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Biomedical subjects

C V Burton

Publications and source records attributed to C V Burton.

At least 19 recordsLinked to original sources
PubMed1991

Causes of failure of surgery on the lumbar spine: ten-year follow-up.

A decade has passed since the primary factors in failures of surgery on the lumbar spine were identified, and the entity is still an expensive, disabling reality for too many patients. The incidence of failure has significantly decreased due to better practices as well as advances in the technology of surgical diagnostic studies and better means of conservative care. The author would like to join his colleagues in acknowledging the many contributions of Dr. Leonard Malis throughout his career toward improving the quality of patient care and helping avoid failure of back surgery in all patients.

Arachnoiditis↗
PubMed1985

CT evaluation of the failed back surgery syndrome.

Inadequate low back care has now been clearly identified as perhaps the greatest single waste of health care resources in the United States. Low back care failure represents a particularly frustrating and challenging entity. Statistics suggest that 25,000 to 50,000 FBSS cases occur each year. This is a public health problem that should be of the highest level of concern. Modern understanding and technical prowess allow us to study past therapeutic failures and thus gain the knowledge necessary to do better in the future. We sincerely hope that our colleagues will give careful consideration to the material presented here.

Arachnoiditis↗
PubMed1985

Successful surgical management of lateral spinal stenosis.

The past operative management of low back disease in the United States has been in such a morass that the medical profession and society have tended to avoid addressing the issue. As with all poorly understood disease entities the situation has changed dramatically as it has become better documented, logically comprehensible, and thus potentially treatable in an effective manner. An important key to this new understanding has been the delineation of lateral spinal stenosis as a disease process and its meaning in regard to the FBSS.

Adipose Tissue↗
PubMed1978

Lumbosacral arachnoiditis.

One hundred patients with lumbosacral adhesive arachnoiditis documented either directly at surgery or by unequivocal myelography served as the basis for this report on the pathologic process. Nomenclature for this disease, involving radiculitis, arachnoiditis, and adhesive arachnoiditis, is proposed. The entity appears not to be rare, as previously thought, but common in patients with severe back and/or leg pain and functional incapacitation due to the failed back surgery syndrome. While true incidence and relationship to a combination of causal factors remains to be accurately documented, the importance of Pantopaque in contributing to this disease process appears to be quite significant.

Arachnoiditis↗
PubMed1976

Neurosurgical materials and devices. Report on regulatory agencies and advisory groups.

The current status of voluntary consensus standards writing procedures in neurosurgery and the current progress of government efforts to regulate materials and devices are described. A survey of the national and international standards writing bodies is presented, along with an introduction to related organizations and agencies and nomenclature. The intent of this review is to provide the neurosurgeon with a reference source regarding past and present neurosurgical activities in the materials and devices field. When President Ford signed the 1976 Medical Device Amendments on May 28, 1976, the Food and Drug Administration assumed direct legal authority to control medical devices and potentially assumed the power to regulate those professionals using them.

Government Agencies↗
PubMed1975

Post-traumatic ophthalmic vein arterialization.

An unusual case of post-traumatic exophthalmos without pulsation, bruit or thrill, due to missile injury is presented. Arterialization of the ophthalmic vein represents one of the very few situations where an eye injury can lead to exsanguination and dealth unless the diagnosis is made early. Prompt carotid arteriography is advised to document the pathologic process and guide appropriate therapy.

Adolescent↗
PubMedDate not supplied

Computed tomographic scanning and the lumbar spine. Part I: Economic and historic review.

Computed tomography represents one of the most remarkable short-term technical advances ever seen in medicine. Its recent extension to scanning of the lumbar spine promises to become its most significant extra-cranial application. The accusation has been made that CT scanning represents an expensive diagnostic modality whose cost is unjustified by its clinical value. Recent studies indicate that CT scanning is presently cost-effective and promises to become more so in the future, not only by decreasing the cost of instrumentation but also by replacing other diagnostic tests (particularly those of an invasive type) and lessening the need for exploratory surgery. CT scanning is of direct benefit to the patient because it assures that lumbar surgery is performed only after an accurate and complete diagnosis.

Cost-Benefit Analysis↗
PubMedDate not supplied

Computed tomographic scanning and the lumbar spine. Part II: Clinical considerations.

With the advent of computed tomography of the lumbar spine, the theories of a small number of pioneering physicians regarding the pathologic sequela of degenerative disc disease and the entities of central and lateral spinal stenosis have been translated into objective determinations which can now be observed by all. CT scanning has provided clinicians with a better appreciation of the diagnostic limitations of myelography and of the pathologic sequela of hemilaminectomy, dorsal-lateral fusion, and discectomy itself. Since the identification by CT scanning of the loss of disc volume, leading to lateral nerve entrapment and nerve compression resulting from fusion overgrowth, it has become clear that our present modes of therapy require comprehensive reevaluation. Because of the findings of CT scanning, dorsal-lateral fusion now appears to have a much reduced role in the treatment of degenerative disc disease and spinal stenosis. In an era in which unnecessary surgery is a matter of concern, CT scanning is an important means of ensuring that surgery will be undertaken only after thorough pathologic conditions.

Adult↗
PubMedDate not supplied

Safety and clinical efficacy of implanted neuroaugmentive spinal devices for the relief of pain.

When applied under the circumstances of minimal patient risk, as documented in this paper, implanted neuroaugmentive spinal devices are a reasonable means of therapy for selected severe pain problems. With presently developed screening techniques, a 50% good-to-excellent result was obtained in 198 patients predominently consisting of 'failed back surgery syndrome' (94%). These figures represent a very significant improvement in success of treatment for this group of patients when compared to other present modes of therapy. With continued optimization of the use of spinal neuroaugmentive devices, it is likely that future clinical success can be significantly improved.

Electric Stimulation Therapy↗
PubMedDate not supplied

RF lesion generation.

Although the technique of RF lesion generation is a well-established medical technique, most professionals using it do not understand the basic principles of electronics by which the phenomenon occurs. A review of this with special attention to the 'indifferent' or 'dispersive' electrode would lead to better practice and less adverse effects, such as patient skin burns.

Burns↗