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Sacral fractures

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https://www.readbyqxmd.com/read/28094419/postoperative-computed-tomography-and-low-field-magnetic-resonance-imaging-findings-in-dogs-with-degenerative-lumbosacral-stenosis-treated-by-dorsal-laminectomy
#1
Martin Rapp, Charles J Ley, Kerstin Hansson, Lennart Sjöström
OBJECTIVES: To describe postoperative computed tomography (CT) and magnetic resonance imaging (MRI) findings in dogs with degenerative lumbosacral stenosis (DLSS) treated by dorsal laminectomy and partial discectomy. METHODS: Prospective clinical case study of dogs diagnosed with and treated for DLSS. Surgical and clinical findings were described. Computed tomography and low field MRI findings pre- and postoperatively were described and graded. Clinical, CT and MRI examinations were performed four to 18 months after surgery...
January 17, 2017: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
https://www.readbyqxmd.com/read/28072651/relationship-of-sacral-fractures-to-nerve-injury-is-the-denis-classification-still-accurate
#2
Jannat M Khan, Alejandro Marquez-Lara, Anna N Miller
OBJECTIVE: Use modern computed tomographic imaging to reassess neurological injury risks associated with zone I-III sacral fractures as originally described by Denis, et al. DESIGN: Restrospective Case-control study. SETTING: University Level I Trauma Center. PATIENTS/PARTICIPANTS: 1507 consecutive patients who presented with sacral fractures between January 2000 and August 2012. MAIN OUTCOME MEASUREMENTS: Patients were stratified based on the diagnosis of acute neurological injury...
December 28, 2016: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28070681/comparison-of-the-18-month-outcome-after-the-treatment-of-osteoporotic-insufficiency-fractures-by-means-of-balloon-sacroplasty-bsp-and-radiofrequency-sacroplasty-rfs-in-comparison-a-prospective-randomised-study
#3
Reimer Andresen, Sebastian Radmer, Julian Ramin Andresen, Hans-Christof Schober
PURPOSE: The objective of this prospective, randomised study was to examine the feasibility and clinical outcome of balloon sacroplasty and radiofrequency sacroplasty. METHODS: In 40 patients with a total of 57 sacral fractures, CT-guided cement augmentation was performed by means of BSP or RFS. For BSP, the balloon catheter was inflated and deflated in the fracture zone, and the hollow space, thus, created was then filled with PMMA cement. For RFS, the spongious space in the fracture zone was initially extended using a flexible osteotome, and the highly viscous PMMA cement, activated by radiofrequency, was then inserted into the prepared fracture zone...
January 9, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28061493/effects-of-percutaneous-sacroplasty-on-pain-and-mobility-in-sacral-insufficiency-fracture
#4
Kyung-Chul Choi, Seung-Ho Shin, Dong Chan Lee, Hyeong-Ki Shim, Choon-Keun Park
OBJECTIVE: Sacral insufficiency fracture (SIF) contributes to severe low back pain. Prolonged immobilization resulting from SIF can cause significant complications in the elderly. Sacroplasty, a treatment similar to vertebroplasty, has recently been introduced for providing pain relief in SIF. The purpose of this study is to investigate the clinical short-term effects of percutaneous sacroplasty on pain and mobility in SIF. METHODS: This study is conducted prospectively with data collection...
January 1, 2017: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/28028448/a-novel-technique-to-repair-a-transverse-sacral-fracture-in-a-previously-fused-lumbosacral-spondylolisthesis
#5
Thomas Noh, Mokbel K Chedid
BACKGROUND: Transverse fractures of the sacrum are rare, and surgical treatment for these fractures ranges from conservative to challenging. Transverse stress fractures of the sacrum after placement of lumbar-to-sacral instrumentation have been previously described. We report a new technique to repair a transverse Type-2 Roy-Camille fracture with spondylolisthesis of S1 over S2 in a previously fused instrumented high-grade L4-L5, L5-S1 spondylolisthesis. CASE DESCRIPTION: A 64-year-old female who previously had an L4-L5, L5-S1 fusion for spondylolisthesis presented with excruciating lower back pain and radiculopathy for over 6 months...
