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1.

001-es BibID:BIBFORM034518
Első szerző:Berlemann, U.
Cím:Facet joint remodeling in degenerative spondylolisthesis : an investigation of joint orientation and tropism / Berlemann, U., Jeszenszky, D. J., Bühler, D. W., Harms, J.
Dátum:1998
ISSN:0940-6719
Megjegyzések:This study analyzed transverse facet joint angulations at the three lower lumbar levels in 132 patients assigned to one of four groups. Group A comprised 23 patients with degenerative spondylolisthesis (DS) at the level L4-5, group B comprised 40 patients above the age of 50 years, group C comprised 38 patients aged between 35 and 50 years, and group D comprised 31 patients under the age of 35 years. Groups B, C, and D had no evidence of DS. Measurements were taken from hard copies of axial MR or CT images. The transverse plane of facet joints was more sagittally oriented in group A than in any other group. This difference was highly significant at the L4-5 level. The incidence of more sagittally oriented L4-5 facet joints was also significantly higher only in group A. The incidence of facet joint tropism, however, was not different in group A. These results support the view that the pronounced sagittal alignment of facet joints in patients with DS represents a secondary remodeling rather than a pre-existing morphology. Facet joint asymmetry does not seem to play a major role in the development of DS.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:European Spine Journal. - 7 : 5 (1998), p. 376-380. -
További szerzők:Jeszenszky Dezső (1954-) (idegsebész, ortopédus) Bühler, D. W. Harms, Jürgen
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2.

001-es BibID:BIBFORM077911
Első szerző:Burkhardt, Jan-Karl
Cím:The influence of cervical plate fixation with either autologous bone or cage insertion on radiographic and patient-rated outcomes after two-level anterior cervical discectomy and fusion / Jan-Karl Burkhardt, Anne F. Mannion, Serge Marbacher, Frank S. Kleinstück, Dezsö Jeszenszky, François Porchet
Dátum:2015
ISSN:0940-6719
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:European Spine Journal. - 24 : 1 (2015), p. 113-119. -
További szerzők:Mannion, Anne F. Marbacher, Serge Kleinstück, Frank S. Jeszenszky Dezső (1954-) (idegsebész, ortopédus) Porchet, Françis
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3.

001-es BibID:BIBFORM034524
Első szerző:Eggspuehler, Andreas
Cím:Multimodal intraoperative monitoring (MIOM) during cervical spine surgical procedures in 246 patients / Eggspuehler Andreas, Sutter Martin A., Grob Dieter, Jeszenszky Dezsö, Porchet Francois, Dvorak Jiri
Dátum:2007
ISSN:0940-6719
Megjegyzések:A prospective study of 246 patients who received multimodal intraoperative monitoring during cervical spine surgery between March 2000 and December 2005. To determine the sensitivity and specificity of MIOM techniques used to monitor spinal cord and nerve root function during cervical spine surgery. It is appreciated that complication rate of cervical spine surgery is low, however, there is a significant risk of neurological injury. The combination of monitoring of ascending and descending pathways may provide more sensitive and specific results giving immediate feedback information and/or alert regarding any neurological changes during the operation to the surgeon. Intraoperative somatosensory spinal and cerebral evoked potentials combined with continuous EMG and motor-evoked potentials of the spinal cord and muscles were evaluated and compared with postoperative clinical neurological changes. A total of 246 consecutive patients with cervical pathologies, majority spinal stenosis due to degenerative changes of cervical spine were monitored by means of MIOM during the surgical procedure. About 232 patients presented true negative while 2 patients false negative responses. About ten patients presented true positive responses where neurological deficit after the operation was predicted and two patients presented false positive findings. The sensitivity of MIOM applied during cervical spine procedure (anterior and/or posterior) was 83.3% and specificity of 99.2%. MIOM is an effective method of monitoring the spinal cord functional integrity during cervical spine surgery and can help to reduce the risk of neurological deficit by alerting the surgeon when monitoring changes are observed.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:European Spine Journal. - 16 : S2 (2007), p. 209-215. -
További szerzők:Sutter, Martin A. Grob, Dieter Jeszenszky Dezső (1954-) (idegsebész, ortopédus) Porchet, Françis Dvorak, Jiri
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4.

