keyword
https://read.qxmd.com/read/37666812/reduction-of-cervicothoracic-spondyloptosis-in-an-ambulatory-patient-when-traction-fails
#21
JOURNAL ARTICLE
Brendan F Judy, Jovanna A Tracz, Jordina Rincon-Torroella, A Karim Ahmed, Timothy F Witham
INTRODUCTION: Cervical spondyloptosis is a rare complication of high-energy trauma which often results in significant patient morbidity and mortality. The authors present a case of spondyloptosis of C7 over T1 with minimal radicular symptoms and otherwise complete spinal cord sparing. This case highlights the surgical challenges faced with cervical spondyloptosis and the techniques used when traction fails. CASE PRESENTATION: A 21-year-old man with no significant past medical history presented after a high-speed motor vehicle collision with cervicothoracic pain and mild hand grip weakness in addition to numbness of the fourth and fifth digits bilaterally (American Spinal Injury Association Impairment Scale Grade D)...
September 5, 2023: Spinal Cord Series and Cases
https://read.qxmd.com/read/37609026/usefulness-of-percutaneous-pedicle-screw-fixation-for-treatment-of-lower-lumbar-burst-a3-a4-fractures-comparative-study-with-thoracolumbar-junction-fractures
#22
JOURNAL ARTICLE
Myung-Sang Moon, Chang Geun Yu, Jong Min Jeon, Seung Myung Wi
BACKGROUND: Percutaneous pedicle screw fixation (PPSF) without fusion has been recently recommended in the treatment of thoracolumbar fracture to reduce the adverse effects associated with the conventional open approaches and to restore range of motion. However, those studies report on the thoracolumbar junction, and there is no report on lower lumbar fracture. PURPOSE: To assess effectiveness of PPSF without fusion for treating lower lumbar burst (A3 and A4) fractures...
September 2023: Indian Journal of Orthopaedics
https://read.qxmd.com/read/37562684/evaluation-of-disc-and-endplate-degeneration-in-ao-type-a-fractures-using-magnetic-resonance-imaging-analysis
#23
JOURNAL ARTICLE
Preetish Subramanian, Karthik Ramachandran, Thirumurugan Arumugam, Ajoy Prasad Shetty, Rishi Mugesh Kanna, Rajasekaran Shanmuganathan
OBJECTIVE: Disc degeneration following trauma has been the focus of several investigations, while vertebral endplate changes have received comparatively less attention. The main aim of the study is to radiologically evaluate the prevalence of degree of degeneration of the adjacent discs and endplates following AO type A thoracolumbar fractures. METHODS: We retrospectively reviewed 25 patients with AO type A injury (50 discs, and 150 endplates). The type of disc lesion adjacent to the fractured vertebra was classified based on Pfirrmann's and Oner's classifications, immediately after trauma and at 1-year follow-up...
August 8, 2023: World Neurosurgery
https://read.qxmd.com/read/37499255/novel-nerve-sparing-in-situ-assembly-of-an-expandable-titanium-cage-to-maximize-endplate-coverage-after-posterior-corpectomy-for-comminuted-lumbar-burst-fractures
#24
JOURNAL ARTICLE
Jason Felton, Albin A John, Shahriar C Daneshfar, Cameron T Cox, Joey Grochmal
BACKGROUND AND OBJECTIVES: The ability to maximize corpectomy cage endcap size and vertebral endplate coverage after corpectomy for lumbar burst fractures (L1-L5) is limited by the presence of lumbar nerve roots and the larger cross-sectional area of the lumbar endplates relative to the restrictive corridor for cage insertion. This work aims to provide details and clinical examples of a novel operative technique for 3-column reconstruction and stabilization of comminuted lumbar burst fractures...
July 20, 2023: Operative Neurosurgery (Hagerstown, Md.)
https://read.qxmd.com/read/37487671/unipedicular-screw-index-vertebra-manipulation-technique-for-minimally-invasive-short-segment-thoracolumbar-fracture-fixation
#25
JOURNAL ARTICLE
Naresh Kumar, Brian Zhaojie Chin, Chen Xi Kasia Chua, Karthigesh Palanichami, Pradnya Nishant Mohite, Shen Liang, Arnaldo Songcayaon Favila, Jiong Hao Jonathan Tan
BACKGROUND: Minimally invasive spine surgery (MIS) has revolutionized fixation of thoracolumbar fractures with burst elements. Recent studies have proven that percutaneous pedicle screw instrumentation is as effective as open instrumentation but with reduced intraoperative blood loss and operative duration. Techniques such as short-segment pedicle screw fixation including the fractured vertebra have shown satisfactory radiological correction and functional outcomes, avoiding the need for extensile posterior constructs...