2016: Surgical Neurology International
https://www.readbyqxmd.com/read/28004324/ct-characteristics-of-traumatic-sacral-fractures-in-association-with-pelvic-ring-injuries-correlation-using-the-young-burgess-classification-system
#6
Nicholas Beckmann, Chunyan Cai
PURPOSE: The purpose of the study is to determine the incidence of sacral fracture patterns on CT imaging of pelvic trauma patients with correlation with mechanism of injury and pelvic ring injury pattern using the Young-Burgess classification system. MATERIALS AND METHODS: This is a retrospective review of all pelvic CTs with pelvic fractures performed at our level 1 trauma center during a 4-year period from July 2010 to June 2014. RESULTS: Sacral fractures were very common in pelvic trauma patients, being present in 60% of patients presenting to our institution with pelvic fractures...
December 21, 2016: Emergency Radiology
https://www.readbyqxmd.com/read/27998635/predictors-of-intrathoracic-injury-after-blunt-torso-trauma-in-children-presenting-to-an-emergency-department-as-trauma-activations
#7
Caitlin McNamara, Irina Mironova, Erik Lehman, Robert P Olympia
BACKGROUND: Thoracic injuries are a major cause of death associated with blunt trauma in children. Screening for injury with chest x-ray study, compared with chest computed tomography (CT) scan, has been controversial, weighing the benefits of specificity with the detriment of radiation exposure. OBJECTIVE: To identify predictors of thoracic injury in children presenting as trauma activations to a Level I trauma center after blunt torso trauma, and to compare these predictors with those previously reported in the literature...
December 17, 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27997465/does-lumbopelvic-fixation-add-stability-a-cadaveric-biomechanical-analysis-of-an-unstable-pelvic-fracture-model
#8
Ehsan Jazini, Noelle Klocke, Oliver Tannous, Herman S Johal, John Hao, Kanaan Salloum, Daniel E Gelb, Jason W Nascone, Eric Belin, C Max Hoshino, Mir Hussain, Robert V OʼToole, Brandon Bucklen, Steven C Ludwig
OBJECTIVE: We sought to determine the role of lumbopelvic fixation (LPF) in the treatment of zone II sacral fractures with varying levels of sacral comminution combined with anterior pelvic ring (PR) instability. We also sought to determine the proximal extent of LPF necessary for adequate stabilization and the role of LPF in complex sacral fractures when only 1 transiliac-transsacral (TI-TS) screw is feasible. MATERIALS AND METHODS: Fifteen L4 to pelvis fresh-frozen cadaveric specimens were tested intact in flexion-extension (FE) and axial rotation (AR) in a bilateral stance gliding hip model...
January 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/27932201/percutaneous-sacroplasty-for-sacral-fracture-by-osteoporotic-insufficiency
#9
Frédéric Lioté, Jean-Denis Laredo
No abstract text is available yet for this article.
December 5, 2016: Joint, Bone, Spine: Revue du Rhumatisme
https://www.readbyqxmd.com/read/27927507/sacral-alar-iliac-fixation-in-pediatric-deformity-radiographic-outcomes-and-complications
#10
Amit Jain, Khaled M Kebaish, Paul D Sponseller
STUDY DESIGN: Retrospective case series. OBJECTIVES: To assess the radiographic outcomes and complications of sacral-alar-iliac (SAI) fixation in children. SUMMARY OF BACKGROUND DATA: Pelvic fixation in children undergoing spinal deformity surgery can be challenging because of complex anatomy, compound biomechanical forces at the lumbosacral junction, and poor bone quality. METHODS: Radiographic and clinical records of 80 consecutive patients aged 18 years or younger who underwent posterior spinal fusion surgery with SAI fixation by one pediatric orthopedic surgeon and who had a minimum 2 years of follow-up (mean follow-up: 3...
