[Anterior decompression without graft in myeloradiculopathies caused by cervical arthrosis].
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Aged↗
Biomedical subjects
M Jomin
Publications and source records attributed to M Jomin.
[Reduction-stabilization of a vicious callus of the lower cervical spine by bilateral anterior approach].
The authors report a new technique which allows reduction and stabilization of cervical fractures healed in a vicious position. The procedure allows total removal of bony and discal protrusions, a correction of the pathological kyphosis by osteotomy of posterior facets. Advantages and drawbacks of this technique are discussed.
Adult↗
[Osteosynthesis of the lower cervical spine using an anterior paediculo-isthmic screwed plate].
The authors report a new arthrodesis of the inferior cervical spine using a plate screwed into the pedicles by an anterior route. The procedure allows a complete and immediate stabilization of the cervical spine. Cervical orthosis is unnecessary in postoperative course.
Bone Plates↗
[Treatment of chronic subdural hematoma in the adult by tapping and lavage (Aoki's method)].
In 1984, Aoki reported a new technique for treatment of chronic subdural hematomas in adults. This simple, effective technique and least invasive procedure lead us to use it. Our data seems encourageous as they were previously reported by Aoki.
Chronic Disease↗
[Preoperative spinal localization by the needle and marker wire technic].
Surgeons are increasingly requested to resect dorsal disk herniation. The methods for pre- or peroperative localization of such lesions require a precision that is difficult to obtain with the usual methods. We suggest the needle and marker wire technique, a preoperative invasive technique the accuracy of which has been proven for preoperative localization of non-palpable breast lesions.
Humans↗
Astereognosis and amyotrophy of the hand with neurinoma of the second cervical nerve root.
A case of astereognosis and amyotrophy of the right hand is reported, which was caused by a large extradural neurinoma of the C2 nerve root. The quick and complete recovery which followed surgery suggested a vascular mechanism as the cause of the neurological deficits.
Hand↗
Specific selection of osteosynthetic material in the treatment of thoracic or lumbar spinal injuries by the posterior approach. A review of 165 cases.
The authors report 165 cases of thoraco-lumbar lesions with neurological dysfunction. All the patient were operated. They analyze the neurological and mechanical results and indicate the use of different osteosynthesis apparatus according to the type and level of lesions. Harrington's rods seem to give more precise repositioning while Roy Camille's plates give more stability. When the posterior wall of the spinal canal is intact, Kempf's compression rods can be used. Thoraxic spine injuries seem to be an indication for Harrington's rods, while lumbar injuries seem to call for Camille's plates.
Adolescent↗
An orbital-zygomatic-malar bone flap approach: a technical note.
The authors describe an orbito-zygomatic-malar bone flap approach which gives lateral extra-cerebral access to the internal base of the skull. The technique is described, and some of the situations in which it has been used are discussed.
Brain Diseases↗
Herniated cervical discs. Analysis of a series of 230 cases.
Over a period of 18 years the authors have collected together 230 cases of herniation cervical discs. Multifactor analysis of the results of the various therapies is given. Surgical decompression has been done, mostly using an anterior approach, and it effectively treats the radicular damage; it stabilizes and improves spinal cord deficits whether the herniation is spontaneous or traumatic, acute or chronic. Computed tomography facilitates its anatomical identification and the decision regarding the therapy to apply.
Adolescent↗
Total resection of hourglass type thoracic intraspinal tumours at one operation by transversoarthropediculocostectomy.
Tumours of the spine occasionally also present with an intra-thoracic extension. The authors report on a technique which permits the complete removal of these hourglass lesions at a single operation by transversoarthropediculocostectomy. Its advantages and disadvantages are discussed and the results in 6 patients presented.
Female↗
Posterolateral approach to tumours of the dorsolumbar spine.
The authors outline the possible approaches to vertebromedullary tumours of the thoraco-lumbar spine using unilateral or bilateral transverso-arthro-pediculectomy and corporectomy. In a personal series of 20 cases. The technique and indications are described and the results.
Aged↗
Monobloc mobilization of the fronto-temporo-pterional bone flap. Technical note.
The authors described the monobloc fronto-temperal-pterional flap bone technique. They underline its usefulness in the treatment of aneurysms at an early stage on account of the highly tangential approach used.
Frontal Bone↗
Neurinomas of the trigeminal nerve.
Neurinomas of the trigeminal nerve are rare. Based on an analysis of the published cases and on six additional cases of our own classification into three types is proposed: Type I: neurinoma of the roots in the posterior fossa, Type II: neurinoma of the Gasserian ganglion, Type III: neurinoma of the trigeminal branches. This classification allows a better adaptation of the surgical procedure to the individual case. The trigeminal nerve originates from a sensory root and a motor root which emerge from the pons and gain the middle cranial fossa floor over the apex of the petrousrigde before forming the Gasserian ganglion. The three branches of the trigeminal nerve originate at the Gasserian ganglion. Neurinomas of this nerve are relatively rare, as there are only 183 published cases. A study of the literature reveals that their incidence among brain tumours is from 0.2 to 0.4% according to the authors. Based on the published material and six personal cases and also on the anatomical, clinical and neuroradiological findings three major types of neurinomas of the trigeminal nerve can be distinguished according to their origin: neurinomas developed in the posterior fossa (type I) on the nerve roots, neurinomas of the Gasserian ganglion (type II) developed in the temporal fossa and neurinomas of the branches of the trigeminal nerve (type III). Transitional forms between the various types are possible and express special conditions of development. Each of these topographical forms has a specific clinical and radiological picture and each requires specific surgical treatment. This will be demonstrated by analysing our own six cases and the cases reported in the literature.
Adult↗
Thoracic disc herniations: evolution in the approach and indications.
Between 1960 and 1 June 1985, 21 patients were operated for thoracic disc herniations. The advent of new operative techniques (with transverso-arthropediculectomy) has brought about new indications in the management of such disorders. These new indications are important because such protrusions may be abruptly complicate by compression of blood vessels, which may produce abrupt and irreversible neurological deficit. The progress in the radiological examinations allows a more precise study of the topography and density of the hernia. Furthermore, the use of a surgical microscope and microsurgical techniques allow a surgical treatment without preoperative medullary angiography.
Adult↗
Transclival transcervical approach to the upper cervical spine and clivus.
The transclival-transcervical approach to lesions of the craniocervical junction is described. It gives reasonable access to the lower part of the clivus and to C1 and C2 for removal to tumours and stabilization of fractures and otherwise caused dislocations of this region. Because an opening of the pharynx can be avoided, reconstruction work can be done using bone graft or reinforced methyl-methacrylate without risk of infectious contamination. The results obtained in 6 cases are presented.
Aged↗
Bilateral posterolateral approach to the thoracolumbar spine through transversoarthropediculectomy with corporectomy.
Surgery of the dorsolumbar spine is currently benefiting from diverse approaches and the advent of computed tomography. This report describes a bilateral posterolateral approach with transversoarthropediculectomy and corporectomy. The advantages and disadvantages of this approach and its indications are discussed.
Female↗
Preoperative spinal localization using the hook wire technique.
Surgeons are increasingly required to resect disk herniations. Methods for preoperative or perioperative localization of such lesions require precision. This is difficult to achieve using the usual methods. We propose the use of a preoperative invasive technique: needle and marker wire. Its precision has been proved for preoperative localization of nonpalpable breast lesions.
Preoperative Care↗
A transsternal biclavicular approach to the upper anterior thoracic spine.
A transsternal biclavicular approach to the anterior face of the upper thoracic spine (T-1 to T-4) is described, and the advantages, disadvantages, and indications of the technique are discussed.
Humans↗