keyword
MENU ▼
Read by QxMD icon Read
search

Sacral fractures

keyword
https://www.readbyqxmd.com/read/29670790/use-of-the-pelvic-c-clamp-to-mitigate-acute-respiratory-distress-syndrome-in-a-patient-with-an-unstable-sacral-fracture
#1
Michael J DeRogatis, Paul S Issack
Case: We present the case of a 21-year-old man who fell from a roof, sustaining a displaced sacral fracture with pelvic instability. He developed acute respiratory distress syndrome (ARDS) within 24 hours of injury. Placement of the pelvic C-clamp resulted in rapid resolution of pulmonary dysfunction, allowing for definitive internal fixation. Conclusion: The C-clamp is most commonly used to control hemorrhage in unstable posterior pelvic ring injuries. Our case demonstrates a rare use of the C-clamp to stabilize the posterior pelvis in a patient with an unstable sacral fracture and ARDS, to rapidly improve pulmonary function prior to definitive surgery...
2018: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/29659386/added-value-of-spect-ct-in-the-evaluation-of-sacral-fracture-in-patients-with-lung-cancer
#2
Zhen Zhao, Ke Zhou, Bin Liu
We describe the sacral fractures from 2 lung cancer patients that were confirmed by SPECT/CT. The utilization of SPECT/CT in lung cancer patients can help characterizing the nature of sacral lesions on planar bone scintigraphy.
April 13, 2018: Clinical Nuclear Medicine
https://www.readbyqxmd.com/read/29657469/anatomical-differences-in-the-bony-structure-of-l5-and-l4-a-possible-classification-according-to-the-lateral-tilt-of-the-pedicles
#3
Giorgio Cacciola, Giuseppe Anastasi, Salvatore Bertino, Giuseppina Rizzo, Giuseppina Cutroneo, Fabio Trimarchi, Alessandro Pisani, Pietro Cavaliere, Andrea Barbanera, Daniele Bruschetta
The aim of this study is to underline the necessity of a better knowledge of pedicles anatomy in order to improve surgical treatment of spine disorders such us low back pain, spinal fractures and scholiosis. A classification of pedicles lateral tilt which could help surgeons before the application of screws during transpedicular fixation is reported. Anatomical differences in the orientiation of the pedicles of L5 and L4 have been found. For each patient that met the inclusion criteria underwent: Radiography of the lumbo-sacral region, CT examination, MRI acquisition...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29625689/spinopelvic-injuries-facts-and-controversies
#4
EDITORIAL
Enrique Guerado, Ana Maria Cervan, Juan Ramón Cano, Peter V Giannoudis
Spinopelvic injuries result from high energy trauma with overloading through the sacrum. These lesions can accomplish either bone fractures, ligament injuries or, most commonly, both. They may be accompanied with other associated life threatening injuries and cause biomechanical instability with potential fracture non-union, mal-union and subsequent lifetime pain and disability. Surgical stabilization of spinopelvic injuries requires planning in order to apply the appropriate osteosynthesis principles (compression; neutralization; buttressing and tension band)...
March 2018: Injury
https://www.readbyqxmd.com/read/29574121/sacral-neuromodulation-and-twiddler-s-syndrome
#5
Ted M Roth
Twiddler's syndrome is the deliberate, inadvertent, or subconscious manipulation of an implantable generator within its subcutaneous pocket which can lead to malposition and fracture of the associated lead.1 The syndrome is well-recognized in patients with pacemakers, implantable cardioverter-defibrillators, deep brain stimulators and more recently in intrathecal drug delivery devices.1-3 Here we present an instance of Twiddler's syndrome after sacral neuromodulation [SNM].
