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Burst fracture

Thossart Harnroongroj, Thos Harnroongroj, Thongchai Suntharapa, Marut Arunakul
OBJECTIVE: The aim of this study was to develop a new calcaneal fracture classification system which will consider sustentacular fragment configuration and relation of posterior calcaneal facet to calcaneal body. METHODS: The new classification system used sustentacular fragment configuration and relation of posterior calcaneal facet fracture with fracture components of calcaneal body as key aspects of main types and subtypes. Between 2000 and 2014, 126 intraarticular calcaneal fractures were classified according to the new classification system by using computed tomography images...
September 22, 2016: Acta Orthopaedica et Traumatologica Turcica
Sameer H Halani, Jonathan P Riley, Gustavo Pradilla, Faiz U Ahmad
Traumatic neurologic injury in contact sports is a rare but serious consequence for its players. These injuries are most commonly associated with high-impact collisions, for example in football, but are found in a wide variety of sports. In an attempt to minimize these injuries, sports are trying to increase safety by adding protection for participants. Most recently is the seemingly 'safe' sport of Bubble Soccer, which attempts to protect its players with inflatable plastic bubbles. We report a case of a 16-year-old male sustaining a cervical spine burst fracture with incomplete spinal cord injury while playing Bubble Soccer...
September 10, 2016: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
Jing Xiao, Xiaobin Wang, Xiaoju Tan
OBJECTIVE: To verify whether the procedure of posterior instrumentation and vertebroplasty for treatment of thoracolumbar burst fracture in youth and middle-aged patients is safe, practical and effective in short- and long-term.
 METHODS: A total of 50 patients aged 30-55 years old who suffered from thoracolumbar burst fracture complicated with incomplete paralysis or without neurologic symptom received surgery by using pedicle-screw implantation, reduction and bone cement filling through the unilateral or bilateral pedicles...
August 2016: Zhong Nan da Xue Xue Bao. Yi Xue Ban, Journal of Central South University. Medical Sciences
Mario Morgenstern, Christian von Rüden, Hauke Callsen, Jan Friederichs, Sven Hungerer, Volker Bühren, Alexander Woltmann, Christian Hierholzer
INTRODUCTION: The thoracic cage is an anatomical entity composed of the upper thoracic spine, the ribs and the sternum. The aims of this study were primarily to analyse the combined injury pattern of thoracic cage injuries and secondarily to evaluate associated injuries, trauma mechanism, and clinical outcome. We hypothesized that the sternal fracture is frequently associated with an unstable fracture of the thoracic spine and that it may be an indicator for unstable thoracic cage injuries...
August 29, 2016: Injury
Pooya Movahed, Wayne Kreider, Adam D Maxwell, Shelby B Hutchens, Jonathan B Freund
A generalized Rayleigh-Plesset-type bubble dynamics model with a damage mechanism is developed for cavitation and damage of soft materials by focused ultrasound bursts. This study is linked to recent experimental observations in tissue-mimicking polyacrylamide and agar gel phantoms subjected to bursts of a kind being considered specifically for lithotripsy. These show bubble activation at multiple sites during the initial pulses. More cavities appear continuously through the course of the observations, similar to what is deduced in pig kidney tissues in shock-wave lithotripsy...
August 2016: Journal of the Acoustical Society of America
Yasser Assaghir
STUDY DESIGN: Retrospective comparative clinical case series. OBJECTIVE: Burst C2 fractures are very rare. Treatment options include conservative treatment or fusion (anterior, posterior, or anterior and posterior). Anterior fusion addresses mainly hangman component. The bursting body usually needs posterior or combined anterior-posterior fusion, but both permanently sacrifice atlantoaxial motion. Can anterior-"first" approach preserve C1-C2 motion and restore function? METHODS: We report nine cases of burst C2 combined with C2-C3 spondylolisthesis and an odontoid fracture...
