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Spinal Microsurgery and Cervical Spine Surgery: Recent Developments and Emerging...
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Spinal Microsurgery and Cervical Spine Surgery: Recent Developments and Emerging Trends

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: closed (20 April 2024) | Viewed by 404

Special Issue Editor

Prof. Dr. Massimiliano Visocchi

E-Mail Website
Guest Editor
Chief Operative Unit, Master and Research Center in Craniocerivical Junction Surgery, Department of Neurosurgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Catholic University, 00168 Rome, Italy
Interests: complex spine surgery; craniocervical junction surgery; spine tumors; skull base; general and functional neurosur-gery
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

I am proud to announce this Special Issue dealing with recent advances in cervical spine surgery and, more extensively, spinal microsurgery. New trends and developments have emerged for both preoperative/ intraoperative diagnosis and monitoring in neuroimaging, neurophysiology and the use and availability of intraoperative complex surgical tools. You are invited to provide an updated contribution for a modern definition of spinal surgery. From a simplified anatomic point of view, the skull base along with its offshoot, the spine, replicate a bone funnel as a vessel sustaining the brain, the cerebellum and the spinal cord along with cranial and radicular nerves. There is no doubt at all that knowledge of the embryology, anatomy, physiology, pathophysiology and more effective surgical pathways to engage and remove surgical diseases is of paramount importance in the surgical cultural heritage; its pursuit is thus strongly encouraged and supported amongst neurosurgeons.

Prof. Dr. Massimiliano Visocchi
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. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly 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 2600 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

  • craniocervical spine
  • cervical spine
  • complex spine surgery
  • new trends and technologies

Published Papers (1 paper)

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Research

20 pages, 9805 KiB  
Article
Application and Advantages of the Trans-Unco-Discal (TUD) Approach for Cervical Spondylotic Myelopathy and Radiculopathy: Classification and Modification of Surgical Technique Based on the Location of Spinal Cord and/or Nerve Root Compression
by Misao Nishikawa, Kentaro Naito, Masaki Yoshimura, Toru Yamagata, Keiichi Iseda, Mitsuhiro Hara, Hiromichi Ikuno, Kenji Ohata and Takeo Goto
J. Clin. Med. 2024, 13(9), 2666; https://doi.org/10.3390/jcm13092666 - 02 May 2024
Viewed by 173
Abstract
Purpose: We assess the application and advantages of modifying the trans-unco-discal (TUD) approach which we underwent for cervical myelo-radiculopathy. We present the surgical techniques of the modified TUD approach. Materials and Methods: The material was 180 cases where anterior cervical decompression (ACD) was [...] Read more.
Purpose: We assess the application and advantages of modifying the trans-unco-discal (TUD) approach which we underwent for cervical myelo-radiculopathy. We present the surgical techniques of the modified TUD approach. Materials and Methods: The material was 180 cases where anterior cervical decompression (ACD) was performed by the modified TUD approach. We classified the material into four groups based on the location of the nerve root and/or spinal cord compression: I, compression of the root at intervertebral foramen (IVF); II, compression of the posterior margin of the vertebral body; III, compression of the IVF and posterior margin of the vertebral body; IV, compression of the bilateral IVF and posterior margin of the vertebral body. We applied the modified TUD approach to these four types. We present the surgical procedures and techniques for the modified TUD approach. The Japanese orthopedic association (JOA) score and neuroradiological alignment were examined. Results: The improvement rate of the JOA score was 78.4% at 6 months post-surgery and 77.5% in the most recent examinations. By the modified TUD approach, compressive lesions of the spinal cord and/or nerve roots were removed, and good alignment was acquired and sustained. Conclusions: ACD by the modified TUD approach safely achieved appropriate decompression for the spinal cord and/or nerve roots, and the patients had a high improvement rate and good alignment. Complications were less common than with other surgical procedures. If the TUD approach and endoscopic approaches can be combined, their application to new area is anticipated. Full article
(This article belongs to the Special Issue Spinal Microsurgery and Cervical Spine Surgery: Recent Developments and Emerging Trends)
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