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  1. Article ; Online: Technical Nuances of the Posterior Transpedicular Thoracic Diskectomy: 2-Dimensional Operative Video.

    Gelinne, Aaron / Harbert, Allie / Galgano, Michael

    Operative neurosurgery (Hagerstown, Md.)

    2024  

    Abstract: Thoracic disk herniations are relatively rare when compared with cervical and lumbar disk pathology accounting for less than 3% of spinal disk herniations.1 In addition to this, a larger proportion of thoracic disk herniations are calcified making them ... ...

    Abstract Thoracic disk herniations are relatively rare when compared with cervical and lumbar disk pathology accounting for less than 3% of spinal disk herniations.1 In addition to this, a larger proportion of thoracic disk herniations are calcified making them challenging to remove because of adherence to the dura and anatomy of the thoracic spinal canal.2,3 Owing to these unique features of thoracic disk herniations, typical posterior approaches are not always feasible to provide adequate decompression of the thecal sac.4 In this video, we present a 64-year-old male patient who presented with progressive paraplegia and a large ventral, eccentric, calcified thoracic disk herniation causing severe canal stenosis. Because of the size and location of the disk, a thoracic laminectomy with costotransversectomy and pediculectomies for resection of the disk was performed. Ventral decompression was achieved, and the patient made a full neurologic recovery. This video highlights the principles and technical nuances used during thoracic disk resection. The patient provided informed consent for surgery and video recording.
    Language English
    Publishing date 2024-02-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2767575-0
    ISSN 2332-4260 ; 2332-4252
    ISSN (online) 2332-4260
    ISSN 2332-4252
    DOI 10.1227/ons.0000000000001087
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1424 -ON-: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Oligosegmental Vertebral Column Resection for Thoracolumbar Kyphosis Correction: 2-Dimensional Operative Video.

    Ojukwu, Disep I / Galgano, Michael A

    Operative neurosurgery (Hagerstown, Md.)

    2022  Volume 23, Issue 2, Page(s) e127

    MeSH term(s) Humans ; Kyphosis/diagnostic imaging ; Kyphosis/surgery ; Orthopedic Procedures ; Thoracic Vertebrae/diagnostic imaging ; Thoracic Vertebrae/surgery
    Language English
    Publishing date 2022-05-09
    Publishing country United States
    Document type Journal Article ; Video-Audio Media
    ZDB-ID 2767575-0
    ISSN 2332-4260 ; 2332-4252
    ISSN (online) 2332-4260
    ISSN 2332-4252
    DOI 10.1227/ons.0000000000000256
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1424 -ON-: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: En Bloc Resection of a Cauda Equina Paraganglioma and Associated Intradural Hematoma After Diagnosis of Renal Clear Cell Carcinoma: 2-Dimensional Operative Video.

    Ojukwu, Disep I / Galgano, Michael A

    Operative neurosurgery (Hagerstown, Md.)

    2022  Volume 24, Issue 1, Page(s) e36–e37

    MeSH term(s) Humans ; Cauda Equina/diagnostic imaging ; Cauda Equina/surgery ; Carcinoma, Renal Cell/diagnostic imaging ; Carcinoma, Renal Cell/surgery ; Spinal Neoplasms/surgery ; Central Nervous System Neoplasms/surgery ; Kidney Neoplasms/diagnostic imaging ; Kidney Neoplasms/surgery ; Paraganglioma/complications ; Paraganglioma/diagnostic imaging ; Paraganglioma/surgery ; Hematoma
    Language English
    Publishing date 2022-09-26
    Publishing country United States
    Document type Video-Audio Media ; Journal Article
    ZDB-ID 2767575-0
    ISSN 2332-4260 ; 2332-4252
    ISSN (online) 2332-4260
    ISSN 2332-4252
    DOI 10.1227/ons.0000000000000423
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1424 -ON-: Show issues Location:
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  4. Article ; Online: Location-specific technical nuances of spinal meningioma resection: an operative video case series.

    Fisher, Wilson A M / Upadhyaya, Cheerag / Galgano, Michael

    Neurosurgical focus: Video

    2023  Volume 9, Issue 2, Page(s) V13

    Abstract: The objective of this video was to demonstrate technical nuances of intradural spinal meningioma (ISM) resection through a high-quality surgical video. The authors describe 3 patients with ISM in the cervicomedullary, cervical, and thoracic regions. ... ...