March 21, 2018: Urology
https://www.readbyqxmd.com/read/29573012/telehealth-based-model-of-care-redesign-to-facilitate-local-fitting-and-management-of-patients-with-a-spinal-fracture-requiring-a-thoracic-lumbar-sacral-orthosis-in-rural-hospitals-in-new-south-wales
#6
Ryan Gallagher, Michelle Giles, Jane Morison, Judith Henderson
OBJECTIVE: To develop and implement a telehealth-based model of care for spinal fractures requiring management with thoracic lumbar sacral orthoses that eliminates the need for transfer to a metropolitan tertiary referral hospital. DESIGN: Pre-post design observational study evaluating model of care implementation. SETTING: Rural referral hospitals in a large NSW region covering metropolitan, rural and remote hospitals. PARTICIPANTS: Patients presenting with a thoracic or lumbar spine fracture requiring thoracic lumbar sacral orthoses management and rural clinicians caring for them...
March 23, 2018: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/29529635/what-is-the-effect-of-high-dose-radiation-on-bone-in-patients-with-sacral-chordoma-a-ct-study
#7
Olivier van Wulfften Palthe, Kyung-Wook Jee, Jos A M Bramer, Francis J Hornicek, Yen-Lin E Chen, Joseph H Schwab
BACKGROUND: Effects of high-dose radiation using protons and photons on bone are relatively unexplored, but high rates of insufficiency fractures are reported, and the causes of this are incompletely understood. Imaging studies with pre- and postradiation scans can help one understand the effect of radiation on bone. QUESTIONS/PURPOSES: The purpose of this study was to assess the effects of high-dose radiation on the trabecular density of bone in the sacrum using CT-derived Hounsfield units (HU)...
March 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29526070/sacral-insufficiency-fractures-how-to-classify
#8
Gesa Bakker, Joerg Hattingen, Hartmut Stuetzer, Joerg Isenberg
OBJECTIVE: The diagnosis of insufficiency fractures of the sacrum in an elder population increases annually. Fractures show very different morphology. We aimed to classify sacral insufficiency fractures according to the position of cortical break and possible need for intervention. METHODS: Between January 1, 2008 and December 31, 2014, all patients with a proven fracture of the sacrum following a low-energy or an even unnoticed trauma were prospectively registered : 117 females and 13 males...
March 2018: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/29492351/multilevel-contiguous-osteoporotic-lumbar-compression-fractures-the-relationship-of-scoliosis-to-the-development-of-cascading-fractures
#9
REVIEW
Alex Sabo, Jesse Hatgis, Michelle Granville, Robert E Jacobson
Osteoporotic patients can present with either single or multiple fractures secondary to repeated falls and progressive osteoporosis. Multiple fractures often lead to additional spinal deformity and are a sign of more severe osteoporosis. In the thoracic spine, multiple fractures are associated with the development of gradual thoracic kyphosis but neurologic deficits are uncommon. In the lumbar spine, patients with multiple lumbar fractures have more constant lumbar pain, may have symptoms related to concurrent lumbar stenosis or degenerative scoliosis, and may present with radiculopathy, especially with fractures at L4 and L5...
December 19, 2017: Curēus
https://www.readbyqxmd.com/read/29485077/outcomes-of-patients-with-primary-sacral-chordoma-treated-with-definitive-proton-beam-therapy
#10
Norihiro Aibe, Yusuke Demizu, Nor Shazrina Sulaiman, Yoshirou Matsuo, Masayuki Mima, Fumiko Nagano, Kazuki Terashima, Sunao Tokumaru, Tomokatsu Hayakawa, Masaki Suga, Takashi Daimon, Gen Suzuki, Yamazaki Hideya, Kei Yamada, Ryohei Sasaki, Nobukazu Fuwa, Tomoaki Okimoto
PURPOSE: To evaluate the efficacy and safety of definitive proton beam therapy (PBT) for primary sacral chordoma. METHODS AND MATERIALS: We conducted a retrospective analysis of the clinical outcomes of eligible patients with primary sacral chordoma who had undergone definitive PBT with 70.4 Gy (relative biological effectiveness) in 32 fractions at our institution from September 2009 to October 2015. Local progression-free survival, distant metastasis-free survival, disease-free survival, cause-specific survival, and overall survival were evaluated...
