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https://www.readbyqxmd.com/read/27911245/use-of-magnetic-resonance-imaging-to-detect-occult-spinal-dysraphism-in-infants
#1
Brent R O'Neill, Danielle Gallegos, Alex Herron, Claire Palmer, Nicholas V Stence, Todd C Hankinson, C Corbett Wilkinson, Michael H Handler
OBJECTIVE Cutaneous stigmata or congenital anomalies often prompt screening for occult spinal dysraphism (OSD) in asymptomatic infants. While a number of studies have examined the results of ultrasonography (US) screening, less is known about the findings when MRI is used as the primary imaging modality. The object of this study was to assess the results of MRI screening for OSD in infants. METHODS The authors undertook a retrospective review of all infants who had undergone MRI of the lumbar spine to screen for OSD over a 6-year period (September 2006-September 2012)...
December 2, 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27904724/analysis-of-sacrococcygeal-morphology-in-koreans-using-computed-tomography
#2
Min Geun Yoon, Myung-Sang Moon, Bong Keun Park, Hohyoung Lee, Dong-Hyeon Kim
BACKGROUND: The sacrococcygeal morphology of Arabs and Europeans has been studied using computed tomography (CT) or magnetic resonance imaging to determine the cause of coccydynia. Studies have suggested differences in sacrococcygeal morphology among ethnic groups. However, there are no data on the sacrococcygeal anatomy of Koreans. METHODS: We conducted a retrospective analysis of 606 pelvic CT scans that were taken at Cheju Halla General Hospital between 2008 and 2014...
December 2016: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/27858188/use-of-intraoperative-lateral-pelvic-x-ray-to-localize-and-ensure-coccyx-removal-during-sacrococcygeal-teratoma-resection
#3
Claire E Graves, Olajire Idowu, John Zovickian, Dachling Pang, Sunghoon Kim
En bloc removal of the coccyx during sacrococcygeal teratoma resection is necessary to decrease the risk of recurrence. However, variable anatomy often makes the border between the coccyx and sacrum difficult to identify. We describe the use of intraoperative lateral pelvic X-ray to localize this border and ensure complete coccygectomy.
November 17, 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/27843777/effects-of-extracorporeal-shock-wave-therapy-on-pain-in-patients-with-chronic-refractory-coccydynia-a-quasi-experimental-study
#4
Shila Haghighat, Mahboobeh Mashayekhi Asl
BACKGROUND: Several nonsurgical and surgical treatment modalities are available for patients with chronic coccydynia, with controversial results. Extracorporeal shock wave therapy (ECSWT) is effective in the treatment of many musculoskeletal disorders; however, it has not been tested for chronic coccydynia. OBJECTIVES: We performed the current study to determine the effects of ECSWT on pain in patients with chronic coccydynia. PATIENTS AND METHODS: This quasi-interventional clinical study included 10 patients with chronic coccydynia without acute fracture...
August 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27746253/a-rare-case-of-isolated-lower-segment-transverse-sacral-fracture-in-a-12-year-old-female-child-and-its-management-by-fixation-with-k-wire-a-case-report
#5
Ismaeel Baba-Rasul, Hemin M Hama Ameen, Awder Khazendar, Seerwan O Hasan
BACKGROUND: Isolated lower segment sacral fracture is very rare. To the best of our knowledge, there is only one case report of S4 stable fracture that was treated conservatively. CASE DESCRIPTION: Here, we report a 12-year-old female child who sustained isolated S5 fracture with anterior displacement of S5 and coccyx on S4. The patient was initially provided with conservative management for one month and twenty-five days. On the failure of this treatment procedure, the patient was treated surgically by partial coccygectomy with S4-S5 fixation after reduction by two K-wires...
