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preop evaluation

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https://www.readbyqxmd.com/read/27864681/are-sagittal-spinopelvic-radiographic-parameters-significantly-associated-with-quality-of-life-of-adult-spinal-deformity-patients-multivariate-linear-regression-analyses-for-pre-operative-and-short-term-post-operative-health-related-quality-of-life
#1
Mitsuru Takemoto, Louis Boissière, Jean-Marc Vital, Ferran Pellisé, Francisco Javier Sanchez Perez-Grueso, Frank Kleinstück, Emre R Acaroglu, Ahmet Alanay, Ibrahim Obeid
PURPOSE: To evaluate the association in ASD patients between spinopelvic sagittal parameters and health-related quality of life (HRQL), adjusted for demographic and surgical variables. METHODS: We constructed multiple linear regression models to investigate pre-operative (PreOp) and 6-month post-operative (PostOp) HRQL as assessed by the Oswestry Disability Index (ODI), with sagittal parameters as independent variables adjusted for potential confounders, such as age, sex, body mass index, past spine surgery, types of surgical treatment, and complications...
November 18, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27846325/preoperative-evaluation-a-time-saving-algorithm
#2
REVIEW
Michael J Arnold, Joshua Beer
Our preop evaluation method combines the latest guidelines and tools to help you avoid unnecessary testing and complete the process in one visit.
October 2016: Journal of Family Practice
https://www.readbyqxmd.com/read/27607110/the-effects-of-molding-helmet-therapy-on-spring-mediated-cranial-vault-remodeling-for-sagittal-craniosynostosis
#3
Jordan W Swanson, Jacqueline A Haas, Brianne T Mitchell, Philip B Storm, Scott P Bartlett, Gregory G Heuer, Jesse A Taylor
There is no clear consensus for the optimal treatment of sagittal craniosynostosis; however, recent studies suggest that improved neurocognitive outcomes may be obtained when surgical intervention imparts active cranial expansion or remodeling and is performed before 6 months of age. The authors consider spring-mediated cranioplasty (SMC) to optimally address these imperatives, and this is an investigation of how helmet orthoses before or after SMC affect aesthetic outcomes.The authors retrospectively evaluated patients treated with SMC and adjunct helmeting for sagittal synostosis...
September 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27491785/primary-extremity-soft-tissue-sarcomas-does-local-control-impact-survival
#4
Sylvie Bonvalot, Antonin Levy, Philippe Terrier, Dimitri Tzanis, Sara Bellefqih, Axel Le Cesne, Cécile Le Péchoux
BACKGROUND: The objective of this study was to evaluate the adequate margin in the local treatment of extremity soft tissue sarcomas (ESTS) and understand the relationship between local control and overall survival (OS). METHODS: All consecutive patients treated for a primary ESTS at a single center from 1993 to 2012 were reviewed. RESULTS: In all, 531 patients were included. Twelve (2 %) underwent a first-line amputation. The resections were R0/R1/not available in 434 (82 %), 92 (17 %), and 5 patients (1 %)...
August 4, 2016: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/27387358/short-versus-long-segment-posterior-fixation-in-the-treatment-of-thoracolumbar-junction-fractures-a-comparison-of-outcomes
#5
Mueez Waqar, Dmitri Van-Popta, Damiano Giuseppe Barone, Maneesh Bhojak, Robin Pillay, Zaid Sarsam
PURPOSE: To compare clinical and radiological outcomes between short (SSPF) and long-segment (LSPF) posterior fixation for thoracolumbar junction (TLJ) fractures. MATERIALS AND METHODS: Retrospective review of adult patients, with single-level, TLJ (T11-L2) fractures, treated with posterior fixation between 2007 and 2014 at a regional spinal centre. SSPF and LSPF were defined as transpedicular screw fixation at one and two levels above and below the fractured vertebra, respectively...
July 8, 2016: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/27341094/-refractive-surgery-in-children-with-myopic-anisometropia-and-amblyopia-in-comparison-with-conventional-treatment-by-contact-lenses
#6
R Autrata, I Krejčířová, L Griščíková, Z Doležel
UNLABELLED: Our study evaluated the visual and refractive results of LASEK and anterior chamber phakic intraocular lens (pIOL) implantation performed for high myopic anisometropia with amblyopia and contact lens intolerance in children compared with conventional treatment by contact lenses.Fourty-three patients (Group A) aged 3 to 7 years (mean, 5,6 years) with high myopic anisometropia and amblyopia had performed multizonal LASEK (27 eyes) or pIOL Verisyse implantation (16 eyes) on the more myopic eye in general anesthesia...
