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https://www.readbyqxmd.com/read/29244696/selective-spinal-fusion-for-neuromuscular-scoliosis-in-a-patient-with-pompe-disease-a-case-report-and-review-of-the-literature
#1
Atsushi Tanida, Shinji Tanishima, Tokumitsu Mihara, Aya Narita, Yoshihiro Maegaki, Hideki Nagashima
CASE: A 16-year-old girl with Pompe disease underwent surgery for scoliosis. She had been able to walk without any assistance, and kept her balance by swinging her waist. Therefore, we performed posterior selective spinal correction and fusion to avoid any adverse effects on walking ability that could occur with immobilization of the lumbosacral spine. After surgery, she was highly satisfied with her ability to perform the activities of daily living. CONCLUSION: For nonambulatory patients with scoliosis and Pompe disease, long fusion from the upper thoracic spine to the pelvis is generally required...
January 2017: JBJS Case Connector
https://www.readbyqxmd.com/read/29243997/transdural-approach-to-resection-of-retro-odontoid-cysts-in-elderly-patients-report-of-3-cases
#2
Karthik Madhavan, Lee Onn Chieng, Brandon G Gaynor, Allan D Levi
Retro-odontoid cysts that arise from the tectorial membrane are uncommon lesions that can occur in elderly patients. They arise secondary to degenerative changes, including calcium pyrophosphate deposition within the ligaments. Surgical treatment is indicated when these lesions result in intractable pain, instability, and/or myelopathy. Several surgical techniques to treat this condition exist, but the optimal approach in elderly patients with comorbidities remains controversial. Here, the authors present a case series of 3 patients who underwent successful resection of a retro-odontoid lesion performed through a transdural approach...
December 15, 2017: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/29243586/symptomatic-lumbosacral-transitional-vertebra-a-review-of-the-current-literature-and-clinical-outcomes-following-steroid-injection-or-surgical-intervention
#3
Emil Kongsted Holm, Cody Bünger, Casper Bindzus Foldager
Bertolotti's syndrome (BS) refers to the possible association between the congenital malformation lumbosacral transitional vertebra (LSTV), and low back pain (LBP). Several treatments have been proposed including steroid injections, resections of the LSTV, laminectomy, and lumbar spinal fusion. The aim of this review was to compare the clinical outcomes in previous trials and case reports for these treatments in patients with LBP and LSTV. A PubMed search was conducted. We included English studies of patients diagnosed with LSTV treated with steroid injection, laminectomy, spinal fusion or resection of the transitional articulation...
2017: SICOT-J
https://www.readbyqxmd.com/read/29242976/a-rare-case-of-concomitant-cervical-disc-herniation-and-intradural-meningioma-treated-with-one-stage-posterior-surgery
#4
Xiaojian Hu, Zhong Chen, Yue Wang
STUDY DESIGN: Case report. PURPOSE: To present a rare case of cervical disc herniation concomitant with intradural meningioma which was successfully treated using a single one-stage posterior surgery of tumor resection and transdural discectomy. Coexistence of symptomatic disc herniation and intra-spinal tumor in the same cervical segment is extremely rare. Usually, two-stage anterior and posterior surgeries are needed to treat two conditions, respectively. One-stage posterior surgery to treat two pathologies simultaneously has not been reported in the literature...
December 14, 2017: European Spine Journal
https://www.readbyqxmd.com/read/29242799/superior-mesenteric-artery-syndrome-after-kyphosis-correction-a-case-report
#5
Surya Prakash Rao Voleti, Jakkepally Sridhar
Introduction: Obstruction of the third part of duodenum by superior mesenteric artery is known as superior mesenteric artery syndrome. Incidence of superior mesenteric artery syndrome following spine deformity correction is 0.5-4.7%. Till now, this syndrome after isolated kyphosis correction with vertebral column resection is rarely reported in literature. Case Report: A 17-year-old male patient with normal body habitus presented with 80° of congenital thoracolumbar kyphosis...
