Document Detail

The transoral approach to the superior cervical spine. A review of 53 cases of extradural cervicomedullary compression.
MedLine Citation:
PMID:  2738638     Owner:  NLM     Status:  MEDLINE    
The transoral-transclival surgical approach is the most direct operative approach to pathology ventral to the brain stem and superior spinal cord. In selected patients, this approach is efficacious in the treatment of extradural compressive lesions from the cervicomedullary junction to the C-4 vertebra. The authors have used the transoral surgical approach in treating 53 patients with lesions compressing the ventral extradural brain stem or the cervical cord. The evaluation, management, and long-term outcome of these patients are described (median follow-up time 24 months). The operative morbidity rate in this series was 6%, and the operative mortality rate was zero. The authors review specific features of the transoral procedure, including methods of retraction, microsurgical techniques, and adjunctive measures to avoid cerebrospinal fluid fistulae, that contributed to these good results.
M N Hadley; R F Spetzler; V K Sonntag
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  71     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  1989 Jul 
Date Detail:
Created Date:  1989-07-28     Completed Date:  1989-07-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  16-23     Citation Subset:  AIM; IM    
Division of Neurological Surgery, Barrow Neurological Institute, Phoenix, Arizona.
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MeSH Terms
Aged, 80 and over
Cerebrospinal Fluid / metabolism
Child, Preschool
Medulla Oblongata / surgery*
Middle Aged
Mouth / surgery*
Nervous System / physiopathology
Postoperative Complications
Postoperative Period
Spinal Cord / surgery*
Spinal Cord Compression / physiopathology,  surgery*
Surgical Wound Dehiscence
Surgical Wound Infection

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

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