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https://www.readbyqxmd.com/read/29137084/vertebral-column-decortication-for-the-management-of-sharp-angular-spinal-deformity-in-pott-disease-case-report
#1
Hong-Tao Hu, Feng-Yu Liu, Jin-He Yu, Liang Ren, Zhen-Fang Gu, Xian-Ze Sun
RATIONALE: Extremely sharp angular spinal deformity of healed tuberculosis can be corrected by vertebral column resection (VCR). However, the VCR techniques have many limitations including spinal column instability, greater blood loss, and greater risk of neurologic deficit. PATIENT CONCERNS: We described a new spinal osteotomy technique to collect sharp angular spinal deformity in Pott disease. A 52-year-old woman presented with back pain and gait imbalance. DIAGNOSIS: The kyphosis of healed tuberculosis was diagnosed based on history and imaging examinations...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29137080/a-medium-term-follow-up-of-adult-lumbar-tuberculosis-treating-with-3-surgical-approaches
#2
Qi Hong Zhang, Qiang Guo, Chaofeng Guo, Jianhuang Wu, Jinyang Liu, Qile Gao, Yuxiang Wang
Surgical intervention is an important option for treating lumbar tuberculosis. Previous studies have reported different surgical intervention procedures. To our knowledge, few studies have compared the clinical results of mid-term follow-up of 3 different surgeries in surgical treatment of spinal tuberculosis. This study's purpose is to evaluate the effectiveness of 3 different surgeries for the treatment of lumbar tuberculosis in adult and analyze the mid-term influence of the surgery on quality of life.Between June 2004 and January 2010, a total of 137 adult patients (54 women and 83 men) with lumbar tuberculosis were recruited for this study...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29127513/pentosidine-concentration-is-associated-with-degenerative-lumbar-scoliosis-in-older-women-preliminary-results
#3
Yawara Eguchi, Toru Toyoguchi, Kazuhide Inage, Kazuki Fujimoto, Sumihisa Orita, Kazuyo Yamauchi, Miyako Suzuki, Hirohito Kanamoto, Koki Abe, Masaki Norimoto, Tomotaka Umimura, Masao Koda, Takeo Furuya, Yasuchika Aoki, Kazuhisa Takahashi, Seiji Ohtori
PURPOSE: Advanced glycation end products (AGEs) have been implicated in the pathogenesis of sarcopenia. The objective of the study was to investigate the prevalence of sarcopenia in degenerative lumbar scoliosis (DLS), and the relationship between biochemical markers including major AGEs, pentosidine, and DLS in older women. METHODS: Our study participants were 20 elderly women with idiopathic DLS (mean age 76.4 years, range 56-88). Nineteen age- and sex-matched volunteers (mean age 74...
November 10, 2017: European Spine Journal
https://www.readbyqxmd.com/read/29123446/ankylosing-spondylitis-and-balance
#4
REVIEW
Alper Uckun, Ilhan Sezer
Ankylosing spondylitis is a chronic inflammatory disease that mainly affects axial joints and the changes in the vertebrae cause typical kyphotic posture. In patients with ankylosing spondylitis, the postural changes, including cervical flexion, decreased lumbar lordosis, posterior rotation of pelvis, hip extension, knee flexion, and plantar flexion of ankle along with kyphosis, may occur in the upcoming terms of the disease and may negatively affect balance. Joint and eye involvements; muscular, vestibular and proprioceptional changes can also affect balance...
October 2017: Eurasian Journal of Medicine
https://www.readbyqxmd.com/read/29113901/efficacy-of-using-intermediate-screws-in-short-segment-fixation-for-thoracolumbar-fractures-a-meta-analysis-of-randomized-controlled-trials
#5
Min-Ji Tong, Qian Tang, Cheng-Gui Wang, Guang-Heng Xiang, Qi Chen, Hua-Zi Xu, Nai-Feng Tian
BACKGROUD: Some studies have reported that the conventional intersegmental pedicle screws (four-screw fixation, '4S') device for thoracolumbar fractures was associated with inadequate reduction of fractured vertebrae, insufficient correction of kyphosis, and implant failure. Recently, a series of biomechanical studies confirmed that the addition of intermediate fixation screws (six- screw fixation, '6S') could provide stronger fixation and better reduction of fractured vertebrae. Nevertheless, the clinical and radiological efficacy of the additional intermediate screws remains unclear...
