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https://www.readbyqxmd.com/read/28919066/clinical-efficacy-of-ct-guided-percutaneous-huge-ilio-psoas-abscesses-drainage-combined-with-posterior-approach-surgery-for-the-management-of-dorsal-and-lumbar-spinal-tuberculosis-in-adults
#1
Authrors Dexin Zou, Junlin Zhou, Xiaobin Zhou, Xiaobing Jiang
PURPOSE: To evaluate the clinical efficacy of CT-guided percutaneous huge ilio-psoas abscesses drainage combined with posterior approach surgery for the management of dorsal and lumbar spinal tuberculosis in 16 adult cases. METHODS: Between January 2006 and June 2013, a total of 16 dorsal and lumbar spinal tuberculosis patients with huge ilio-psoas abscesses underwent two-stage CT-guided percutaneous abscesses drainage and posterior debridement, decompression, intervertebral fusion and instrumentation...
September 12, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28893205/is-additional-balloon-kyphoplasty-safe-and-effective-for-acute-thoracolumbar-burst-fracture
#2
Ping-Jui Tsai, Ming-Kai Hsieh, Kuo-Feng Fan, Lih-Huei Chen, Chia-Wei Yu, Po-Liang Lai, Chi-Chien Niu, Tsung-Ting Tsai, Wen-Jer Chen
BACKGROUND: Burst fracture is a common thoracolumbar injury that is treated using posterior pedicle instrumentation and fusion combined with transpedicular intracorporeal grafting after reduction. In this study, we compared the outcome of these two techniques by using radiologic imaging and functional outcome. METHODS: Sixty-one patients with acute thoracolumbar burst fracture were operated with kyphoplasty (n = 31) or vertebroplasty (n = 30) and retrospectively reviewed in our institution between 2011 and 2014...
September 11, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28890806/postlaminectomy-membrane-with-dynamic-spinal-cord-compression-disclosed-with-computed-tomographic-myelography-a-case-report-and-literature-review
#3
Takahiro Kitahara, Junya Hanakita, Toshiyuki Takahashi
INTRODUCTION: It has been hypothesized that postoperative epidural scar, postlaminectomy membrane, may be responsible for late neurological deterioration after cervical laminectomy in some cases, but there is a lack of radiological studies in the literature showing the clinical significance of postlaminectomy membrane. We describe a rare case with radiological evidence of dynamic spinal cord compression caused by the postlaminectomy membrane, which may have been related to neurological deterioration...
2017: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/28888389/scheuermann-s-disease-in-a-juvenile-male-from-the-late-roman-necropolis-of-torrenueva-3rd-4th-century-ce-granada-spain
#4
Joan Viciano, Sandra López-Lázaro, Ángela Pérez-Fernández, Anabel Amores-Ampuero, Ruggero D'Anastasio, José Miguel Jiménez-Triguero
This study details a severe case of Scheuermann's disease (SD) in a well-preserved skeleton of a juvenile male (designated TOR302), dated to 3rd-4th century CE, from the late Roman necropolis of Torrenueva (Granada, Spain). Individual TOR302 shows an evident kyphotic curve in the thoraco-lumbar spine, which is characterised by: (i) vertebral bodies of thoracic vertebra T2, thoracic segment T4-T9, and thoraco-lumbar segment T12-L2 wedged at >5°; (ii) slight anterior extensions of the epiphyseal ring; (iii) Schmorl's nodes on the superior and/or inferior plates; and (iv) a Cobb angle of 75°, derived from thoracic segments T4-T9...
September 2017: International Journal of Paleopathology
https://www.readbyqxmd.com/read/28885125/risk-factor-analysis-of-kyphotic-malalignment-after-cervical-intramedullary-tumor-resection-in-adults
#5
Satoshi Nori, Akio Iwanami, Akimasa Yasuda, Narihito Nagoshi, Nobuyuki Fujita, Tomohiro Hikata, Mitsuru Yagi, Takashi Tsuji, Kota Watanabe, Suketaka Momoshima, Morio Matsumoto, Masaya Nakamura, Ken Ishii
OBJECTIVE A number of studies have reported that surgery for cervical intramedullary tumors via the posterior approach can result in postoperative sagittal malalignment of the cervical spine; however, the risk factors remain unclear. The purpose of this study was to investigate the changes in cervical spinal alignment after surgery for cervical intramedullary tumors in adults and to elucidate the risk factors for cervical spinal sagittal misalignment. METHODS Data for the period from April 2001 to December 2011 for all adults who had undergone surgery for cervical intramedullary spinal cord tumors at a single institution were retrospectively analyzed to determine the postoperative changes in cervical spine alignment...