May 2016: Spine Deformity
https://www.readbyqxmd.com/read/27927506/correction-of-pelvic-obliquity-after-spinopelvic-fixation-in-children-with-cerebral-palsy-a-comparison-study-with-minimum-two-year-follow-up
#11
Oussama Abousamra, Tristan Nishnianidze, Kenneth J Rogers, Ilhan A Bayhan, Petya Yorgova, Suken A Shah
STUDY DESIGN: Single institution cohort data were collected prospectively and reviewed retrospectively. OBJECTIVES: This study aims to compare outcomes among three different instrumentation types: unit rod, iliac screws, and sacral alar iliac (SAI) screws in terms of pelvic obliquity correction in children with cerebral palsy (CP). SUMMARY OF BACKGROUND DATA: The optimal choice for spinopelvic fixation in CP scoliosis with pelvic obliquity is controversial...
May 2016: Spine Deformity
https://www.readbyqxmd.com/read/27927496/lumbosacral-junctional-failures-after-long-spinal-fusion-for-adult-spinal-deformity-which-vertebra-is-the-preferred-distal-instrumented-vertebra
#12
Tatsuya Yasuda, Tomohiko Hasegawa, Yu Yamato, Sho Kobayashi, Daisuke Togawa, Tomohiro Banno, Hideyuki Arima, Shin Oe, Yukihiro Matsuyama
STUDY DESIGN: A retrospective study. OBJECT: To investigate the rate of lumbosacral junction complication after long corrective spinal fusion for degenerative kyphoscoliosis cases with different lower instrumented vertebra (LIV) of L5, S1 (non-iliac group), and ilium (iliac group). SUMMARY OF BACKGROUND DATA: In long spinal fusion, high mechanical stress is concentrated at the fusion ends, especially at the lumbosacral junction. There are conflicting views regarding the selection of lower instrumented vertebra in long spinal fusion for adult spinal deformity...
September 2016: Spine Deformity
https://www.readbyqxmd.com/read/27904724/analysis-of-sacrococcygeal-morphology-in-koreans-using-computed-tomography
#13
Min Geun Yoon, Myung-Sang Moon, Bong Keun Park, Hohyoung Lee, Dong-Hyeon Kim
BACKGROUND: The sacrococcygeal morphology of Arabs and Europeans has been studied using computed tomography (CT) or magnetic resonance imaging to determine the cause of coccydynia. Studies have suggested differences in sacrococcygeal morphology among ethnic groups. However, there are no data on the sacrococcygeal anatomy of Koreans. METHODS: We conducted a retrospective analysis of 606 pelvic CT scans that were taken at Cheju Halla General Hospital between 2008 and 2014...
December 2016: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/27888274/percutaneous-sacroplasty-for-the-management-of-painful-pathologic-fracture-in-a-multiple-myeloma-patient-case-report-and-review-of-the-literature
#14
A A Dmytriw, K Talla, R Smith
Percutaneous kyphoplasty has a well-established role in the treatment of pathologic fractures in patients with multiple myeloma. Despite this, there is a scarcity of literature surrounding its use and efficacy in the sacrum. We present a case of successful symptom resolution in a patient with painful sacral fracture following sacroplasty, and review the existing literature.An 81-year-man with multiple myeloma presented to the hematology/oncology clinic with a history of excruciating pain while seated. The impact of this pain on his quality of life subjectively was rated to be particularly high...
November 25, 2016: Neuroradiology Journal
https://www.readbyqxmd.com/read/27880077/teriparatide-treatment-in-elderly-patients-with-sacral-insufficiency-fracture
#15
Jun-Il Yoo, Yong-Chan Ha, Hyun-Jun Ryu, Geun-Wu Chang, Young-Kyun Lee, Moon-Jib Yoo, Kyung-Hoi Koo
CONTEXT AND OBJECTIVE: Pain-related immobility due to insufficiency fractures may result in serious complications and a high mortality rate in senile patients with pre-existing comorbidities. This study aimed to evaluate the efficacy of teriparatide in patients with sacral insufficiency fractures. DESIGN, SETTING AND PARTICIPANTS: Retrospective case-controlled single center study was performed from 2009 to 2014. 41 patients underwent radiographs, magnetic resonance imaging and/or bone scans to document sacral insufficiency fractures...