September 2016: Global Spine Journal
Mauro Dobran, Davide Nasi, Denise Brunozzi, Lucia di Somma, Maurizio Gladi, Maurizio Iacoangeli, Massimo Scerrati
BACKGROUND: The surgical management of thoracolumbar burst fractures frequently involves posterior pedicle screw fixation. However, the application of short- or long-segment instrumentation is still controversial. The aim of this study was to compare the outcome of the short-segment fixation with inclusion of the fracture level (SSFIFL) versus the traditional long-segment fixation (LSF) for the treatment of unstable thoracolumbar junction fractures. METHODS: From December 2009 to February 2014, 60 patients with unstable thoracolumbar junction fractures (T11-L2) were divided into two groups according to the number of instrumented levels...
October 2016: Acta Neurochirurgica
Jingmin Li, Lihua Guo, Yuancheng Li, Zhenkun Lei, Yuanchang Liu, Weiping Shi, Tao Li, Weikang Li, Chong Liu
Open surgery is currently the main treatment method for the lumbar burst fracture with neurological deficit but may irreversibly disrupt the lumbar anatomy. The minimally invasive surgery (MIS) techniques have recently gained increasing attention. However, their use is still limited to lumbar burst fractures mainly due to their difficulties in burst fracture reduction and decompression. Here we present a novel bio-inspired MIS device which can be used with an endoscope to reset the bone fragments retropulsed into the spinal canal within the wounded vertebral body...
2016: Bioinspiration & Biomimetics
Yoshihiro Katsuura, James Michael Osborn, Garrick Wayne Cason
PURPOSE: To describe the epidemiology of thoracolumbar fractures and associated injuries in blunt trauma patients. METHODS: A systematic review and metaanalysis was performed based on a MEDLINE database search using MeSH terms for studies matching our inclusion criteria. The search yielded 21 full-length articles, each sub-grouped according to content. Data extraction and multiple analyses were performed on descriptive data. RESULTS: The rate of thoracolumbar fracture in blunt trauma patients was 6...
December 2016: Journal of Orthopaedics
Linli Li, Youhai Dong, Yiqun He, Xiangsheng Liu, Wenqing Tong
Purpose To evaluate the efficacy of percutaneous pedicle screw fixation technique combined with three-step reduction in the treatment of thoracolumbar fracture. Methods This is a retrospective study, based on medical records from the archives of the Fifth People's Hospital of Fudan University, from January 2012 to January 2015. The 49 patients with thoracolumbar fracture were treated with percutaneous pedicle screw fixation technique combined with three-step reduction. The treatment plan was determined by the AO classification and the Thoracolumbar Injury Classification and Severity classification...
July 26, 2016: Journal of Neurological Surgery. Part A, Central European Neurosurgery
T P O Nguyen, B M Tran, N Y Lee
Here, we introduce a simple and fast method for bonding a poly(dimethylsiloxane) (PDMS) silicone elastomer to different plastics. In this technique, surface modification and subsequent bonding processes are performed at room temperature. Furthermore, only one chemical is needed, and no surface oxidation step is necessary prior to bonding. This bonding method is particularly suitable for encapsulating biomolecules that are sensitive to external stimuli, such as heat or plasma treatment, and for embedding fracturable materials prior to the bonding step...
August 16, 2016: Lab on a Chip
Mario Cahueque, Andrés Cobar, Carlos Zuñiga, Gustavo Caldera
UNLABELLED: The most common fractures in the spine take place in the thoracolumbar region. Currently there is no consensus regarding optimum treatment. OBJECTIVE: Analyze the current medical literature available regarding treatment of compression fractures of the thoracolumbar spine. METHODS: Research of current literature in medical databases. RESULTS: Regarding current available literature, we found no consensus in the treatment of compression fractures in the thoracolumbar spine...
