keyword
https://read.qxmd.com/read/38502597/3d-printing-materials-and-technologies-for-orthopaedic-applications
#21
JOURNAL ARTICLE
Cambre Kelly, Samuel B Adams
3D printing technologies have evolved tremendously over the last decade for uses in orthopaedic surgical applications, including being used to manufacture implants for spine, upper extremity, foot and ankle, oncologic, and traumatic reconstructions. Materials used for 3D-printed orthopaedic devices include metals, degradable and nondegradable polymers, and ceramic composites. There are 2 primary advantages for use of 3D printing technologies for orthopaedics: first, the ability to create complex porous lattices that allow for osseointegration and improved implant stability and second, the enablement of complex geometric designs allowing for patient-specific devices based on preoperative imaging...
April 1, 2024: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/38500707/right-femoral-fragility-fracture-in-an-adolescent-with-vitamin-d-deficiency-from-covid-19-pandemic-related-confinement
#22
Suhasheni Rajendran, Ze Chen Lee, Chu Ee Seow, Chong Hui Khaw
BACKGROUND: The COVID-19 pandemic has caused major impacts in various aspects of our life. In Malaysia, a Movement Control Order was imposed in March 2020. For almost two years, school going children and adolescents were not able to attend school physically, and their physical activity was confined within their room or house on most days. Case Description . We describe a case of a 14-year-old boy who was previously active in sports and sustained a low trauma fracture at the right neck of the femur following a prolonged period of extreme sedentary life along with poor dietary intake during the COVID-19 pandemic period...
2024: Case Reports in Endocrinology
https://read.qxmd.com/read/38499892/performance-of-thoracic-ultrasonography-compared-with-chest-radiography-for-the-detection-of-rib-fractures-using-computed-tomography-as-a-reference-standard
#23
JOURNAL ARTICLE
Evangelia E Vassalou, Iraklis Perysinakis, Michail E Klontzas, Eelco de Bree, Apostolos H Karantanas
OBJECTIVE: Although there is growing evidence that ultrasonography is superior to X-ray for rib fractures' detection, X-ray is still indicated as the most appropriate method. This has partially been attributed to a lack of studies using an appropriate reference modality. We aimed to compare the diagnostic accuracy of ultrasonography and X-ray in the detection of rib fractures, considering CT as the reference standard. MATERIALS AND METHODS: Within a 2.5-year period, all consecutive patients with clinically suspected rib fracture(s) following blunt chest trauma and available posteroanterior/anteroposterior X-ray and thoracic CT were prospectively studied and planned to undergo thoracic ultrasonography, by a single operator...
March 19, 2024: Skeletal Radiology
https://read.qxmd.com/read/38499345/presentation-management-and-outcomes-of-thoracic-thoracolumbar-and-lumbar-spine-trauma-in-east-africa-a-cohort-study
#24
JOURNAL ARTICLE
Chibuikem A Ikwuegbuenyi, François Waterkeyn, Arthur Okembo, Costansia Bureta, Kassim O Kassim, Hamisi K Shabani, Scott Zuckerman, Roger Härtl
BACKGROUND: Trauma to the thoracic, thoracolumbar (TL), and lumbar spine is common and can cause disability and neurological deficits. Using a cohort of patients suffering from thoracic, TL, and lumbar spine trauma in a tertiary hospital in East Africa, the current study sought to: (1) describe demographics and operative treatment patterns, (2) assess neurologic outcomes, and (3) report predictors associated with undergoing surgery, neurologic improvement, and mortality. METHODS: A retrospective cohort study of patient records from September 2016 to December 2020 was conducted at a prominent East Africa referral center...
March 18, 2024: International Journal of Spine Surgery
https://read.qxmd.com/read/38491407/bilateral-vertebral-artery-injury-leads-to-brain-death-following-traumatic-brain-injury-a-case-report
#25
JOURNAL ARTICLE
Vera Irawany, Vizzi A F Nasution, Noorcahya Amalia
BACKGROUND: Vertebral artery injury is a rare condition in trauma settings. In the advanced stages, it causes death. CASE: A 31-year-old Sundanese woman with cerebral edema, C2-C3 anterolisthesis, and Le Fort III fracture after a motorcycle accident was admitted to the emergency room. On the fifth day, she underwent arch bar maxillomandibular application and debridement in general anesthesia with a hyperextended neck position. Unfortunately, her rigid neck collar was removed in the high care unit before surgery...