July 24, 2023: International Journal of Spine Surgery
https://read.qxmd.com/read/37457417/indirect-spinal-canal-decompression-using-ligamentotaxis-compared-with-direct-posterior-canal-decompression-in-thoracolumbar-burst-fractures-a-prospective-randomized-study
#26
JOURNAL ARTICLE
Ghaffar Shokouhi, Arad Iranmehr, Peyman Ghoilpour, Mohammad Reza Fattahi, Seyed Taher Mousavi, Mohammad Ali Bitaraf, Mohammad Kazem Sarpoolaki
BACKGROUND: There is still no standard of care to manage thoracolumbar burst fractures. With all the recent advances, posterior approaches are still one of the mainstays of treatment. On the other hand, while spinal canal decompression in neurological impaired patients is an important goal of treatment, its technique remains controversial.This study compared the effects of direct laminectomy decompression against ligamentotaxis/indirect canal decompression on neurological and radiographic improvements...
2023: Medical Journal of the Islamic Republic of Iran
https://read.qxmd.com/read/37448112/clinic-choice-of-long-or-short-segment-pedicle-screw-rod-fixation-in-the-treatment-of-thoracolumbar-burst-fracture-from-scan-data-to-numerical-study
#27
JOURNAL ARTICLE
Jiangping Xu, Zhijun Yin, Yang Li, Yanqiu Xie, Jiangping Hou
Based on computerized tomography scanning images of human lumbar vertebrae, finite element (FE) analysis is performed to predict the stress of pedicle screws, rods, and fractured vertebra as well as the displacement of fractured vertebra after internal fixation treatment of thoracolumbar burst fracture. A three-dimensional FE model of L1-L5 lumbar vertebrae with L3 burst fracture has been established and four fixation methods, namely, short segment cross- and trans-injured vertebrae, long segment cross- and trans-injured vertebrae fixations, have been adopted to perform posterior pedicle fixation...
July 13, 2023: International Journal for Numerical Methods in Biomedical Engineering
https://read.qxmd.com/read/37422188/posterior-fixation-for-different-thoracic-sacrum-alignments-containing-a-thoracolumbar-vertebral-fracture-a-finite-element-analysis
#28
JOURNAL ARTICLE
Norihiro Nishida, Hidenori Suzuki, Fei Jiang, Yuki Fuchigami, Rui Tome, Masahiro Funaba, Yogesh Kumaran, Kazuhiro Fujimoto, Hiroaki Ikeda, Junji Ohgi, Xian Chen, Takashi Sakai
OBJECTIVE: Thoracolumbar vertebral fractures are one of the most common fractures, however, there is a lack of mechanical analyses for what the posterior fixation is for different spine alignments. METHODS: This study employed a three-dimensional finite element model of a T1-sacrum. Three alignment models were created: intact, degenerative lumbar scoliosis (DLS), and adolescent idiopathic scoliosis (AIS). The burst fracture was assumed to be at the L1 vertebral level...
July 6, 2023: World Neurosurgery
https://read.qxmd.com/read/37235499/efficacy-and-safety-evaluation-of-bilateral-pedicle-approach-combined-with-positional-reduction-for-the-treatment-of-osteoporotic-thoracolumbar-burst-fractures
#29
JOURNAL ARTICLE
Haoyu Wang, Lifeng Zhang, Haoqiang Du, Xiaotao Wu
BACKGROUND: Osteoporotic thoracolumbar burst fractures (OTLBF) pose challenges for vertebroplasty due to the risk of cement leakage and spinal injury resulting from the fracture of the posterior vertebra and spinal canal occupancy. It limits the application of vertebroplasty in these patients. OBJECTIVE: This study investigates the efficacy and safety of a bilateral pedicle approach combined with postural reduction for treating OTLBF using vertebroplasty. MATERIAL AND METHODS: Thirteen patients (aged ≥ 65 years) with thoracolumbar fractures without neurological deficits underwent vertebroplasty...
May 26, 2023: Alternative Therapies in Health and Medicine
https://read.qxmd.com/read/37211938/-treatment-of-spinal-burst-fractures-with-pedicle-screw-fixation-at-high-altitude-area
#30
JOURNAL ARTICLE
Jun Yuan, Xin-Jun Zhang, Xiao-Gang Huang, Lei Dai, Chao Liu
OBJECTIVE: According to the characteristics of spinal burst fractures in high-altitude areas and the local medical conditions, to explore the clinical efficacy of short-segment fixation with pedicle screws combined with screw placement in injured vertebrae in the treatment of thoracolumbar burst fractures. METHODS: From August 2018 to December 2021, 12 patients with single-vertebral thoracolumbar burst fractures without neurological symptoms were treated with injured vertebral screw placement technique, including 7 males and 5 females;aged 29 to 54 years old, with an average of(42...