2016: Ceská a Slovenská Oftalmologie
https://www.readbyqxmd.com/read/27259805/a-retrospective-study-of-two-populations-to-test-a-simple-rule-for-spirometry
#7
Jill A Ohar, Barbara P Yawn, Gregg L Ruppel, James F Donohue
BACKGROUND: Chronic lung disease is common and often under-diagnosed. METHODS: To test a simple rule for conducting spirometry we reviewed spirograms from two populations, occupational medicine evaluations (OME) conducted by Saint Louis and Wake Forest Universities at 3 sites (n = 3260, mean age 64.14 years, 95 % CI 58.94-69.34, 97 % men) and conducted by Wake Forest University preop clinic (POC) at one site (n = 845, mean age 62.10 years, 95 % CI 50...
June 4, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27191667/corneal-astigmatism-stability-in-descemet-membrane-endothelial-keratoplasty-for-fuchs-corneal-dystrophy
#8
Hideaki Yokogawa, P James Sanchez, Zachary M Mayko, Michael D Straiko, Mark A Terry
PURPOSE: To calculate the magnitude and angle of the shift in corneal astigmatism associated with Descemet membrane endothelial keratoplasty (DMEK) surgery to determine the feasibility of concurrent astigmatism correction at the time of DMEK triple procedures. DESIGN: Retrospective study. METHODS: Forty-seven eyes that previously underwent the DMEK procedure for Fuchs endothelial corneal dystrophy and that had more than 1.0 diopter (D) of front corneal astigmatism preoperatively were identified...
July 2016: Cornea
https://www.readbyqxmd.com/read/27156427/is-the-use-of-a-preoperative-computed-tomography-beneficial-to-reduce-the-interobserver-variability-of-the-ctvboost-delineation-for-breast-radiation-therapy
#9
Karolien Verhoeven, Stephanie Peeters, Katrien Erven, Isabelle Kindts, Erik Van Limbergen, Hilde Janssen, Annouschka Laenen, Saskia Petillion, Caroline Weltens
PURPOSE: To determine whether the use of a preoperative (preop) computed tomography (CT) reduces (1) the clinical target volume boost (CTVboost) and (2) the interobserver variability (IOV) of the delineated CTVboost in breast radiation therapy. METHODS AND MATERIALS: In patients treated with breast-conserving therapy, 3 CT scans in treatment position were performed: (1) preop; (2) after surgery, prechemotherapy (postop); and (3) postchemotherapy (postchemo). Six radiation-oncologists delineated the tumor bed and CTVboost before and after fusion of the preop CT...
March 4, 2016: Practical Radiation Oncology
https://www.readbyqxmd.com/read/27114248/application-of-fleeox-preoperative-chemotherapy-via-intra-arterial-and-intravenous-administration-in-treatment-of-unresectable-locally-advanced-gastric-cancer
#10
Qi He, Yang Li, Long Ma, Xiang Ji, Guoli Li
BACKGROUND: The prognosis of unresectable locally advanced gastric cancer is poor. We applied preoperative chemotherapy via intra-arterial and intravenous administration to convert an initially unresectable gastric cancer to a resectable cancer. METHODS: From January 2005 to December 2010, 105 patients with unresectable locally advanced gastric cancer (T3-4N1-3M0) were selected for preoperative chemotherapy with 5-FU + leucovorin + etoposide + oxaliplatin + epirubicin (FLEEOX) regimen...
August 2016: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/27090295/surgical-revascularization-an-innovative-approach-to-the-treatment-of-talar-osteonecrosis-dissecans-stages-ii-and-iii
#11
Victoria F Struckmann, Leila Harhaus, Rainer Simon, Christoph Woelfl, Jan von Recum, Jörn Thiele, Ulrich Kneser, Thomas Kremer
Talar osteonecrosis dissecans is caused by osseous malperfusion, leading to destruction of the talar bone. The current reference standard for advanced stages lacking arthrosis is core decompression, followed by autologous cancellous bone grafting. However, talar revascularization has not been observed in a subset of patients after this procedure. Microsurgical vascularized bone grafting can improve outcomes by the induction of angiogenesis. We present the 1-year follow-up data from 3 patients with talar osteonecrosis dissecans, who had undergone free vascularized medial femoral condyle autotransplantation...
