Renal Osteodystrophy: Neurosurgical Considerations and Challenges

Veeravagu, Anand; Ponnusamy, Karthikeyan; Jiang, Bowen; Bydon, Mohamad; McGirt, Matthew J.; Gottfried, Oren N.; Witham, Timothy F.; Gokaslan, Ziya L.; Bydon, Ali

doi:10.1016/j.wneu.2011.09.027

Cited by 12 publications

(12 citation statements)

References 30 publications

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“…36,37 DSA is usually recognized mainly at the C5-7 cervical spine level due to greater mechanical stress at this level. 38,39 In previous studies, mean age at surgery for DSA was 57 years. The average duration of hemodialysis before surgery was estimated as 13.5-14.9 years.…”

Section: Revision Surgery For Destructive Spondyloarthropathy Relatedmentioning

confidence: 97%

“…Two-thirds of patients were male and one-third were fe-male. 39,40 Patients with DSA usually have numerous comorbidities, such as hypertension, bleeding tendencies, diabetes, and its associated conditions, cardio-pulmonary disorders, cerebrovascular diseases. Patients with DSA are also reported to have a statistically higher incidence of osteoporosis and lower bone mineral density.…”

Section: Revision Surgery For Destructive Spondyloarthropathy Relatedmentioning

confidence: 99%

“…Destructive spondyloarthropathy (DSA) related to hemodialysis is generally attributed to deposition of beta-2-microglobulin and amyloid in the synovial structures of the spine [ 36 , 37 ]. DSA is usually recognized mainly at the C5–7 cervical spine level due to greater mechanical stress at this level [ 38 , 39 ]. In previous studies, mean age at surgery for DSA was 57 years.…”

Section: Revision Surgery For Destructive Spondyloarthropathy Relatedmentioning

confidence: 99%

“…The average duration of hemodialysis before surgery was estimated as 13.5–14.9 years. Two-thirds of patients were male and one-third were female [ 39 , 40 ]. Patients with DSA usually have numerous comorbidities, such as hypertension, bleeding tendencies, diabetes, and its associated conditions, cardio-pulmonary disorders, cerebrovascular diseases.…”

Section: Revision Surgery For Destructive Spondyloarthropathy Relatedmentioning

confidence: 99%

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Complex Revision Surgery for Cervical Deformity or Implant Failure

Shimokawa¹,

Sato²,

Matsumoto³

et al. 2020

Neurospine

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Postoperative cervical deformity sometimes occurs in the short or long term after primary surgery for cervical disorders related to the degenerative aging spine, neoplastic etiologies, hemodialysis, infection, inflammation, trauma, etc. Cervical kyphosis after posterior decompression surgery, such as laminectomy or laminoplasty, is a common problem for spine surgeons. However, revision surgery for cervical deformity is definitely one of the most challenging areas for spine surgeons. There is no doubt that surgery for cervical deformity carries a high risk of surgery-related complications that might result in aggravation of healthrelated quality of life. Revision surgery is even more challenging. Hence, spine surgeons need to assess carefully the overall severity of the underlying condition before revision surgery, and try to refine the surgical strategy to secure safe surgery. Needless to say, spine surgeons are now facing great challenges in making spine surgery a much more reliable and convincing entity.

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Section: Revision Surgery For Destructive Spondyloarthropathy Relatedmentioning

confidence: 97%

Section: Revision Surgery For Destructive Spondyloarthropathy Relatedmentioning

confidence: 99%

Section: Revision Surgery For Destructive Spondyloarthropathy Relatedmentioning

confidence: 99%

Section: Revision Surgery For Destructive Spondyloarthropathy Relatedmentioning

confidence: 99%

See 2 more Smart Citations

Complex Revision Surgery for Cervical Deformity or Implant Failure

Shimokawa¹,

Sato²,

Matsumoto³

et al. 2020

Neurospine

View full text Add to dashboard Cite

show abstract

“…In general, high levels of PTH (>400 pg/ml) and ALP (>1,000 U/l) are accompanied by bone pain and other skeletal symptoms [5]. The skeletal complications are most commonly reported in the cervical and lumbar spine [6]. Older patients tend to experience more bone pain than younger patients in hyperparathyroidism [7].…”

mentioning

confidence: 99%