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Spinal Adjustment

Caroline Himbert, Jennifer Ose, Johanna Nattenmüller, Christy A Warby, Andreana N Holowatyj, Jürgen Böhm, Tengda Lin, Mariam Haffa, Biljana Gigic, Sheetal Hardikar, Dominique Scherer, Lin Zielske, Petra Schrotz-King, Torsten Koelsch, Erin M Siegel, David Shibata, Alexis Ulrich, Martin Schneider, Stephen D Hursting, Hans-Ulrich Kauczor, Cornelia M Ulrich
BACKGROUND: Adiposity has been linked to both risk and prognosis of colorectal cancer; however, the impact of different fat areas [visceral (VFA) vs. subcutaneous fat area (SFA)] is unclear. We investigated associations between adiposity and biomarkers of inflammation and angiogenesis among patients with colorectal cancer. METHODS: Preoperative serum samples and computed tomography scans were obtained from 188 patients diagnosed with primary invasive stage I-IV colorectal cancer enrolled in the ColoCare Study...
October 17, 2018: Cancer Epidemiology, Biomarkers & Prevention
Ning A Rosenthal, Kirstin H Heinrich, Jessica Chung, Holly Yu
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: To assess hospital resource utilization and costs associated with Staphylococcus aureus infection within 180 days post elective posterior instrumented spinal fusion surgeries (index surgery) between 2010-2015. SUMMARY OF BACKGROUND DATA: Surgical site infections (SSIs) and blood stream infections (BSIs) post spinal fusion surgeries are associated with worse clinical outcomes and increased costs...
October 15, 2018: Spine
Waqas Alam, Khan Muhammad Yaqub, Mobasher Ahmad Saeed
OBJECTIVE: To determine frequency of maternal hypotension during spinal anaesthesia for elective caesarean section by comparing fixed dose with height and weight-adjusted dose of hyperbaric 0.5% bupivacaine. METHODS: This randomised controlled trial was carried out at Pakistan Naval Ship Shifa Hospital, Karachi, and comprised patients with singleton pregnancy who were randomly divided into two groups. After preloading with 10ml/kg of Ringers lactate, Group A received fixed dose of 10mg of 0...
September 2018: JPMA. the Journal of the Pakistan Medical Association
Jia Li, Gary R Hunter, Yuying Chen, Amie McLain, Daniel L Smith, Ceren Yarar-Fisher
OBJECTIVE: To investigate the differences in glucose metabolism among women with paraplegic, and tetraplegic spinal cord injury (SCI) in comparison to their able-bodied (AB) counterparts after adjusting for differences in body composition. DESIGN: Cross-sectional study. Following an overnight fast, each participant consumed a 75-g glucose solution for oral glucose tolerance test (OGTT). Blood glucose, insulin, and C-peptide concentrations were analyzed before and 30-, 60-, and 120-minute post-consumption...
October 11, 2018: Archives of Physical Medicine and Rehabilitation
Teena Shetty, Joseph T Nguyen, Anita Wu, Mayu Sasaki, Eric Bogner, Alissa Burge, Taylor Cogsil, Esther U Kim, Kelianne Cummings, Edwin P Su, Stephen Lyman
BACKGROUND: Postsurgical acute nerve injury is rare but potentially devastating following total hip arthroplasty (THA). Previous literature suggests a wide range of incidence from 0.1% to 7.6%. Confirmed risk factors for these injuries remain unclear. METHODS: THA patients at our institution who developed nerve injury during their admission for THA between January 1, 1998, and December 31, 2013, were systematically identified and matched with 2 control subjects by surgical date...
September 18, 2018: Journal of Arthroplasty
John H Y Moi, Uyen Phan, Adam de Gruchy, Danny Liew, Tanya I Yuen, John E Cunningham, Ian P Wicks
OBJECTIVES: To report on the design, implementation and evaluation of the safety and effectiveness of the Back pain Assessment Clinic (BAC) model. DESIGN: BAC is a new, community-based specialist service for assessing and managing neck and low back pain (LBP). The BAC pilot was supported by a Victorian Department of Health and Human Services grant and was evaluated using the Victorian Innovation Reform Impact Assessment Framework (VIRIAF). Data were obtained by auditing BAC activity (22 July 2014 to 30 June 2015) and conducting surveys and interviews of patients, stakeholders and referrers...
October 10, 2018: BMJ Open
Guanghui Chen, Mengchen Yin, Weibo Liu, Jian Wang, Jing Wang, Xin Gao, Guangjian Bai, Ge Liu, Yiwei Hu, Yang Wang, Chao Liu, Li Cheng, Jianru Xiao, Tielong Liu
BACKGROUND: Reconstruction of thoracolumbar structural stability is a formidable challenge for spine surgeons after vertebral body tumor resection. Various disadvantages of the currently used expandable or non-expandable cages have limited their clinical applications. OBJECTIVE: To develop a novel prosthesis for clinical use and assess its preliminary clinical outcome in reconstruction of thoracolumbar structural stability after spinal tumor resection. METHODS: Based on the data obtained from a retrospective analysis of the morphological characteristics of the thoracolumbar vertebrae and endplates in previously published articles, we modified the nano hydroxyapatite/polyamide-66 (n-HA/PA66) strut into a novel height adjustable vertebral body...
