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spinal vertebral trauma

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
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
Akhil P Verheyden, Ulrich J Spiegl, Helmut Ekkerlein, Erol Gercek, Stefan Hauck, Christoph Josten, Frank Kandziora, Sebastian Katscher, Philipp Kobbe, Christian Knop, Wolfgang Lehmann, Rainer H Meffert, Christian W Müller, Axel Partenheimer, Christian Schinkel, Philipp Schleicher, Matti Scholz, Christoph Ulrich, Alexander Hoelzl
Study Design: consensus paper with systematic literature review. Objective: The aim of this study was to establish recommendations for treatment of thoracolumbar spine fractures based on systematic review of current literature and consensus of several spine surgery experts. Methods: The project was initiated in September 2008 and published in Germany in 2011. It was redone in 2017 based on systematic literature review, including new AOSpine classification...
September 2018: Global Spine Journal
Philipp Schleicher, Philipp Kobbe, Frank Kandziora, Matti Scholz, Andreas Badke, Florian Brakopp, Helmut Ekkerlein, Erol Gercek, Rene Hartensuer, Philipp Hartung, Jan-Sven Jarvers, Stefan Matschke, Robert Morrison, Christian W Müller, Miguel Pishnamaz, Maximilian Reinhold, Gregor Schmeiser, Klaus John Schnake, Gregor Stein, Bernhard Ullrich, Thomas Weiss, Volker Zimmermann
Study Design: Expert consensus. Objectives: To establish treatment recommendations for subaxial cervical spine injuries based on current literature and the knowledge of the Spine Section of the German Society for Orthopaedics and Trauma. Methods: This recommendation summarizes the knowledge of the Spine Section of the German Society for Orthopaedics and Trauma. Results: Therapeutic goals are a stable, painless cervical spine and protection against secondary neurologic damage while retaining maximum possible motion and spinal profile...
September 2018: Global Spine Journal
Hua Chen, Yu-Wei Li, Hong Jiang, Xiao-Feng Shen, Bin-Jie Lu, Zhi-Gang Zhang
OBJECTIVE: To compare the clinical effects between open reduction internal fixation and three-dimensional reduction with external fixation under analgesia in treating fresh thoracolumbar fractures, and explore the simple and effective method for thoracolumbar fractures. METHODS: The clinical data of 40 patients with thoracolumbar fractures who met the inclusion and exclusion criteria in the department of orthopaedics affiliated to Suzhou Hospital of Nanjing University of Chinese Medicine from February 2013 to August 2017 were retrospectively analyzed...
August 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Jacob C Wochna, Rudy Marciano, Irina Catanescu, Joel Katz, M Chance Spalding, Kailash Narayan
Objective Cortical bone trajectory pedicle screws (CBT) have a different trajectory compared to traditional pedicle screws (PS) and they may confer biomechanical advantages in some patient populations. We hypothesize that the placement of CBT in traumatic thoracolumbar fractures could be an alternative technique to the traditional utilization of PS. Methods Single surgeon, retrospective study was performed at a Level 1 Trauma Center from 2013 to 2017. All patients aged between 18 and 90 years with operative AO classification A, B, and C traumatic thoracolumbar fractures were included...
June 28, 2018: Curēus
Arash Fattahi, Abdoulhadi Daneshi
Background: There are multiple surgical treatment options for traumatic thoracic spine spondyloptosis, a three-column spinal injury typically attributed to high-energy trauma. Case Description: A 20-year-old male presented with back deformity attributed to a fall. On neurological examination, he had complete spinal cord injury below the T6 level. Magnetic resonance and computed tomography imaging documented a T8 vertebral fracture and complete T7/T8 spondyloptosis...
2018: Surgical Neurology International
David W Barton, Caleb J Behrend, Jonathan J Carmouche
BACKGROUND CONTEXT: Osteoporosis remains an underrecognized and undertreated disease entity in the orthopaedic setting, accounting for substantial long-term morbidity and mortality. Osteoporosis is often not diagnosed or treated until multiple fractures have occurred. Vertebral compression fractures are the most common sentinel fracture, providing an opportunity to intervene with antiresorptive therapy before more debilitating fractures occur. Little data has been published on osteoporosis screening and treatment following vertebral fractures...