November 23, 2016: Journal of Clinical Endocrinology and Metabolism
https://www.readbyqxmd.com/read/27865518/impact-of-surgical-correction-of-a-u-shaped-sacral-fracture-on-sagittal-spino-pelvic-alignment-regarding-one-case
#16
N Mansouri, T Graillon, K Farah, S Pesenti, B Blondel, S Fuentes
U-shaped sacral fractures are uncommon and are mostly the consequence of a high-energy kinetic trauma. The sacrum is a crucial element for sagittal alignment in a standing position as it determines the value of the pelvic incidence, which is a fixed and unchanging parameter for a given individual. We report the case of a 21-year-old man who underwent corrective surgery for a type II U-shaped fracture of the sacrum (according to the Roy-Camille classification), associated with a S1-S2 dislocation and sacral kyphosis that modified the patient's pelvic incidence...
December 2016: Neuro-Chirurgie
https://www.readbyqxmd.com/read/27852318/sacral-stress-fracture-in-an-amateur-rugby-player-a-case-report
#17
Yasuhiro Takahashi, Takashi Kobayashi, Naohisa Miyakoshi, Eiji Abe, Toshiki Abe, Kazuma Kikuchi, Yoichi Shimada
BACKGROUND: Sacral stress fracture is an uncommon cause of back pain. The majority of previously reported cases have been in runners. The purpose of this case report was to describe a case of sacral stress fracture in an amateur rugby player. CASE PRESENTATION: A healthy 18-year-old Japanese boy who was a rugby player presented with a 3-week history of lumbago. Sagittal and axial magnetic resonance imaging failed to reveal any reason for lumbago in his lumbar region...
November 16, 2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/27847854/spinopelvic-fixation-of-sacroiliac-joint-fractures-and-fracture-dislocations-a-clinical-8-years-follow-up-study
#18
Mohammad R Sobhan, Seyed Mohammad J Abrisham, Mahmood Vakili, Saeed Shirdel
BACKGROUND: Pelvic ring injuries and sacroiliac dislocations have significant impacts on patient's quality of life. Several techniques have been described for posterior pelvic fixation. The current study has been designed to evaluate the spinopelvic method of fixation for sacroiliac fractures and fracture-dislocations. METHODS: Between January 2006 and December 2014, 14 patients with sacroiliac joint fractures, dislocation and fracture-dislocation were treated by Spinopelvic fixation at Shahid Sadoughi Training Hospital, Yazd, Iran...
October 2016: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/27824742/hip-dislocation-and-dystocia-in-early-medieval-times-possible-evidence-of-labor-maneuver
#19
Assumpció Malgosa, Susana Carrascal, Giampaolo Piga, Albert Isidro
BACKGROUND: In ancient times, maternal mortality would occur frequently, particularly during labor. Evidence of dystocia resulting in the death of a pregnant woman is very infrequent in paleopathologic literature, with only a few cases being demonstrated. CASE: In the early medieval site of Casserres, the skeleton of a young woman with a fetus in the pelvic region was found. Some abnormal findings of the maternal skeleton were evaluated, including a sacral anomaly, femoral head wound, the rare position of the lower left limb with the femoral head dislodged anteriorly and cephalad from the socket, and a fibular fracture...
December 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27815654/musculoskeletal-manifestations-of-primary-hyperparathyroidism
#20
REVIEW
Ramesh Pappu, Serge A Jabbour, Antonio M Regianto, Antonio J Reginato
Primary hyperparathyroidism (PHPT) can be associated with a variety of musculoskeletal complaints, which occasionally can be the leading or presenting manifestation. In this paper, we describe the musculoskeletal manifestations observed in patients with primary hyperparathyroidism. Medical record reviews of a select population of 74 patients with primary hyperparathyroidism are seen in a rheumatology practice. Bone manifestations included back pain in 11 patients (15.2 %), generalized bone pain in 7 patients (9...
December 2016: Clinical Rheumatology
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