September 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29240019/integrating-patient-controlled-analgesia-using-implanted-intrathecal-pumps-for-postoperative-pain-management-a-case-report
#6
Alec Peniche, Lawrence Poree, Mark Schumacher, Xiaobing Yu
Intrathecal patient-controlled analgesia (IT-PCA) through implanted intrathecal infusion pumps has been increasingly utilized for severe cancer and chronic noncancer pain management. However, its application for acute postoperative pain management has not been reported to date. We present a case of a patient with an implanted intrathecal pump for chronic nonmalignant back pain who underwent an extensive spinal fusion surgery. The IT-PCA functionality of her intrathecal pump was successfully integrated into her postoperative multimodal pain regimen...
December 11, 2017: A & A Case Reports
https://www.readbyqxmd.com/read/29238648/trends-in-spinal-surgery-for-pott-s-disease-2000-2016-an-overview-and-bibliometric-study
#7
Christian Fisahn, Fernando Alonso, Ghazwan A Hasan, R Shane Tubbs, Joseph R Dettori, Thomas A Schildhauer, Tarush Rustagi
Study Design: Systematic review. Objectives: (1) What are the surgical indications? Have they changed over time since the year 2000? (2) What is the current surgical approaches of choice? Have they changed over time since the year 2000? Do they vary by geographical region? (3) What are the most common outcome measures following surgery? Methods: Electronic databases and reference lists of key articles were searched from database inception from January 1, 2000 to December 31, 2016 to identify studies specifically evaluating surgical indications, current surgical approaches, and outcome measures for spinal tuberculosis...
December 2017: Global Spine Journal
https://www.readbyqxmd.com/read/29238647/rsa-in-spine-a-review
#8
REVIEW
Ali Humadi, Sulaf Dawood, Klas Halldin, Brian Freeman
Study Design: Systematic review of literature. Objectives: This systematic review was conducted to investigate the accuracy of radiostereometric analysis (RSA), its assessment of spinal motion and disorders, and to investigate the limitations of this technique in spine assessment. Methods: Systematic review in all current literature to invesigate the role of RSA in spine. Results: The results of this review concluded that RSA is a very powerful tool to detect small changes between 2 rigid bodies such as a vertebral segment...
December 2017: Global Spine Journal
https://www.readbyqxmd.com/read/29238646/stem-cells-in-spinal-fusion
#9
Michael A Robbins, Dominik R Haudenschild, Adam M Wegner, Eric O Klineberg
Study Design: Review of literature. Objectives: This review of literature investigates the application of mesenchymal stem cells (MSCs) in spinal fusion, highlights potential uses in the development of bone grafts, and discusses limitations based on both preclinical and clinical models. Methods: A review of literature was conducted looking at current studies using stem cells for augmentation of spinal fusion in both animal and human models...
December 2017: Global Spine Journal
https://www.readbyqxmd.com/read/29238638/efficacy-of-early-fusion-with-local-bone-graft-and-platelet-rich-plasma-in-lumbar-spinal-fusion-surgery-followed-over-10-years
#10
Shiro Imagama, Kei Ando, Kazuyoshi Kobayashi, Yoshimoto Ishikawa, Hiroshi Nakamura, Tetsuro Hida, Kenyu Ito, Mikito Tsushima, Akiyuki Matsumoto, Masayoshi Morozumi, Satoshi Tanaka, Masaaki Machino, Kyotaro Ota, Hiroaki Nakashima, Junki Takamatsu, Tadashi Matsushita, Yoshihiro Nishida, Naoki Ishiguro, Yukihiro Matsuyama
Study Design: Prospective clinical study. Objective: Many oral surgeons use platelet-rich plasma (PRP) for bone defects, but the efficacy of PRP for spinal arthrodesis remains uncertain. The objective was to compare the efficacy of autologous local bone graft and PRP with local bone graft alone for promotion of bony union in posterolateral lumbar fusion (PLF) surgery, with investigation of the safety of PRP over 10 years. Methods: A prospective study was conducted in 29 consecutive patients who underwent one-level PLF at L4/5 for degenerative lumbar disease...
