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Occiput posterior

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https://www.readbyqxmd.com/read/28503467/medial-lemniscus-tract-lesion-after-high-voltage-electrical-injury-a-case-report
#1
Chul-Hyun Cho, Dong Gyu Lee
We present the case of a 33-year-old man who experienced a 10,000-V electrical shock when working with electrical wiring. He suffered third-degree burns on his scalp at the right occiput (entry wound) and on his left arm (exit would), and a second-degree burn on his left foot (exit wound). He presented with severe spasticity of both lower extremities, motor weakness with a Medical Research Council grade of 3, and sensory impairments below thoracic level 11 that included an inability to sense light touch and defects in proprioception...
April 2017: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28473289/oxytocin-administration-during-spontaneous-labor-guidelines-for-clinical-practice-chapter-2-indications-of-oxytocin-according-the-first-and-second-stages-of-spontaneous-labor
#2
https://www.readbyqxmd.com/read/28466094/periosteal-turndown-flap-for-posterior-occipitocervical-fusion-a-technique-review
#3
Siamak Yasmeh, Adrienne Quinn, Liam Harris, Austin E Sanders, Ted Sousa, David L Skaggs, Lindsay M Andras
PURPOSE: Recently, several authors have proposed techniques for improving the fusion rate in pediatric posterior occipitocervical fusion including a variety of implants and the use of bone morphogenetic protein. A technique by Koop et al. using a periosteal flap for occipitocervical arthrodesis was described in 1984. METHODS: A straight incision is made about the posterior neck to expose the occipitocervical region from the inion superiorly to the lowest cervical vertebrae to be fused inferiorly...
May 2, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28444241/cervical-spine-muscle-tendon-unit-length-differences-between-neutral-and-forward-head-postures-biomechanical-study-using-human-cadaveric-specimens
#4
Saeed Khayatzadeh, Olivia A Kalmanson, Dale Schuit, Robert M Havey, Leonard I Voronov, Alexander J Ghanayem, Avinash G Patwardhan
Background: Forward Head Posture (FHP) may be associated with neck pain and poor health-related quality of life. Literature describes only qualitative muscle length changes associated with FHP. Objective: To quantify how muscle-tendon unit lengths are altered when human cadaveric specimens are placed in alignments representing different severities of FHP. Design: Biomechanical study using 13 fresh-frozen cadaveric cervical spine specimens (Occiput-T1, 54±15yrs)...
April 21, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28413721/aspects-of-gorgonopsian-paleobiology-and-evolution-insights-from-the-basicranium-occiput-osseous-labyrinth-vasculature-and-neuroanatomy
#5
Ricardo Araújo, Vincent Fernandez, Michael J Polcyn, Jörg Fröbisch, Rui M S Martins
Synapsida, the clade including therapsids and thus also mammals, is one of the two major branches of amniotes. Organismal design, with modularity as a concept, offers insights into the evolution of therapsids, a group that experienced profound anatomical transformations throughout the past 270 Ma, eventually leading to the evolution of the mammalian bauplan. However, the anatomy of some therapsid groups remains obscure. Gorgonopsian braincase anatomy is poorly known and many anatomical aspects of the brain, cranial nerves, vasculature, and osseous labyrinth, remain unclear...
2017: PeerJ
https://www.readbyqxmd.com/read/28409288/temporary-fusionless-posterior-occipitocervical-fixation-for-a-proximal-junctional-type-ii-odontoid-fracture-after-previous-c2-pelvis-fusion-case-report-description-of-a-new-surgical-technique-and-review-of-the-literature
#6
Alexander A Theologis, Vedat Deviren, Bobby Tay
PURPOSE: Axial fractures in patients with a previous C2-pelvis posterior instrumented fusion are rare and may be challenging to manage. Motion preservation in the axial spine for these patients is important, as the C1-2 and Occipit-C1 joints are their only remaining mobile spinal segments. In this unique report, we present for the first time the use of a fusionless occipitocervical operation for the treatment of a type II odontoid fracture and unilateral C2 pars fracture adjacent to a previous C2-pelvis posterior instrumented fusion...
April 13, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28408261/use-of-intraoperative-navigation-for-reconstruction-of-the-c1-lateral-mass-after-resection-of-aneurysmal-bone-cyst
#7
Jennifer Neva, Brandon W Smith, Jacob R Joseph, Paul Park
BACKGROUND: Aneurysmal bone cysts (ABCs) are rare blood-filled cystic lesions that are found in the long bones and spine. Here, we present a case of an ABC found in the lateral mass and lamina of C1. Lesions in this area provide a surgical challenge because of its difficulty to access as well as its need for reconstruction. We describe a novel use of intraoperative navigation (ION) to assist in the placement of a C1 lateral mass titanium cage. CASE DESCRIPTION: An 18-year-old female patient presented with headaches and progressive neck pain...