October 13, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27720566/analyses-of-pressure-ulcer-incidence-in-inpatient-setting-in-a-portuguese-hospital
#6
Pedro Miguel Garcez Sardo, Cláudia Sofia Oliveira Simões, José Joaquim Marques Alvarelhão, João Filipe Fernandes Lindo Simões, Paulo Alexandre Puga Machado, Francisco Manuel Lemos Amado, António José Monteiro Amaro, Elsa Maria Oliveira Pinheiro de Melo
AIM: To gain more insight into the magnitude of the problem of pressure ulcer incidence in general wards of a Portuguese hospital. MATERIAL AND METHODS: Retrospective cohort analysis of electronic health record database from 7132 adult patients admitted to medical and surgical wards of Aveiro Hospital during 2012. The development of (at least) one pressure ulcer during the length of stay was associated with age, gender, type of admission, specialty units, first Braden Scale score, length of stay, patient discharge outcome and ICD-9 diagnosis...
September 27, 2016: Journal of Tissue Viability
https://www.readbyqxmd.com/read/27695210/gluteal-teratoma-a-rare-site-of-extragonadal-teratoma
#7
Hemonta Kr Dutta, Pronami Borah, Mauchumi Baruah
Extragonadal teratomas are rarely encountered in infants and children. These tumors are reported in retroperitoneum, floor of the mouth, mediastinum, craniofacial region or even in the solid organs of the body. Most of the gluteal teratomas reported in the literature are in fact, lateralized sacrococcygeal teratomas. We are reporting a case of unilateral big gluteal teratoma in a 6-year-old girl. The tumor did not have any connection with the sacrum or coccyx and was successfully removed. Histology showed well-differentiated bowel as well as fetiform structures...
October 2016: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/27684866/transsacrococcygeal-approach-to-ganglion-impar-block-for-treatment-of-chronic-coccygodynia-after-spinal-arachnoid-cyst-removal-a-case-report
#8
Young Deog Cha, Chun Woo Yang, Jung Uk Han, Jang Ho Song, WonJu Na, Sora Oh, Byung-Gun Kim
BACKGROUND: Coccygodynia is a pain in the region of the coccyx that radiates to the sacral, perineal area. The cause of the pain is often unknown. Coccygodynia is diagnosed through the patient's past history, a physical examination, and dynamic radiographic study, but the injection of local anesthetics or a diagnostic nerve blockade are needed to distinguish between somatic, neuropathic, and combined pain. Ganglion impar is a single retroperitoneal structure made of both paravertebral sympathetic ganglions...
September 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27554426/areal-and-volumetric-bone-mineral-density-and-risk-of-multiple-types-of-fracture-in-older-men
#9
Didier Chalhoub, Eric S Orwoll, Peggy M Cawthon, Kristine E Ensrud, Robert Boudreau, Susan Greenspan, Anne B Newman, Joseph Zmuda, Douglas Bauer, Steven Cummings, Jane A Cauley
Although many studies have examined the association between low bone mineral density (BMD) and fracture risk in older men, none have simultaneously studied the relationship between multiple BMD sites and risk of different types of fractures. Using data from the Osteoporotic Fractures in Men study, we evaluated the association between areal BMD (aBMD) by dual-energy X-ray absorptiometry (DXA) and volumetric BMD (vBMD) by quantitative computed tomography (QCT) measurements, and different types of fractures during an average of 9...