    Abstract The objective of this video was to demonstrate technical nuances of intradural spinal meningioma (ISM) resection through a high-quality surgical video. The authors describe 3 patients with ISM in the cervicomedullary, cervical, and thoracic regions. Patients underwent surgery in the prone position with laminectomy, dorsal durotomy, and then resection of the mass. Case 1 required a suboccipital craniectomy and dissection of the tumor away from the vertebral artery. In case 2, special emphasis is placed on sectioning the dentate ligament with cord rotation. Case 3 highlights meticulous circumferential arachnoid release and the use of ultrasound. Patients saw significant neurological improvement postoperatively. This video provides clear instruction on location-specific technical nuances of ISM removal.
    Language English
    Publishing date 2023-10-01
    Publishing country United States
    Document type Journal Article
    ISSN 2643-5217
    ISSN (online) 2643-5217
    DOI 10.3171/2023.7.FOCVID2339
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Illustrative resection of mixed intra- and extramedullary thoracic spinal cord capillary hemangioma.

    Protas, Matthew / Ojukwu, Disep I / Draytsel, Dan Y / Galgano, Michael A

    Surgical neurology international

    2023  Volume 14, Page(s) 226

    Abstract: Background: Capillary hemangiomas are typically superficial benign tumors of the cutaneous and mucosal tissues of the face and neck in pediatric patients. In adults, they typically occur in middle-aged males who present with pain, myelopathy, ... ...

    Abstract Background: Capillary hemangiomas are typically superficial benign tumors of the cutaneous and mucosal tissues of the face and neck in pediatric patients. In adults, they typically occur in middle-aged males who present with pain, myelopathy, radiculopathy, paresthesias, and bowel/bladder dysfunction. The optimal treatment for intramedullary spinal cord capillary hemangiomas is gross total/
    Methods: Here, we present a 63-year-old male with increasing right greater than left lower extremity numbness/ weakness, attributed to a T8-9 mixed intra- and extramedullary capillary hemangioma.
    Results: One year following complete lesion resection, the patient used an assistive device to ambulate and continued to improve neurologically.
    Conclusion: We presented a 63-year-old male whose paraparesis was attributed to a T8-9 mixed intra- and extramedullary capillary hemangioma who did well following total
    Language English
    Publishing date 2023-06-30
    Publishing country United States
    Document type Journal Article
    ISSN 2229-5097
    ISSN 2229-5097
    DOI 10.25259/SNI_402_2023
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Surgical strategies for the treatment of deformity-associated cervical spondylotic stretch myelopathy: a case series with technically nuanced illustrative operative videos.

    Fisher, Wilson A M / Gilbert, Olivia E / Upadhyaya, Cheerag / Galgano, Michael

    Neurosurgical focus

    2023  Volume 55, Issue 3, Page(s) E10

    Abstract: Objective: The aim of this study was to elucidate the vital role of anterior-only osteotomies for rigid cervical kyphosis causing stretch myelopathy by using illustrative cases and high-definition intraoperative videos.: Methods: The authors describe ...

