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Joseph A Weiner, Ralph W Cook, Sohaib Hashmi, Michael S Schallmo, Danielle S Chun, Kathryn A Barth, Sameer K Singh, Alpesh A Patel, Wellington K Hsu
STUDY DESIGN: A retrospective review of Centers for Medicare and Medicaid Services Database. OBJECTIVE: Utilizing Open Payments data, we aimed to determine the prevalence of industry payments to orthopedic and neurospine surgeons, report the magnitude of those relationships, and help outline the surgeon demographic factors associated with industry relationships. SUMMARY OF BACKGROUND DATA: Previous Open Payments data revealed that orthopedic surgeons receive the highest value of industry payments...
September 15, 2017: Spine
Woo-Keun Kwon, Joo Han Kim, Hong Joo Moon, Youn-Kwan Park
OBJECTIVES: The Korean Resource Based Relative Value Scale (K-RBRVS) was introduced in 2001 as an alternative of the previous medical fee schedule. Unfortunately, most neurosurgeons are unfamiliar with the details of the K-RBRVS and how it affects the reimbursement rates for the surgical procedures we perform. We summarize the K-RBRVS in brief, and discuss on how the relative value (RV) of the spinal neurosurgical procedures have changed since the introduction in 2001. METHODS: We analyzed the change of spinal procedure RVs since 2001, and compared it with the change of values in the brain neurosurgical procedures...
January 1, 2017: Journal of Korean Neurosurgical Society
Srikant Balasubramaniam, Devendra K Tyagi, Sheikh H Zafar, Hemant V Savant
INTRODUCTION: Anterior approach provides excellent visualization and access to the anterior thoracic spine. It may be used alone, in combination with a posterior midline approach or in a staged or sequential fashion. AIMS: To analyse our institutional experience in transthoracic approaches and to determine the safety and benefit of this approach in our patient series. MATERIALS AND METHODS: A total of 16 patients were operated for varying lesions of body of dorsal vertebra by the transthoracic approach...
October 2016: Journal of Craniovertebral Junction and Spine
Rossella Arnoldi, Francesco Macchini, Valerio Gentilino, Giorgio Farris, Anna Morandi, Giulia Brisighelli, Ernesto Leva
BACKGROUND/PURPOSE: The purpose of this study was to investigate the outcome of patients operated for anorectal malformations (ARMs) with good prognosis. METHODS: Thirty patients underwent clinical evaluation by Rintala score and anorectal manometry recording anal resting pressure (ARP), rectoanal inhibitory reflex (RAIR), and rectal volume (RV). The results were analysed with regard to sex, type of ARM, surgical timing of posterior sagittal anorectoplasty (PSARP), neurospinal cord dysraphism (ND), neonatal colostomy, and institution where they underwent surgery...
August 2014: Journal of Pediatric Surgery
Ahmed Abdel Khalek Abdel Razek
We review the neurospinal and craniofacial imaging findings in vascular neurocutaneous disorders. The patients presented with cutaneous and cerebral lesions associated with craniofacial abnormalities or spinal lesions. Vascular neurocutaneous disorders may involve segmental or localized lesions associated with either low- or high-flow vascular malformations. Other neuroimaging findings include vascular occlusive changes with ischemic stroke, ectatic arteries, aneurysm, cortical migrational disorders such as hemimegalencephaly and congenital anomalies of the posterior fossa...
September 2014: Japanese Journal of Radiology
Sedat Dalbayrak, Onur Yaman, Mesut Yılmaz
CONTEXT: Treatment of Hangman's fractures is still controversial. Hangman's fractures Type II and IIA are usually treated with surgical procedures. AIM: This study aims at describing the Neurospinal Academy (NSA) technique as an attempt to achieve an approximation of the fracture line to the axis body, which may be used for Type II and IIA patients with severe displacement and angulation. SETTINGS AND DESIGN: NSA technique both pars or pedicle screws are placed bicortically to ensure that anterior surface of C2 vertebral body will be crossed 1-2 mm...
