Abstract
OBJECTIVE AND IMPORTANCE: Although the clinical and histological features of the pathological entity of spinal arachnoiditis ossificans (AO) have been established for some time, less attention has been paid to the treatment. We propose a classification of spinal AO evaluating the possibilities and indications for surgical or conservative treatment. CLINICAL PRESENTATION: Type III has a lumbar localization, presents with less neurological involvement, and usually requires conservative treatment. In Types I and II, which are usually thoracic, clinical worsening justifies surgical decompression or partial removal, whereas total removal is rarely achievable. INTERVENTION: The literature was reviewed, and the reports on three patients were added to the published cases. On the basis of a reappraisal of the computed tomographic and magnetic resonance imaging documentation and the surgical descriptions, the cases of AO were classified into three types: semicircular (Type I), circular (Type II), and englobing the caudal fibers (Type III). The indications for treatment were evaluated in terms of surgical possibilities and outcome. CONCLUSION: The classification proposed on the basis of radiological findings allows sufficient clinical differentiation of AO and evaluation of the possibilities for surgical treatment. The latter is conditioned by the type of arachnoiditis, degree of neurological involvement, and presence of any concomitant pathological findings.
| Original language | English |
|---|---|
| Pages (from-to) | 985 |
| Number of pages | 1 |
| Journal | Neurosurgery |
| Volume | 55 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Oct 2004 |
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Keywords
- Arachnoiditis ossificans
- Classification
- Imaging
- Ossification
ASJC Scopus subject areas
- Clinical Neurology
- Surgery
Cite this
Spinal arachnoiditis ossificans : Report of three cases. / Domenicucci, Maurizio; Ramieri, Alessandro; Passacantilli, Emiliano; Russo, Natale; Trasimeni, Guido; Delfini, Roberto.
In: Neurosurgery, Vol. 55, No. 4, 10.2004, p. 985.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Spinal arachnoiditis ossificans
T2 - Report of three cases
AU - Domenicucci, Maurizio
AU - Ramieri, Alessandro
AU - Passacantilli, Emiliano
AU - Russo, Natale
AU - Trasimeni, Guido
AU - Delfini, Roberto
PY - 2004/10
Y1 - 2004/10
N2 - OBJECTIVE AND IMPORTANCE: Although the clinical and histological features of the pathological entity of spinal arachnoiditis ossificans (AO) have been established for some time, less attention has been paid to the treatment. We propose a classification of spinal AO evaluating the possibilities and indications for surgical or conservative treatment. CLINICAL PRESENTATION: Type III has a lumbar localization, presents with less neurological involvement, and usually requires conservative treatment. In Types I and II, which are usually thoracic, clinical worsening justifies surgical decompression or partial removal, whereas total removal is rarely achievable. INTERVENTION: The literature was reviewed, and the reports on three patients were added to the published cases. On the basis of a reappraisal of the computed tomographic and magnetic resonance imaging documentation and the surgical descriptions, the cases of AO were classified into three types: semicircular (Type I), circular (Type II), and englobing the caudal fibers (Type III). The indications for treatment were evaluated in terms of surgical possibilities and outcome. CONCLUSION: The classification proposed on the basis of radiological findings allows sufficient clinical differentiation of AO and evaluation of the possibilities for surgical treatment. The latter is conditioned by the type of arachnoiditis, degree of neurological involvement, and presence of any concomitant pathological findings.
AB - OBJECTIVE AND IMPORTANCE: Although the clinical and histological features of the pathological entity of spinal arachnoiditis ossificans (AO) have been established for some time, less attention has been paid to the treatment. We propose a classification of spinal AO evaluating the possibilities and indications for surgical or conservative treatment. CLINICAL PRESENTATION: Type III has a lumbar localization, presents with less neurological involvement, and usually requires conservative treatment. In Types I and II, which are usually thoracic, clinical worsening justifies surgical decompression or partial removal, whereas total removal is rarely achievable. INTERVENTION: The literature was reviewed, and the reports on three patients were added to the published cases. On the basis of a reappraisal of the computed tomographic and magnetic resonance imaging documentation and the surgical descriptions, the cases of AO were classified into three types: semicircular (Type I), circular (Type II), and englobing the caudal fibers (Type III). The indications for treatment were evaluated in terms of surgical possibilities and outcome. CONCLUSION: The classification proposed on the basis of radiological findings allows sufficient clinical differentiation of AO and evaluation of the possibilities for surgical treatment. The latter is conditioned by the type of arachnoiditis, degree of neurological involvement, and presence of any concomitant pathological findings.
KW - Arachnoiditis ossificans
KW - Classification
KW - Imaging
KW - Ossification
UR - http://www.scopus.com/inward/record.url?scp=4744350149&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=4744350149&partnerID=8YFLogxK
U2 - 10.1227/01.NEU.0000137281.65551.54
DO - 10.1227/01.NEU.0000137281.65551.54
M3 - Article
C2 - 15934184
AN - SCOPUS:4744350149
VL - 55
SP - 985
JO - Neurosurgery
JF - Neurosurgery
SN - 0148-396X
IS - 4
ER -