December 2016: Journal of Orthopaedics
Han-Song Sheng, Nu Zhang, Jian Lin, Fen-Chun Lin, Bo Yin, Mao-de Wang
OBJECTIVES: Surgical management of cranial burst fracture (CBF) usually involves craniotomy to remove the devitalized brain tissues, followed by watertight repair of dural tears. However, there were times when the dural tear was so extensive that a substantially large bone flap would have to be removed in order to expose the retracted dural margins before it could be repaired. In such cases, strict dural repair would incur a significantly higher risk of damages to the surrounding neural tissues and severe bleeding, especially when the fracture was in the vicinity of eloquent cortical areas and sinus...
September 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
Said Sadiqi, F Cumhur Oner
No abstract text is available yet for this article.
July 11, 2016: Clinical Spine Surgery
Yu Qian, Zhen Lin, Cong Jin, Xing Zhao, Minghao Zheng
STUDY DESIGN: Surgical approach development in an animal model, and a prospective study comparing clinical outcomes between novel and conventional approaches in thoracolumbar burst fracture fixation. OBJECTIVE: To investigate the feasibility of a less-invasive retroperitoneal approach to the lumbar spine in a sheep model and to compare the clinical outcomes of anterior reconstruction in the treatment of thoracolumbar burst fractures using novel and conventional approaches...
June 28, 2016: Clinical Spine Surgery
Paul Axelsson, Björn Strömqvist
Background and purpose - Randomized trials have found that treating spinal burst fractures with reduction and posterior fixation is adequate without the use of bone grafting for definitive fusion. Restitution of intervertebral mobility of such an unfused segment after fracture healing may unload the adjacent parts of the spine and reduce the risk of degeneration of these segments. We used radiostereometry (RSA) to study whether late implant removal would restore the intervertebral mobility of a thoracolumbar segment treated with posterior instrumentation but no bone grafting for unstable spinal fracture...
October 2016: Acta Orthopaedica
Muhammad Zeeshan Mughal, Riccardo Moscatelli, Marco Sebastiani
Novel high speed nanoindentation data is reported for 0% and 100% state of charge (SoC) for the spinal Li x Mn2O4 material. The article also includes the load/displacement data for different SoC highlighting the displacement bursts corresponding to the pillar splitting for fracture toughness evaluation. For more details, please see the article; Mughal et al. (2016) [1].
September 2016: Data in Brief
Yohan Chacko, Richard Chan, J Kimberly Haladyn, Richard Lim
OBJECTIVE: Aggressive stent expansion is required for optimal strut apposition, but risk of stent deformation, fracture and subsequent restenosis is potentially greater when performed without intravascular imaging guidance. We investigated how frequently stents are 'overexpanded' and whether this correlates with restenosis. DESIGN AND SETTING: Single-centre prospective database study at a high-volume tertiary university hospital. PATIENTS: 243 patients undergoing single-vessel stenting for de novo stenosis in 277 lesions...
2014: Heart Asia
Pravin Padalkar, Nilesh Virani, Ambadas Kathare
INTRODUCTION: A case of young male patients aged 25 years old presented with history of injured from falling heavy object on his back. There was burst Fracture of L5 Vertebrae with grade 3 spondylolisthesis. It was completely different from the types of L5 fracture that had been published up to now. Our patient had combination of a complete burst fracture of the fifth lumbar vertebra with dislocation and complete disruption of the posterior ligamantous and bony complex between L5 and sacrum...
April 2014: Journal of Orthopaedic Case Reports
Azad Sait, Nadipi Reddy Prabhav, Vijay Sekharappa, Reshma Rajan, N Arunai Nambi Raj, Kenny Samuel David
OBJECTIVE There has been a transition from long- to short-segment instrumentation for unstable burst fractures to preserve motion segments. Circumferential fixation allows a stable short-segment construct, but the associated morbidity and complications are high. Posterior short-segment fixation spanning one level above and below the fractured vertebra has led to clinical failures. Augmentation of this method by including the fractured level in the posterior instrumentation has given promising clinical results...
June 10, 2016: Journal of Neurosurgery. Spine
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