April 11, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28387916/occiput-spine-relationship-shoulders-are-more-important-than-head
#8
A Svelato, A Ragusa, P Alimondi, M Di Tommaso, R Marci, V Barbagallo, R D F Alampi, G Calagna, A Perino
OBJECTIVE: To understand the role of fetal spine position in determining a fetal head position at the time of birth and modality of delivery. PATIENTS AND METHODS: This was a multicenter prospective observational study. Fetal occiput and spine position were evaluated by intrapartum ultrasound. Eighty-six women were eligible for inclusion in the study. Occiput rotational movements and modality of delivery in relation to the fetal spine position were investigated...
March 2017: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/28369942/sonographic-evaluation-of-the-fetal-spine-position-and-success-rate-of-manual-rotation-of-the-fetus-in-occiput-posterior-position-a-randomized-controlled-trial
#9
Bianca Masturzo, Antonio Farina, Lorenza Attamante, Annalisa Piazzese, Alessandro Rolfo, Pietro Gaglioti, Tullia Todros
BACKGROUND: To evaluate whether sonographic (US) diagnosis of the fetal spine position could increase the success rate of manual rotation of the fetal occiput (MRFO) in second-stage arrest in persistent occiput posterior position (OPP). METHODS: In this randomized controlled parallel single-center trial, 58 nulliparous in second-stage arrest of labor with fetus in cephalic presentation and OPP diagnosed by US were randomly assigned to group A where the fetal spine position was not known by the operator or to group B where the operator knew it...
April 3, 2017: Journal of Clinical Ultrasound: JCU
https://www.readbyqxmd.com/read/28368798/-risks-factors-of-cesarean-delivery-after-3hours-of-delayed-pushing
#10
S Cheniere, S Ménard, M-C Lamau, F Goffinet, C Le Ray
OBJECTIVES: Identify the factors associated with caesarean delivery for unengaged fetal head beyond 3hours of passive second stage of labor, among primiparous patients. METHODS: A case-control study conducted in level III universitary center between October 2012 and September 2015. Only primiparous at term, with a singleton, cephalic fetus and a passive second stage of labor prolonged over 3hours before pushing were included. During the second stage of labor, patients who had caesarean for abnormal fetal heart rate were excluded...
February 2017: Gynecologie, Obstetrique, Fertilite & Senologie
https://www.readbyqxmd.com/read/28278181/the-myodural-bridge-existing-in-the-nephocaena-phocaenoides
#11
Pei Liu, Chan Li, Nan Zheng, Qiang Xu, Sheng-Bo Yu, Hong-Jin Sui
Recent studies have identified that the myodural bridge (MDB) between the rectus capitis posterior minor (RCPmi) and the cervical spinal dura mater in the posterior atlanto-occipital interspace in humans. And it was supposed that the MDB may play essential physiological roles. As a result, the MDB is possibly a highly conserved structure in the evolution of mammals. However, there is little confirmative description about the existence of the MDB in marine mammals. The objective of this study was to explore the existence and the fiber property of the MDB in the Neophocaena phocaenoides...
2017: PloS One
https://www.readbyqxmd.com/read/28250638/odontoidectomy-through-posterior-midline-approach-followed-by-same-sitting-occipitocervical-fixation-a-cadaveric-study
#12
Ehab Mohamed Eissa, Mohamed Mohi Eldin
OBJECT: Atlantoaxial instability with irreducible odontoid process is one of the challenges in spine surgery. These lesions are commonly treated through anterior transoral approach which is followed by posterior atlantoaxial fusion. However, there are still many limitations, especially cerebrospinal fluid fistula with subsequent life-threatening infection, difficulty in cases with limited opening of mouth due to temporomandibular arthritis or anomalies of naso-oropharynx. Türe et al...
January 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/28222704/duration-of-second-stage-of-labor-and-instrumental-delivery-as-risk-factors-for-severe-perineal-lacerations-population-based-study
#13
Marija Simic, Sven Cnattingius, Gunnar Petersson, Anna Sandström, Olof Stephansson
BACKGROUND: We sought to investigate the impact of the duration of second stage of labor on risk of severe perineal lacerations (third and fourth degree). METHODS: This population based cohort study was conducted in the Stockholm/Gotland region, Sweden, 2008-2014. Study population included 52 211 primiparous women undergoing vaginal delivery with cephalic presentation at term. Unconditional logistic regression analysis was used to calculate crude and adjusted odds ratios (OR), using 95% confidence intervals (CI)...
February 21, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28146571/evolution-of-a-functional-head-joint-in-deep-sea-fishes-stomiidae
#14
Nalani K Schnell, G David Johnson
The head and anterior trunk region of most actinopterygian fishes is stiffened as, uniquely within vertebrates, the pectoral girdles have a direct and often strong connection through the posttemporal to the posterior region of the skull. Members of the mesopelagic fish family Stomiidae have their pectoral girdle separated from the skull. This connection is lost in several teleost groups, but the stomiids have an additional evolutionary novelty-a flexible connection between the occiput and the first vertebra, where only the notochord persists...