July 2013: Journal of Craniovertebral Junction and Spine
Pe Sreedharan Namboothiri, Sreehari Narayanan Nair, Krishnan Vijayan, Vk Visweswaran
We report a case of disseminated meningospondylodiscitis in an elderly diabetic patient caused by Fusarium oxysporum. As the clinical presentation was nonspecific, the diagnosis of the condition could only be arrived at after laboratory and imaging studies. The diagnosis of the condition requires a high index of suspicion. Patient underwent thorough surgical debridement along with a short course of variconazole and remained asymptomatic after 36 months of diagnosis. Fusarium is a large genus of filamentous fungi widely distributed in soil and in association with plants...
March 2014: Indian Journal of Orthopaedics
Jose Roberto Tude Melo, Pollyana Pacheco, Luiz Eduardo Wanderley
Human tail and multiple spinal dysraphism are unusual congenital malformations. Human tail appeared as a prominent lesion from the lumbosacrococcygeal region, generally without connection between the tail and the neurospinal axis. Spinal dysraphisms are usually isolated, reaching 0.038% of incidence of multiple spinal dysraphisms in the same child. There were three cases described of unusual spinal dysraphic lesions: two cases of human tail and a case of a multiple thoracic myelomeningocele. The literature about diagnosis and treatment was reviewed...
2013: Case Reports in Pediatrics
Hadie Adams, Javier Avendaño, Shaan M Raza, Ziya L Gokaslan, George I Jallo, Alfredo Quiñones-Hinojosa
STUDY DESIGN: Observational cross-sectional study. OBJECTIVE: Using data from the population-based cancer registries of the Surveillance, Epidemiology and End Results (SEER) program, we analyzed demographic features, tumor and treatment characteristics, as well as survival rates in patients with primary malignant astrocytomas of the spinal cord (PMASC). SUMMARY OF BACKGROUND DATA: PMASC is a rare neoplasm and is considered to carry the same dismal outcome as their cerebral counterparts...
May 20, 2012: Spine
Janet Palamone, Susan Brunovsky, Matt Groth, Linda Morris, Mary Kwasny
Neurosurgical patients tend to have the highest rate of deep vein thrombosis (DVT) rate among other postsurgical patients. The methods and timing of DVT prevention and treatment continue to be debated among neurointensivists. The greatest opportunity to intervene is early during the stay in the intensive care unit. There are many factors, however, that can make this the most neglected time for aggressive prevention measures. For large university teaching hospitals, the target of the University Health System Consortium is to achieve an average DVT rate at or below half that of previous reported rates...
December 2011: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
Daniel H Fulkerson, Shobhan Vachhrajani, Alison Brayton, Abhaya V Kulkarni, Andrew Jea
BACKGROUND/AIMS: The perception of a surgical complication may differ between surgeons and patients. In pediatric spine surgery, the perception of the parent or primary caregiver may also differ. In order to better define these relationships, we performed a pilot study surveying a convenience sample of pediatric spinal surgeons, patients and their parent or primary caregiver. We hope to use this initial pilot study as a starting point for future research into this incompletely defined, yet increasingly relevant topic...
2010: Pediatric Neurosurgery
A Di Cesare, E Leva, F Macchini, L Canazza, G Carrabba, M Fumagalli, F Mosca, M Torricelli
BACKGROUND/PURPOSE: Anorectal malformations (ARM) are a spectrum of defects ranging from the very minor ones, with an excellent functional prognosis, to those that are more complex, often associated with other anomalies, difficult to manage and with a poor functional outcome. A significant number of these children suffer from fecal and urinary incontinence despite major advances in the management of ARM patients have significantly improved the quality of life. The role of sacrovertebral anomalies/dysraphism (SD) and neurospinal cord anomalies/dysraphism (ND) associated with ARM on the continence of these patients is still controversial...