September 8, 2017: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/28881528/-clinical-research-of-minimally-invasive-spine-surgery-with-vesselplasty
#6
H Tang, P Jia, H Chen, L Bao, F Feng, J J Li
Objective: To evaluate the efficacy and safety of Vesselplasty in the treatment of osteoporotic vertebral fractures and vertebral metastases. Methods: From June 2010 to December 2016, data of 81 patients with spinal diseases treated with Vesselplasty in Department of Spinal Surgery, Beijing Friendship hospital, Capital Medical University were retrospectively analyzed. There are 49 cases of vertebral fractures with age (70.2±8.2) years. Among them, 16 cases have posterior vertebral wall breakage, but no symptoms of nerve injury...
September 5, 2017: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/28881121/the-predictable-factors-of-the-postoperative-kyphotic-change-of-sagittal-alignment-of-the-cervical-spine-after-the-laminoplasty
#7
Jun Seok Lee, Dong Wuk Son, Su Hun Lee, Dong Ha Kim, Sang Weon Lee, Geun Sung Song
OBJECTIVE: Laminoplasty is an effective surgical method for treating cervical degenerative disease. However, postoperative complications such as kyphosis, restriction of neck motion, and instability are often reported. Despite sufficient preoperative lordosis, this procedure often aggravates the lordotic curve of the cervical spine and straightens cervical alignment. Hence, it is important to examine preoperative risk factors associated with postoperative kyphotic alignment changes. Our study aimed to investigate preoperative radiologic parameters associated with kyphotic deformity post laminoplasty...
September 2017: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/28875772/atypical-caudal-regression-syndrome-with-agenesis-of-lumbar-spine-and-presence-of-sacrum-case-report-and-literature-review
#8
Edyta Szumera, Barbara Jasiewicz, Tomasz Potaczek
Context Caudal regression syndrome is a rare disorder, not well described in the literature. Findings Authors treated two patients with congenital absence of thoracolumbar vertebrae and lower limbs paraplegia. Patients had hypoplasia of the lower trunk and extremities with motion between upper and lower torso. Imaging showed caudal spine agenesis, but cleft sacrum was present. Due to severe kyphotic deformity and spinal instability, deformity correction and posterior fusion was performed at the age 6 and 8...
September 6, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28875150/transpseudarthrosis-osteotomy-with-interbody-fusion-for-kyphotic-spinal-pseudarthrosis-in-ankylosing-spondylitis-by-a-single-posterior-approach-a-retrospective-study-and-a-brief-relevant-literature-review
#9
Erzhu Yang, Liangliang Cao, Guowang Zhang, Xiaofeng Lian, Jianguang Xu
OBJECTIVE: To explore the safety and efficacy of transpseudarthrosis osteotomy with interbody fusion in the treatment of Ankylosing Spondylitis (AS) patients with kyphotic spinal pseudarthrosis by a single posterior approach. METHODS: Twelve consecutive patients with spinal pseudarthrosis underwent transpseudarthrosis osteotomy and interbody fusion with a polyetheretherketone (PEEK) cage by a single posterior approach. The operative time, intraoperative blood loss, and complications were recorded...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28874983/posterior-vertebrectomy-and-circumferential-fusion-for-the-treatment-of-advanced-thoracolumbar-k%C3%A3-mmell-disease-with-neurologic-deficit
#10
Yongjae Cho
STUDY DESIGN: Single-center, retrospective case series. PURPOSE: To investigate the effectiveness of posterior vertebrectomy and circumferential fusion in patients with advanced Kümmell disease with neurologic deficit. OVERVIEW OF LITERATURE: Various surgical options exist for the treatment of Kümmell disease, and determination of the appropriate treatment is based on the clinical and radiologic status of the patient. However, surgical intervention is required for patients with advanced Kümmell disease accompanied by neurologic deficit...