November 4, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29113855/holospinal-epidural-abscesses-institutional-experience
#6
REVIEW
Kelly J Bridges, Khoi D Than
PURPOSE: The authors present a holospinal epidural abscesses (HEA) case series and a single institution's experience with varied surgical approaches and outcomes. METHODS: Medical records were queried and reviewed (6 years) for patients with a spinal abscess diagnosis; HEA were selected. Medical history, comorbidities, blood and epidural pathogens, presentation symptoms, abscess location, presence of mass effect, surgical procedures, treatment regimens, and neurological outcomes were collected...
November 4, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29112006/modified-lumbosacral-angle-and-modified-pelvic-incidence-as-new-parameters-for-management-of-pediatric-high-grade-spondylolisthesis
#7
Zhenjiang Ma, Changqing Zhao, Kai Zhang, Lin Du, Jianping Tian, Xiaojiang Sun, Jie Zhao
STUDY DESIGN: Retrospective clinical study. OBJECTIVE: We aimed to introduce new parameters that can better describe the pelvic morphology and lumbosacral segmental deformity in children with high-grade spondylolisthesis of the L5 vertebra: modified pelvic incidence (mPI) and modified lumbosacral angle (mLSA). Also, we aimed to establish the mLSA as a convenient, reliable measurement method and criteria to evaluate the reduction of L5 vertebral slippage. SUMMARY OF BACKGROUND DATA: Numerous parameters and methods exist to evaluate segmental deformity and reduction of L5 vertebral slippage, but no definitive standard for accurately and conveniently describing lumbosacral kyphosis and degree of reduction exists...
November 3, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29111847/validation-of-the-manual-inclinometer-and-flexicurve-for-the-measurement-of-thoracic-kyphosis
#8
Eva Barrett, Brian Lenehan, Kieran O'sullivan, Jeremy Lewis, Karen McCreesh
INTRODUCTION: Physiotherapists commonly use the manual inclinometer and Flexicurve for the clinical measurement of thoracic spinal posture. The aim of this study is to examine the concurrent validity of the Flexicurve and manual inclinometer in relation to the radiographic Cobb angle for the measurement of thoracic kyphosis. METHODS: Eleven subjects (seven males, four females) underwent a sagittal plane spinal radiograph. Immediately following the radiograph, a physiotherapist measured thoracic kyphosis using the Flexicurve and manual inclinometer before the subjects moved from position...
November 7, 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29110219/reduction-and-fixation-of-displaced-u-shaped-sacral-fractures-using-lumbopelvic-fixation-technical-recommendations
#9
Stefan Piltz, Bianka Rubenbauer, Wolfgang Böcker, Heiko Trentzsch
PURPOSE: U-shaped sacral fractures are extremely rare injuries that usually occur as a result of falls from considerable heights. Almost all treatment methods described to date aim solely at stabilizing the fracture but do not contribute to supporting the reduction of such fractures. Using existing implants the purpose of this study is to present a surgical technique that facilitates both the reduction and the stabilization of these injuries. The presented technique was evaluated in a series of three cases...
November 6, 2017: European Spine Journal
https://www.readbyqxmd.com/read/29110218/cervical-sagittal-balance-a-biomechanical-perspective-can-help-clinical-practice
#10
REVIEW
Avinash G Patwardhan, Saeed Khayatzadeh, Robert M Havey, Leonard I Voronov, Zachary A Smith, Olivia Kalmanson, Alexander J Ghanayem, William Sears
PURPOSE: In this article, we summarize our work on understanding the influence of cervical sagittal malalignment on the mechanics of the cervical spine. METHODS: Biomechanical studies were performed using an ex vivo laboratory model to study the kinematic and kinetic response of human cervical spine specimens in the setting of cervical sagittal imbalance. The model allowed controlled variations of C2-C7 Sagittal Vertical Alignment (C2-C7 SVA) and T1-Slope so that clinically relevant sagittally malaligned profiles could be prescribed, while maintaining horizontal gaze, and their biomechanical consequences studied...
