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Surgeries for Cervical Spine and Spinal Cord Trauma
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Surgeries for Cervical Spine and Spinal Cord Trauma

A special issue of Surgeries (ISSN 2673-4095).

Deadline for manuscript submissions: closed (31 October 2021) | Viewed by 6160

Special Issue Editor

Dr. Hiroyuki Katoh

E-Mail Website
Guest Editor
Department of Orthopaedic Surgery, Surgical Science, Tokai University School of Medicine, Kanagawa 259-1193, Japan
Interests: spine and spinal cord disease and trauma; orthopedic trauma; spinal cord injury

Special Issue Information

Dear Colleagues,

The anatomy and mobility of the cervical spine make it structurally susceptible to trauma, and injury to the cervical spine can result in significant and long-term disability. When instability or spinal cord compression is diagnosed after trauma, surgery is often the treatment of choice to stabilize the cervical spine, facilitate early mobilization, and increase the chances of neurological recovery. Classification systems for both upper cervical and subaxial cervical spine injury have been proposed to guide the physician in the treatment of cervical spine injury, but surgical indication as well as surgical approach can still be ambiguous.
The demographics of cervical spine trauma and associated spinal cord injury is evolving as the world population ages. Compared to younger patients who sustain injury through high-energy trauma such as motor vehicle accidents and sports injuries, elderly patients tend to be injured through minor trauma such as ground level falls. Their injury is complicated by the pre-existing degenerative changes that are seen in the cervical spine of elderly people, which decrease the mobility of the cervical spine, narrow the spinal canal, and make the spine more susceptible to injury through mild trauma, even if the patient was asymptomatic before injury. Furthermore, older patients are often associated with comorbidities that increase their risk of perioperative complications.
This Special Issue is proposed to assemble studies dealing with all aspects of the surgical treatment of cervical spine injury with or without spinal cord injury. With the increasing frequency of older patients sustaining cervical spine trauma, one proposed focus is on the surgical treatment of elderly patients, but all studies are welcome.

Dr. Hiroyuki Katoh
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Surgeries is an international peer-reviewed open access quarterly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1200 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • cervical spine fractures and dislocations
  • spinal Cord Injury without Radiographic Abnormality (SCIWORA)
  • diffuse idiopathic skeletal hyperostosis (DISH)
  • ossification of posterior longitudinal ligament (OPLL)
  • new techniques in cervical spine fusion surgery
  • classification of upper cervical and subaxial cervical spine injury

Published Papers (2 papers)

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Research

10 pages, 1304 KiB  
Article
Risk Factors for Adjacent Segment Problems after Posterior Instrumentation of the Cervical Spine
by Wayne Ming Quan Yap, Leanne Qiaojing Tan, Daniel De Liang Loh, Arun-Kumar Kaliya-Perumal, Colum Patrick Nolan and Jacob Yoong-Leong Oh
Surgeries 2022, 3(4), 347-356; https://doi.org/10.3390/surgeries3040037 - 9 Dec 2022
Viewed by 1893
Abstract
Adjacent segment problems after cervical spine instrumentation are widely reported. They can range from asymptomatic adjacent segment degeneration (ASD) noted on radiographs to symptomatic adjacent segment disease and even instability. While ASD following anterior instrumentation is well studied, there is a paucity of [...] Read more.
Adjacent segment problems after cervical spine instrumentation are widely reported. They can range from asymptomatic adjacent segment degeneration (ASD) noted on radiographs to symptomatic adjacent segment disease and even instability. While ASD following anterior instrumentation is well studied, there is a paucity of literature on ASD following posterior instrumentation. We intended to identify the risk factors associated with ASD following posterior instrumentation, focusing on pre-operative and surgical parameters. Eighty-seven patients who underwent posterior instrumentation of the cervical spine were recruited. Clinical and radiological examination was performed preoperatively and up to 24 months postoperatively. The collected data included patient demographics, indication for surgery, sagittal parameters (cervical lordosis, C2–7 sagittal-vertical axis), technique of surgery, number of levels instrumented and fused, number of levels decompressed, and the level at which the instrumentation ended. Based on postoperative evaluation, ASD was found in 29.9% of the patients, of which, one patient was symptomatic and required reoperation. Even though, according to our univariate analysis, reduced pre-operative cervical lordosis and the indication of degenerative spondylosis seemed to significantly influence the occurrence of ASD, multivariate regression analysis did not identify any independent risk factors. We also noted that, even though patients may develop ASD after the instrumented fusion of the cervical spine, this may not necessarily develop into symptomatic adjacent segment disease requiring revision surgery. Full article
(This article belongs to the Special Issue Surgeries for Cervical Spine and Spinal Cord Trauma)
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5 pages, 194 KiB  
Article
Surgical Approach for Spinal Tumors: Our Experience in Combined Military Hospital Dhaka
by Md Aminul Islam, Maj Shamantha Afreen, Nicola Montemurro and Bipin Chaurasia
Surgeries 2021, 2(3), 303-307; https://doi.org/10.3390/surgeries2030030 - 12 Aug 2021
Cited by 16 | Viewed by 3323
Abstract
(1) Background: spinal tumors not only causes structural problem but also it affects body functionality, too. Surgery has a key role in management of patients with spinal tumor. The aim of this study is that to observe their clinical profile, functional outcomes and [...] Read more.
(1) Background: spinal tumors not only causes structural problem but also it affects body functionality, too. Surgery has a key role in management of patients with spinal tumor. The aim of this study is that to observe their clinical profile, functional outcomes and prognostic factors. (2) Methods: 20 retrospectively consecutive patients with spinal tumors operated over a period of 2 years were analyzed. (3) Results: nine (45%) were intradural and 11(55%) were extradural. Mean age at surgery was 45.05 years (range 20–80 years). The common clinical features were pain, limb weakness and autonomic involvement. Schwannoma was common in intradural extramedullary group whereas astrocytoma and ependymoma was common in intramedullary group. In this case, 16 (80%) patients had improvement following surgery and 4 (20%) remained the same, none had deterioration. Common complications were persistent pain (1 case) and autonomic involvement (1 case). (4) Conclusion: spinal tumors need early exploration and excision and usually patients recover well without any residual effect. Full article
(This article belongs to the Special Issue Surgeries for Cervical Spine and Spinal Cord Trauma)
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