December 2017: Global Spine Journal
https://www.readbyqxmd.com/read/29233568/the-impact-of-spino-pelvic-alignment-on-total-hip-arthroplasty-outcomes-a-critical-analysis-of-current-evidence
#11
REVIEW
Assem A Sultan, Anton Khlopas, Nicolas S Piuzzi, Morad Chughtai, Nipun Sodhi, Michael A Mont
BACKGROUND: In this review, we (1) evaluated the effect of adult spine deformity (ASD) and its surgical correction on patients who had a total hip arthroplasty (THA); (2) evaluated the outcomes of THA in patients who have had previous spinal fusion; and (3) we presented an algorithm on how to surgically address patients who simultaneously require THA and ASD correction. METHODS: A comprehensive literature search was conducted. Our final analysis included 14 studies...
November 22, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29232355/proximal-junctional-kyphosis-inter-and-intraobserver-reliability-of-radiographic-measurements-in-adult-spinal-deformity
#12
Farbod Rastegar, Alec Contag, Alan Daniels, Jayme Hiratzka, Clifford Lin, Jason Chang, Khoi Than, Ahmed Raslan, Christopher Kong, Ngoc-Lam Nguyen, Richard Hostin, Marie Kane, Robert A Hart
STUDY DESIGN: Reliability study of radiographic measures of proximal junctional kyphosis (PJK) in patients with adult spinal deformity (ASD). OBJECTIVE: To assess impacts of level of proximal endpoint and vertebral fracture on reliability of measurement of junctional kyphosis. SUMMARY OF BACKGROUND DATA: Radiographic assessment is important in determining management of patients with PJK or proximal junctional failure (PJF). No study to date has evaluated the reliability of radiographic measurement of the junctional kyphotic angle after surgery for ASD...
January 1, 2018: Spine
https://www.readbyqxmd.com/read/29230406/intraoperative-myelography-in-transpsoas-lateral-lumbar-interbody-fusion-for-degenerative-lumbar-spinal-stenosis-a-preliminary-prospective-study
#13
Yang Yang, Liangming Zhang, Jianwen Dong, Zihao Chen, Peigen Xie, Ruiqiang Chen, Lei He, Feng Feng, Limin Rong, Bin Liu
Aim: To investigate the feasibility and effectiveness of intraoperative myelography in determining adequacy of indirect spinal canal decompression during transpsoas lateral lumbar interbody fusion (LLIF). Methods: Seven patients diagnosed with degenerative lumbar spinal stenosis (DLSS) were prospectively included to this study. All patients underwent LLIF and subsequently received intraoperative myelography to determine the effect of indirect spinal canal decompression, which was visualized in both anterior-posterior and lateral images...
2017: BioMed Research International
https://www.readbyqxmd.com/read/29227787/major-destructive-asymptomatic-lumbar-charcot-lesion-treated-with-three-column-resection-and-short-segment-reconstruction-case-report-treatment-strategy-and-review-of-literature
#14
Kestutis Valancius, Gaurav Garg, Madalina Duicu, Ebbe Stender Hansen, Cody Bunger
Charcot's spine is a long-term complication of spinal cord injury. The lesion is often localized at the caudal end of long fusion constructs and distal to the level of paraplegia. However, cases are rare and the literature relevant to the management of Charcot's arthropathy is limited. This paper reviews the clinical features, diagnosis, and surgical management of post-traumatic spinal neuroarthropathy in the current literature. We present a rare case of adjacent level Charcot's lesion of the lumbar spine in a paraplegic patient, primarily treated for traumatic spinal cord lesion 39 years before current surgery...
2017: SICOT-J
https://www.readbyqxmd.com/read/29227370/c1-c2-pedicle-screw-fixation-for-pediatric-atlantoaxial-dislocation-initial-results-and-long-term-follow-up
#15
Zhi-Da Chen, Jin Wu, Cheng-Wu Lu, Wen-Rong Zeng, Zhuan-Zhi Huang, Bin Lin
BACKGROUND: There are few studies reporting the use of atlantoaxial pedicle screws and the long-term effects of C1-C2 posterior fusion in children. Our study is to investigate the initial results of C1-C2 pedicle screw fixation for pediatric atlantoaxial dislocation (AAD) and assessed spontaneous change of postoperative radiography after a long-term follow-up period. METHODS: Posterior pedicle screw fixations were performed in 21 pediatric patients with AAD. All the patients underwent implant removal 1 year after their initial surgery and had regular follow-up with an average duration of 76...