November 6, 2017: European Spine Journal
https://www.readbyqxmd.com/read/29108667/clinical-electrophysiological-genetic-and-imaging-features-of-six-chinese-han-patients-with-hereditary-neuropathy-with-liability-to-pressure-palsies-hnpp
#11
Bin Chen, Songtao Niu, Xingao Wang, Wei Li, Na Chen, Zaiqiang Zhang
Hereditary neuropathy with liability to pressure palsies (HNPP) is an autosomal dominant peripheral neuropathy caused by mutations in the peripheral myelin protein 22 (PMP22) gene. This study summarizes the clinical, electrophysiological, genetic, and imaging features of six unrelated Chinese Han patients with HNPP. Age of onset was within the second decade in five patients, and 46 years of age in one patient. Weakness or numbness in a unilateral lower extremity was the most common symptom in 5 patients, and bilateral sensorineural hearing loss was also detected in one patient...
November 3, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29103927/three-dimensional-gait-analysis-reveals-dynamic-alignment-change-in-a-patient-with-dropped-head-syndrome-a-case-report
#12
Kousei Miura, Hideki Kadone, Masao Koda, Hiroshi Kumagai, Katsuya Nagashima, Kengo Fujii, Hiroshi Noguchi, Toru Funayama, Tetsuya Abe, Takeo Furuya, Masashi Yamazaki
Dropped head syndrome (DHS) is a cervical kyphotic deformity caused by apparent weakness of the neck extensor muscles. We often encounter patients whose symptoms, including impaired forward vision and neck pain, deteriorate while walking. This is the first report of a case of dynamic spinal alignment change in a patient with DHS during walking using three-dimensional gait analysis. A 78-year-old Japanese woman complained of impaired forward vision and neck pain while walking. Her radiograph showed severe cervical kyphosis...
November 3, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29103128/extreme-proximal-junctional-kyphosis-a-complication-of-delayed-lambdoid-suture-closure-in-hajdu-cheney-syndrome-a-case-report-and-literature-review
#13
Colin Y L Woon, Steven M Mardjetko
PURPOSE: To describe the manifestations, surgical treatment, and potential complications of Hajdu-Cheney syndrome (HCS), and the management of these complications. METHODS: The clinical presentation, management and outcome of HCS with severe osteoporosis and open skull sutures is presented, together with a literature review. RESULTS: A 20-year-old female with HCS underwent posterior occipitocervical fusion for symptoms of progressive basilar invagination...
November 4, 2017: European Spine Journal
https://www.readbyqxmd.com/read/29097952/association-between-forward-head-rounded-shoulders-and-increased-thoracic-kyphosis-a-review-of-the-literature
#14
Deepika Singla, Zubia Veqar
Objective: The purpose of this review was to explore the association between forward head posture, rounded shoulders, and increased thoracic kyphosis. Methods: The PubMed, ERIC, and Cochrane databases were searched using the key words posture, head, shoulder, forward scapular posture, and thoracic kyphosis through December 2016. Results: Our initial search yielded 6840 research studies, 6769 of which were excluded because they either were duplicates or did not satisfy the inclusion criteria...
September 2017: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/29095655/efficacy-of-a-prevention-program-for-medial-elbow-injuries-in-youth-baseball-players
#15
Jun Sakata, Emi Nakamura, Tatsuhiro Suzuki, Makoto Suzukawa, Atsushi Akaike, Kuniaki Shimizu, Norikazu Hirose
BACKGROUND: Youth baseball players are at high risk for elbow injuries, which can lead to future functional disability. PURPOSE: To evaluate the effectiveness of a prevention program to lower the risk of medial elbow injury in these athletes. STUDY DESIGN: Cohort study; Level of evidence, 2. METHODS: Youth baseball players, 8 to 11 years old, without a history of elbow and shoulder pain, were allocated to either the intervention (n = 136) or control (n = 169) group...
