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trauma vertebral

Joshua Loewenstern, Remi A Kessler, John Caridi
PURPOSE: Thoracic vertebral fracture repair after a traumatic injury can be associated with significant risk for postoperative complications. Surgical outcomes are further complicated by patient comorbidity, particularly diabetes mellitus. The present study compared outcomes and complication rates for traumatic thoracic vertebral fracture repair in a matched sample of diabetic patients and non-diabetic controls. METHODS: Patients with a surgical repair of a trauma-induced thoracic vertebral fracture treated from 2010-2015 were identified from the Trauma Quality Improvement Program (TQIP) database yielding 5,557 cases...
October 9, 2018: World Neurosurgery
Puneet Malik, Pravin Salunke, Mandeep Kataria, Madhivanan Karthigeyan, Nirmalya Ray
BACKGROUND: An anomalous vertebral artery (VA) is not a deterrent for posterior C1-C2 joint manipulation and reduction of atlantoaxial dislocation (AAD). However, presence of an incidental aneurysm in the aberrant segment of artery with concurrent AAD adds to the surgical challenge. CASE DESCRIPTION: A 30-year-old woman presented with neck pain and spastic quadriparesis. Her imaging revealed atlantoaxial dislocation and bony segmentation defects. Three-dimensional computed tomography angiography showed bilateral anomalous vertebral arteries (V3 segment) and an incidental aneurysm on the arterial segment that crossed the right C1-C2 joint posteriorly...
October 9, 2018: World Neurosurgery
Celiac trunk is the artery of foregut, arising from the abdominal aorta at the level of T12/L1 vertebral body. It extends approximately 1.5 to 2 cm horizontally forwards before dividing into three branches: left gastric, common hepatic, and splenic arteries. Out of the three ventral branches of abdominal aorta, celiac trunk is more prone to have variations. During routine dissection of abdomen for undergraduate students we found some rare variations in the branching pattern of the celiac trunk. Absence of celiac trunk with hepatomesenteric trunk, quadrifurcation with dorsal pancreatic artery arising from it, quadrifurcation with middle colic artery arising from it, left inferior phrenic artery arising from celiac trunk, highly tortuous splenic artery supplying distal 1/3rd of transverse colon and hepatosplenic trunk...
September 2018: Anatomy & Cell Biology
Johannes Peter Kipp, Søren Schou Olesen, Esben Bolvig Mark, Lida Changiziyan Frederiksen, Asbjørn Mohr Drewes, Jens Brøndum Frøkjær
OBJECTIVES: The aim was to describe the pancreatic volume (PV) in a cohort of subjects with no prior history of pancreatic disease, and to explore the relationship between PV and conventional two-point measurements of the pancreas. Associations between PV, gender, age, abdominal body composition, and human height were explored as well. METHODS: CT scans from 204 trauma patients (20-80 years, 100 males) were evaluated. PV was measured with semi-automatic segmentation...
October 8, 2018: Abdominal Radiology
William N Maish
The incidental diagnosis of both developmental venous anomalies (DVAs) and cavernous malformations (CMs) in the central nervous system is increasing with improved imaging techniques. While classically silent diseases, these cerebrovascular pathologies can follow an aggressive course, particularly when present in the brainstem. In the last decade, substantial research has focussed on KRIT1-mediated tight junction gene expression and their role in CM development. However, our understanding of the physiologic conditions precipitating symptomatic CM development or CM haemorrhage with and without concomitant DVAs, remains lacking...
October 6, 2018: Neurosurgical Review
Catherine W Cahill, Kristen E Radcliff, Charles A Reitman
Background: Very little normative computed tomography (CT) scan data exist defining expected relationships of vertebral structures in the intact cervical spine. Better understanding of normal relationships should improve sensitivity of injury detection, particularly for facet subluxation. The purpose of this paper was to describe the normal anatomical relationships and most sensitive measurements to detect abnormal alignment in the subaxial cervical spine. Methods: A group of 30 CT scans with no documented cervical spine injury were utilized from an established database in a trauma population...