April 16, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27057138/quality-of-life-in-patients-submitted-to-surgical-treatment-of-idiopathic-scoliosis
#12
João Bernardo Sancio Rocha Rodrigues, Nathália Ambrozim Santos Saleme, José Lucas Batista, Igor Machado Cardoso, Charbel Jacob
OBJECTIVE: : To evaluate quality of life, using the SF-36, in patients with adolescent idiopathic scoliosis (AIS) who un-derwent surgery for deformity correction, comparing the results in the pre-and post-operative period. METHODS: : We evaluated 29 patients, 24 female, mean age 14.5 years, all patients had measurement of Cobb angle greater than 50º, and responded to the SF-36 questionnaire preope-ratively and on average two years after surgery. RESULTS: : There was improvement in all eight domains studied by the SF-36 after surgical treatment, with statistically significant improvement of the domains functional capacity physical aspects, pain and general state...
November 2015: Acta Ortopedica Brasileira
https://www.readbyqxmd.com/read/27044020/adult-spinal-deformity-correction-with-multi-level-anterior-column-releases-description-of-a-new-surgical-technique-and-literature-review
#13
Gokhan Demirkiran, Alexander A Theologis, Murat Pekmezci, Christopher Ames, Vedat Deviren
STUDY DESIGN: Case series. OBJECTIVE: To evaluate radiographic and clinical outcomes of adults with spinal deformity treated with multilevel anterior column releases (ACR). SUMMARY OF BACKGROUND DATA: Pedicle subtraction osteotomy can be used effectively to correct spinal deformity; however, it is not without complications. ACR is an attractive alternative minimally invasive technique for spinal deformity correction, although few clinical reports on its clinical effectiveness exist...
May 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27032021/effectiveness-of-intraductal-meibomian-gland-probing-for-obstructive-meibomian-gland-dysfunction
#14
Zuleyha Sik Sarman, Bulent Cucen, Nursen Yuksel, Abdulkadir Cengiz, Yusuf Caglar
PURPOSE: To evaluate the short-term effectiveness of intraductal meibomian gland probing using modified Maskin cannulas in patients with obstructive meibomian gland dysfunction. METHODS: The study prospectively included 58 eyes of 30 patients with a diagnosis of meibomian gland dysfunction who were refractory to medical treatment for at least 6 months. The patients were divided into 4 groups according to the number of probing procedures applied. During probing, sterile modified Maskin probes 2, 2...
June 2016: Cornea
https://www.readbyqxmd.com/read/26957098/adjacent-segment-degeneration-and-revision-surgery-after-circumferential-lumbar-fusion-outcomes-throughout-15%C3%A2-years-of-follow-up
#15
José I Maruenda, Carlos Barrios, Felipe Garibo, Borja Maruenda
PURPOSE: This retrospective study analyzes long-term outcomes (15 years) of circumferential lumbar fusion (CF) for degenerative spine disease using instrumented PLIF. The occurrence of adjacent segment degeneration (ASD) and the reintervention rate was specially focused. METHODS: A series of 73 patients who underwent CF (1-3 levels) was reviewed. Patients were evaluated preoperatively, at 2, 5, 10 and 15 years after surgery with static and dynamic radiographic studies, CT scan and MRI...
May 2016: European Spine Journal
https://www.readbyqxmd.com/read/26936959/changes-in-knee-kinematics-following-total-knee-arthroplasty
#16
Mohsen Akbari Shandiz, Paul Boulos, Stefan Karl Saevarsson, Sam Yoo, Stephen Miller, Carolyn Anglin
Total knee arthroplasty (TKA) changes the knee joint in both intentional and unintentional, known and unknown, ways. Patellofemoral and tibiofemoral kinematics play an important role in postoperative pain, function, satisfaction and revision, yet are largely unknown. Preoperative kinematics, postoperative kinematics or changes in kinematics may help identify causes of poor clinical outcome. Patellofemoral kinematics are challenging to record since the patella is obscured by the metal femoral component in X-ray and moves under the skin...