November 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29093788/normal-age-adjusted-sagittal-spinal-alignment-is-achieved-with-surgical-correction-in-adolescent-idiopathic-scoliosis
#16
Subaraman Ramchandran, Norah Foster, Akhila Sure, Thomas J Errico, Aaron J Buckland
Study Design: Retrospective analysis. Purpose: Our hypothesis is that the surgical correction of adolescent idiopathic scoliosis (AIS) maintains normal sagittal alignment as compared to age-matched normative adolescent population. Overview of Literature: Sagittal spino-pelvic alignment in AIS has been reported, however, whether corrective spinal fusion surgery re-establishes normal alignment remains unverified. Methods: Sagittal profiles and spino-pelvic parameters of thirty-eight postsurgical correction AIS patients ≤21 years old without prior fusion from a single institution database were compared to previously published normative age-matched data...
October 2017: Asian Spine Journal
https://www.readbyqxmd.com/read/29090359/oblique-retroperitoneal-approach-for-lumbar-interbody-fusion-from-l1-to-s1-in-adult-spinal-deformity
#17
Ki-Tack Kim, Dae-Jean Jo, Sang-Hyun Lee, Eun-Min Seo
In recent years, with advancements in surgical techniques and instrumentation, the lateral lumbar interbody fusion is being used increasingly as an alternative procedure to anterior approach. In this study, we illustrated a oblique retroperitoneal approach for lumbar interbody fusion with one incision site and tilting of the operation table in adult spinal deformity and evaluate the radiographical findings and clinical outcomes of patients treated using this technique. This study included 32 patients scheduled to undergo anterior and posterior long-level fusions for lumbar degenerative kyphosis or degenerative lumbar scoliosis...
October 31, 2017: Neurosurgical Review
https://www.readbyqxmd.com/read/29078808/treatment-with-the-anti-il-6-receptor-antibody-attenuates-muscular-dystrophy-via-promoting-skeletal-muscle-regeneration-in-dystrophin-utrophin-deficient-mice
#18
Eiji Wada, Jun Tanihata, Akira Iwamura, Shin'ichi Takeda, Yukiko K Hayashi, Ryoichi Matsuda
BACKGROUND: Chronic increases in the levels of the inflammatory cytokine interleukin-6 (IL-6) in serum and skeletal muscle are thought to contribute to the progression of muscular dystrophy. Dystrophin/utrophin double-knockout (dKO) mice develop a more severe and progressive muscular dystrophy than the mdx mice, the most common murine model of Duchenne muscular dystrophy (DMD). In particular, dKO mice have smaller body sizes and muscle diameters, and develop progressive kyphosis and fibrosis in skeletal and cardiac muscles...
October 27, 2017: Skeletal Muscle
https://www.readbyqxmd.com/read/29074467/vertebral-body-spread-in-thoracolumbar-burst-fractures-can-predict-posterior-construct-failure
#19
Federico De Iure, Giorgio Lofrese, Pasquale De Bonis, Michele Cappuccio, Francesco Cultrera, Sofia Battisti
BACKGROUND CONTEXT: The Load Sharing Classification (LSC) laid foundations for a scoring system able to indicate which thoracolumbar fractures, after short-segment posterior-only fixations, would need for longer instrumentations or additional anterior supports. PURPOSE: We analyzed surgically treated thoracolumbar fractures, quantifying the vertebral body's fragments displacement with the aim of identifying a new parameter which could predict the posterior-only construct failure...
October 23, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29071409/prospective-randomized-controlled-comparison-of-posterior-vs-posterior-anterior-stabilization-of-thoracolumbar-incomplete-cranial-burst-fractures-in-neurological-intact-patients-the-rasputhine-pilot-study
#20
Matti Scholz, F Kandziora, T Tschauder, M Kremer, A Pingel
PURPOSE: If surgery for thoracolumbar incomplete cranial burst fractures (Magerl A3.1.1) is necessary, the ideal stabilization strategy still remains undetermined. To justify posterior-anterior stabilization, which generates higher costs and potentially higher morbidity vs. posterior-only stabilization, clinical trials with sufficient power and adequate methodology are required. This prospective randomized single-centre pilot trial was designed to enable sufficient sample-size calculation for a randomized multicentre clinical trial (RASPUTHINE)...
October 25, 2017: European Spine Journal
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