May 25, 2023: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://read.qxmd.com/read/37206497/pneumocephalus-after-anterior-lumbar-spinal-surgery-due-to-trauma-a-case-report
#31
Tomoyuki Takigawa, Takuya Morita, Takuya Taoka, Takeshi Ishihara, Yasuo Ito
Pneumocephalus as a complication of anterior lumbar spinal surgery is extremely rare. A 53-year-old male patient presented with L4 fracture. Posterior fixation from L3 to L5 was conducted one day after the trauma. As the patient's neurological deficit persisted, additional anterior surgery by L4 vertebral body replacement was performed on the 19th day. Both surgeries were completed without obvious intraoperative complications. Two weeks after the anterior lumbar surgery, the patient complained of severe headaches, and computed tomography scan revealed pneumocephalus and massive fluid retention in the abdomen...
April 2023: Curēus
https://read.qxmd.com/read/37193387/type-a-thymoma-with-spinal-and-cranial-metastases-a-case-report
#32
Antonio Cusano, Ian J Wellington, Faripour A Forouhar, Scott S Mallozzi
INTRODUCTION: While metastases of malignant thymomas have been shown, type A thymomas are often treated as benign. Type A thymomas often have excellent response to treatment, low recurrence rate, and a small malignant potential. To date, there have been no reports of type A thymomas with spinal metastases. CASE REPORT: A 66-year-old female with a type A thymoma metastatic to the T7 and T8 vertebral bodies and brain, with associated pathologic burst fracture, collapse of T7, and significant focal kyphosis ...
April 2023: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/37105443/safety-and-effectiveness-of-expandable-intravertebral-implant-use-for-thoracolumbar-burst-fractures
#33
JOURNAL ARTICLE
Haokang Wei, Daniel Hsu, Himanshu Katta, Jonathan Lowenthal, Ian Kane, Syed Kazmi, Srihari Sundararajan, Joseph Koziol, Gaurav Gupta, Stephen Johnson, Francis Kang, Issam Moubarak, Sudipta Roychowdhury
PURPOSE: To determine the safety and effectiveness of an expandable intravertebral implant (Spinejack; Stryker, Kalamazoo, Michigan) as a treatment option for patients with thoracolumbar spine burst fractures without fracture-related neurologic deficit. MATERIALS AND METHODS: Imaging studies before and after expandable intravertebral implantation and medical records of 33 patients, 11 (33.3%) men and 22 (66.6%) women with an overall mean age of 71.7 years ± 8...
August 2023: Journal of Vascular and Interventional Radiology: JVIR
https://read.qxmd.com/read/37024896/massive-hemothorax-secondary-to-internal-jugular-vein-central-venous-catheter-placement-in-a-patient-undergoing-spinal-surgery-complicated-by-chest-trauma-a-case-report
#34
JOURNAL ARTICLE
Tao-Wu Gong, Yu-Hang Zhu, Peng-Cheng Zhao, Fan Zhang
BACKGROUND: Placement of a central venous catheter (CVC) is a common procedure for spinal surgery and is relatively safe under ultrasound guidance. CASE PRESENTATION: We report the case of a 56-year-old female who underwent ultrasound-guided placement of an internal jugular vein CVC for fluid replacement during spinal surgery for thoracic vertebral burst compression fracture and multiple rib fractures as a result of a high-altitude fall injury. Hemothorax developed intraoperatively...
April 6, 2023: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/37016884/effectiveness-of-the-endplate-reduction-technique-combined-with-bone-grafting-for-the-treatment-of-thoracolumbar-fractures-by-using-posterior-short-segment-fixation
#35
JOURNAL ARTICLE
Jiguang Hou, Dong Ren, Yufeng Chen, Lindan Geng, Shuangquan Yao, Haotian Wu, Pengcheng Wang
OBJECTIVE: This study aimed to examine the effect of the endplate reduction (EPR) technique combined with bone grafting for treating thoracolumbar burst fractures using posterior short-segmental fixation. METHODS: Patients with thoracolumbar fractures admitted between January 2018 and October 2021 were retrospectively analyzed, and those meeting the criteria were assigned to the EPR group and the intermediate screws (IS) group. The vertebral wedge angle (VWA), Cobb angle (CA), anterior vertebral body height (AVBH), middle vertebral body height (MVBH), upper endplate line (UEPL), upper intervertebral angle (UIVA), and upper intervertebral disc height (UIDH) indices were examined and compared preoperatively, first day postoperatively, as well as at 12 months postoperatively...