August 22, 2018: Spine Journal: Official Journal of the North American Spine Society
Yuichi Fujita, Hideo Aihara, Hiroaki Nagashima, Akitsugu Morishita, Kenji Aoki, Hiroyuki Takayama, Toshihiko Harada, Yoshiki Tohma, Yoshie Hara, Eiji Kohmura
OBJECTIVE: Vertebral artery injury(VAI)associated with cervical spine trauma has the potential to cause catastrophic vertebrobasilar stroke. However, there are no well-defined treatment recommendations for VAI. The purpose of this study was to identify an effective treatment strategy for VAI following cervical spine trauma. METHODS: Ninety-seven patients with blunt cervical spine trauma were treated at Hyogo Prefectural Kakogawa Medical Center between January 2013 and September 2017...
August 2018: No Shinkei Geka. Neurological Surgery
Lei Han, Ren-Fu Quan, Yun-Gen Hu, Wei-Li Fang, Bo Jin, Shi-Chao Xu
Thoracolumbar fractures are common and severe traumas. Anterior approaches can achieve adirect spinal cord decompression and reconstruct anterior column height what load bearing the major load distribution of the spine. Therefore, anterior approach is an important method in the treatment of thoracolumbar fractures. With the application of pedicle screw, most of the patients were treated with posterior approaches.Because of the unique advantages of anterior approach, the posterior approach can not be replaced it...
July 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Cecilia L Dalle Ore, Christopher P Ames, Vedat Deviren, Darryl Lau
INTRODUCTION: Thoracic kyphosis can result in neurologic deficits, pain, and cardiopulmonary dysfunction. Vertebral column resection (VCR) is a powerful technique that can be employed for large curves and fixed deformities. This study reports the outcomes of posterior VCR for adult spinal deformity with severe thoracic kyphosis. METHODS: A retrospective review of all patients with adult spinal deformity who underwent posterior VCR for severe thoracic kyphosis (defined as segmental kyphosis greater than 80°) was performed...
August 2, 2018: World Neurosurgery
Jorge Arturo Cabrera Escamilla, Jorge Álvaro González Ross, José Manuel Pérez Atanasio, Gustavo Casas Martínez, Arelhi González Cisneros, Jose Jimenez Avila
STUDY DESIGN: Retrospective, descriptive case series study. PURPOSE: To investigate the frequency, bone pattern, and associated lesions to the spine of gunshot wounds. OVERVIEW OF LITERATURE: Gunshot wounds are penetrating in nature and are caused by a bullet or projectile. These are becoming more common and are associated with significant sequelae, requiring long and costly multidisciplinary treatment. Associated spinal cord injuries (SCIs) in the civilian population represent 13%-17% of all spinal traumas...
August 2018: Asian Spine Journal
Shozo Kanezaki, Masashi Miyazaki, Toshinobu Ishihara, Naoki Notani, Hiroshi Tsumura
The aim of the present study is to identify factors correlated with kyphotic deformity after thoracolumbar spine injuries. We performed a retrospective case-control study with data from thoracolumbar spine fracture patients who were treated with posterior spinal fixation. Patients with a follow-up period shorter than 6 months and who experienced low-energy trauma were excluded. Intervertebral disc injuries (IDIs) were graded from 0 to 3 upon admission in accordance with Sander's classification of traumatic intervertebral disc lesions...
July 2018: Medicine (Baltimore)
Jun Komatsu, Tomoya Muta, Nana Nagura, Masumi Iwabuchi, Hironari Fukuda, Kazuo Kaneko, Osamu Shirado
BACKGROUND: Lumbar spinal canal stenosis surgery has recently improved with the use of minimally invasive techniques. Less invasive procedures have emerged, and microendoscopic decompression through smaller incisions is frequently performed. Tubular surgery with the assistance of endoscopic surgery procedures has led to particularly remarkable changes in surgery, with reduced tissue trauma and morbidity. PURPOSE: The purpose of this study was to compare the clinical outcomes of two different minimally invasive decompressive surgical techniques (microendoscopic bilateral decompression surgery using the unilateral approach [microendoscopic laminectomy (MEL)] and microendoscopy-assisted muscle-preserving interlaminar decompression (MILD; ME-MILD)) using spinal endoscopy for lumbar spinal canal stenosis measured using a visual analog scale (VAS), the Japanese Orthopedic Association (JOA) score, and the JOA Back Pain Evaluation Questionnaire (JOABPEQ), which is based on a patient-oriented scoring system...
