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https://www.readbyqxmd.com/read/27913262/neurosurgeons-in-japan-are-exclusively-brain-surgeons
#1
REVIEW
Shunji Asamoto
In Japan, neurosurgeons have mainly treated brain diseases, with most cases involving the spine and spinal diseases historically being treated by orthopedists. Nowadays, spinal surgery is just one of the many subspecialties in the neurosurgical field in Japan. Most patients with neurological deficits or suspected neurological diseases are taken to board-certified neurosurgeons or go to them directly in Japan, not through referrals from family doctors or specialists in other fields. Problems originating in the spine and spinal cord have been overlooked or misdiagnosed in these situations...
November 29, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27909653/magnetic-resonance-imaging-of-the-cervical-spine-under-represents-sagittal-plane-deformity-in-degenerative-myelopathy-patients
#2
Douglas S Weinberg, Arunit J Chugh, Jeremy J Gebhart, Jason D Eubanks
BACKGROUND: In treating patients with cervical myelopathy, surgical approach may be dictated by sagittal balance, highlighting the need for accurate pre-operative assessment. Magnetic Resonance Imaging (MRI) is widely-recognized for its utility in the diagnosis and surgical planning of cervical myelopathy. Plain radiographs (X-rays) are a reliable tool to assess bony alignment. However, they may not always be included in standard pre-operative evaluation, especially in an era of restricted payer-environments...
2016: International Journal of Spine Surgery
https://www.readbyqxmd.com/read/27909651/hybrid-decompression-and-fixation-technique-for-the-treatment-of-multisegmental-cervical-spondylotic-myelopathy
#3
Barón Zárate-Kalfopulos, Walter Araos-Silva, Alejandro Reyes-Sánchez, Luis Miguel Rosales-Olivarez, Armando Alpizar-Aguirre, Francisco Lopez Melendez
BACKGROUND: Cervical spondilotic myelopathy (CSM) is defined as the compromise of the spinal cord due to degenerative changes of the cervical spine. It is the most common cause of spinal cord dysfunction in patients over 55 years. An early surgical management it is paramount to achieve better neurological outcome. There is still controversy regarding the appropriate surgical treatment for multisegmental CSM involving three or more levels. The hybrid decompression and fixation technique combines one or two level corpectomy and a single level discectomy in order to obtain optimum decompression and fixation in patients with multilevel cervical myelopathy...
2016: International Journal of Spine Surgery
https://www.readbyqxmd.com/read/27906944/the-safety-of-ct-guided-epidural-steroid-injections-in-an-older-patient-cohort
#4
Andrew J Fenster, Kevin Fernandes, Alan L Brook, Todd Miller
BACKGROUND: Epidural steroid injections (ESIs) are a common method for treating lower back pain, which is one of the most prevalent health-related complaints in the adult US population. Although the safety of CT-guided ESIs has been extensively studied in adults, there is limited data concerning the procedure's safety profile in an older patient population. OBJECTIVE: This retrospective study analyzed safety data among a single-center cohort of patients > 65 years-old who received one or more CT-guided interlaminar ESIs from 2012 to 2015...
November 2016: Pain Physician
https://www.readbyqxmd.com/read/27856389/mini-laparoscopy-of-removal-partial-adnexae-at-the-time-of-hysterectomy
#5
António Gutierrez Setúbal, João Sequeira Alves, Olga Lavado, Joana Faria
STUDY OBJECTIVE: To describe our technique of mini laparoscopic adnexectomy or salpingectomy at the time of total laparoscopic hysterectomy DESIGN: Step-by-step video explanation of our technique SETTING: The advantages of laparoscopic surgery have been widely recognised in the past two decades: improved vision, exposure, reduction in operative trauma because of smaller incisions and more gentle tissue´s handling, that result in a faster postoperative recovery. The technology development has allowed the use of smaller caliber instruments while maintaining the high standard surgical performance...