March 15, 2018: International Journal of Radiation Oncology, Biology, Physics
https://www.readbyqxmd.com/read/29476220/from-radiation-osteitis-to-osteoradionecrosis-incidence-and-mr-morphology-of-radiation-induced-sacral-pathologies-following-pelvic-radiotherapy
#11
Adrian J Meixel, Henrik Hauswald, Stefan Delorme, Björn Jobke
OBJECTIVE: To investigate the incidence rate, time-to-onset and recovery, MRI morphology and occurrence of insufficiency fractures in radiation-induced changes in the sacrum following pelvic radiotherapy. MATERIAL AND METHODS: 410 patients with pelvic malignancies treated with radiotherapy were reviewed. Follow-up was 1-124 months (mean 22 months). Serial MRI (average four studies/patient) were analysed using a new semi-quantitative score (Radiation-Induced Sacral Changes=RISC)...
February 23, 2018: European Radiology
https://www.readbyqxmd.com/read/29457438/-ct-and-mri-manifestation-of-primary-spinal-large-b-cell-lymphoma
#12
Ping Tian, Kai Jiang, Zhi-Qiang Cai, Yong-Tao Wang, Sheng-de Deng
OBJECTIVE: To investigate CT and MRI characteristics of primary spinal large B cell lymphoma. METHODS: CT and MRI data of 23 patients with primary spinal large B cell lymphoma confirmed by histopathology were retrospectively analyzed from March 2011 to August 2015. Among them, including 14 males and 9 females aged from 28 to 70 years old with an average of 53.4 years old. The clinical manifestation mainly focus on pain around spinal and minority peripheral nerve symptom...
December 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29419715/spine-trauma-from-personal-watercraft-usage
#13
Chester J Donnally, Gil Metser, Eric S Roth, Justin P Moo Young, Augustus J Rush, Motasem A Al Maaieh
STUDY DESIGN: Retrospective cohort study OBJECTIVE.: To identify patient characteristics and associated injuries in those sustaining a spine fracture from personal watercraft (PWC) usage. SUMMARY OF BACKGROUND DATA: There are few studies regarding PWC use and injuries, and even more scarce are studies evaluating PWC usage and spine injuries. Identifying high risk actions and individuals can help to effectively treat them, reduce mortality, and possibly avoid certain spine fractures...
February 6, 2018: Spine
https://www.readbyqxmd.com/read/29405776/the-safe-use-of-long-screws-in-l5-s1-stand-alone-anterior-interbody-fusion-for-olisthesis-cases
#14
Matthias A König, Michael P Grevitt, Nasir A Quraishi, Bronek M Boszczyk
BACKGROUND: Stand-alone anterior interbody fusion (STALIF) with poly-ether-ether-ketone (PEEK) cages could offer a treatment option in olisthesis cases. The fixation of the PEEK-cage at the L5/S1 inferior endplate with long divergent screws however might endanger neural sacral structures, especially the S1 nerve root. If shorter screws are used, the achieved bony purchase might not be sufficient to resist the pull out and shear forces at the lumbosacral junction. The aim of the present investigation was to evaluate the use of long screws in PEEK-cages for olisthesis cases at the L5/S1 segment and its neurological complications...
February 6, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29405182/-the-characteristic-features-of-vertebral-lesions-in-the-victims-of-a-road-traffic-accident-with-intrusion-into-the-passenger-car-compartment
#15
I A Dubrovin, E P Sedykh, A S Mosoyan, A A Bychkov, D N Akhmetova
The objective of the present study was to develop the diagnostic criteria for determining the positions of the participants of a road traffic accident inside the passenger car compartment based on the analysis of the characteristic features of vertebral lesions in the victims. The archival documents of forensic medical expertises were used to analyze the specific characteristics of fractured cervical vertebra in the victims of the accident inside the passenger car compartments including the drivers (n=92), the occupants of the forward (n=43) and rear (n=37) seats of the car...