    Abstract Objective: The aim of this study was to elucidate the vital role of anterior-only osteotomies for rigid cervical kyphosis causing stretch myelopathy by using illustrative cases and high-definition intraoperative videos.
    Methods: The authors describe 4 select patients who underwent anterior-only osteotomies within a 2-year time frame and demonstrate the nuances of each case with unique operative videos.
    Results: Outcomes for each of the cases demonstrated marked improvement in cervical spine alignment relative to preoperative conditions. Postoperative CT scans and upright radiographs for case 1 at 8 months demonstrated complete reduction of the kyphotic deformity and restoration of the C2 slope. In case 2, the 2-year postoperative radiographs showed significant realignment of the cervical spine, and the patient made significant neurological improvement since the operation, specifically in hand dexterity, balance, neck pain, and the ability to comfortably achieve and maintain a horizontal gaze. For case 3, postoperative upright radiographs revealed marked improvement in the patient's cervical sagittal alignment. The 4-month follow-up was also notable for substantial improvement in postural neck pain, bilateral upper extremity strength, and continued improvements in dexterity. Case 4 also demonstrated an excellent outcome with unkinking of the patient's spinal cord and correction of her sagittal plane deformity, as shown on her 5-month postoperative upright radiographs.
    Conclusions: Deformity-associated cervical spondylotic stretch myelopathy often leads to devastating neurological decline and can significantly decrease quality of life. Carefully selected cases of circumferentially rigid cervical kyphosis can be successfully corrected with anterior-only osteotomies followed by posterior fixation while avoiding back-front-back operations.
    MeSH term(s) Humans ; Female ; Neck Pain ; Quality of Life ; Spinal Cord Diseases/complications ; Spinal Cord Diseases/diagnostic imaging ; Spinal Cord Diseases/surgery ; Cervical Vertebrae/diagnostic imaging ; Cervical Vertebrae/surgery ; Kyphosis/diagnostic imaging ; Kyphosis/etiology ; Kyphosis/surgery
    Language English
    Publishing date 2023-08-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2026589-X
    ISSN 1092-0684 ; 1092-0684
    ISSN (online) 1092-0684
    ISSN 1092-0684
    DOI 10.3171/2023.6.FOCUS23279
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Posterior Nerve-Sparing Corpectomy With Ventral Cage Reconstruction for a Lumbar Burst Fracture: A Video Illustration: 2-Dimensional Operative Video.

    Bogdan, Lukasz / Galgano, Michael

    Operative neurosurgery (Hagerstown, Md.)

    2022  Volume 22, Issue 4, Page(s) e161

    MeSH term(s) Humans ; Lumbar Vertebrae/surgery ; Spinal Fractures/diagnostic imaging ; Spinal Fractures/surgery
    Language English
    Publishing date 2022-03-02
    Publishing country United States
    Document type Journal Article ; Video-Audio Media
    ZDB-ID 2767575-0
    ISSN 2332-4260 ; 2332-4252
    ISSN (online) 2332-4260
    ISSN 2332-4252
    DOI 10.1227/ONS.0000000000000024
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1424 -ON-: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  8. Article ; Online: Surgical Correction of Distal Junctional Kyphosis.

    Azzam, Moatasem M / Guiroy, Alfredo J / Galgano, Michael A

    World neurosurgery

    2022  Volume 170, Page(s) 157

    Abstract: Distal junctional kyphosis (DJK) is defined as the development of a kyphotic angulation over 10 degrees below a fusion construct and has been described as a complication of the treatment of adolescent idiopathic scoliosis, Scheuermann kyphosis, adult ... ...

    Abstract Distal junctional kyphosis (DJK) is defined as the development of a kyphotic angulation over 10 degrees below a fusion construct and has been described as a complication of the treatment of adolescent idiopathic scoliosis, Scheuermann kyphosis, adult spinal deformity, and cervical deformity. There are some inherent risk factors to DJK: multilevel fusions, damage to the midline soft tissues including interspinous/supraspinous ligaments, T5-T12 thoracic kyphosis, T11-L2 thoracolumbar kyphosis, and increased mismatch between cervical lordosis and T1 slope. A 53-year-old male presented with cervicalgia, inability to sustain horizontal gaze, and kyphosis-enabled forward head posture. He underwent C3-T1 posterior decompression and fusion as treatment for cervical myelopathy 18 months prior. Neurologic examination was normal, with appreciable protrusion of the T1 vertebral spinous process. Surgery was initiated through subperiosteal exposure of C2-T6, followed by removal of previously set instrumentation, placement of new screws, and posterior column osteotomies of selected segments. Final steps involved compression across excised portions, locking pedicle screws, and a multirod insertion after closure of the posterior column osteotomies by compression maneuvers. Correction for DJK encompasses sagittal alignment restoration, a stable construct, and a good biological environment for healing. Failure of DJK realignment can occur if the patient's ligaments deteriorate distal to the construct or fractures develop in vertebral bodies at the lowest instrumented vertebra or lowest instrumented vertebra +1. One year after surgery, the patient's condition improved, evidenced from both patient self-report and a standing posture radiograph.
    MeSH term(s) Male ; Adult ; Adolescent ; Humans ; Middle Aged ; Thoracic Vertebrae/diagnostic imaging ; Thoracic Vertebrae/surgery ; Spinal Fusion/adverse effects ; Kyphosis/diagnostic imaging ; Kyphosis/surgery ; Kyphosis/etiology ; Lordosis/diagnostic imaging ; Lordosis/surgery ; Lordosis/complications ; Scoliosis/diagnostic imaging ; Scoliosis/surgery ; Scoliosis/complications ; Retrospective Studies
    Language English
    Publishing date 2022-11-16
    Publishing country United States
    Document type Case Reports ; Video-Audio Media
    ZDB-ID 2534351-8
    ISSN 1878-8769 ; 1878-8750
    ISSN (online) 1878-8769
    ISSN 1878-8750
    DOI 10.1016/j.wneu.2022.11.032
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1159: Show issues Location:
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  9. Article ; Online: Operative Technique for Resection of a Ventral Transdural Retro-Odontoid Pannus: A 2-Dimensional Operative Video.