November 14, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27830448/estimating-the-effect-of-intravenous-acetaminophen-for-postoperative-pain-management-on-length-of-stay-and-inpatient-hospital-costs
#6
E Eve Shaffer, An Pham, Robert L Woldman, Andrew Spiegelman, Scott A Strassels, George J Wan, Thomas Zimmerman
INTRODUCTION: The provision of safe, effective, cost-efficient perioperative inpatient acute pain management is an important concern among clinicians and administrators within healthcare institutions. Overreliance on opioid monotherapy in this setting continues to present health risks for patients and increase healthcare costs resulting from preventable adverse events. The goal of this study was to model length of stay (LOS), potential opioid-related complications, and costs for patients reducing opioid use and adding intravenous acetaminophen (IV APAP) for management of postoperative pain...
November 9, 2016: Advances in Therapy
https://www.readbyqxmd.com/read/27797678/anorexia-nervosa-analysis-of-trabecular-texture-with-ct
#7
Azadeh Tabari, Martin Torriani, Karen K Miller, Anne Klibanski, Mannudeep K Kalra, Miriam A Bredella
Purpose To determine indexes of skeletal integrity by using computed tomographic (CT) trabecular texture analysis of the lumbar spine in patients with anorexia nervosa and normal-weight control subjects and to determine body composition predictors of trabecular texture. Materials and Methods This cross-sectional study was approved by the institutional review board and compliant with HIPAA. Written informed consent was obtained. The study included 30 women with anorexia nervosa (mean age ± standard deviation, 26 years ± 6) and 30 normal-weight age-matched women (control group)...
October 31, 2016: Radiology
https://www.readbyqxmd.com/read/27779601/a-normative-baseline-for-the-srs-22-from-over-1000-healthy-adolescents-in-india-which-demographic-factors-affect-outcome
#8
Kushagra Verma, Senthil T Nathan, Carly D Comer, Baron Lonner, Suken A Shah
STUDY DESIGN: Prospective Analysis OBJECTIVE.: This study aims to: 1) establish a baseline for the SRS-22 in South East Asia and 2) evaluate the influence of patient demographics on the SRS-22. SUMMARY OF BACKGROUND DATA: Previous studies have established a baseline for the SRS-22 in the US and described the impact of patient demographics. While the SRS-22 is used internationally, limited normative data is available. METHODS: After approval from the local hospital and school board, 1200 adolescents (age 10-18) were asked to anonymously complete the SRS-22 in English...
October 24, 2016: Spine
https://www.readbyqxmd.com/read/27764719/leptomeningeal-metastasis-from-gynecologic-cancers-diagnosed-by-brain-mri
#9
Masafumi Toyoshima, Keita Tsuji, Shogo Shigeta, Hideki Tokunaga, Kiyoshi Ito, Yoh Watanabe, Kosuke Yoshinaga, Takeo Otsuki, Hitoshi Niikura, Nobuo Yaegashi
Leptomeningeal metastasis (LM) is rarely observed in gynecologic cancers. As gadolinium-enhanced magnetic resonance imaging (Gd-MRI) is highly effective for diagnosing LM, the aim of this study is to describe the clinical behaviors and outcomes of LM patients who were diagnosed by Gd-MRI. After securing institutional review board approvals, we retrospectively reviewed patient records. Eight patients were found to have LM from gynecological malignancies. Primary tumors included three ovarian cancers, one tubal cancer, one peritoneal cancer, two endometrial cancers, and one cervical cancer...
September 30, 2016: Clinical Imaging
https://www.readbyqxmd.com/read/27748690/cervical-spine-immobilization-during-extrication-of-the-awake-patient-a-narrative-review
#10
Alan Cowley, Ashley Hague, Neal Durge
Techniques for extricating vehicle occupants after road-traffic collisions have evolved largely through fear of worsening a cervical spine injury, rather than being evidence-based. Recent research has looked at the safety of allowing the alert patient to self-extricate, rather than being assisted with equipment such as long spinal boards and semirigid cervical collars. This review aims to elucidate whether it is safe to allow an alert, ambulant patient to self-extricate from a vehicle with minimal or no cervical spine immobilization...