2018: Sudebno-meditsinskaia Ekspertiza
https://www.readbyqxmd.com/read/29401088/safe-zone-quantification-of-the-third-sacral-segment-in-normal-and-dysmorphic-sacra
#16
John S Hwang, Mark C Reilly, Mohammad K Shaath, Stuart Changoor, Jonathan Eastman, Milton Lee Chip Routt, Michael S Sirkin, Mark R Adams
OBJECTIVE: To quantify the osseous anatomy of the dysmorphic third sacral segment and assess its ability to accommodate internal fixation DESIGN:: Retrospective chart review of a trauma database SETTING:: University Level 1 Trauma Center PATIENTS:: Fifty-nine patients over the age of 18 with computed tomography (CT) scans of the pelvis separated into two groups: a group with normal pelvic anatomy and a group with sacral dysmorphism. MAIN OUTCOME MEASUREMENTS: The sacral osseous area was measured on CT scans in the axial, coronal, and sagittal planes in normal and dysmorphic pelves...
January 26, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29390438/osteoporotic-sacral-insufficiency-fracture-an-easily-neglected-disease-in-elderly-patients
#17
Feng-Chen Kao, Yao-Chun Hsu, Pao-Hsin Liu, Lee-Ren Yeh, Jung-Ting Wang, Yuan-Kun Tu
Sacral insufficiency fractures (SIFs) are easily neglected by clinical physicians.The incidence of SIFs remains unclear in patients with symptomatic osteoporotic compression fractures of the lumbar-sacral area.This retrospective study was conducted by reviewing the medical records and radiological reports and by reading magnetic resonance (MR) images from August 2013 to July 2016. We identified 1233 cases with symptomatic vertebral compression fractures for which surgical interventions were performed. A total of 1144 cases were eligible for this study...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29322211/-within-ring-based-sacroiliac-rod-fixation-may-overcome-the-weakness-of-spinopelvic-fixation-for-unstable-pelvic-ring-injuries-technical-notes-and-clinical-outcomes
#18
Kentaro Futamura, Tomonori Baba, Atsuhiko Mogami, Akio Kanda, Osamu Obayashi, Hideaki Iwase, Kazuo Kaneko
PURPOSE: Spinopelvic fixation and triangular osteosynthesis give firm internal fixation for unstable pelvic ring injuries (UPRI), but with sacrifice of mobility of the lumbar spine. Here, we describe the procedure and outcomes of a new approach, which we refer to as "within ring"-based sacroiliac rod fixation (SIRF). METHODS: The patient was placed in a prone position and longitudinal skin incisions were made at the medial margins of the bilateral posterior superior iliac spines (PSIS)...
January 10, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29317155/compensatory-mechanism-of-the-spine-after-corrective-surgery-without-lumbar-sacral-fixation-for-traumatic-thoracolumbar-kyphotic-spine-deformity
#19
Koji Matsumoto, Masahiro Hoshino, Keita Omori, Hidetoshi Igarashi, Takashi Tsuruta, Koji Yamasaki, Hiromi Matsuzaki, Takanori Iriuchishima, Yasuaki Tokuhashi
BACKGROUND: It remains unclear whether long fusion including lumbar-sacral fixation is needed in corrective surgery to obtain good global sagittal balance (GSB) for the treatment of traumatic thoracolumbar kyphotic spine deformity. The purposes of this study were to evaluate compensatory mechanism of the spine after corrective surgery without lumbar-sacral fixation and to evaluate the parameters affecting the achievement of good GSB post-operatively. METHODS: Twenty (20) subjects requiring corrective surgery (distal end of fixation was L3) were included in this study...
March 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/29315198/bi-planar-posterior-pelvic-fixator-for-unstable-sacral-fractures-a-new-fixation-technique
#20
Mohamed Abo-Elsoud, Said Eldeeb, Mohamed Gobba, Fouad Zamel Sadek
Fixation of comminuted vertically-unstable sacral fractures continues to be a surgical dilemma. Although triangular osteosynthesis (TOS) is a good construct and resists vertical translation, complications still occur. Herein, we introduce a new bi-planar fixation technique, using segmental spinal instrumentation, as an alternative to TOS. This technique is remarkably valuable in cases with sacral morphology and/or complex fracture patterns that preclude safe percutaneous iliosacral screw insertion.
January 8, 2018: Journal of Orthopaedic Trauma
keyword
keyword
119679
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"