May 2018: Journal of Orthopaedic Surgery
Arash Fattahi, Amin Jahanbakhshi, Ardeshir Shahivand, Alireza Dastmalchi
Spinal penetrating trauma has a complex neurosurgical management. This study presents a 55-year-old male admitted in our center with a 1 × 1 centimeter laceration on the sacral area skin due to a wooden penetrating object. The computed tomography (CT) of the spine revealed a hypodense penetrating object that was introduced from the posterior aspect of the sacrum into dural space and then stopped in the S1 vertebral body. We performed a laminectomy of intact superior portion of the S1 lamina and released the wood from the surrounding bone, and finally, we pulled it out...
2018: Case Reports in Medicine
Akihiko Hiyama, Hiroyuki Katoh, Daisuke Sakai, Masato Sato, Masahiro Tanaka, Masahiko Watanabe
BACKGROUND: Computed tomography (CT) analyses have reported that the prevalence of diffuse idiopathic skeletal hyperostosis (DISH) in Japan is 8.7-27.1%. However, these data were obtained using chest-abdominal CT, and no evaluations of sagittal, coronal, and axial images using whole-spine CT have been reported. The aim of this study was to investigate the prevalence and characteristic of DISH by whole spinal CT. METHODS: Participants were patients who had experienced trauma who had undergone whole-spine CT scanning based on the initial clinical practice guidelines for trauma in our institute from April 2015 to February 2018...
May 30, 2018: BMC Musculoskeletal Disorders
Peng Wang, Feng Wang, Yan-Long Gao, Jia-Qi Li, Jing-Tao Zhang, De-Chao Miao, Yong Shen
Objective This study aimed to identify the risk factors for vertebral compression fractures in patients with osteoporosis. Methods A total of 864 patients with osteoporosis were enrolled in a retrospective study from February 2010 to June 2016. Patients with diseases, such as pathological fractures, high-energy direct injury to the thoracic or lumbar vertebrae, and severe spinal deformity, were excluded. The patients were divided into two groups: those with vertebral compression fractures (288) and those with no vertebral compression fractures (576)...
September 2018: Journal of International Medical Research
Alice L Zhou, Luke W Bonham, Franco Verde
INTRODUCTION: CT is routinely performed to evaluate trauma patients. When a radiologist misses an acute finding, there could be serious adverse consequences. In many subspecialty settings, body radiologists and neuroradiologists both interpret the thoracic and lumbar spine. RADPEER has estimated general disagreement rates between radiologists to be 2.9%, but the disagreement rate between neuroradiologists and body radiologists in trauma settings remains unknown. METHODS: This retrospective case review examined reports from the past 10 years of adult CT scans of the chest, abdomen, and pelvis interpreted by body radiologists, with concurrent thoracic and lumbar spine reconstructions interpreted by neuroradiologists...
May 24, 2018: Journal of the American College of Radiology: JACR
Zenghui Zhao, Yong Zhu, Wei Luo, Xing Du, Jianxiao Li, Yunsheng Ou, Zhengxue Quan
Objective: To explore the effectiveness and related issues in the treatment of multiple segments of thoracolumbar tuberculosis through posterior unilateral debridement with bone graft and internal fixation. Methods: The clinical data of 29 patients with multiple segments of thoracolumbar tuberculosis who met the selection criteria were retrospective analyzed between January 2012 and July 2015. There were 17 males and 12 females, with age of 21-62 years (mean, 37...
September 1, 2017: Chinese Journal of Reparative and Reconstructive Surgery
Wei Zou, Jie Xiao, Yang Zhang, Yuhui Du, Changjun Zhou
Objective: To assess the effectiveness of percutaneous pedicle screw fixation and minimally invasive decompression in the same incision for type A3 thoracolumbar burst fracture. Methods: Between May 2014 and February 2016, 43 cases of type A3 thoracolumbar burst fracture with or without nerve symptoms were treated with pedicle screw fixation and neural decompression. Of them, 21 patients underwent percutaneous pedicle screw fixation and minimally invasive decompression in the same incision (percutaneous group), and the other 22 patients underwent traditional open surgery (open group)...
July 1, 2017: Chinese Journal of Reparative and Reconstructive Surgery
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