October 8, 2018: World Neurosurgery
Xiaozhi Qi, Yu Sun, Xiaohang Ma, Ying Hu, Jianwei Zhang, Wei Tian
The lumbar spinal stenosis (LSS) is a kind of orthopedic disease which causes a series of neurological symptom. Vertebral lamina grinding operation is a key procedure in decompressive laminectomy for LSS treatment. With the help of image-guided navigation system, the robot-assisted technology is applied to reduce the burdens on surgeon and improve the accuracy of the operation. This paper proposes a multilevel fuzzy control based on force information in the robot-assisted decompressive laminectomy to improve the quality and the robotic dynamic performance in surgical operation...
2018: Advances in Experimental Medicine and Biology
Liara Rizzi, Luciane Missiaggia, Matheus Roriz-Cruz
The purpose of the study was to determine whether Aβ1-42 and p-Tau181 cerebral spinal fluid (CSF) levels can predict progression from amnestic mild cognitive impairment (aMCI) to Alzheimer's disease dementia (ADD) in a 3-year follow-up study. All participants were evaluated blindly by a behavioral neurologist and a neuropsychologist, and classified according to the Petersen criteria for aMCI and according to the Clinical Dementia Rating (CDR) scale. Individuals were also submitted to lumbar puncture at baseline...
October 10, 2018: Neuromolecular Medicine
Manu Thakral, Andrea Z Lacroix, Ivan R Molton
BACKGROUND: Women with disabling conditions experience health disparities relative to nondisabled women, but few studies have compared women and men with disabling conditions. OBJECTIVES: To investigate gender differences in physical functioning and emotional health among individuals with long-term disabling conditions, that is, neuromuscular disease, multiple sclerosis, postpolio syndrome, or spinal cord injury. METHOD: From a mailed survey of 1,862 adults with long-term disabling conditions, we used the 12-item Patient-Reported Outcomes Measurement Information System (PROMIS) physical functioning to assess physical limitations in activities and Patient Health Questionnaire-9 (PHQ-9) for emotional health and severity of secondary conditions (rated 0-10)...
October 8, 2018: Rehabilitation Psychology
A M Elbuluk, J Slover, A A Anoushiravani, R Schwarzkopf, N Eftekhary, J M Vigdorchik
AIMS: The routine use of dual-mobility (DM) acetabular components in total hip arthroplasty (THA) may not be cost-effective, but an increasing number of patients undergoing THA have a coexisting spinal disorder, which increases the risk of postoperative instability, and these patients may benefit from DM articulations. This study seeks to examine the cost-effectiveness of DM components as an alternative to standard articulations in these patients. PATIENTS AND METHODS: A decision analysis model was used to evaluate the cost-effectiveness of using DM components in patients who would be at high risk for dislocation within one year of THA...
October 2018: Bone & Joint Journal
P Lockwood, G Dolbear
INTRODUCTION: The aim of the study was to evaluate the performance of radiographers in image interpretation of magnetic resonance imaging (MRI) brain, spine and knee examinations following a nine-month work based postgraduate MRI module. METHODS: Twenty-seven participants each submitted 60 image commentaries taken from prospective clinical workloads. The image interpretations (n = 1620) comprised brain, spine, and knee MRI examinations. Prevalence of abnormal examinations approximated 53% (brain), 74% (spine), and 73% (knee), and included acute and chronic pathology, normal variants and incidental findings...
November 2018: Radiography
Oh-Hyun Cho, In-Gyu Bae, Song Mi Moon, Seong Yeon Park, Yee Gyung Kwak, Baek-Nam Kim, Shi Nae Yu, Min Hyok Jeon, Tark Kim, Eun Ju Choo, Eun Jung Lee, Tae Hyong Kim, Seong-Ho Choi, Jin-Won Chung, Kyung-Chung Kang, Jung Hee Lee, Yu-Mi Lee, Mi Suk Lee, Ki-Ho Park
Spinal implant infection is a rare but significant complication of spinal fusion surgery, and the most common pathogen is Staphylococcus aureus. It is difficult to treat due to this pathogen's biofilm-forming ability and antibiotic resistance. We evaluated the therapeutic outcome of treatments for S aureus spinal implant infections. We retrospectively reviewed all patients with S aureus spinal implant infections at 11 tertiary-care hospitals over a 9-year period. Parameters predictive of treatment failure and recurrence were analyzed by Cox regression...