001-es BibID:BIBFORM034523
Első szerző:Eggspuehler, Andreas
Cím:Multimodal intraoperative monitoring during surgery of spinal deformities in 217 patients / Eggspuehler Andreas, Sutter Martin A., Grob Dieter, Jeszenszky Dezsö, Dvorak Jiri
Dátum:2007
ISSN:0940-6719
Megjegyzések:A prospective study was performed on 217 patients who received MIOM during corrective surgery of spinal deformities between March 2000 and December 2005. Aim is to determine the sensitivity and specificity of MIOM techniques used to monitor spinal cord and nerve root function during corrective spine surgery. MIOM is becoming an increasingly used method of monitoring function during corrective spine surgery. The combination of monitoring of ascending and descending pathways may provide more sensitive and specific results giving immediate feedback information regarding any neurological deficits during the operation. Intraoperative somatosensory spinal and cerebral evoked potentials combined with continuous EMG and motor evoked potentials of the spinal cord and muscles were evaluated and compared with postoperative clinical neurological changes. A total of 217 consecutive patients with spinal deformities of different aetiologies were monitored by means of MIOM during the surgical procedure. Out of which 201 patients presented true negative findings while one patient presented false negative and three patients presented false positive findings. Twelve patients presented true positive findings where neurological deficit after the operation was predicted. All neurological deficits in those 12 patients recovered completely. The sensitivity of MIOM applied during surgery of spinal deformities has been calculated of 92.3% and the specificity 98.5%. Based upon the results of this study MIOM is an effective method of monitoring the spinal cord and nerve root function during corrective surgery of spinal deformities and consequently improves postoperative results. The Wake-up test for surgical procedure of spinal deformities became obsolete in our institution.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:European Spine Journal. - 16 : S2 (2007), p. 188-196. -
További szerzők:Sutter, Martin A. Grob, Dieter Jeszenszky Dezső (1954-) (idegsebész, ortopédus) Dvorak, Jiri
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5.

001-es BibID:BIBFORM034466
Első szerző:Eggspuehler, Andreas
Cím:Multimodal intraoperative monitoring (MIOM) during surgical decompression of thoracic spinal stenosis in 36 patients / Eggspuehler Andreas, Sutter Martin A., Grob Dieter, Porchet F., Jeszenszky Dezsö, Dvorak Jiri
Dátum:2007
ISSN:0940-6719
Megjegyzések:A prospective study of 36 patients who received multimodal intraoperative monitoring (MIOM) during decompression of thoracic spinal stenosis between March 2000 and December 2005 was chosen as the study design. The objective was to determine the sensitivity and specificity of MIOM techniques used for monitoring spinal cord during surgical thoracic decompression. The background data revealed that the surgical decompression for thoracic spinal stenosis is less frequent than in other regions of the spine. However, due to the relative narrow spinal canal, neurological complications could be severe. The combination of monitoring ascending and descending pathways may provide an early alert to the surgeon in order to alter the surgical procedure, and avoid neurological complications. The methods involved evaluation of intraoperative somatosensory spinal and cerebral evoked potentials and motor evoked potentials of the spinal cord and muscles that were compared with post operative clinical neurological changes. 36 consecutive patients with thoracic spinal stenosis of different aetiologies were monitored by the means of MIOM during the surgical procedure. 31 patients had true negative while one patient had false positive findings. Three patients had true positive and one patient had false negative findings. This indicates a sensitivity of 75% and a specificity of 97%. The one case of false negative findings recovered completely within 3 months. In conclusion, the MIOM is an effective method of monitoring the spinal cord during surgical decompression of the thoracic spine.
Tárgyszavak:Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:European Spine Journal. - 16 : S2 (2007), p. 216-220. -
További szerzők:Sutter, Martin A. Grob, Dieter Porchet, Françis Jeszenszky Dezső (1954-) (idegsebész, ortopédus) Dvorak, Jiri
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6.

001-es BibID:BIBFORM077978
Első szerző:Fekete Tamás Fülöp
Cím:How does patient-rated outcome change over time following the surgical treatment of degenerative disorders of the thoracolumbar spine? / Tamas F. Fekete, M. Loibl, D. Jeszenszky, D. Haschtmann, P. Banczerowski, F. S. Kleinstück, H. J. Becker, F. Porchet, A. F. Mannion
Dátum:2018
ISSN:0940-6719
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:European Spine Journal. - 27 : 3 (2018), p. 700-708. -
További szerzők:Loibl, Markus Jeszenszky Dezső (1954-) (idegsebész, ortopédus) Haschtmann, Daniel Banczerowski Péter Kleinstück, Frank S. Becker, Hans-Jürgen Porchet, Françis Mannion, Anne F.
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7.