December 8, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29227364/posterolateral-diskectomies-for-treatment-of-pediatric-spinal-deformities
#16
Amit Jain, Brian T Sullivan, Hamid Hassanzadeh, Nigel N Hsu, Paul D Sponseller
STUDY DESIGN: Retrospective. OBJECTIVE: To investigate the indications, radiographic outcomes, and complications in children with spinal deformities treated with posterolateral diskectomy with posterior fusion (PLDF), and to compare them against those of patients treated with anteroposterior spinal fusion (APSF). SUMMARY OF BACKGROUND DATA: A novel technique for treating large, rigid spinal deformities in children has been proposed, consisting of PLDF at the apex of the deformity using an all-posterior approach...
December 8, 2017: Spine
https://www.readbyqxmd.com/read/29227363/psychosocial-factors-and-surgical-outcomes-in-adult-spinal-deformity-do-dementia-patients-have-more-complications
#17
Courtney S Toombs, Justin C Paul, Baron S Lonner
STUDY DESIGN: Retrospective analysis of a prospectively collected, national inpatient hospital database. OBJECTIVE: We aimed to investigate comorbid psychiatric disorders in the ASD population. We hypothesized that a high incidence of comorbid psychiatric disorders in ASD would negatively impact perioperative outcomes. SUMMARY OF BACKGROUND DATA: Adult spinal fusion (ASF) patients suffer from severe back pain and often depression. Psychiatric comorbidities in the adult spinal deformity (ASD) population are not well understood, despite the apparent psychological effects of spinal deformity-related self-image...
December 8, 2017: Spine
https://www.readbyqxmd.com/read/29226197/osteoporosis-and-the-management-of-spinal-degenerative-disease-i
#18
REVIEW
Félix Tomé-Bermejo, Angel R Piñera, Luis Alvarez-Galovich
Osteoporosis has become a major medical problem as the aged population of the world rapidly grows. Osteoporosis predisposes patients to fracture, progressive spinal deformities, and stenosis, and is subject to be a major concern before performing spine surgery, especially with bone fusions and instrumentation. Osteoporosis has often been considered a contraindication for spinal surgery, while in some instances patients have undergone limited and inadequate procedures in order to avoid concomitant instrumentation...
September 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/29225416/getting-peek-to-stick-to-bone-the-development-of-porous-peek-for-interbody-fusion-devices
#19
F Brennan Torstrick, David L Safranski, J Kenneth Burkus, James L Chappuis, Christopher S D Lee, Robert E Guldberg, Ken Gall, Kathryn E Smith
Interbody fusion cages are routinely implanted during spinal fusion procedures to facilitate arthrodesis of a degenerated or unstable vertebral segment. Current cages are most commonly made from polyether-ether-ketone (PEEK) due to its favorable mechanical properties and imaging characteristics. However, the smooth surface of current PEEK cages may limit implant osseointegration and may inhibit successful fusion. We present the development and clinical application of the first commercially available porous PEEK fusion cage (COHERE®, Vertera, Inc...
September 2017: Techniques in Orthopaedics: TIO
https://www.readbyqxmd.com/read/29225115/thoracic-disc-herniation-surgical-treatment
#20
REVIEW
C Court, E Mansour, C Bouthors
Thoracic disc herniation is rare and mainly occurs between T8 and L1. The herniation is calcified in 40% of cases and is labelled as giant when it occupies more than 40% of the spinal canal.A surgical procedure is indicated when the patient has severe back pain, stubborn intercostal neuralgia or neurological deficits. Selection of the surgical approach is essential. Midline calcified hernias are approached from a transthoracic incision, while lateralized soft hernias can be approached from a posterolateral incision...
December 7, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
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