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Injuries of the thoracolumbar spine

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https://www.readbyqxmd.com/read/27886872/pediatric-thoracolumbar-spine-trauma
#1
REVIEW
Visish Srinivasan, Andrew Jea
This article reviews thoracolumbar injury patterns that may be seen in children. Although much of the management of these injuries has been extrapolated from the adult literature, unique surgical and nonsurgical considerations in treating children with thoracolumbar spine fractures are discussed. In conclusion, most children achieve satisfactory outcomes in long-term follow-up after healing.
January 2017: Neurosurgery Clinics of North America
https://www.readbyqxmd.com/read/27878353/does-mri-of-the-thoracolumbar-spine-change-management-in-blunt-trauma-patients-with-stable-thoracolumbar-spinal-injuries-without-neurologic-deficits
#2
Paul Deramo, Vaidehi Agrawal, Joseph Amos, Nimesh Patel, Henry Jefferson
BACKGROUND: In blunt trauma patients with computed tomography (CT) findings of stable thoracolumbar (TL) spinal injury without neurologic deficits, magnetic resonance imaging (MRI) studies are commonly obtained, though the impact on overall management remains unclear. The indication for MRI in patients with TL injury without neurologic deficits continues to remain unclear. Here, we evaluate the role of MRI on clinical management of patients presenting with this diagnosis. METHODS: After IRB approval, all registry patients from December 2005 to December 2015 with all blunt TL injuries without defects were extracted...
November 22, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27871096/responses-and-injuries-to-pmhs-in-side-facing-and-oblique-seats-in-horizontal-longitudinal-sled-tests-per-faa-emergency-landing-conditions
#3
John R Humm, Narayan Yoganandan, Frank A Pintar, Richard L DeWeese, David M Moorcroft, Amanda M Taylor, Brian Peterson
The objective of the present exploratory study is to understand occupant responses in oblique and side-facing seats in the aviation environment, which are increasingly installed in modern aircrafts. Sled tests were conducted using intact Post Mortem Human Surrogates (PMHS) seated in custom seats approximating standard aircraft geometry. End conditions were selected to represent candidate aviation seat and restraint configurations. Three-dimensional head center-of-gravity linear accelerations, head angular velocities, and linear accelerations of the T1, T6, and T12 spinous processes, and sacrum were obtained...
November 2016: Stapp Car Crash Journal
https://www.readbyqxmd.com/read/27807778/reliability-and-reproducibility-analysis-of-the-aospine-thoracolumbar-spine-injury-classification-system-by-chinese-spinal-surgeons
#4
Jie Cheng, Peng Liu, Dong Sun, Tingzheng Qin, Zikun Ma, Jingpei Liu
PURPOSE: The objective of this study was to analyze the interobserver reliability and intraobserver reproducibility of the new AOSpine thoracolumbar spine injury classification system in young Chinese orthopedic surgeons with different levels of experience in spinal trauma. Previous reports suggest that the new AOSpine thoracolumbar spine injury classification system demonstrates acceptable interobserver reliability and intraobserver reproducibility. However, there are few studies in Asia, especially in China...
November 2, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27796404/-x%C3%A2-ray-of-the-thoracic-and-lumbar-spine-in-injured-children-and-adolescents-incidence-fracture-rates-and-therapeutic-consequences
#5
T Ruffing, M Wiehmann, H Winkler, M Muhm
INTRODUCTION: Usually, conventional radiographs are appropriate for injuries in the region of the thoracic and lumbar spine (TLS) in children and adolescents. The aim of our study was to determine the incidence of trauma-associated radiographic findings in this anatomical region and to present the therapeutic consequences. MATERIAL AND METHODS: In a retrospective cohort study (2007-2015) of a level 1 trauma center all children and adolescents (0-17 years) with a TLS-trauma, in which conventional radiographs were performed anteroposterior and lateral as the initial imaging modality, were included...