October 2018: Medicine (Baltimore)
Kyle H Cichos, Eva J Lehtonen, Gerald McGwin, Brent A Ponce, Elie S Ghanem
INTRODUCTION: Orthopaedic surgeons are wary of patients with neuromuscular (NM) diseases as a result of perceived poor outcomes and lack of data regarding complication risks. We determined the prevalence of patients with NM disease undergoing total joint arthroplasty (TJA) and characterized its relationship with in-hospital complications, prolonged length of stay, and total charges. METHODS: Data from the Nationwide Inpatient Sample from 2005 to 2014 was used for this retrospective cohort study to identify 8,028,435 discharges with total joint arthroplasty...
October 2, 2018: Journal of the American Academy of Orthopaedic Surgeons
Yury Gerasimenko, Dimitry Sayenko, Parag Gad, Justin Kozesnik, Tatiana Moshonkina, Aleksandr Grishin, Aleksandr Pukhov, Sergey Moiseev, Ruslan Gorodnichev, Victor Selionov, Inessa Kozlovskaya, V Reggie Edgerton
Neuronal control of stepping movement in healthy human is based on integration between brain, spinal neuronal networks, and sensory signals. It is generally recognized that there are continuously occurring adjustments in the physiological states of supraspinal centers during all routines movements. For example, visual as well as all other sources of information regarding the subject's environment. These multimodal inputs to the brain normally play an important role in providing a feedforward source of control...
2018: Frontiers in Physiology
Richard Y Calvo, Vishal Bansal, Casey E Dunne, Jayraan Badiee, C Beth Sise, Michael J Sise
BACKGROUND: Large-scale assessments of outcomes in thoracic endovascular repair (TEVAR) for thoracic aortic emergencies are lacking. We evaluated perioperative outcomes of TEVAR compared with open surgery among trauma patients in a large statewide database. MATERIALS AND METHODS: We evaluated the California Office of Statewide Health Planning and Development 2007-2014 patient discharge database. Blunt-injured trauma patients with thoracic aortic emergencies were identified by International Classification for Diseases, Ninth Revision, Clinical Modification diagnosis codes and external cause-of-injury codes...
November 2018: Journal of Surgical Research
Abolfazl Firouzian, Afshin Gholipour Baradari, Saeid Ehteshami, Alieh Zamani Kiasari, Misagh Shafizad, Sajad Shafiei, Fatemeh Younesi Rostami, Abbas Alipour, Shahram Ala, Hadi Darvishi-Khezri, Kaveh Haddadi
BACKGROUND: Despite advances in pain management, several patients continue to experience severe acute pain after lumbar spine surgery. The aim of this study was to assess the safety and effectiveness of single ultra-low-dose intrathecal (IT) naloxone in combination with IT morphine for reducing pain intensity, pruritus, nausea, and vomiting in patients undergoing lumbar laminectomy with spinal fusion. MATERIALS AND METHODS: In this double-blind trial, patients scheduled for lumbar laminectomy with spinal fusion were randomly assigned to receive single ultra-low-dose IT naloxone (20 μg) and IT morphine (0...
September 29, 2018: Journal of Neurosurgical Anesthesiology
Azeem Tariq Malik, Jeffery Kim, Elizabeth Yu, Safdar N Khan
OBJECTIVE: To assess the impact of fixation to pelvis on 30-day outcomes following posterior spinal fusions in pediatric spine deformities. METHODS: The 2012-2016 American College of Surgeons - National Surgical Quality Improvement Program (ACS-NSQIP) Pediatric database was queried using Current Procedural Terminology codes for patients undergoing posterior spinal fusions (22800, 22802 and 22804). Patients undergoing concurrent anterior fusion/combined fusion and anterior-only fusions were removed from the study...
September 24, 2018: World Neurosurgery
John K Yue, Hansen Deng, Ethan A Winkler, Angel Ordaz, Eva M Gillis-Buck, Young M Lee, Michael M Safaee, Adib A Abla, Michael C Huang, Sanjay S Dhall
BACKGROUND: Spinal arteriovenous malformations (AVMs) are rare disease entities with significant morbidity if untreated. Risk factors of complications, hospitalization and costs-of-care remain in need of characterization. METHODS: Using the National Inpatient Sample years 2002-2014, adult subjects with spinal AVMs who underwent either laminectomy with lesion excision or endovascular embolization were extracted using ICD-9-CM diagnostic code 747.82. Predictors of inpatient complications, hospital length of stay (HLOS), and discharge home were evaluated using multivariable regression...
September 25, 2018: Journal of Neurosurgical Sciences
Matthew R Boylan, Aldo M Riesgo, Alice Chu, Carl B Paulino, David S Feldman
Accelerated discharge protocols for scoliosis surgery have recently been described in the literature. There are limited data describing the association of length of stay (LOS) during the index admission with postoperative outcomes. We sought to define the economic and clinical implications of an additional 1 day in the hospital for scoliosis surgery. The Statewide Planning and Research Cooperative System database was used to identify patients with adolescent idiopathic scoliosis who underwent spinal fusion from 1 October 2007 to 30 September 2012 at high-volume institutions (>20 cases/year) in the state of New York...
September 25, 2018: Journal of Pediatric Orthopedics. Part B
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