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trauma vertebral

Yuri Klassov, Vadim Benkovich, M Moti Kramer
Os odontoideum is a rare condition. Nevertheless this condition was described by Giacomini in 1886. It is defined radiologicaly as an oval or round-shaped ossicle of variable size with smooth circumferential cortical margins representing the odontoid process that has no continuity with the body of C2. It is important to review this topic since the upper cervical spinal region is complex from anatomical point of view and has many vital structures passing in close relation to each other. If a person suffers from hyper mobile dens due to insufficiency of its ligamentous complex, it may cause translation of the atlas on the axis and may compress the cervical cord or vertebral arteries...
December 2018: Trauma Case Reports
Alexandre Jaccard, César Macedo, Gabriel Castro, Alfredo Guiroy
Background: The Gorham-Stout syndrome (GSS), also known as phantom bone disease, is a rare bone condition of unknown etiology. Involvement of the spine is described in <50 cases in the literature. Here, we report a case of thoracic spine fracture dislocation in a young female who was known to have GSS. Case Description: A 23-year-old female developed a left spontaneous hemothorax 10 years previously along with left ribs lytic lessions. Pleural and rib biopsies diagnosed angiomatosis and the clinical diagnosis of GSS was established...
2018: Surgical Neurology International
Bu-Shun Tang, Cheng Yan, Xiao-Ke Zhang, Yi-Bing Liu, Chao Wang, Bing Wei
OBJECTIVE: To compare the clinical effects and complications of two hybrid decompression techniques in treating multilevel (>=3) cervical spondylotic myelopathy(MCSM). METHODS: The clinical data of 124 patients with multilevel (>=3) cervical spondylotic myelopathy treated by surgery and follow-up from January 2008 to December 2016 were retrospectively analyzed. According to the different operative methods, the patients were divided into group A and group B...
November 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Paolo Simoni, Merhan Ghassemi, Vinh Dat-Minh Le, Grammatina Boitsios
Ultrasound (US) allows a reliable examination of the brachial plexus except for the spinal nerve roots, located deep in the neuro-foramina, beyond the shadowing of the transverse processes of the vertebral bodies. All the other fascicles of the brachial plexus can be mapped by US from the roots of the spinal cervical nerves, from C5 to T1 to the branches at level of the axillary region. US can be considered as an alternative to Magnetic Resonance Imaging (MRI) when MRI is contraindicated, not readily available or in case of claustrophobia...
December 16, 2017: Journal of the Belgian Society of Radiology
Warren A Vieira, Catherine D McCusker
Disease of, or trauma to, the human jaw account for thousands of reconstructive surgeries performed every year. One of the most popular and successful treatment options in this context involves the transplantation of bone tissue from a different anatomical region into the affected jaw. Although, this method has been largely successful, the integration of the new bone into the existing bone is often imperfect, and the integration of the host soft tissues with the transplanted bone can be inconsistent, resulting in impaired function...
November 26, 2018: International Journal of Molecular Sciences
M Mangané, A Almeimoune, Th M Diop, A S Dembélé, B Diallo, A Napo, Y Sogoba, Y Bomou, M Doumbia, S Koita, S I Tambassi, M D Diango
INTRODUCTION: Traditional gold washing traumatism during traditional gold panningfalls within the scope of occupational accidents, which are common pathologies in developing countries such as Mali. Our work aimed to study traumatism during traditional gold panning. MATERIAL AND METHOD: A 1-year prospective study from November 2014 to November 2015 on the cases of traumatism during traditional gold washing (TOT) admitted to the emergency room(ER) of the University Hospital Gabriel Touré during the study period...
2018: Le Mali Médical
Daniel Fuentes-Sánchez, Ana Mateos, Jesús Aldea, Jesús Rodríguez
OBJECTIVE: This work provides a detailed description and differential diagnosis of a Pleistocene cave bear (Ursus spelaeus). MATERIALS: The specimen was recovered at the Cueva de Guantes archaeo- paleontological site, located in the North of the Iberian Peninsula and dated to more than 30k yr BP. METHODS: The study was carried out by macroscopic and radiological analysis. RESULTS: The specimen has unusual morphology, with two vertebrae (C6-C7) connected in the ventrodorsal projection by osseous tissue, without a space or disruption between them...
