The Experts below are selected from a list of 321 Experts worldwide ranked by ideXlab platform

Thomas H. Milhorat - One of the best experts on this subject based on the ideXlab platform.

  • Transoral-Transpharyngeal Approach to the Upper Cervical Vertebrae
    American journal of surgery, 1993
    Co-Authors: Ashok R. Shaha, Richard W. Johnson, John I. Miller, Thomas H. Milhorat
    Abstract:

    The classical operative approaches to the Cervical spine include the posterior one and the anterior exposure along the sternomastoid muscle. However, neither of these are helpful in exposing the upper Cervical Vertebrae, especially the odontoid process, atlas, and axis. We have used the transoral-transpharyngeal exposure for lesions of the odontoid process and upper (first to third) Cervical Vertebrae in six patients. The pathologic processes included rheumatoid disease and fracture of the Cervical Vertebrae, suspected tumor with compression of the spinal cord, basilar invagination, and compression of the medulla. In all six patients, the exposure was excellent, and postoperative morbidity was minimal. Tracheostomy was performed routinely in all these patients. In five patients, vertebral stabilization was performed as a secondary procedure a few days after the initial anterior decompressive surgery. The transoral-transpharyngeal approach appears to be relatively easy. It is associated with minimal complications and provides excellent exposure of the odontoid and upper Cervical Vertebrae for a microneurosurgical approach. Modifications of this approach include incision of the soft palate, excision of a portion of the hard palate, and occasionally, transmandibular median labio-mandibuloglossotomy (Trotter's) approach. Although the technique was described initially approximately 35 years ago, this neglected anatomic approach will facilitate cooperative efforts between head and neck surgeons and neurosurgeons.

Haixiao Chen - One of the best experts on this subject based on the ideXlab platform.

  • clinical application of the reconstruction of prevertebral fascia in Cervical Vertebrae anterior approach
    China Journal of Orthopaedics and Traumatology, 2008
    Co-Authors: Shengli Dong, Haixiao Chen
    Abstract:

    OBJECTIVE: To evaluate the preventive effect of the reconstruction of prevertebral fascia on the complication of Cervical Vertebrae anterior approach. METHODS: One hundred and seventy-six patients with Cervical Vertebrae anterior approach were divided into two groups by throwing coins, coins for the positive, patients entered the group A, coins for the negative, patients entered the group B. Eighty-seven cases of group B were treated with Cervical Vertebrae anterior decompression, bone grafting and internal fixation with plate and screws. In other 89 cases of group A, prevertebral fascia were covered on the surface of the plate and screws as experiment group. The patients were followed up after three weeks, three months and 12 months. The incidence of the dysphagia was as observation indicator and was statistically analyzed. RESULTS: The followed-up period was 3 weeks, 3 months and 12 months after operation. The incidence of the dysphagia of group A was respectively 25.8%, 9.0%, 5.6%; the incidence of the dysphagia of group B was respectively 25.3%, 20.6%, 14.9%. The dysphagia in the experiment group was lower than that in contrast group, 3 months and 12 months after operation (3 months P = 0.030, 12 months P = 0.049 < 0.05). CONCLUSION: The reconstruction of prevertebral fascia is an effective method to avoid the dysphagia of Cervical Vertebrae anterior approach.

Lin Jin - One of the best experts on this subject based on the ideXlab platform.

  • Surgical Treatment of Ossification of Posterior Longitudinal Ligament of the Cervical Vertebrae
    Journal of Navy Medicine, 2000
    Co-Authors: Lin Jin
    Abstract:

    Objective: To discuss the surgical treatment of ossification of posterior longitudinal ligament of Cervical Vertebrae and its curative effect. Methods: The clinical data on surgical treatment of 49 patients with ossification of posterior longitudinal ligament of Cervical Vertebrae in our hospital from 1987～1998 were collected and analyzed. Results: According to NCSS (the neurosurgical Cervical spine scale), the mean postoperative improvement rate was 72% in patients treated by anterior decompression and 43% in those treated by posterior decompression. Conclusion: Anterior decompression as a surgical treatment for OPLL (ossification of posterior longitudinal ligament) was superior to posterior decompression. But the later was still an effective method for improving neurological disorder and the quality of life of the patients with OPLL if the former was not suitable for them due to technical reasons.

Ashok R. Shaha - One of the best experts on this subject based on the ideXlab platform.

  • Transoral-Transpharyngeal Approach to the Upper Cervical Vertebrae
    American journal of surgery, 1993
    Co-Authors: Ashok R. Shaha, Richard W. Johnson, John I. Miller, Thomas H. Milhorat
    Abstract:

    The classical operative approaches to the Cervical spine include the posterior one and the anterior exposure along the sternomastoid muscle. However, neither of these are helpful in exposing the upper Cervical Vertebrae, especially the odontoid process, atlas, and axis. We have used the transoral-transpharyngeal exposure for lesions of the odontoid process and upper (first to third) Cervical Vertebrae in six patients. The pathologic processes included rheumatoid disease and fracture of the Cervical Vertebrae, suspected tumor with compression of the spinal cord, basilar invagination, and compression of the medulla. In all six patients, the exposure was excellent, and postoperative morbidity was minimal. Tracheostomy was performed routinely in all these patients. In five patients, vertebral stabilization was performed as a secondary procedure a few days after the initial anterior decompressive surgery. The transoral-transpharyngeal approach appears to be relatively easy. It is associated with minimal complications and provides excellent exposure of the odontoid and upper Cervical Vertebrae for a microneurosurgical approach. Modifications of this approach include incision of the soft palate, excision of a portion of the hard palate, and occasionally, transmandibular median labio-mandibuloglossotomy (Trotter's) approach. Although the technique was described initially approximately 35 years ago, this neglected anatomic approach will facilitate cooperative efforts between head and neck surgeons and neurosurgeons.

Shengli Dong - One of the best experts on this subject based on the ideXlab platform.

  • clinical application of the reconstruction of prevertebral fascia in Cervical Vertebrae anterior approach
    China Journal of Orthopaedics and Traumatology, 2008
    Co-Authors: Shengli Dong, Haixiao Chen
    Abstract:

    OBJECTIVE: To evaluate the preventive effect of the reconstruction of prevertebral fascia on the complication of Cervical Vertebrae anterior approach. METHODS: One hundred and seventy-six patients with Cervical Vertebrae anterior approach were divided into two groups by throwing coins, coins for the positive, patients entered the group A, coins for the negative, patients entered the group B. Eighty-seven cases of group B were treated with Cervical Vertebrae anterior decompression, bone grafting and internal fixation with plate and screws. In other 89 cases of group A, prevertebral fascia were covered on the surface of the plate and screws as experiment group. The patients were followed up after three weeks, three months and 12 months. The incidence of the dysphagia was as observation indicator and was statistically analyzed. RESULTS: The followed-up period was 3 weeks, 3 months and 12 months after operation. The incidence of the dysphagia of group A was respectively 25.8%, 9.0%, 5.6%; the incidence of the dysphagia of group B was respectively 25.3%, 20.6%, 14.9%. The dysphagia in the experiment group was lower than that in contrast group, 3 months and 12 months after operation (3 months P = 0.030, 12 months P = 0.049 < 0.05). CONCLUSION: The reconstruction of prevertebral fascia is an effective method to avoid the dysphagia of Cervical Vertebrae anterior approach.