September 29, 2016: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://www.readbyqxmd.com/read/27730012/analysis-of-difference-in-center-of-pressure-positions-between-experts-and-novices-during-asymmetric-lifting
#11
Hieyong Jeong, Kenji Yamada, Michiko Kido, Shima Okada, Taishin Nomura, Yuko Ohno
Although numerous studies have analyzed the relationship between manual material handling (MMH) and the forces acting on the lumbar spine, the difference in the MMH between experts and novices through the analysis of measured data has not been well studied. The purpose of this paper was to analyze the difference in the MMH positions between ten skilled experts working at a freight transport company (Group 1) and five unskilled novices without any experience (Group 2) during asymmetric lifting. All the human subjects performed asymmetric lifting experiments with closed eyes; the experiments involved moving loads (6 and 18 kg) to the left side...
2016: IEEE Journal of Translational Engineering in Health and Medicine
https://www.readbyqxmd.com/read/27675253/during-treatment-verification-of-spine-position-using-a-single-kv-projection-of-an-on-board-cone-beam-computed-tomography-system-simulation-study
#12
Y K Park, G C Sharp, B Winey
No abstract text is available yet for this article.
October 1, 2016: International Journal of Radiation Oncology, Biology, Physics
https://www.readbyqxmd.com/read/27669046/propionibacterium-acnes-coagulase-negative-staphylococcus-and-the-biofilm-like-intervertebral-disc
#13
Michael F Coscia, Gerald A Denys, Matthew F Wack
STUDY DESIGN: Patients scheduled for spinal surgery were screened prospectively for a microbial presence associated with intervertebral disc specimens. Inclusion was limited to patients requiring surgery for any of 5 conditions: study patients with cervical spine intervertebral herniation (IVH), lumbar spine IVH, lumbar spine discogenic pain, and control patients with idiopathic scoliosis/Scheurermann's kyphosis or trauma/neuromuscular deformity. Exclusion criteria included ongoing systemic infection, abnormal pre-operative white cell counts, documented or suspected spinal infection, or previous surgery to the involved disc...
September 23, 2016: Spine
https://www.readbyqxmd.com/read/27592807/guideline-summary-review-an-evidence-based-clinical-guideline-for-the-diagnosis-and-treatment-of-adult-isthmic-spondylolisthesis
#14
REVIEW
D Scott Kreiner, Jamie Baisden, Daniel J Mazanec, Rakesh D Patel, Robert S Bess, Douglas Burton, Norman B Chutkan, Bernard A Cohen, Charles H Crawford, Gary Ghiselli, Amgad S Hanna, Steven W Hwang, Cumhur Kilincer, Mark E Myers, Paul Park, Karie A Rosolowski, Anil K Sharma, Christopher K Taleghani, Terry R Trammell, Andrew N Vo, Keith D Williams
BACKGROUND CONTEXT: The North American Spine Society's (NASS) Evidence-Based Clinical Guideline for the Diagnosis and Treatment of Adult Isthmic Spondylolisthesis features evidence-based recommendations for diagnosing and treating adult patients with isthmic spondylolisthesis. The guideline is intended to reflect contemporary treatment concepts for symptomatic isthmic spondylolisthesis as reflected in the highest quality clinical literature available on this subject as of June 2013. NASS' guideline on this topic is the only guideline on adult isthmic spondylolisthesis accepted in the Agency for Healthcare Research and Quality's National Guideline Clearinghouse...
September 1, 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/27551340/3t-magnetic-resonance-neurography-of-pudendal-nerve-with-cadaveric-dissection-correlation
#15
Avneesh Chhabra, Courtney A McKenna, Vibhor Wadhwa, Gaurav K Thawait, John A Carrino, Gary P Lees, A Lee Dellon
AIM: To evaluate the pudendal nerve segments that could be identified on magnetic resonance neurography (MRN) before and after surgical marking of different nerve segments. METHODS: The hypothesis for this study was that pudendal nerve and its branches would be more easily seen after the surgical nerve marking. Institutional board approval was obtained. One male and one female cadaver pelvis were obtained from the anatomy board and were scanned using 3 Tesla MRI scanner using MR neurography sequences...