November 2010: Pediatric Surgery International
Denis Le Bihan
MR neuroimaging does not interfere with brain function. Because it is safe, it can be used to study the brains of both patients and healthy volunteers. The tasks performed by neurons depend largely on their precise location, and high-field magnets have the potential to provide a 5- to 10-fold increase in spatiotemporal resolution. This should allow brain function to be studied on a scale of only a few thousand neurons, possibly at the intermediate scale of the "neural code". NeuroSpin, a new CEA research center, is dedicated to neuro-MRI at high magnetic field stengths...
April 2009: Bulletin de L'Académie Nationale de Médecine
Adrian Nowitzke
A fundamental dilemma that faces both neurosurgery in general and the subspecialty field of spine surgery is the question of whether those who trained in the former and now work in the latter should maintain their links with their origins and remain under the broader umbrella of neurosurgery, or whether they should develop their own organizational structure and identity separate from organized neurosurgery. This challenge raises many questions with respect to future potential for growth and development, professional identity, and collegiality...
October 2008: Journal of Neurosurgery. Spine
Baljeet Uppal, William R Flinn, Marshall E Benjamin
Since the introduction of inferior vena cava (IVC) filters more than 30 years ago, there has been a steady improvement in the design, ease, and safety of the delivery systems. Today, all of the commonly used filters can be placed via a peripheral vein by using standard percutaneous Seldinger technique. However, this typically requires fluoroscopy, intravenous contrast agents, radiation exposure, and transport of the patient to the interventional or operating suite. In the multiply injured trauma or critically-ill intensive care unit patient, often requiring inotropic and ventilator support, transport to these facilities can be hazardous...
March 2007: Perspectives in Vascular Surgery and Endovascular Therapy
Jean-Yves Nau
No abstract text is available yet for this article.
November 29, 2006: Revue Médicale Suisse
Lynn F Bloom, Nathalie M Lapierre, Keith G Wilson, Dorothyann Curran, Daniel A DeForge, Jeff Blackmer
OBJECTIVE: To determine the concordance between patients with multiple sclerosis and their clinical team members on the identification of goals for an inpatient rehabilitation stay. DESIGN: Prospective cohort study of patients admitted for rehabilitation in an adult inpatient neurospinal unit at a Rehabilitation Centre in Ottawa, Canada. Twenty-seven patients (11 men and 16 women, mean age of 45.3 yrs) with either a laboratory or a clinically supported diagnosis of multiple sclerosis...
October 2006: American Journal of Physical Medicine & Rehabilitation
M Iqbal Afridi, Samana Haider, Zafar Haider, Musarrat Hussain
OBJECTIVE: To determine clinical manifestations of depressive disorder among cases below 18 years. DESIGN: Cross-sectional study. PLACE AND DURATION OF STUDY: Carried out at NMI (Neurospinal Medical Institute), Karachi, over a period of 3 years (October 2001 to 2004). PATIENTS AND METHODS: Four hundred consecutive cases, below the age of 18 years, were evaluated. One hundred cases were inducted in this study based on detailed history and interview by psychiatrists...
February 2006: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Jeffrey B Campbell, Katherine N Moore, Donald C Voaklander, Lawrence W Mix
PURPOSE: Clean intermittent catheterization (CIC) is commonly used in the management of voiding dysfunction associated with neurospinal dysraphism. We determined the incidence of genitourinary complications associated with this technique in a population of children with spina bifida. MATERIALS AND METHODS: The charts of all children younger than 13 years attending a multi-disciplinary spina bifida clinic between 1987 and 2002 were reviewed. Children in whom CIC had been performed for a minimum of 5 years were identified...
June 2004: Journal of Urology
Laurel Gibbs, Anthony Kakis, Philip Weinstein, John E Conte
Surgical-site infection occurred in 6 of 42 neurospinal cases in which bone wax was used and in 1 of 72 cases in which it was not used during a 3-month period (P < .01). Increased risk of infection should be considered when using bone wax as a hemostatic agent.
April 2004: Infection Control and Hospital Epidemiology
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