October 28, 2016: Der Unfallchirurg
https://www.readbyqxmd.com/read/27788683/analysis-of-the-independent-risk-factors-of-neurologic-deficit-after-thoracolumbar-burst-fracture
#6
Peifu Tang, Anhua Long, Tao Shi, Licheng Zhang, Lihai Zhang
BACKGROUND: The objective of this study is to identify the independent risk factors of neurologic deficit after thoracolumbar burst fracture. Traumatic fractures of the thoracolumbar spine are the most common type of spinal column fractures. Many studies have attempted to determine whether neurologic deficit in such fractures is related to spinal canal stenosis or other parameters observed on axial computed tomography. However, this relationship remains controversial. METHODS: A review of the clinical data and axial computed tomography (CT) for 105 patients was performed...
October 24, 2016: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/27716571/pedicle-screw-position-changing-policy-for-nerve-injury-problems-during-screw-insertion-on-thoracolumbar-compression-fractures
#7
Ahmad Jabir Rahyussalim, Ifran Saleh, M Fajrin Armin, Tri Kurniawati, Ahmad Yanuar Safri
INTRODUCTION: Intraoperative neurophysiologic monitoring (IONM) had important role related to the complications in spinal surgery. Somatosensory Evoked Potential (SSEP), Transcranial electric Muscle Evoked Potentials (tceMEPs), and free run EMG are parameters used to asses functional integrity of the nervous system during surgical procedures. Once warning signal was recognized, surgeon have to make a precise decision to overcome that problem. PRESENTATION OF CASE: We present a 47-year old male with back pain due to compression fracture of thoracic vertebra T12 and lumbar vertebrae L1...
September 23, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27671737/is-early-appropriate-care-of-axial-and-femoral-fractures-appropriate-in-multiply-injured-elderly-trauma-patients
#8
M S Reich, A J Dolenc, T A Moore, H A Vallier
BACKGROUND: Previous work established resuscitation parameters that minimize complications with early fracture management. This Early Appropriate Care (EAC) protocol was applied to patients with advanced age to determine if they require unique parameters to mitigate complications. METHODS: Between October 2010 and March 2013, 376 consecutive skeletally mature patients with unstable fractures of the pelvis, acetabulum, thoracolumbar spine, and/or proximal or diaphyseal femur fractures were treated at a level I trauma center and were prospectively studied...
September 26, 2016: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/27662382/spine-injuries-in-child-abuse
#9
Julio J Jauregui, Dean C Perfetti, Frank S Cautela, David B Frumberg, Qais Naziri, Carl B Paulino
BACKGROUND: Although rare, spinal injuries associated with abuse can have potentially devastating implications in the pediatric population. We analyzed the association of pediatric spine injury in abused children and determined the anatomic level of the spine affected, while also focusing on patient demographics, length of stay, and total hospital charges compared with spine patients without a diagnosis of abuse. METHODS: A retrospective review of the Kids' Inpatient Database was conducted from 2000 to 2012 to identify pediatric patients (below 18 y) who sustained vertebral column fractures or spinal cord injuries...
September 22, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27651859/chronic-paraspinal-muscle-injury-model-in-rat
#10
Tack Geun Cho, Seung Won Park, Young Baeg Kim
OBJECTIVE: The objective of this study is to establish an animal model of chronic paraspinal muscle injury in rat. METHODS: Fifty four Sprague-Dawley male rats were divided into experimental group (n=30), sham (n=15), and normal group (n=9). Incision was done from T7 to L2 and paraspinal muscles were detached from spine and tied at each level. The paraspinal muscles were exposed and untied at 2 weeks after surgery. Sham operation was done by paraspinal muscles dissection at the same levels and wound closure was done without tying...