August 2018: International Journal of Spine Surgery
Sarah Klatzkow, Matthew D Johnson, Michele James, Sheila Carrera-Justiz
An 8-year-old neutered male miniature Poodle presented for evaluation of a suspected T3-L3 lesion with cervical component following vehicular trauma. Magnetic resonance imaging and computed tomography revealed a T2-T3 luxation with right displacement of T3. A T2 caudal endplate fracture was present as well as multifocal noncompressive bulges of cervical intervertebral discs. Conservative management failed and ventral stabilization of C7-T4 was performed via a median sternotomy. Paired String-of-Pearls plates were placed on the ventral aspect of vertebrae...
2018: Case reports in veterinary medicine
Leanne M Ward, Stasia Hadjiyannakis, Hugh J McMillan, Garey Noritz, David R Weber
Duchenne muscular dystrophy is associated with an increased risk of bone fragility due to the adverse effects of prolonged glucocorticoid therapy and progressive muscle weakness on bone strength. Osteoporosis manifests clinically as low-trauma long-bone and vertebral fractures (VFs), with VFs frequent, particularly in those treated with glucocorticoid therapy. It is increasingly recognized that bone pain, medical complications of osteoporosis (such as fat embolism syndrome), and the potential for permanent, fracture-induced loss of ambulation can be mitigated with timely bone health surveillance and management...
October 2018: Pediatrics
Sriram Ramgopal, Shahab A Shaffiey, Kavitha A Conti
BACKGROUND/PURPOSE: Sternal fractures are rare in children. The purpose of this series is to document traumatic findings in pediatric patients with sternal fractures at a Level 1 trauma center. STUDY DESIGN: We reviewed the charts of patients with radiologically confirmed sternal fractures from a trauma database at a pediatric Level 1 trauma center between January 1, 2000 and December 31, 2015. We report mechanisms of injury, associated injuries, complications, and outcomes associated with sternal fractures...
September 8, 2018: Journal of Pediatric Surgery
Samuel Rajadurai, Sabaratnam Muthukumaraswamy, Zakier Hussain
BACKGROUND: Vertebral-venous fistulas (VVF) are a rare vascular condition and are commonly associated with trauma, but may also be idiopathic, spontaneous or congenital. A current literature review reveals there is no level 1 evidence or established guidelines on optimal treatment for VVF. Diagnosis is often confirmed by catheter cerebral angiogram. Treatment goals are complete occlusion of the fistula, which can be achieved by both endovascular closure and/or surgical ligation treatment...
September 28, 2018: World Neurosurgery
Sui Kwong Li, William B Messer
Gram-negative vertebral osteomyelitis infections are increasing due to rising intravenous drug use but overall remain uncommon. Here, we present a case of Burkholderia cepacia complex cervical osteomyelitis in an intravenous drug user. Burkholderia cepaciacomplex vertebral osteomyelitis has been infrequently described in the literature thus far with varied antibiotic treatment regimens. A 68-year-old male presented to the emergency department with neck pain after minor trauma. He endorsed active intravenous heroin and methamphetamine use...
2018: Case Reports in Infectious Diseases
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
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
Hyeun Sung Kim, Nitin Adsul, Jung Soo Bang, Ravindra Singh, Chang Hwan Park, Il-Tae Jang
BACKGROUND: Kummell's disease is defined as avascular necrosis of vertebra, occurs after the delayed posttraumatic osteoporotic vertebral collapse and mainly occurs in adults > 50 years of age. We report the first case of refracture of Kummell's disease and epidural hematoma followed by paraparesis. CASE REPORT: A 67-year-old woman known case of osteoporotic T12 fracture (3 months back) visited our outpatient clinic complaining of persistent back pain and paraparesis after jerk while getting up from the bed...