November 2016: Bone
https://www.readbyqxmd.com/read/27525144/a-rare-case-of-tuberculosis-with-sacrococcygeal-involvement-miming-a-neoplasm
#10
Walid Osman, Meriem Braiki, Zeineb Alaya, Thabet Mouelhi, Nader Nawar, Mohamed Ben Ayeche
Infection of the lumbosacral junction by tuberculosis is quite rare and occurs in only 1 to 2% of all cases of spinal tuberculosis; moreover, isolated sacrococcygeal or coccygeal tuberculosis is much rarer. Failure to identify and treat these areas of involvement at an early stage may lead to serious complications such as vertebral collapse, spinal compression, and spinal deformity. In the present paper, we report an uncommon case of spinal tuberculosis with sacrococcygeal location revealed by a chronic low back pain that was successfully managed...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/27473706/variables-affecting-fusion-rates-in-the-rat-posterolateral-spinal-fusion-model-with-autogenic-allogenic-bone-grafts-a-meta-analysis
#11
Wataru Ishida, Benjamin D Elder, Christina Holmes, Sheng-Fu L Lo, Timothy F Witham
The rat posterolateral spinal fusion model with autogenic/allogenic bone graft (rat PFABG) has been increasingly utilized as an experimental model to assess the efficacy of novel fusion treatments. The objective of this study was to investigate the reliability of the rat PFABG model and examine the effects of different variables on spinal fusion. A web-based literature search from January, 1970 to September, 2015, yielded 26 studies, which included 40 rat PFABG control groups and 449 rats. Data regarding age, weight, sex, and strain of rats, graft volume, graft type, decorticated levels, surgical approach, institution, the number of control rats, fusion rate, methods of fusion assessment, and timing of fusion assessment were collected and analyzed...
July 29, 2016: Annals of Biomedical Engineering
https://www.readbyqxmd.com/read/27457477/dichlorodiphenyltrichloroethane-exposure-and-anogenital-distance-in-the-venda-health-examination-of-mothers-babies-and-their-environment-vhembe-birth-cohort-study-south-africa
#12
M S Bornman, J Chevrier, S Rauch, M Crause, M Obida, S Sathyanarayana, D B Barr, B Eskenazi
Dichlorodiphenyltrichloroethane (DDT) is used for malaria control by 10 countries, nine of which are in Africa. Technical DDT contains various isomers with 65-80% insecticidal p,p'-DDT and 15-21% o,p'-DDT, an estrogenic chemical, while the persistent metabolite of p,p'-DDT, dichlorodiphenyldichloroethylene (p,p'-DDE), is an antiandrogen. In utero antiandrogenic exposure reduces anogenital distance in animal models and the anal position index in a single study. This study examined the associations between mother's serum DDT and DDE levels at delivery and anogenital distance in their children at birth and age 1 year...
July 2016: Andrology
https://www.readbyqxmd.com/read/27448040/risk-factors-for-pelvic-insufficiency-fractures-and-outcome-after-conservative-therapy
#13
Gerrit Steffen Maier, Kristina Kolbow, Djordje Lazovic, Konstantin Horas, Klaus Edgar Roth, Jörn Bengt Seeger, Uwe Maus
PURPOSE: The prevalence of osteoporosis has continuously increased over the past decades and it is set to increase substantially as life expectancy rises steadily. Fragility or osteoporotic fractures of the pelvis often occur after low energy falls e.g. from standing, however, some patients present with assumed insufficiency fractures of the pelvis without a previous trauma. Osteoporotic fractures impose a tremendous economic burden and these fractures deserve attention as they lead to a decrease in mobility with an increase in dependency and are associated with a high rate of mortality...
November 2016: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/27385838/high-incidence-of-persistence-of-sacral-and-coccygeal-intervertebral-discs-in-south-indians-a-cadaveric-study
#14
B Satheesha Nayak, P Ashwini Aithal, Naveen Kumar, Bincy M George, R Deepthinath, Surekha D Shetty
The sacrum, by virtue of its anatomic location plays a key role in providing stability and strength to the pelvis. Presence of intervertebral discs in sacrum and coccyx is rare. Knowledge of its variations is of utmost importance to surgeons and radiologists. The current study focused on the presence of intervertebral discs between the sacral and coccygeal vertebrae in south Indian cadaveric pelvises. We observed 56 adult pelvises of which, 34 (61%) pelvises showed the presence of intervertebral discs between the sacral vertebrae and between the coccygeal vertebrae, while 22 (39%) pelvises did not have the intervertebral discs either in the sacrum or the coccyx...