March 16, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/38491302/effect-on-functional-outcome-of-robotic-assisted-rehabilitation-versus-conventional-rehabilitation-in-patients-with-complete-spinal-cord-injury-a-prospective-comparative-study
#26
JOURNAL ARTICLE
Chandra Kumar Khande, Vishal Verma, Anil Regmi, Syed Ifthekar, P Venkata Sudhakar, Siddharth Shekhar Sethy, Pankaj Kandwal, Bhaskar Sarkar
STUDY DESIGN: Prospective Comparative Study. OBJECTIVE: This study aims to compare the functional outcomes of Robotic-assisted rehabilitation by Lokomat system Vs. Conventional rehabilitation in participants with Dorsolumbar complete spinal cord injury (SCI). SETTING: University level teaching hospital in a hilly state of northern India. METHODS: 15 participants with Dorsolumbar SCI with ASIA A neurology were allocated to robotic rehabilitation and 15 participants to conventional rehabilitation after an operative procedure...
March 15, 2024: Spinal Cord
https://read.qxmd.com/read/38490969/development-of-a-novel-risk-stratification-score-to-predict-30-day-mortality-in-cervical-trauma-patients-claad-score
#27
JOURNAL ARTICLE
Miguel A Cartagena-Reyes, Eric Solomon, Juan Silva Aponte, Aditya Joshi, Micheal Raad, Hamid Hassanzadeh, Amit Jain
STUDY DESIGN: Case control. OBJECTIVE: Traumatic cervical spine injuries are associated with a substantial risk of mortality. The aim of this study is to develop a novel mortality prediction model for patients with cervical trauma who require operative treatment. SUMMARY OF BACKGROUND DATA: Patients with cervical spine trauma have a high risk of postoperative complications and mortality. There are few reliable systems that can accurately predict mortality after surgery for cervical spine trauma, and those that do exist are typically not specific to cervical trauma...
March 11, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38481903/physiotherapy-rehabilitation-for-restoring-function-in-quadriparesis-after-cervical-spine-trauma-a-case-report
#28
Vaishnavi S Sharma, H V Sharath
A major neurological disorder with major socioeconomic effects is spinal cord injury (SCI). This case report aims to document the comprehensive physiotherapy rehabilitation intervention employed in the successful restoration of function in a patient with quadriparesis following cervical spine trauma. An 84-year-old male presented with quadriparesis resulting from a traumatic cervical spine injury sustained in a motor vehicle accident. The patient underwent an individualized physiotherapy rehabilitation program consisting of assessment, goal-setting, and targeted interventions...
February 2024: Curēus
https://read.qxmd.com/read/38481615/a-novel-radiological-scoring-system-for-anterior-longitudinal-ligament-injuries
#29
JOURNAL ARTICLE
Yang Li, Yuling Sun, Ji Wu, Zhongya Gao, Youcai Qiu, Lin Han, Xuhua Lu
BACKGROUND AND AIM: Cervical hyperextension injury is very frequent with anterior longitudinal ligament (ALL) injury, and the ligament damage has a remarkable effect on whether and what type of operation should be performed. This study aims to establish a new scoring system for the accurate diagnosis of ALL damage. METHODS: The imaging data of the consecutive patients was measured and scored by four radiologists. Intraoperative exploration was performed by three surgeons...
2024: International Journal of General Medicine
https://read.qxmd.com/read/38477796/sedentary-behavior-does-not-predict-low-bmd-nor-fracture-population-based-canadian-multicentre-osteoporosis-study-camos
#30
JOURNAL ARTICLE
Sigríður Lára Guðmundsdóttir, Claudie Berger, Heather Macdonald, Jonathan D Adachi, Wilma M Hopman, Stephanie M Kaiser, Christopher S Kovacs, Kenneth Shawn Davison, Suzanne N Morin, David Goltzman, Jerilynn C Prior
Sedentary behavior (SB) or sitting is associated with multiple unfavorable health outcomes. Bone tissue responds to imposed gravitational and muscular strain with there being some evidence suggesting a causal link between SB and poor bone health. However, there are no population-based data on the longitudinal relationship between SB, bone change and incidence of fragility fractures. This study aimed to examine the associations of sitting/sedentary behavior (defined as daily sitting time), areal bone mineral density (BMD by dual energy X-ray absorptiometry) and incident low trauma (fragility) osteoporotic fractures (excluding hands, feet, face and head)...