    Wilkinson, Brandon M / Ojukwu, Disep I / Galgano, Michael A

    World neurosurgery

    2022  Volume 165, Page(s) 13–17

    Abstract: Background: Retro-odontoid pseudotumors are rare inflammatory complications of atlantoaxial instability often associated with cervical degenerative disease and rheumatoid arthritis. While propagation of these lesions has been shown to cause spinal cord ... ...

    Abstract Background: Retro-odontoid pseudotumors are rare inflammatory complications of atlantoaxial instability often associated with cervical degenerative disease and rheumatoid arthritis. While propagation of these lesions has been shown to cause spinal cord compression and cervical myelopathy, intradural extension has rarely been reported.
    Methods: In this manuscript and 2-dimensional illustrative intraoperative video, we demonstrate cervical decompression, removal of the intradural component, and stabilization with C1-2 instrumentation using a posterior approach. A 71-year-old patient presented with progressive cervical myelopathy. Preoperative imaging demonstrated a large retro-odontoid pannus causing severe spinal cord compression and an associated contrast-enhancing intradural lesion, in the absence of obvious C1-2 instability or fractures on computed tomography scan. C1-2 posterior decompression and fusion were performed with maximally safe intradural pannus resection and ventral dural reconstruction.
    Results: Postoperatively, the patient experienced significant improvement in myelopathic symptoms. Imaging demonstrated good spinal cord decompression with complete intradural pannus resection and debulking of the extradural component.
    Conclusions: Our outcome in this rare complication suggests a posterior approach may be effective in treating similar patients.
    MeSH term(s) Aged ; Humans ; Magnetic Resonance Imaging ; Odontoid Process/diagnostic imaging ; Odontoid Process/pathology ; Odontoid Process/surgery ; Pannus ; Spinal Cord Compression/diagnostic imaging ; Spinal Cord Compression/etiology ; Spinal Cord Compression/surgery ; Spinal Cord Diseases/diagnostic imaging ; Spinal Cord Diseases/etiology ; Spinal Cord Diseases/surgery ; Spinal Fusion/methods
    Language English
    Publishing date 2022-05-12
    Publishing country United States
    Document type Case Reports ; Journal Article ; Video-Audio Media
    ZDB-ID 2534351-8
    ISSN 1878-8769 ; 1878-8750
    ISSN (online) 1878-8769
    ISSN 1878-8750
    DOI 10.1016/j.wneu.2022.04.124
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1159: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  10. Article ; Online: Traumatic Spinopelvic Dissociation With Sacral Cauda Equina Syndrome-Demonstrating Fracture Reduction, Stabilization, and Transsacral Circumferential Nerve Root Decompression: 2-Dimensional Operative Video.

    Galgano, Michael / Koutsouras, George W

    Operative neurosurgery (Hagerstown, Md.)

    2022  Volume 23, Issue 4, Page(s) e290

    MeSH term(s) Cauda Equina Syndrome ; Decompression ; Fracture Fixation ; Humans ; Sacrum/diagnostic imaging ; Sacrum/surgery ; Spinal Fractures/complications ; Spinal Fractures/diagnostic imaging ; Spinal Fractures/surgery
    Language English
    Publishing date 2022-08-10
    Publishing country United States
    Document type Journal Article ; Video-Audio Media
    ZDB-ID 2767575-0
    ISSN 2332-4260 ; 2332-4252
    ISSN (online) 2332-4260
    ISSN 2332-4252
    DOI 10.1227/ons.0000000000000344
    Database MEDical Literature Analysis and Retrieval System OnLINE

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