September 2016: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/27603096/temporary-percutaneous-pedicle-screw-stabilization-without-fusion-of-adolescent-thoracolumbar-spine-fractures
#11
Shari Cui, Gennadiy A Busel, Aki S Puryear
BACKGROUND: Pediatric spine trauma often results from high-energy mechanisms. Despite differences in healing potential, comorbidities, and length of remaining life, treatment is frequently based on adult criteria; ligamentous injuries are fused and bony injuries are treated accordingly. In this study, we present short-term results of a select group of adolescent patients treated using percutaneous pedicle screw instrumentation without fusion. METHODS: An IRB-approved retrospective review was performed at a level 1 pediatric trauma center for thoracolumbar spine fractures treated by percutaneous pedicle screw instrumentation...
October 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27586100/multicenter-analysis-of-ciren-occupant-lumbar-bone-mineral-density-and-correlation-with-age-and-fracture-incidence
#12
Mona Saffarzadeh, R Caresse Hightower, Jennifer W Talton, Anna N Miller, Joel D Stitzel, Ashley A Weaver
OBJECTIVE: This study aimed to quantify lumbar volumetric bone mineral density (vBMD) for 873 seriously injured Crash Injury Research and Engineering Network (CIREN) motor vehicle crash occupants (372 male, 501 female) from 8 centers using phantomless computed tomography scans and to associate vBMD with age, fracture incidence, and osteopenia/osteoporosis diagnoses. The novelty of this work is that it associates vBMD with region of injury by applying an established method for vBMD measurement using phantomless computed tomography (CT)...
September 2016: Traffic Injury Prevention
https://www.readbyqxmd.com/read/27586096/changing-threshold-for-ais-scores-of-thoracolumbar-compression-fractures
#13
Hesham M Soliman, Ha Son Nguyen, Anjishnu Banerjee, Frank Pintar, Narayan Yoganandan, Shekar Kurpad, Dennis Maiman
BACKGROUND: The Abbreviated Injury Scale (AIS) is an anatomical-based coding system created by the Association for the Advancement of Automotive Medicine, utilized to classify and code injuries resulting from trauma, in order of severity. According to the latest version, all Thoraco-Lumbar Compression Fractures (TLCF), even without injury to other spine components and with >20% loss of height, were branded AIS 3 injuries, reflecting a serious threat to life or permanent disability...
September 2016: Traffic Injury Prevention
https://www.readbyqxmd.com/read/27559447/neglected-thoraco-lumbar-traumatic-spine-injuries
#14
Kavin Khatri, Kamran Farooque, Vijay Sharma, Babita Gupta, Shivanand Gamanagatti
STUDY DESIGN: Retrospective study. PURPOSE: To outline the etiology, complications and management difficulties encountered in the management of neglected thoracolumbar spine injuries. OVERVIEW OF LITERATURE: The English literature describes overlooked diagnosis as the most common cause of neglected spine injuries. However, the reasons differ in developing or under-developed nations. Moreover, there is scarcity of literature about the neglected spinal injuries...
August 2016: Asian Spine Journal
https://www.readbyqxmd.com/read/27553389/monosegmental-vs-bisegmental-pedicle-fixation-for-the-treatment-of-thoracolumbar-spine-fractures
#15
Giovanni Andrea La Maida, Francesco Luceri, Marcello Ferraro, Carlo Ruosi, Giuseppe Vincenzo Mineo, Bernardo Misaggi
INTRODUCTION: The anatomy and biomechanics of the thoracolumbar spine place these segments at high risk of trauma injuries. Treatment options are either conservative or surgical, and there is a lack of consensus about the right indications. International scientific publications agree only on basic surgical principles: vertebral stability, deformity correction, protection of neurological structures and fast functional recovery. The most commonly used approach is the posterior approach, which allows the best management of most vertebral fracture patterns...