001-es BibID:BIBFORM034469
Első szerző:Fekete Tamás Fülöp
Cím:Prospective study of the effect of pedicle screw placement on development of the immature vertebra in an in vivo porcine model / Fekete Tamás Fülöp, Kleinstück Frank S., Mannion Anne F., Kendik Zsolt S., Jeszenszky Dezső J.
Dátum:2011
ISSN:0940-6719
Megjegyzések:INTRODUCTION: There is increasing awareness of the need for pedicle screw constructs in the treatment of spinal deformities in very young children. However, the long-term effects of pedicle screws on the immature spine are still unclear. We used a porcine model to analyze the morphological changes of the spinal canal and vertebral body in response to the placement of pedicle screws. METHODS: 13 newborn pigs were operated on. Each pig received a single pedicle screw at the L2 level. After a tenfold increase in body weight (7 months later), the symmetry of the spinal canal and vertebral body was measured on CT scans of the investigational (L2) and control (L3) levels in terms of the angulations of the instrumented and non-instrumented halves of the vertebral body and spinal canal. RESULTS: After 7 months, the normalised vertebral body angle had reduced on the non-screw side and increased on the screw side, indicating asymmetry in vertebral body growth in the axial plane. The difference was significant (p = 0.009). However, there was no significant difference between the screw and non-screw sides for the spinal canal angles at the L2 level at either the intraoperative or 7-month follow-up assessment (each p > 0.05). CONCLUSIONS: Pedicle screws in the immature porcine spine have a significant effect on the development of the vertebral body. However, in the present study, no corresponding alteration of the morphology of the spinal canal was observed. Our results provide further support for the existing arguments in favour of pedicle screws when weighing up the many factors to be considered in creating a treatment plan for early onset scoliosis.
Tárgyszavak:Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:European Spine Journal. - 20 : 11 (2011), p. 1892-1898. -
További szerzők:Kleinstück, Frank S. Mannion, Anne F. Kendik, Zsolt S. Jeszenszky Dezső (1954-) (idegsebész, ortopédus)
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8.

001-es BibID:BIBFORM034535
Első szerző:Grob, Dieter
Cím:A comparison of outcomes of cervical disc arthroplasty and fusion in everyday clinical practice : surgical and methodological aspects / Grob Dieter, Porchet Francois, Kleinstück Frank S., Lattig Friederike, Jeszenszky Dezsoe, Luca Andrea, Mutter Urs, Mannion Anne F.
Dátum:2010
ISSN:0940-6719
Megjegyzések:Randomised controlled trials (RCTs) of cervical disc arthroplasty vs fusion generally show slightly more favourable results for arthroplasty. However, RCTs in surgery often have limited external validity, since they involve a select group of patients who fit very rigid admission criteria and who are prepared to subject themselves to randomisation. The aim of this study was to examine whether the findings of RCTs are verified by observational data recorded in our Spine Center in association with the Spine Society of Europe Spine Tango surgical registry. Patients undergoing fusion/stabilisation or disc arthroplasty for degenerative cervical spinal disease were selected for inclusion. They completed a questionnaire pre-operatively and at 12 and 24 months follow-up (FU). The questionnaire comprised the multidimensional Core Outcome Measures Index (COMI; 0-10 scale) and, at FU, questions on global outcome and satisfaction with treatment (5-point scales, dichotomised to "good" and "poor"), re-operation and patient-rated complications. The surgeon completed a Spine Tango Surgery form. The outcome data from 266 (208 fusion, 58 arthroplasty) out of 284 eligible patients who had reached 12 months FU, and 169 (139 fusion, 30 arthroplasty) out of 178 who had reached 24 months FU, were included. Patients with cervical disc arthroplasty were younger [46 (SD 8) years vs 56 (SD 11) years for fusion; P < 0.05], had less comorbidity (P < 0.05), more often had only mono-segmental pathology (69% arthroplasty, 47% fusion) and only one type of degenerative pathology (69% arthroplasty, 46% fusion). Surgical complication rates were similar in each group (arthroplasty, 1.5%; fusion, 2.6%). The reduction in the COMI score was significantly greater in the arthroplasty group (at 12 months, 4.8 (SD 3.0) vs 3.7 (SD 2.9) points for fusion, and at 24 months 5.1 (SD 2.8) vs 3.8 (SD 2.9) points; each P < 0.05). In the arthroplasty group, a "good" global outcome was recorded in 90% patients (at 12 months) and 93% (at 24 months); in the fusion group the figures were 80 and 82%, respectively (group differences at each timepoint, P > 0.09). Satisfaction with treatment was similar in both groups (89-93%), at each timepoint. In multiple regression analysis, treatment group was of borderline significance as a unique predictor of the change in COMI at FU (P = 0.059 at 12 months, P = 0.055 at 24 months) in a model in which known confounders (age, comorbidity, number of affected levels) were controlled for. Being in the arthroplasty group was associated with an approximately 1-point greater reduction in the COMI score at FU. The results of this observational study appear to support those of the RCTs and suggest that, in patients with degenerative pathology of the cervical spine, disc arthroplasty is associated with a slightly better outcome than fusion. However, given the small size of the difference, its clinical relevance is questionable, especially in view of the a priori more favourable outcome expected in the arthroplasty group due to the more rigorous selection of patients.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:European Spine Journal. - 19 : 2 (2010), p. 297-306. -
További szerzők:Porchet, Françis Kleinstück, Frank S. Lattig, Friederike Jeszenszky Dezső (1954-) (idegsebész, ortopédus) Luca, Andrea Mutter, Urs Mannion, Anne F.
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9.