August 2017: Asian Spine Journal
https://www.readbyqxmd.com/read/28874981/functional-and-radiological-outcomes-of-anterior-decompression-and-posterior-stabilization-via-posterior-transpedicular-approach-in-thoracic-and-thoracolumbar-pott-s-disease-a-retrospective-study
#11
Suryakant Singh, Hitesh Dawar, Kalidutta Das, Bibhudendu Mohapatra, Somya Prasad
STUDY DESIGN: This is a retrospective study. PURPOSE: To determine the efficacy and safety of a posterior transpedicular approach with regard to functional and radiological outcomes in people with thoracic and thoracolumbar spinal tuberculosis. OVERVIEW OF LITERATURE: Spinal tuberculosis can cause serious morbidity, including permanent neurological deficits and severe deformities. Medical treatment or a combination of medical and surgical strategies can control the disease in most patients, thereby decreasing morbidity incidence...
August 2017: Asian Spine Journal
https://www.readbyqxmd.com/read/28841107/editorial-cervical-kyphotic-deformity
#12
Vincent C Traynelis
No abstract text is available yet for this article.
August 25, 2017: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/28841105/t-1-pedicle-subtraction-osteotomy-for-the-treatment-of-rigid-cervical-kyphotic-deformity-report-of-4-cases
#13
Matthew K Tobin, Daniel M Birk, Shivani D Rangwala, Krzysztof Siemionow, Constantin Schizas, Sergey Neckrysh
Cervical kyphotic deformity represents a difficult to treat pathology often arising from multiple factors including, but not limited to, traumatic injuries, degenerative changes, and ankylosing spondylitis. Furthermore, treatment of these deformities becomes increasingly difficult with any preexisting instrumentation. Currently, several options exist to treat these severe deformities, with the Smith-Petersen osteotomy and C-7 pedicle subtraction osteotomy being the most frequently used approaches. However, these techniques come with significant risk to the patient including nerve root injury as well as compression of the vertebral arteries...
August 25, 2017: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/28810915/quality-of-life-and-correlation-with-clinical-and-radiographic-variables-in-patients-with-ankylosing-spondylitis-a-retrospective-case-series-study
#14
Ji-Chen Huang, Bang-Ping Qian, Yong Qiu, Bin Wang, Yang Yu, Ze-Zhang Zhu, Jun Hu, Zhe Qu
BACKGROUND: Previously, many studies have evaluated quality of life (QoL) in patients with ankylosing spondylitis (AS), however, none of them specifically investigated the correlation between pain-related disability measured by Oswestry Disability Index (ODI) and QoL in AS patients. In addition, the correlation between global kyphosis (GK) in lateral plain radiographs and QoL in AS patients remains unclear up to now. Therefore, this study aimed to evaluate QoL and correlation with clinical and radiographic variables in AS patients, especially to figure out the relationship about the pain-specific disability measured by ODI, GK and QoL...
August 15, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28807432/non-neurologic-burst-thoracolumbar-fractures-fixation-case-control-study
#15
Aymeric Amelot, Joseph Cristini, Alexis Moles, Celine Salaud, Olivier Hamel, Eric Bord, Kevin Buffenoir
STUDY DESIGN: Burst fractures not associated with any neurological deficits are frequent but not therapeutic agreement on their management is available to date. This case-control study was conducted to try to help guide therapeutic decision in the treatment of such fractures. MATERIALS AND METHODS: This case-control study includes consecutive retrospective evaluation of 25 case-patients treated by posterior short-segment fixation associated with kyphoplasty (SFK) in the treatment of A3 thoracolumbar unstable fractures, as compared to a control-group composed of 82 patients treated by long-segment (LF) pedicle screws...