June 2016: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/27383137/improving-coccyx-radiographs-in-emergency-departments
#15
Patrick M Foye, Sanjay Kumbar, Charles Koon
No abstract text is available yet for this article.
July 6, 2016: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/27383061/reply-to-improving-coccyx-radiographs-in-emergency-departments
#16
Tarek N Hanna, Saurabh Rohatgi, Faisal Khosa
No abstract text is available yet for this article.
July 6, 2016: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/27274412/chondromyxoid-fibroma-of-the-sacrum-a-case-report-and-literature-review
#17
Tanya Minasian, Chad Claus, Omid R Hariri, Zhe Piao, Syed A Quadri, Robert Yuhan, Darren Leong, Vartan Tashjian
BACKGROUND: Chondromyxoid fibroma (CMF) is an extremely rare, benign cartilaginous tumor that makes up <0.5% of all bone tumors, typically presenting in the second or third decade of life. CMF of the sacrum is exceedingly rare, with only seven documented cases reported in the neurosurgical literature. CASE DESCRIPTION: We report a case of a 35-year-old female with a 3 month history of lower back pain after sustaining a fall on her sacrum/coccyx presenting with a progressive complaint of localized lower back pain, occasional urinary retention without incontinence, gluteal hypesthesia, and pressure below the gluteal crease...
2016: Surgical Neurology International
https://www.readbyqxmd.com/read/27256967/mulibrey-nanism-two-novel-mutations-in-a-child-identified-by-array-cgh-and-dna-sequencing
#18
Enza Mozzillo, Carla Cozzolino, Rita Genesio, Daniela Melis, Giulia Frisso, Ada Orrico, Barbara Lombardo, Valentina Fattorusso, Valentina Discepolo, Roberto Della Casa, Francesca Simonelli, Lucio Nitsch, Francesco Salvatore, Adriana Franzese
In childhood, several rare genetic diseases have overlapping symptoms and signs, including those regarding growth alterations, thus the differential diagnosis is sometimes difficult. The proband, aged 3 years, was suspected to have Silver-Russel syndrome because of intrauterine growth retardation, postnatal growth retardation, typical facial dysmorphic features, macrocephaly, body asymmetry, and bilateral fifth finger clinodactyly. Other features were left atrial and ventricular enlargement and patent foramen ovale...
August 2016: American Journal of Medical Genetics. Part A
https://www.readbyqxmd.com/read/27236578/a-rare-retrorectal-presentation-of-a-bronchogenic-cyst-a-case-report
#19
Arnaud Pasquer, Filbert Djeudji, Valérie Hervieu, Maud Rabeyrin, Xavier Barth
INTRODUCTION: Bronchogenic cysts are rare abnormalities and a retrorectal presentation is exceptional. Its natural history is not known, but malignant transformation is quite rare. Retrorectal bronchogenic cysts are usually asymptomatic. PRESENTATION OF THE CASE: We present the case of a 36-year-old young man with a past medical history of HIV seropositivity who underwent a procedure to excise a sacral coccyx cyst at another surgical center in February 2009. A histological examination confirmed it was a sacral cyst that was resected in sano...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27225737/short-term-efficacy-of-joint-and-soft-tissue-injections-for-musculoskeletal-pain-an-interventional-cohort-study
#20
Hamza Sucuoğlu, Sibel Süzen Özbayrak, Murat Uludağ, Şansın Tüzün
OBJECTIVES: Musculoskeletal injections (MIs) are frequently used in conservative treatment-resistant cases. Joint or soft tissue (ST) corticosteroid (CS) or local anesthetic (LA) injections can be used to relieve musculoskeletal pain. Assessed in the present study was the short-term efficacy of MIs for pain relief, as was the relative efficacy of injections in various joint and ST sites. METHODS: An interventional prospective cohort design was employed in the present study...
April 2016: Aǧrı: Ağrı (Algoloji) Derneği'nin Yayın Organıdır, the Journal of the Turkish Society of Algology
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