FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W1989257786> ?p ?o ?g. }

• W1989257786 endingPage "154" @default.
• W1989257786 startingPage "149" @default.
• W1989257786 abstract "Object. Progressive posttraumatic cystic myelopathy (PPCM) can occur after an injury to the spinal cord. Traditional treatment of PPCM consists of inserting a shunt into the cyst. However, some authors have advocated a more pathophysiological approach to this problem. The authors of the present study describe their surgical treatment protocol and outcome in a series of patients with syringomyelia. Methods. Medical records of 34 patients undergoing surgical treatment for PPCM were reviewed. Laminectomies and intraoperative ultrasonography were performed. In patients without focal tethering of the spinal cord and in whom only a confluent cyst had been revealed on ultrasonography, a syringosubarachnoid shunt was inserted; in those with both tethering and a confluent cord cyst, an untethering procedure was performed first. When a significant reduction (> 50%) in the size of the cyst was shown after the untethering procedure, no shunt was inserted. When no changes in cyst size were demonstrated on ultrasonography, a short syringosubarachnoid shunt was used. The mean follow-up period was 28.7 months (range 12–102 months). The interval between the mechanism of injury and the operation ranged from 5 months to 37 years (mean 11 years). Pain was the most frequent symptom, which was followed by motor deterioration and spasticity. Postoperative improvement was noted in 55% of patients who experienced motor function deterioration and in 53% of those who demonstrated worsening spasticity. In 14 of 18 patients with an associated tethered spinal cord, tethering alone caused significant collapse of the cyst. Postoperative magnetic resonance imaging demonstrated cyst collapse in 92% of patients who had undergone untethering alone and in 93% of those who underwent syringosubarachnoid shunt placement. Treatment failure was observed in 7% of the former group and in 13% of the latter. Conclusions. Posttraumatic cystic myelopathy can occur with or without the presence of tethered cord syndrome. Intraoperative ultrasonography can readily demonstrate this distinction to aid in surgical decision making. Untethering alone in patients with tethered cord syndrome and cyst formation can reduce the cyst size and alleviate symptoms and signs of posttraumatic cystic myelopathy in the majority of these cases. Untethering procedures in which duraplasty is performed to expand the subarachnoid space may be a more physiologically effective way of treating tethered cord with associated syringomyelia." @default.
• W1989257786 created "2016-06-24" @default.
• W1989257786 creator A5030618909 @default.
• W1989257786 creator A5030805110 @default.
• W1989257786 creator A5062151745 @default.
• W1989257786 creator A5079989852 @default.
• W1989257786 date "2000-04-01" @default.
• W1989257786 modified "2023-10-16" @default.
• W1989257786 title "Outcome after surgical treatment of progressive posttraumatic cystic myelopathy" @default.
• W1989257786 cites W112638415 @default.
• W1989257786 cites W1989257446 @default.
• W1989257786 cites W2004989175 @default.
• W1989257786 cites W2009058940 @default.
• W1989257786 cites W2014195842 @default.
• W1989257786 cites W2015074720 @default.
• W1989257786 cites W2032329590 @default.
• W1989257786 cites W2037597318 @default.
• W1989257786 cites W2038089261 @default.
• W1989257786 cites W2068046206 @default.
• W1989257786 cites W2073216375 @default.
• W1989257786 cites W2092142257 @default.
• W1989257786 cites W2133414940 @default.
• W1989257786 cites W2148817514 @default.
• W1989257786 cites W2162369337 @default.
• W1989257786 cites W2164773813 @default.
• W1989257786 cites W2237570767 @default.
• W1989257786 cites W2407056485 @default.
• W1989257786 doi "https://doi.org/10.3171/spi.2000.92.2.0149" @default.
• W1989257786 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/10763684" @default.
• W1989257786 hasPublicationYear "2000" @default.
• W1989257786 type Work @default.
• W1989257786 sameAs 1989257786 @default.
• W1989257786 citedByCount "22" @default.
• W1989257786 countsByYear W19892577862012 @default.
• W1989257786 countsByYear W19892577862014 @default.
• W1989257786 countsByYear W19892577862018 @default.
• W1989257786 countsByYear W19892577862019 @default.
• W1989257786 countsByYear W19892577862020 @default.
• W1989257786 countsByYear W19892577862022 @default.
• W1989257786 crossrefType "journal-article" @default.
• W1989257786 hasAuthorship W1989257786A5030618909 @default.
• W1989257786 hasAuthorship W1989257786A5030805110 @default.
• W1989257786 hasAuthorship W1989257786A5062151745 @default.
• W1989257786 hasAuthorship W1989257786A5079989852 @default.
• W1989257786 hasBestOaLocation W19892577861 @default.
• W1989257786 hasConcept C118552586 @default.
• W1989257786 hasConcept C126838900 @default.
• W1989257786 hasConcept C141071460 @default.
• W1989257786 hasConcept C143409427 @default.
• W1989257786 hasConcept C2777604421 @default.
• W1989257786 hasConcept C2777836068 @default.
• W1989257786 hasConcept C2778334475 @default.
• W1989257786 hasConcept C2779012798 @default.
• W1989257786 hasConcept C2780597408 @default.
• W1989257786 hasConcept C2780775167 @default.
• W1989257786 hasConcept C2780968331 @default.
• W1989257786 hasConcept C42219234 @default.
• W1989257786 hasConcept C71924100 @default.
• W1989257786 hasConceptScore W1989257786C118552586 @default.
• W1989257786 hasConceptScore W1989257786C126838900 @default.
• W1989257786 hasConceptScore W1989257786C141071460 @default.
• W1989257786 hasConceptScore W1989257786C143409427 @default.
• W1989257786 hasConceptScore W1989257786C2777604421 @default.
• W1989257786 hasConceptScore W1989257786C2777836068 @default.
• W1989257786 hasConceptScore W1989257786C2778334475 @default.
• W1989257786 hasConceptScore W1989257786C2779012798 @default.
• W1989257786 hasConceptScore W1989257786C2780597408 @default.
• W1989257786 hasConceptScore W1989257786C2780775167 @default.
• W1989257786 hasConceptScore W1989257786C2780968331 @default.
• W1989257786 hasConceptScore W1989257786C42219234 @default.
• W1989257786 hasConceptScore W1989257786C71924100 @default.
• W1989257786 hasIssue "2" @default.
• W1989257786 hasLocation W19892577861 @default.
• W1989257786 hasLocation W19892577862 @default.
• W1989257786 hasOpenAccess W1989257786 @default.
• W1989257786 hasPrimaryLocation W19892577861 @default.
• W1989257786 hasRelatedWork W1504354349 @default.
• W1989257786 hasRelatedWork W1825506564 @default.
• W1989257786 hasRelatedWork W1991022157 @default.
• W1989257786 hasRelatedWork W2022021808 @default.
• W1989257786 hasRelatedWork W2071284523 @default.
• W1989257786 hasRelatedWork W2079855003 @default.
• W1989257786 hasRelatedWork W2148065677 @default.
• W1989257786 hasRelatedWork W2416684061 @default.
• W1989257786 hasRelatedWork W2909954596 @default.
• W1989257786 hasRelatedWork W4310014115 @default.
• W1989257786 hasVolume "92" @default.
• W1989257786 isParatext "false" @default.
• W1989257786 isRetracted "false" @default.
• W1989257786 magId "1989257786" @default.
• W1989257786 workType "article" @default.