January 24, 2024: Journal of Bone and Mineral Research
https://read.qxmd.com/read/38476525/effect-of-a-cervical-collar-on-optic-nerve-sheath-diameter-in-trauma-patients
#31
JOURNAL ARTICLE
Mümin Murat Yazici, Özcan Yavaşi
BACKGROUND: As advocated in advanced trauma life support and prehospital trauma life support protocols, cervical immobilization is applied until cervical spine injury is excluded. This study aimed to show the difference in optic nerve sheath diameter (ONSD) between patients with and without a cervical collar using computed tomography (CT). METHODS: This was a single-center, retrospective study examining trauma patients who presented to the emergency department between January 1, 2021, and December 31, 2021...
2024: World Journal of Emergency Medicine
https://read.qxmd.com/read/38474302/microrna-133b-dysregulation-in-a-mouse-model-of-cervical-contusion-injury
#32
JOURNAL ARTICLE
James Young Ho Yu, Thomas C Chen, Camelia A Danilov
Our previous research studies have demonstrated the role of microRNA133b (miR133b) in healing the contused spinal cord when administered either intranasally or intravenously 24 h following an injury. While our data showed beneficial effects of exogenous miR133b delivered within hours of a spinal cord injury (SCI), the kinetics of endogenous miR133b levels in the contused spinal cord and rostral/caudal segments of the injury were not fully investigated. In this study, we examined the miR133b dysregulation in a mouse model of moderate unilateral contusion injury at the fifth cervical (C5) level...
March 6, 2024: International Journal of Molecular Sciences
https://read.qxmd.com/read/38472450/hip-spine-relationship-clinical-evidence-and-biomechanical-issues
#33
REVIEW
Alberto Di Martino, Giuseppe Geraci, Matteo Brunello, Claudio D'Agostino, Giorgio Davico, Cristina Curreli, Francesco Traina, Cesare Faldini
The hip-spine relationship is a critical consideration in total hip arthroplasty (THA) procedures. While THA is generally successful in patient, complications such as instability and dislocation can arise. These issues are significantly influenced by the alignment of implant components and the overall balance of the spine and pelvis, known as spinopelvic balance. Patients with alteration of those parameters, in particular rigid spines, often due to fusion surgery, face a higher risk of THA complications, with an emphasis on complications in instability, impingement and dislocation...
March 12, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38468383/finite-element-analysis-of-different-pedicle-screw-internal-fixations-for-first-lumbar-vertebral-fracture-in-different-sports-conditions
#34
JOURNAL ARTICLE
Pengpeng Ma, Zhenyu Li, Jun Miao, Xin Zhang, Zhiguo Zong, Tian Li
OBJECTIVE: Lumbar fractures are the most common spinal injuries, and surgery is required for severe fracture. This study aimed to investigate the variations in motion and stress in varying states of activity after minimally invasive and traditional open pedicle screw placement for L1 vertebral fracture stabilization. METHODS: We studied a male volunteer (26 years old) with no history of chronic back pain or lumbar spine trauma. We used the finite element method for this investigation...
March 2024: Journal of International Medical Research
https://read.qxmd.com/read/38465282/in-hospital-mortality-trends-after-surgery-for-traumatic-thoracolumbar-injury-a-national-inpatient-sample-database-study
#35
JOURNAL ARTICLE
Michael McCurdy, Rajkishen Narayanan, Omar Tarawneh, Yunsoo Lee, Matthew Sherman, Teeto Ezeonu, Michael Carter, Jose A Canseco, Alan S Hilibrand, Alexander R Vaccaro, Christopher K Kepler, Gregory D Schroeder
INTRODUCTION: Given the increasing incidence of traumatic thoracolumbar injuries in recent years, studies have sought to investigate potential risk factors for outcomes in these patients. RESEARCH QUESTION: The aim of this study was to investigate trends and risk factors for in-hospital mortality after fusion for traumatic thoracolumbar injury. MATERIALS AND METHODS: Patients undergoing thoracolumbar fusion after traumatic injury were queried from the National Inpatient Sample (NIS) from 2012 to 2017...