2017: PloS One
https://www.readbyqxmd.com/read/28027700/management-of-persistent-occiput-posterior-position-a-substantial-role-of-instrumental-rotation-in-the-setting-of-failed-manual-rotation
#15
Paul Guerby, Mickael Allouche, Caroline Simon-Toulza, Christophe Vayssiere, Olivier Parant, Fabien Vidal
INTRODUCTION: To compare the maternal and neonatal outcomes associated with Instrumental Rotation (IR) to operative vaginal delivery in occiput posterior (OP) position with Thierry's spatulas (TS), in the setting of failed manual rotation (MR). STUDY DESIGN: We led a prospective observational cohort study in a tertiary referral hospital in Toulouse, France. All women presenting in labor with persistent OP position at full cervical dilatation and who delivered vaginally after failed MR and with IR or OP assisted delivery were included from January 2014 to December 2015...
January 23, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28018758/cervical-fracture-subluxation-in-a-patient-with-a-prior-c2-sacrum-fusion-case-report-and-review-of-literature
#16
Yi-Ren Chen, Alvin Y Chan, Kevin K Kumar, Anand Veeravagu
Traumatic injury to an adjacent segment of a previously fused spine is a rare complication of scoliosis surgery. The adjacent spinal segments may be more vulnerable to traumatic fracture or dislocation due to increased strain. We present a patient with prior C2 to sacrum fusion who suffered a C2 fracture/dislocation after falling. A 52-year-old female with a previous C2 to the sacrum fusion for idiopathic scoliosis presented with severe and progressively worsening neck pain after multiple falls. Imaging showed anterior displacement of the C2 vertebral body, fracture of C2, and anterior subluxation of the C1-2 complex on C3...
November 22, 2016: Curēus
https://www.readbyqxmd.com/read/27879507/pedicle-screw-combined-with-lateral-mass-screw-fixation-in-the-treatment-of-basilar-invagination-and-congenital-c2-c3-fusion
#17
Shenglin Wang, Chao Wang, Huijie Leng, Weidong Zhao, Ming Yan, Haitao Zhou
STUDY DESIGN: Clinical evaluation of a surgical fixation technique featuring combined use of pedicle screw and lateral mass screw (LMS). OBJECTIVE: Introduction of a novel technique for the treatment of congenital C2-C3 fusion and basilar invagination (BI). SUMMARY OF BACKGROUND: Posterior occipitocervical fixation using C2 pedicle screw was widely used for BI. However, in cases where BI is concurrent with congenital C2-C3 fusion, the C2 pedicles tend to be thinner than that in normal population and hence more likely to fail...
December 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27832335/a-new-method-for-measurement-of-occipitocervical-angle-by-occiput-c3-angle
#18
Sombat Kunakornsawat, Tinnakorn Pluemvitayaporn, Pritsanai Pruttikul, Suppachai Punpichet, Chaiwat Piyasakulkaew, Alisara Arirachakaran, Jatupon Kongtharvonskul
BACKGROUND: The description of the measurement technique of the posterior occiput-third cervical spine (OC3) angle-before performing occipitocervical fusion is still controversial. Setting an appropriate alignment in occipitocervical instrumentation is important for successful fixation surgery. Several methods were used for quantifying occipitocervical alignment on the lateral radiograph. This study was performed to describe a measurement technique of OC3 angle and comparing reliability and reproducibility in the measurement of occipitocervical angle with previous method...
November 10, 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/27830891/morphometric-multislice-computed-tomography-examination-of-the-craniovertebral-junction-in-neck-flexion-and-extension
#19
Slobodan Marinkovic, Ivan Milić, Igor Djorić, Luciano Brigante, Aleksandar Miljatović, Laslo Puškaš, Slobodan Kapor, Jelena Boljanović
BACKGROUND: Detailed study of the craniovertebral junction (CVJ) is necessary to completely understand the mechanism of its flexion and extension. MATERIALS AND METHODS: One cadaver head was sectioned in the sagittal plane. Also, in 22 volunteers, examined using the multislice computerized tomography (MSCT), 14 parameters and 2 angles were measured in the neutral position, flexion and extension. RESULTS: The obtained measurements showed the anterior part of the occiput to move inferiorly in flexion, and the anterior atlas arch and the tip of the dens to get closer to the basion...
November 10, 2016: Folia Morphologica (Warsz)
https://www.readbyqxmd.com/read/27757567/traumatic-atlanto-occipital-dislocation-in-children-a-case-based-update-on-clinical-characteristics-management-and-outcome
#20
REVIEW
Thomas Beez, Jennifer Brown
BACKGROUND: Atlanto-occipital dislocation (AOD) is a rare but severe sequela of high energy trauma. Children are at increased risk, due to their immature spine and biomechanical characteristics. LITERATURE REVIEW: The prevailing mechanism of injury is motor vehicle collision as passenger. AOD commonly presents with cardiorespiratory arrest, spinal cord injury or cranial nerve deficits. Concomitant injuries, such as traumatic brain injury, are frequently encountered...
January 2017: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
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