By Alberto Alexandre, Albino Bricolo, Hanno Millesi
The papers during this quantity summarize information regarding the latest and potent concepts for treating diffcult practical difficulties and painful occasions by utilizing minimally invasive spinal surgical procedure suggestions. Spinal endoscopy either for diagnostic and remedy reasons is gifted in addition to microsurgical operations for spinal difficulties, intradiscal suggestions for the therapy of disc degenerative pathology, and dynamic stabilization ideas including an up to date overview of physiopathology of the ailments. New developments in peripheral nerve surgical procedure are offered. additionally the matter of hectic nerve lesions in several anatomical districts is analyzed with precise awareness at the topic of thoracic outlet syndrome. The posttraumatic facets of this ailment are mentioned either in admire of its causative mechanisms, and its medicolegal facets.
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Extra info for Advanced Peripheral Nerve Surgery and Minimal Invasive Spinal Surgery
South Med J 71(2): 144–145 10. Levine DW, Simmons BP, Koris MJ et al (1993) A selfadministered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone Joint Surg 75A: 1585–1592 11. Olney RK (2001) Carpal tunnel syndrome. Complex issues with a ‘‘simple’’ condition. Neurology 56: 1431–1432 12. Padua L, Aprile I, Caliandro P et al (2001) Symptoms and neurophysiological picture of carpal syndrome in pregnancy. Clin Neurophisiol 112: 1946–1951 39 13.
The BCTQ evaluates two domains of CTS, namely ‘‘symptoms’’ (SYMPT), assessed with an 11-item scale and ‘‘functional status’’ (FUNCT) assessed with an eight-item scale (each item has ﬁve possible responses). Each score (SYMPT and FUNCT) is calculated as the mean of the responses of the individual items. Electrodiagnostic evaluation Electrodiagnostic studies were performed according to a protocol [17, 18] inspired by AAN and AAEM recommendations [1–4]. g. median/ulnar comparison) were always performed.
Nerve damage due to an injury may be further aggravated by oedema increasing endoneurial pressure which might compromise blood ﬂow in the fascicles. Fibrosis, either at the site of the primary injury or in the distal part undergoing Wallerian degeneration may 24 A. : Thoracic outlet syndrome due to hyperextension-hyperﬂexion cervical injury so be marked that axonal regeneration and nerve repair are interfered with. The events provoked by an injury possibly induce a chronic compression of nerve trunks which interferes with their adequate blood supply.
Advanced Peripheral Nerve Surgery and Minimal Invasive Spinal Surgery by Alberto Alexandre, Albino Bricolo, Hanno Millesi