August 4, 2017: Injury
https://www.readbyqxmd.com/read/28801863/pedicle-screw-fixation-in-thoracolumbar-and-lumbar-spine-assisted-by-lateral-fluoroscopic-imaging-a-study-to-evaluate-the-accuracy-of-screw-placement
#16
S P Mohanty, S N Bhat, M Pai Kanhangad, G S Gosal
BACKGROUND: The purpose of this study was to evaluate the accuracy of pedicle screw placement, its advantages, and limitations in posterior instrumentation of thoracolumbar and lumbar burst fractures assisted only by lateral fluoroscopic imaging. MATERIALS AND METHODS: Pre- and postoperative computerized tomographic (CT) scans of 117 patients with thoracolumbar and lumbar burst fractures, who underwent posterior instrumentation with pedicle screw fixation, were prospectively analyzed...
August 11, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28796062/usefulness-of-anterior-cervical-fusion-using-titanium-interbody-cage-for-treatment-of-cervical-degenerative-disease-with-preoperative-segmental-kyphosis
#17
Kunihiko Hosoi, Hitoshi Tonomura, Ryota Takatori, Masateru Nagae, Yasuo Mikami, Toru Osawa, Yuji Arai, Hiroyoshi Fujiwara, Toshikazu Kubo
Favorable bone fusion and clinical results have been reported for anterior cervical fusion (ACF) using titanium interbody cage (TIC). This method might induce postoperative subsidence and local kyphosis, but the relationship between radiological changes and preoperative local alignment is not known. The purpose of the present study is to investigate the impact of preoperative local alignment on the clinical and radiological outcomes of ACF using TIC.The study enrolled 36 patients (mean age 49.8 years) who underwent single-level ACF using TIC for cervical degenerative diseases...
August 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28796043/smith-petersen-osteotomy-combined-with-anterior-debridement-and-allografting-for-active-thoracic-and-lumbar-spinal-tuberculosis-with-kyphotic-deformity-in-young-children-a-prospective-study-and-literature-review
#18
Yakefu Abulizi, Wei-Dong Liang, Maierdan Maimaiti, Wei-Bin Sheng
The purpose of this study is to determine the efficacy and safety of Smith-Petersen osteotomy combined with anterior debridement and allogenic strut bone grafting for the treatment of active thoracic and lumbar spinal tuberculosis with kyphotic deformity in young children.Spinal tuberculosis is more destructive in young children and often causes severe kyphosis and paraplegia. Despite much progress has been made, surgical treatment is still controversial and technically challenging.From October 2010 to August 2014, 25 children (11 males, 14 females; aged under 6 years) with active thoracic and lumbar spinal tuberculosis treated by Smith-Petersen osteotomy combined with anterior debridement and allogenic strut bone grafting were enrolled in this study...
August 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28795268/management-of-a-high-thoracic-chance-fracture
#19
Anouar Bourghli, Ibrahim Obeid, Louis Boissiere, Jean-Marc Vital, Zafer Tabboush, Mohammed Al Sarawan
PURPOSE: Chance fracture of the high thoracic spine is rare, and its impact on the adjacent cervical spine can be important. METHODS: We present the case of a 16-year-old male, who fell down from a 2 m height, in an unknown context as he has a mental retardation, and no witness saw the accident. Initial CT scan revealed a comminuted depressed fracture of the right parietal bone, associated with a chance fracture at the level of T3 with a kyphosis and bilateral lung contusion...
August 9, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28777683/inclinometric-measurement-of-kyphotic-curvature-description-and-clinimetric-properties
#20
Laurie Devaney, Richard Bohannon, Jon Rizzo, Maryclaire Capetta, Jeremy Vigneault, Katherine Van Deveire
BACKGROUND: Hyperkyphosis is associated with physical impairments, activity limitations, and reduced quality of life. Therefore, a simple, reliable, responsive, and valid clinical measure of dorsal kyphosis would be valuable to clinicians. OBJECTIVE: To describe a novel procedure for measuring kyphotic curvature-the inclinometric kyphosis measure (IKM)-and provide an estimation of reliability, responsiveness, and validity. METHODS: During 2 sessions spaced days apart, we used a bubble inclinometer to measure dorsal kyphosis in 68 patients receiving outpatient physical therapy...
August 4, 2017: Physiotherapy Theory and Practice
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