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[10-year follow-up of C3-C7 cervical laminectomy for intramedullary grade I astrocytoma].

In an eight years old boy we operated an intramedullary astrocytoma grade I and reimplanted the laminae C4-7 en bloc. A good stability was achieved. Ten years later only one segment remained intact, the others showing spontaneous fusion as a major draw back. This is possibly due to subperiostal dissection and bracing. No spinal stenosis occurred. An overuse of the remaining disc C4/5 might lead to a secondary degenerative stenosis. The operation is simple and might avoid swan neck deformity in children after large decompression of dorsal structures.

Adolescent↗

[Computed tomographic research on the viability of a free fat pedicle flap in the area of a laminectomy].

Nineteen patients were examined clinically and by CT three to five years after partial or total hemilaminectomy using a fat pedicle as cover. The results were compared with a control group of fourteen patients without fat pedicles. With CT it is possible to check the fat pedicles directly. Survival of the fat pedicle without peridural scarring was present in 68%. It was not possible to demonstrate any correlation between the extent of scarring and clinical abnormalities.

Adipose Tissue↗

Arteriovenous fistulas following lumbar laminectomy: the anatomy defined.

Iatrogenic arteriovenous fistulas between the aorta or its major branches and the vena cava or its tributaries resulting from lumbar disc operations are uncommon but serious problems for the vascular surgeon. Using three cases from our experience and adding illustrations, x-ray films, and descriptive text we have precisely defined the anatomy of the major vessels at the L3-4, L4-5, and L5-S1 disc interspaces. This information will not only aid the surgeon in the repair of the chronic fistula but will help the surgeon who is called urgently to the operating room for bleeding and shock when preoperative angiography is not possible.

Adult↗