March 2023: Neurospine
https://read.qxmd.com/read/37009617/clinical-effect-of-limited-posterior-decompression-and-13-mm-titanium-mesh-implantation-on%C3%A2-severe-thoracolumbar-burst-fractures-a-case-series
#36
JOURNAL ARTICLE
Liu Jingcheng, Lu Lei
BACKGROUND: Posterior incision with 270° spinal canal decompression and reconstruction surgery is a treatment option for thoracolumbar burst fractures (TLBF), but the large diameter titanium mesh placement is difficult. This study evaluated the characteristics and clinical effects of limited posterior decompression and 13-mm titanium mesh implantation to treat TLBF. HYPOTHESIS: 13-mm titanium meshes could be used to fix thoracolumbar burst fractures. PATIENTS AND METHODS: This case series included patients who underwent limited posterior decompression and 13-mm titanium mesh implantation at China Medical University Shaoxing Hospital (01/2015-12/2019)...
2023: Frontiers in Surgery
https://read.qxmd.com/read/36983216/the-necessity-of-implant-removal-after-fixation-of-thoracolumbar-burst-fractures-a-systematic-review
#37
REVIEW
Xing Wang, Xiang-Dong Wu, Yanbin Zhang, Zhenglin Zhu, Jile Jiang, Guanqing Li, Jiacheng Liu, Jiashen Shao, Yuqing Sun
BACKGROUND: Thoracolumbar burst fractures are a common traumatic vertebral fracture in the spine, and pedicle screw fixation has been widely performed as a safe and effective procedure. However, after the stabilization of the thoracolumbar burst fractures, whether or not to remove the pedicle screw implant remains controversial. This review aimed to assess the benefits and risks of pedicle screw instrument removal after fixation of thoracolumbar burst fractures. METHODS: Data sources, including PubMed, EMBASE, Cochrane Library, Web of Science, Google Scholar, and Clinical trials...
March 13, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/36952673/vertebral-augmentation-in-spine-surgery
#38
JOURNAL ARTICLE
Jacob Hoffmann, Gordon Preston, James Whaley, Jad G Khalil
Vertebral augmentation has been a well-studied adjunct percutaneous procedure in spine surgery. Cement augmentation has been used in the treatment of compression fractures through kyphoplasties or vertebroplasties. Historically, data have shown no difference between treating compression fractures conservatively versus with percutaneous cement augmentation procedures. Recent literature has shown improvement in patient outcomes and increase in mobility with percutaneous cement augmentation procedures. Cement augmentation has been used in treating patients with spinal column fractures in higher energy trauma...
March 23, 2023: Journal of the American Academy of Orthopaedic Surgeons
https://read.qxmd.com/read/36951021/transpedicular-corpectomy-and-anterior-column-reconstruction-for-the-treatment-of-traumatic-thoracolumbar-fractures
#39
JOURNAL ARTICLE
Mehmet Yigit Akgun, Mustafa Onur Ulu, Orkhan Alizada, Mahmut Ozden, Murat Hanci
AIM: Burst fractures of the thoracolumbar spine can be treated with anterior, posterior-only, or combined approaches for the reconstruction of the anterior columns at the fracture level. However, the ideal surgical approach in this scenario remains debatable. We retrospectively analyzed the results obtained with the posterior-only approach in non-pathological traumatic thoracolumbar corpus fractures with spinal cord compression in this study. MATERIAL AND METHODS: A total of 17 patients with traumatic non-pathological thoracolumbar fractures were included in the study...
August 4, 2022: Turkish Neurosurgery
https://read.qxmd.com/read/36945170/the-effect-of-ligamentotaxis-on-clinical-and-radiological-outcomes-in-thoracolumbar-burst-fractures-with-high-mccormack-grade
#40
JOURNAL ARTICLE
Mehmet Secer, Hande Gurbuz, Anil Gulcu
The aim of this study was to investigate the effect of ligamentotaxis performed in combination with the posterior surgical approach in thoracic and lumbar burst fractures due to high-energy trauma with high McCormack scores (≥7). This observational study was conducted at the University of Health Sciences from January 2015 to December 2020. Medical records of 16 patients were retrospectively evaluated. The vertebral height measurements, local kyphosis angles, and anteroposterior spinal canal diameter were measured pre- and postoperatively...
March 2023: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
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