July 28, 2016: World Journal of Radiology
https://www.readbyqxmd.com/read/27548342/differentiation-of-osteophytes-and-disc-herniations-in-spinal-radiculopathy-using-susceptibility-weighted-magnetic-resonance-imaging
#16
Yvonne Yi-Na Bender, Gerd Diederichs, Thula Cannon Walter, Moritz Wagner, Thomas Liebig, Marcus Rickert, Kay-Geert Hermann, Bernd Hamm, Marcus Richard Makowski
OBJECTIVE: The aim of this study was to evaluate the diagnostic performance of susceptibility-weighted magnetic resonance imaging (SW-MRI) for the differentiation of osteophytes and disc herniations of the spine compared with that of conventional spine MR sequences and radiography. MATERIALS AND METHODS: This study was approved by the local ethics review board; written consent was obtained from all subjects. Eighty-one patients with suspected radiculopathy of the spine were included prospectively...
August 19, 2016: Investigative Radiology
https://www.readbyqxmd.com/read/27479806/evaluation-of-paraspinal-fat-pad-as-an-indicator-of-posterior-ligamentous-complex-injury-in-cervical-spine-trauma
#17
Sébastien Molière, Cyril Zaragori-Benedetti, Matthieu Ehlinger, Jean-Marie Le Minor, Stéphane Kremer, Guillaume Bierry
Purpose To determine if the obliteration of a cervical space, the paraspinal fat pad (PFP), can be used as an indicator at computed tomography (CT) of an injury of cervical spine posterior ligamentous complex (PLC). Materials and Methods This retrospective study was approved by the institutional board review; written informed consent was obtained from healthy subjects and was waived for patients. First, PFP appearance was evaluated in an anatomic specimen and in 10 healthy subjects on spine CT scans by three radiologists (readers 1, 2, and 3) working in consensus...
August 1, 2016: Radiology
https://www.readbyqxmd.com/read/27465509/a-systematic-review-of-intervention-thresholds-based-on-frax-a-report-prepared-for-the-national-osteoporosis-guideline-group-and-the-international-osteoporosis-foundation
#18
REVIEW
John A Kanis, Nicholas C Harvey, Cyrus Cooper, Helena Johansson, Anders Odén, Eugene V McCloskey
UNLABELLED: This systematic review identified assessment guidelines for osteoporosis that incorporate FRAX. The rationale for intervention thresholds is given in a minority of papers. Intervention thresholds (fixed or age-dependent) need to be country-specific. INTRODUCTION: In most assessment guidelines, treatment for osteoporosis is recommended in individuals with prior fragility fractures, especially fractures at spine and hip. However, for those without prior fractures, the intervention thresholds can be derived using different methods...
December 2016: Archives of Osteoporosis
https://www.readbyqxmd.com/read/27399426/147%C3%A2-patient-perceptions-about-quality-of-care-in-spinal-disorders
#19
Cheerag D Upadhyaya, Kate Wan-Chu Chang, Shawn Brown, Tara Beach, Shawn L Hervey-Jumper, Aditya S Pandey, Paul Park, Lynda Jun-San Yang
INTRODUCTION: Reimbursements are increasingly reliant upon value-based purchasing/pay for performance rather than fee-for-service. However, value is difficult to define. Therefore, we surveyed patients in a general neurosurgery spine clinic to determine patients' perceptions regarding the quality/value of spine care. METHODS: We administered questionnaires to patients at 2 tertiary care institutions who presented to a spine clinic for evaluation. Questions assessed patient perceptions regarding quality of spine care as impacted by provider/institution-specific factors (8 choices including US News & World Report rankings, consumer website survey results, medical website survey results, etc) and by patient-specific factors (7 choices including convenience of access, distance, prior experience, etc)...
August 2016: Neurosurgery
https://www.readbyqxmd.com/read/27376529/discordant-inflammatory-changes-in-the-apophyseal-and-sacroiliac-joints-serial-observations-in-enthesitis-related-arthritis
#20
Timothy J P Bray, Thomas Amies, Kanimozhi Vendhan, Paul Humphries, Debajit Sen, Yiannis Ioannou, Margaret A Hall-Craggs
OBJECTIVE: To determine the extent to which inflammation of the sacroiliac joints (SIJs) and apophyseal joints (AJs) changes concordantly after treatment in enthesitis-related arthritis (ERA). METHODS: A retrospective study was performed with institutional review board approval. 31 young patients with ERA who had been scanned between March 2009 and November 2014 were included. All patients had post-contrast imaging of the SIJs and lumbar spine and short tau inversion-recovery (STIR) images of the SIJs...
September 2016: British Journal of Radiology
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