001-es BibID:BIBFORM034539
Első szerző:Halm, H.
Cím:Lumbosacral fracture dislocation in a lumberjack / Halm, H., Liljenqvist, U., Steinbeck, J., Jeszenszky, D.
Dátum:1995
ISSN:0940-6719
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:European Spine Journal. - 4 : 6 (1995), p. 354-356. -
További szerzők:Liljenqvist, U. Steinbeck, J. Jeszenszky Dezső (1954-) (idegsebész, ortopédus)
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10.

001-es BibID:BIBFORM077967
Első szerző:Jeszenszky Dezső (idegsebész, ortopédus)
Cím:Posterior vertebral column resection in early onset spinal deformities / D. Jeszenszky, D. Haschtmann, F. S. Kleinstück, M. Sutter, A. Eggspühler, M. Weiss, T. F. Fekete
Dátum:2014
ISSN:0940-6719
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:European Spine Journal. - 23 : 1 (2014), p. 198-208. -
További szerzők:Haschtmann, Daniel Kleinstück, Frank S. Sutter, Martin A. Eggspuehler, Andreas Weiss, M. Fekete Tamás Fülöp
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11.

001-es BibID:BIBFORM077982
Első szerző:Jeszenszky Dezső (idegsebész, ortopédus)
Cím:Surgical growth guidance with non-fused anchoring segments in early-onset scoliosis / Dezsö Jeszenszky, Bettina Kaiser, Martin Meuli, Tamas F. Fekete, Daniel Haschtmann
Dátum:2019
ISSN:0940-6719
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:European Spine Journal. - 28 : 6 (2019), p. 1301-1313. -
További szerzők:Kaiser, Bettina Meuli, Martin Fekete Tamás Fülöp Haschtmann, Daniel
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12.

001-es BibID:BIBFORM034542
Első szerző:Jeszenszky Dezső (idegsebész, ortopédus)
Cím:Fusionless posterior hemivertebra resection in a 2-year-old child with 16 years follow-up / Jeszenszky, D., Fekete, T. F., Kleinstueck, F. S., Haschtmann, D., Bognár, L.
Dátum:2012
ISSN:0940-6719
Megjegyzések:PURPOSE: We present the case of a 2-year-old patient with congenital scoliosis due to a lumbar hemivertebra. The current gold standard treatment of such an abnormality would be hemivertebra resection and short level posterior spinal fusion. However, due to the young age of the patient, we considered that application of a fusionless solution might offer advantages in terms of retaining normal segmental motion and the potential for growth.METHODS:The incarcerated hemivertebra was resected and the facet joints of the neighbouring vertebrae were joined to create a new functional motion segment and correct the kyphoscoliotic deformity. Transpedicular screws were inserted on the convex side in L2 and L3 and a tension band was applied.RESULTS:16 years after the surgery, the patient was completely pain-free, motion of the lumbar spine was preserved and the physiological curvatures were maintained.CONCLUSION:To our knowledge a fusionless surgical solution for the treatment of a hemivertebra has never been described before. Although this is only a single case, the good result with a long follow-up suggests the technique is worthwhile considering when planning the treatment of a lumbar hemivertebra in very young children.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:European Spine Journal. - 65 : 1-2 (2012), p. 17-24. -
További szerzők:Fekete Tamás Fülöp Kleinstück, Frank S. Haschtmann, Daniel Bognár László (1958-) (idegsebész, gyermekidegsebész)
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