Because of the frequency of multiple sites of involvement, a thorough evaluation of the entire spinal canal is essential for detection and treatment of spinal compression in cancer patients. For the examination of the entire spinal canal in cancer patients, a modified approach is described using water-soluble contrast medium (metrizamide), oil-based material (Pantopaque), and a "squeezing" tech...

In current-day medicine, endoscopy plays an important role in the diagnosis and treatment of many different conditions. This improving technology has led to new areas of endoscopic visualization, particularly of the epidural space, spinal cord and contiguous structures. A review of the medical literature indicates that clinicians have been working with various types of endoscopes for over sixty...

The anatomic features of achondroplastic patients pose many challenges for anesthesiologists. The achondroplastic parturient has a high likelihood of delivery by cesarean section due to cephalopelvic disproportion. Hence, anesthesiologist involvement is crucial. It is not uncommon for these patients to have a narrow spinal canal and areas of spinal stenosis. These features might prove a challen...

STUDY DESIGN Technique description and retrospective data analysis. PURPOSE To describe the technique of cervical kyphosis correction with partial facetectomies and evaluate the outcome of single-stage posterior decompression and kyphosis correction in multilevel cervical myelopathy. OVERVIEW OF LITERATURE Kyphosis correction in multilevel cervical myelopathy involves anterior and posterior...

Morphometric investigations comparing normal and affected animals increase our understanding of spinal diseases in dogs. The aim of this study was to generate morphometric data for osseous-associated cervical spondylomyelopathy (CSM) in Great Danes (GDs). Magnetic resonance imaging (MRI) morphometric features of the cervical vertebral column of GDs with and without clinical signs of CSM were ch...

STUDY DESIGN A case report of nontraumatic acute complete paraplegia resulting from cervical disc herniation. OBJECTIVES To describe a rare case of nontraumatic paraplegia resulting from enlargement of a herniated disc in the cervical spine and to outline appropriate management of a patient with severe spinal cord compression secondary to disc herniation with developmental spinal canal stenos...

We describe 2 brothers with L-2-hydroxyglutaric aciduria who developed severe spastic tetraparesis in their 30s. They also had an underlying condition of high-grade cervical spinal canal stenosis diagnosed by magnetic resonance imaging. They were operated on to decompress the spine, and the preexisting gait disturbances slowly diminished after the decompression. Since most people with L-2-hydro...