April 2016: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
https://www.readbyqxmd.com/read/26892052/is-percent-seminoma-associated-with-intraoperative-morbidity-during-post-chemotherapy-rplnd
#17
Christopher M Russell, Pranav Sharma, Gautum Agarwal, John S Fisher, George J Richard, Philippe E Spiess, Julio M Pow-Sang, Michael A Poch, Wade J Sexton
INTRODUCTION: To evaluate whether varying degrees of seminomatous elements in the primary orchiectomy specimen would be predictive of patient morbidity during post-chemotherapy retroperitoneal lymph node dissection (PC-RPLND) since the desmoplastic reaction with seminoma is associated with increased intraoperative complexity. MATERIALS AND METHODS: We retrospectively identified 127 patients who underwent PC-RPLND for residual retroperitoneal masses. Clinicodemographic, intraoperative, and 30 day postoperative outcomes were compared for patients with pure seminoma (SEM), mixed germ cell tumors (GCT) containing seminoma elements (NS+SEM), and tumors with no seminoma elements (NS)...
February 2016: Canadian Journal of Urology
https://www.readbyqxmd.com/read/26866736/neurologic-outcomes-of-complex-adult-spinal-deformity-surgery-results-of-the-prospective-multicenter-scoli-risk-1-study
#18
Lawrence G Lenke, Michael G Fehlings, Christopher I Shaffrey, Kenneth M C Cheung, Leah Carreon, Mark B Dekutoski, Frank J Schwab, Oheneba Boachie-Adjei, Khaled M Kebaish, Christopher P Ames, Yong Qiu, Yukihiro Matsuyama, Benny T Dahl, Hossein Mehdian, Ferran Pellisé-Urquiza, Stephen J Lewis, Sigurd H Berven
STUDY DESIGN: Prospective, multicenter, international observational study. OBJECTIVE: To evaluate motor neurologic outcomes in patients undergoing surgery for complex adult spinal deformity (ASD). SUMMARY OF BACKGROUND DATA: The neurologic outcomes after surgical correction for ASD have been reported with significant variability and have not been measured as a primary endpoint in any prospective, multicenter, observational study. METHODS: The primary outcome measure was the change in American Spinal Injury Association (ASIA) Lower Extremity Motor Scores (LEMS) obtained preoperatively, and at hospital discharge, 6 weeks and 6 months postoperatively...
February 2016: Spine
https://www.readbyqxmd.com/read/26821956/which-is-better-for-arthroscopic-tenodesis-of-the-long-head-of-the-biceps-soft-tissue-or-bony-interference-fixation
#19
Jung-Taek Hwang, Cheol Jung Yang, Kyu-Cheol Noh, Yon-Sik Yoo, Yoon Suk Hyun, Yong Beom Lee, Xiaoning Liu
PURPOSE: To compare the outcome between arthroscopic soft tissue tenodesis (STT) at the rotator interval and bony interference fixation tenodesis (BIFT) at the distal bicipital groove for the long head of the biceps (LHB). METHODS: Twenty-five shoulders that underwent arthroscopic STT of the LHB were compared with 28 shoulders that underwent arthroscopic BIFT using a 5.5-mm Bio-Tenodesis screw (Arthrex, Naples, FL). American Shoulder and Elbow Surgeons scores, Constant score, and elbow flexion strength index (EFSI) were checked preoperatively, postoperative 1 year and 2 years...
April 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/26680827/clinical-significance-of-peripheral-blood-cea-mrna-expression-in-gastric-cancer-patients-underwent-curative-resection
#20
J H Seo, S H Park, C W Bak, C W Choi, B S Kim, S W Shin, Y H Kim, J S Kim, Y J Mok, J S Kim, S A Han, J I Yoon
PURPOSE: Recent advances in molecular technology have made it possible to detect small numbers of circulating tumor cells in the peripheral blood or bone marrow. Carcinoembryonic antigen (CEA) is an oncofetal antigen that is expressed in epithelial tumor cells. CEA mRNA may be a reliable marker for the detection of tumor cells in the peripheral blood of patients with epithelial cancer. MATERIALS AND METHODS: We analyzed the peripheral blood of 46 patients with gastric cancer who had undergone curative resection...
December 2001: Cancer Research and Treatment: Official Journal of Korean Cancer Association
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