November 19, 2018: International Journal of Paleopathology
Ahmad Aljobeh, Thomas Joseph Sorenson, Carlo Bortolotti, Harry Cloft, Giuseppe Lanzino
OBJECT: Vertebro-vertebral fistulas (VVFs) are uncommon lesions that can arise spontaneously or secondarily to iatrogenic or mechanical trauma. We performed a systematic review of the literature to obtain information regarding demographics, clinical presentation, treatment modalities, outcome, and complications associated with treatment. METHODS: A literature search was performed by a reference librarian and after screening, 128 case reports and 16 case series were left for inclusion in the review...
November 17, 2018: World Neurosurgery
U Ratnasabapathy, M Purcell, J J Bhattacharya
Introduction: Vertebro-basilar thrombosis is often lethal. We report a post-traumatic case in which logistical issues were overcome to secure prompt endovascular intervention resulting in a favourable outcome. Case presentation: We report this case to highlight (i) the need, across the United Kingdom, for rapid access to 24/7 neurointerventional services and (ii) the fact that vertebral artery injury during C-spine trauma, while not uncommon, can rarely have catastrophic complications...
2018: Spinal Cord Series and Cases
Kaitlyn M Rountree, Julie A Zachwieja, Jesse A Coleman, Isaac J Hinton, Peter P Lopez
No abstract text is available yet for this article.
September 1, 2018: American Surgeon
Carlo Giussani, Lelio Guida, Francesco Canonico, Erik P Sganzerla
BACKGROUND: Neurosurgical features of mucopolysaccharidosis (MPS) patients mainly involve the presence of cranio-vertebral junction (CVJ) abnormalities and the development of communicating hydrocephalus. CVJ pathology is a critical aspect that severely influences the morbidity and mortality of MPS patients. Hydrocephalus is slowly progressing; it must be differentiated from cerebral atrophy, and rarely requires treatment. The aim of this paper was to review the literature concerning these conditions, highlighting their clinical, radiological, and surgical aspects to provide a practical point of view for clinicians...
November 16, 2018: Italian Journal of Pediatrics
Rupert Schupfner, Herman Stoevelaar
From the Department of Orthopaedics and Trauma Surgery, Klinikum Bayreuth, Bayreuth, Germany Osteoporosis-related vertebral compression fractures (OVCF) are commonly seen in clinical practice. Treatment choice is often challenging due to heterogeneity of the patient population. A European multidisciplinary expert panel developed patient-specific recommendations for reatment choice that were embedded in an online evaluation tool (VCF Monitor). This study aimed to evaluate the appropriateness of treatment choice in patients with OVCF in a German hospital...
December 2017: Acta Orthopaedica Belgica
Giuseppe Marongiu, Stefano Congia, Marco Verona, Massimo Lombardo, Daniele Podda, Antonio Capone
INTRODUCTION: Standard radiographs are still considered as the gold standard for the early assessment of thoraco-lumbar osteoporotic vertebral fractures (OVFs), although several studies demonstrated superior accuracy of magnetic resonance imaging (MRI) in the diagnostic process of OVFs. The aim of this study was to quantify the misdiagnosis rate of OVFs and analyse the impact of MRI on early diagnosis and classification, compared to standard radiographs alone. MATERIALS AND METHODS: A total of 173 patients were enrolled in this study...
November 2018: Injury
Simona Portaro, Elisabetta Morini, Maria Elena Santoro, Maria Accorinti, Pietro Marzullo, Antonino Naro, Rocco Salvatore Calabrò
RATIONALE: Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative multisystem disorder, presenting with limb or bulbar onset. To date, there is no cure for ALS. At some stage of the disease, patients may complain of breathlessness due to respiratory failure, thus needing a noninvasive mechanical ventilation (NIMV) support. However, breathlessness is a symptom that may be induced by different causes that must be taken into consideration in ALS management. PATIENTS CONCERNS: We report the case of an 81-year-old man, with a spinal onset ALS, who was admitted to our clinic to start NIMV because of respiratory involvement...
