Anterior Percutaneous Cervical Cordotomy: Determination of Target Point and Calculation of Angle of Insertion

Gildenberg, Philip L.; Lin, Paul M.; Polakoff, P; Flitter, Marc A.

doi:10.3171/jns.1968.28.2.0173

Cited by 23 publications

(8 citation statements)

References 8 publications

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“…below the root exit of the phrenic nerve is a way to bypass this problem and can be achieved by starting opposite the C 4-5 disk space as most or all of the phrenic nerve rootlets have left the spinal cord. This procedure was fi rst introduced by Gildenberg et al [7] in 1968 who used X-ray guidance to defi ne the needle target. The introduction of a CT-guided procedure as a method for spinal cord pain pathway ablation by Kanpolat et al [8][9][10] resurged interest in the procedure, especially in centers where spinal cord ablation was a major method for cancer pain control.…”

Section: Discussionmentioning

confidence: 99%

“…Elimination of the need to lesion the reticulospinal tract by performing a cordotomy below the level of the reticulospinal tract can overcome this obstacle, and many authors have reported on lower level cervical cordotomies [6][7][8][9][10] . Cloward [11] fi rst performed an anterior open cervical cordotomy in 1964 and Gildenberg et al [7] in 1968 fi rst performed an anterior percutaneous cordotomy using fl uoroscopic and geometric guidance.…”

Section: Introductionmentioning

confidence: 99%

“…Cloward [11] fi rst performed an anterior open cervical cordotomy in 1964 and Gildenberg et al [7] in 1968 fi rst performed an anterior percutaneous cordotomy using fl uoroscopic and geometric guidance. Kanpolat et al [8][9][10] introduced the concept of CT guidance, and in 1995 Fenstermaker et al [6] introduced the concept of using CT to guide electrodes into the spinal cord through a disk in a lower cervical region, avoiding the complication of sleep-induced apnea.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Percutaneous Computed Tomography-Guided Transdiscal Low Cervical Cordotomy for Cancer Pain as a Method to Avoid Sleep Apnea

Raslan

2005

Stereotact Funct Neurosurg

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Objective: Study of percutaneous computed tomography (CT)-guided transdiscal low cervical cordotomy undertaken to treat pain in cancer patients. Methods: At the Department of Neurosurgery, Ain Shams University, Cairo, Egypt, 8 cancer pain patients, with either impaired pulmonary function or a previous cordotomy on an opposite side (sleep apnea was a feared complication) that prevented the possibility of undergoing a C_1–2 cordotomy, underwent a percutaneous CT-guided transdiscal low cervical cordotomy (C_4–5 or C_5–6) to treat cancer pain. Results: Seven patients experienced initial improvement. One patient re-experienced pain within 2 weeks and 1 patient experienced no pain relief. In 6 patients in whom the cordotomy procedure was completed, satisfactory or complete pain relief, throughout a 6-month follow-up period was reported. In contrast, in 2 patients in whom the cordotomy was not completed there was no persistent pain relief. Conclusion: Percutaneous CT-guided cordotomy remains a successful procedure to control pain in cancer patients, and is an affordable viable option under circumstances where economic disadvantage is an overriding determinate.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Percutaneous Computed Tomography-Guided Transdiscal Low Cervical Cordotomy for Cancer Pain as a Method to Avoid Sleep Apnea

Raslan

2005

Stereotact Funct Neurosurg

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“…The instrument is inserted gradually, i.e., every downward movement is to be followed by a pause to allow correction of the spinal cord, which can also be aided by a short backward movement of the probe (threading of the probe) [10]. The use of this method, which modifies the original percutaneous operation on the spinal cord [3,4], makes the procedure more accurate.…”

Section: ' ' ' ' Discussionmentioning

confidence: 99%

Statistical Model Map of the Spinal Cord and its Use

Zlatos¹,

Cierný²

1975

Stereotact Funct Neurosurg

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The present study demonstrates the following points. (1) The possibility of a practical application of a statistical model of the spinal cord obtained by measuring a significant amount of human material and by processing the measurements by means of mathematical methods. (2) It is possible to apply the calculated numerical data grouped in the tables directly to operations in accessible structures of the spinal cord. (3) In order to perform a spinal cord operation on the desired structure, it is sufficient to measure one datum, i.e., half-transverse diameter in the appropriate segments. (4) Possible utilization of modern calculation techniques in additional research in anatomy is described.

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“…2) is somewhat more complex [4,5,8,11,13,14]. Unlike the C, approach, it is not possible on either the AP or lateral X-ray films to see the progress of the needle toward the target point.…”

Section: Percutaneous Anterior Lower Cervical Cordotomymentioning

confidence: 99%