September 25, 2018: World Neurosurgery
Lucy Thomas, Juanita Low, Kalos Chan, Gail Durbridge
BACKGROUND: Cervical arterial dissection, can occur spontaneously and is a rare but catastrophic adverse event associated with neck manipulation. Pathophysiology involves altered integrity of the arterial wall increasing its vulnerability to minor trauma. Those at risk are difficult to detect. Previous screening investigated blood flow but altered mechanical properties as stiffness of cervical arterial wall could provide a more valid indication of arterial integrity or even early dissection...
September 18, 2018: Musculoskeletal Science & Practice
Philip W Wertz
The primary purpose of the epidermis of terrestrial vertebrates is to produce the stratum corneum, which serves as the interface between the organism and the environment. As such, the stratum corneum provides a permeability barrier which both limits water loss through the skin and provides a relatively tough permeability barrier. This provides for a degree of resistance to mechanical trauma and prevents or limits penetration of potentially harmful substances from the environment. The stratum corneum consists of an array of keratinized cells embedded in a lipid matrix...
2018: Journal of Lipids
Josephine Berger-Groch, Darius M Thiesen, Dimitris Ntalos, Lars G Grossterlinden, Eric Hesse, Florian Fensky, Maximilian J Hartel
BACKGROUND: Gold standard to diagnose osteoporosis is standard dual-energy X-ray absorptiometry (DXA). CT is a standard diagnostic tool to detect injuries to the pelvic ring. The aim of the study was to collect information on bone density without DXA by determination of Hounsfield units (HU) in CT scans of patients with sacral fractures, to draw conclusions on the prevalence of osteoporosis in patients admitted to the investigating institution. HYPOTHESIS: Is the determination of HU in CT scans a useful method to gain more information about bone density in patients with sacral fractures? PATIENTS AND METHODS: We performed a retrospective analysis of all patients treated from 2004-2014 with sacral fractures confirmed with a CT scan...
September 19, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Jonas Müller, Jan-Uwe Müller, Thomas Koppe, Stephan Nowak, Henry W S Schroeder, Jörg Baldauf
BACKGROUND: Failure of pedicle screws and anatomical variations which prevent pedicle screw implantation make the search for an alternative to pedicle screws in thoracic spine surgery necessary. To date, published data have shown that intralaminar screws could be a possible way of fixation. Object of this study is a systematic examination of the feasibility of lamina screws in the whole thoracic spine. METHODS: Fifty females and 50 males (age 20 to 60 years) who underwent a polytrauma CT from 2010 to 2012 were randomly selected...
September 21, 2018: Acta Neurochirurgica
Mu Qiao, Bang-Ping Qian, Yong Qiu, Sai-Hu Mao, Yi-Hua Wang
OBJECTIVE: To investigate the pathogenesis of pseudarthrosis in ankylosing spondylitis (AS) based on the pathological analysis of specimens harvested during surgery. METHODS: Radiographic and clinical data for 17 consecutive AS patients with pseudarthrosis were retrospectively analyzed. Meanwhile, the pathological analysis of specimens obtained during surgery was also performed. RESULTS: In total, 18 extensive Andersson lesions were included...
September 15, 2018: Journal of Rheumatology
Mohammed Ali Alvi, Joseph R Kapurch, David V Ivanov, Panagiotis Kerezoudis, Mohamad Bydon, Brett A Freedman
OBJECTIVE: To determine if operating on "major" vertebral fractures leads to premature abortion of surgery and/or other acute cardiopulmonary complications. DESIGN: Retrospective review CLINICAL SETTING:: Level 1 trauma center PATIENTS/PARTICIPANTS AND INTERVENTION:: We retrospectively queried our institutional Trauma Registry for all cases presenting with concomitant rib fractures and surgically managed vertebral fractures. MAIN OUTCOME MEASUREMENTS: The main outcomes included the surgical outcome (aborted vs successfully performed), total and ICU length of stay (LOS), adverse discharge, mortality and functional outcomes...
August 23, 2018: Journal of Orthopaedic Trauma
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