November 2018: Medicine (Baltimore)
Yinxia Zhao, Mingqian Huang, Jie Ding, Xintao Zhang, Karl Spuhler, Shaoyong Hu, Mianwen Li, Wei Fan, Lin Chen, Xiaodong Zhang, Shaolin Li, Quan Zhou, Chuan Huang
BACKGROUND: Bone marrow fat increases when bone mass decreases, which could be attributed to the fact that adipogenesis competes with osteogenesis. Bone marrow fat has the potential to predict abnormal bone density and osteoporosis. PURPOSE: To investigate the predictive value of using vertebral bone marrow fat fraction(BMFF) obtained from modified Dixon(mDixon) Quant in the determination of abnormal bone density and osteoporosis. STUDY TYPE: Prospective...
November 3, 2018: Journal of Magnetic Resonance Imaging: JMRI
Amir Ghaffarzad, Reza Javadrashid, Elyar Sadeghi-Hokmabadi, Reza Jamal Arvanaghi, Hassan Soleimanpour, Samad Ej Golzari
Vertebral artery occlusion (VAO) may result from closed head or neck trauma and can be lifethreatening due to brain-stem and cerebellar infarction. CT angiography is recommended as a screening diagnostic tool in selected patients after blunt cervical trauma. A 24-year-old woman was admitted to our emergency department with left hemiplegia two days after motor vehicle collision. Final diagnosis of occlusion of the right vertebral artery was made in CT angiography. She was treated with anticoagulant for 4 days then discharged with 5/5 muscle forces...
2018: Journal of Cardiovascular and Thoracic Research
Tor Brommeland, Eirik Helseth, Mads Aarhus, Kent Gøran Moen, Stig Dyrskog, Bo Bergholt, Zandra Olivecrona, Elisabeth Jeppesen
Blunt cerebrovascular injury (BCVI) is a non-penetrating injury to the carotid and/or vertebral artery that may cause stroke in trauma patients. Historically BCVI has been considered rare but more recent publications indicate an overall incidence of 1-2% in the in-hospital trauma population and as high as 9% in patients with severe head injury. The indications for screening, treatment and follow-up of these patients have been controversial for years with few clear recommendations. In an attempt to provide a clinically oriented guideline for the handling of BCVI patients a working committee was created...
October 29, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Judith M Pardo-Pérez, Benjamin P Kear, Heinrich Mallison, Marcelo Gómez, Manuel Moroni, Erin E Maxwell
Paleopathologies document skeletal damage in extinct organisms and can be used to infer the causes of injury, as well as aspects of related biology, ecology and behavior. To date, few studies have been undertaken on Jurassic marine reptiles, while ichthyosaur pathologies in particular have never been systematically evaluated. Here we survey 41 specimens of the apex predator ichthyosaur Temnodontosaurus from the Early Jurassic of southern Germany in order to document the range and absolute frequency of pathologies observed in this taxon as a function of the number of specimens examined...
2018: PloS One
Erin M Conlee, Sherilyn W Driscoll, Krista A Coleman Wood, Amy L McIntosh, Mark L Dekutoski, Joline E Brandenburg
BACKGROUND: Posterior lumbar vertebral endplate fracture occurs with avulsion of the ring apophysis from the posterior vertebral body. Although this has been described in adolescents and young adults, proper diagnosis is often delayed or missed entirely. Surgery may be curative. OBJECTIVE: To determine the common clinical features and treatment outcomes in youth and young adults with posterior lumbar vertebral endplate fractures. DESIGN: Descriptive case series...
October 19, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
Patricia C S Parreira, Christopher G Maher, Adrian C Traeger, Mark J Hancock, Aron Downie, Bart W Koes, Manuela L Ferreira
OBJECTIVES: (1) Describe the evolution of guideline-endorsed red flags for fracture in patients presenting with low back pain; (2) evaluate agreement between guidelines; and (3) evaluate the extent to which recommendations are accompanied by information on diagnostic accuracy of endorsed red flags. DESIGN: Systematic review. DATA SOURCES: MEDLINE and PubMed, PEDro, CINAHL and EMBASE electronic databases. We also searched in guideline databases, including the National Guideline Clearinghouse and Canadian Medical Association Infobase ...
October 18, 2018: British Journal of Sports Medicine
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