August 20, 2016: Injury
https://www.readbyqxmd.com/read/27509542/spinal-cord-inflammation-molecular-imaging-after-thoracic-aortic-ischemia-reperfusion-injury
#16
Hassan Albadawi, John W Chen, Rahmi Oklu, Yue Wu, Gregory Wojtkiewicz, Benjamin Pulli, John D Milner, Richard P Cambria, Michael T Watkins
Purpose To evaluate whether noninvasive molecular imaging technologies targeting myeloperoxidase (MPO) can reveal early inflammation associated with spinal cord injury after thoracic aortic ischemia-reperfusion (TAR) in mice. Materials and Methods The study was approved by the institutional animal care and use committee. C57BL6 mice that were 8-10 weeks old underwent TAR (n = 55) or sham (n = 26) surgery. Magnetic resonance (MR) imaging (n = 6) or single photon emission computed tomography (SPECT)/computed tomography (CT) (n = 15) studies targeting MPO activity were performed after intravenous injection of MPO sensors (bis-5-hydroxytryptamide-tetraazacyclododecane [HT]-diethyneletriaminepentaacetic acid [DTPA]-gadolinium or indium 111-bis-5-HT-DTPA, respectively)...
August 10, 2016: Radiology
https://www.readbyqxmd.com/read/27504058/the-epidemiology-of-thoracolumbar-trauma-a-meta-analysis
#17
Yoshihiro Katsuura, James Michael Osborn, Garrick Wayne Cason
PURPOSE: To describe the epidemiology of thoracolumbar fractures and associated injuries in blunt trauma patients. METHODS: A systematic review and metaanalysis was performed based on a MEDLINE database search using MeSH terms for studies matching our inclusion criteria. The search yielded 21 full-length articles, each sub-grouped according to content. Data extraction and multiple analyses were performed on descriptive data. RESULTS: The rate of thoracolumbar fracture in blunt trauma patients was 6...
December 2016: Journal of Orthopaedics
https://www.readbyqxmd.com/read/27488620/-trauma-of-the-lumbar-spine-and-the-thoracolumbar-junction
#18
W Reith, N Harsch, C Kraus
CLINICAL/METHODICAL ISSUE: Patients who have experienced high energy trauma have a particularly high risk of suffering from fractures of the thoracic and lumbar spine. The detection of spinal injuries and the correct classification of fractures before surgery are not only absolute requirements for the implementation of appropriate surgical treatment but they are also decisive for the choice of surgical procedure. STANDARD RADIOLOGICAL METHODS: By the application of spiral computed tomography (CT) crucial additional information on the morphology of the fracture can be gained in order to estimate the fracture type and possibly the indications for specific surgical treatment options...
August 2016: Der Radiologe
https://www.readbyqxmd.com/read/27474457/posttraumatic-charcot-neuropathic-spinal-arthropathy-at-the-cervicothoracic-junction
#19
Ufuk Aydinli, Nilesh Kumar Mohan, Kursat Kara
BACKGROUND: Charcot spine arthropathy (posttraumatic neuroarthropathy of the spine) has been reported to be a very late and rare complication of spinal cord injury. Charcot of the cervicothoracic and upper thoracic region rarely is reported in the literature. Charcot spinal arthropathy is a cause of progressive deformity and may present as late as 30 years after the original spinal cord injury. This is more common in paraplegic patients who are actively ambulating. CASE DESCRIPTION: A 56-year-old patient with complete paraplegia for approximately 20 years after spinal cord injury presented with severe kyphous deformity and instability of thoracolumbar spine...
October 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27448661/role-of-magnetic-resonance-imaging-in-acute-spinal-trauma-a-pictorial-review
#20
REVIEW
Yogesh Kumar, Daichi Hayashi
Magnetic resonance imaging (MRI) has been playing an increasingly important role in the spinal trauma patients due to high sensitivity for detection of acute soft tissue and cord injuries. More and more patients are undergoing MRI for spinal trauma in the emergency settings, thus necessitating the interpreting physicians to be familiar with MRI findings in spinal trauma. In this pictorial review, we will first describe the normal anatomy of various ligamentous structures. Indications of MRI in spinal trauma as well as the role of MRI in diagnosing spinal cord and soft tissue injuries will then be discussed...
2016: BMC Musculoskeletal Disorders
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