surface irrigation using normal saline solution or precooled 8 degrees C fluid did not influence the maximal temperatures recorded under the cement. Even though no gross neurological damage was noted, the epidural temperatures in occipito-cervical fusion with acrylic cement can be of sufficient degree to be hazardous; surface irrigation does not seem to be an effective way to reduce this risk.
S Zygmunt; S Toksvig-Larsen; H Säveland; U Rydholm; L Ryd
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta orthopaedica Scandinavica     Volume:  63     ISSN:  0001-6470     ISO Abbreviation:  Acta Orthop Scand     Publication Date:  1992 Oct 
Date Detail:
Created Date:  1992-12-17     Completed Date:  1992-12-17     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0370352     Medline TA:  Acta Orthop Scand     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  545-8     Citation Subset:  IM    
Department of Neurosurgery, Lund University Hospital, Sweden.
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MeSH Terms
Bone Cements / therapeutic use*
Cervical Vertebrae / surgery*
Epidural Space
Evaluation Studies as Topic
Hot Temperature / adverse effects*
Irrigation / methods,  standards
Middle Aged
Spinal Fusion / methods,  standards*
Thermography / instrumentation,  methods
Time Factors
Reg. No./Substance:
0/Bone Cements

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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