2024: Brain Spine
https://read.qxmd.com/read/38465115/comparison-of-three-airway-maneuvers-of-jaw-thrust-two-handed-e-c-technique-with-head-in-neutral-position-and-two-handed-e-c-technique-with-head-fully-extended-a-prospective-randomized-double-blind-crossover-study
#36
JOURNAL ARTICLE
Karthikeyan Ramakkannu, Annu Theagrajan, Manjunath Prabhu, Venkateswaran Ramkumar
Background Bag-mask ventilation is an essential life-saving skill. The E-C technique of mask holding is the most popular. In patients with suspected cervical injury, the jaw thrust maneuver is recommended instead of the E-C technique with head tilt-chin lift. Should jaw thrust fail to produce adequate chest rise, the operator is advised to switch to the E-C technique with the head tilt-chin lift maneuver with head extension as it is vital to move oxygen into the lungs. We hypothesized that the E-C clamp with the head in the neutral position without head tilt might permit adequate ventilation without producing excessive movement of the cervical spine, which in turn might translate as less strain to the cervical spine...
February 2024: Curēus
https://read.qxmd.com/read/38463103/delayed-surgical-treatment-of-asymptomatic-severe-traumatic-c7-t1-spondylolisthesis-a-rare-case-report-from-syria
#37
Mohammad Ayham Mohsen, Majd Abouassi, Mustafa Albokai, Safwan Alyousef, Ahed Hamed
INTRODUCTION: Spondylolisthesis is described as the displacement of one vertebra over another, leading to spinal instability and potential nerve compression. When this occurs in the cervicothoracic junction, it can result in unique clinical manifestations. High-grade spondylolisthesis caused by trauma in the cervicothoracic junction of the spine usually results in acute spinal cord injury and quadriparesis. However, a few uncommon cases of the same injury reported minimal or no neurological deficits...
March 2024: Annals of Medicine and Surgery
https://read.qxmd.com/read/38457922/treatment-of-unilateral-cervical-facet-fractures-without-evidence-of-dislocation-or-subluxation-a-narrative-review-and-proposed-treatment-algorithm
#38
REVIEW
Juan Ignacio Cirillo, Guillermo A Ricciardi, Facundo Lisandro Alvarez Lemos, Alfredo Guiroy, Ratko Yurac, Klaus Schnake
Isolated cervical spine facet fractures are often overlooked. The primary imaging modality for diagnosing these injuries is a computed tomography scan. Treatment of unilateral cervical facet fractures without evidence of dislocation or subluxation remains controversial. The available evidence regarding treatment options for these fractures is of low quality. Risk factors associated with the failure of nonoperative treatment are: comminution of the articular mass or facet joint, acute radiculopathy, high body mass index, listhesis exceeding 2 mm, fragmental diastasis, acute disc injury, and bilateral fractures or fractures that adversely affect 40% of the intact lateral mass height or have an absolute height of 1 cm...
March 5, 2024: EFORT Open Reviews
https://read.qxmd.com/read/38456683/quantifying-the-association-between-surgical-spine-approach-and-tracheostomy-timing-after-traumatic-cervical-spinal-cord-injury
#39
JOURNAL ARTICLE
Ahmad Essa, Husain Shakil, Armaan K Malhotra, James P Byrne, Jetan Badhiwala, Eva Y Yuan, Yingshi He, Andrew S Jack, Francois Mathieu, Jefferson R Wilson, Christopher D Witiw
BACKGROUND AND OBJECTIVES: Recent evidence suggests earlier tracheostomy is associated with fewer complications in patients with complete cervical spinal cord injury (SCI). This study aims to evaluate the influence of spine surgical approach on the association between tracheostomy timing and in-hospital adverse events treating patients with complete cervical SCI. METHODS: This retrospective cohort study was performed using Trauma Quality Improvement Program data from 2017 to 2020...
March 8, 2024: Neurosurgery
https://read.qxmd.com/read/38454211/destructive-disasters-trauma-crush-syndrome-and-beyond
#40
JOURNAL ARTICLE
Mehmet Şükrü Sever, Yusuf Alper Katı, Ufuk Özkaya
Orthopedic injuries, especially fractures of long bones as well as multiple fractures and comminuted fractures, are very common after destructive disasters (e.g., earthquakes, wars, and hurricanes). Another frequent problem is traumatic rhabdomyolysis, which may result in crush syndrome, the second most frequent cause of death after direct traumatic impact following earthquakes. To improve outcomes, interventions should be initiated even before extrication of the victims, which include maintenance of airway patency and spine stabilization, stopping traumatic bleeding by any means, and initiating fluid resuscitation...
November 2023: Acta Orthopaedica et Traumatologica Turcica
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