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paraspinal block

Honorio T Benzon, Yogen G Asher, Craig T Hartrick
The incidence of back pain after neuraxial anesthesia in the adult population is not different from that after general anesthesia. The pain is usually mild, localized in the low back, rarely radiates to the lower extremities, and has a duration of only a few days. The risk factors for development of back pain include the lithotomy position, multiple attempts at block placement, duration of surgery longer than 2.5 hours, body mass index ≥32 kg/m, and a history of back pain. However, there is no permanent worsening of preexisting back pain after neuraxial anesthesia...
June 2016: Anesthesia and Analgesia
Donald A Ross, Miner N Ross
STUDY DESIGN: Clinical case series. OBJECTIVE: This study sought to clarify symptoms, diagnostic criteria, and treatment of C4 radiculopathy, and the role of diagnostic C4 root block in this entity. SUMMARY OF BACKGROUND DATA: While well understood cervical dermatomal/myotomal syndromes have been described for symptoms originating from impingement on the C2, C3, C5, C6, C7, and C8 roots, less has been written about the syndrome(s) associated with the C4 root...
April 6, 2016: Spine
Brenda J Weigel, Elizabeth Lyden, James R Anderson, William H Meyer, David M Parham, David A Rodeberg, Jeff M Michalski, Douglas S Hawkins, Carola A S Arndt
PURPOSE: Patients with metastatic rhabdomyosarcoma (RMS), except those younger than 10 years with embryonal RMS, have an estimated long-term event-free survival (EFS) of less than 20%. The main goal of this study was to improve outcome of patients with metastatic RMS by dose intensification with interval compression, use of the most active agents determined in phase II window studies, and use of irinotecan as a radiation sensitizer. PATIENTS AND METHODS: Patients with metastatic RMS received 54 weeks of therapy: blocks of therapy with vincristine/irinotecan (weeks 1 to 6, 20 to 25, and 47 to 52), interval compression with vincristine/doxorubicin/cyclophosphamide alternating with etoposide/ifosfamide (weeks 7 to 19 and 26 to 34), and vincristine/dactinomycin/cyclophosphamide (weeks 38 to 46)...
January 10, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
Lei Qi, Mu Li, Haipeng Si, Shuai Zhang, Yunpeng Jiang, Jingsong Xue
OBJECTIVE: To evaluate the clinical and radiological efficacy of paraspinal muscle approach with winglike working channel in the treatment of thoracic and lumbar spine fracture. METHODS: From October 2010 to August 2012, a total of 51 patients with thoracic and lumbar spine fractures without neurological symptoms were enrolled in the study, including 32 males and 19 females. All patients were divided into two groups: 26 patients were treated through posterior paraspinal muscle approach with winglike working channel, and 25 patients were treated through traditional posterior approach...
April 2015: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
Karen Felix da Rosa, Vinícius Atrib Amantéa, Antônio Cardoso dos Santos, Ricardo Francalacci Savaris
PURPOSE: To determine whether paraspinal block reduces pain scores compared to placebo in women with chronic pelvic pain refractory to drug therapy. METHODS: Subjects with chronic pelvic pain due to benign conditions and refractory to drug therapy were invited to participate in a randomized, double blind, superiority trial at a tertiary reference center. Subjects were randomly allocated to receive paraspinal anesthetic block with 1% lidocaine without epinephrine or placebo (control)...
March 2015: Revista Brasileira de Ginecologia e Obstetrícia
Jingwei Zhang, Davide Barbieri, Hetty ten Hoopen, Joost D de Bruijn, Clemens A van Blitterswijk, Huipin Yuan
The presence of micropores in calcium phosphate (CaP) ceramics has shown its important role in initiating inductive bone formation in ectopic sites. To investigate how microporous CaP ceramics trigger osteoinduction, we optimized two biphasic CaP ceramics (i.e., BCP-R and BCP-S) to have the same chemical composition, equivalent surface area per volume, comparable protein adsorption, similar ion (i.e., calcium and phosphate) exchange and the same surface mineralization potential, but different surface architecture...
March 2015: Journal of Biomedical Materials Research. Part A
Jennifer D Hastings, Julie Dickson, Linsey Tracy, Christine Baniewich, Cedar Levine
We report successful correction of new onset neuromuscular scoliosis without spinal surgery in a man who is 30-years post-American Spinal Injury Association Impairment Scale grade A C6 injury with new onset of left neuromuscular scoliosis (Cobb angle 45°) after a motor vehicle collision. Interventions included nightly low-load prolonged stretching (LLPS) (4h left side lying over bolster), a series of 6 botulinum toxin injections (BTIs) at 3-month intervals, and progressive seating adjustments to counteract the spinal curvature...
December 2014: Archives of Physical Medicine and Rehabilitation
M R Bookhout
Plain x-rays of the lumbar spine are not helpful in diagnosing most known causes of low back pain but can reveal structural changes such as disc space narrowing, scoliosis, lumbarization or sacralization, spondylolysis, and spondylolisthesis. Spondylolisthesis is defined as the forward displacement of one vertebrae upon another, usually at the L5-S1 level, but also occurring at L4-5. For spondylolisthesis to occur there must be an anatomical change in the structures which normally resist the anterior displacement of one vertebrae upon the other...
January 1, 1993: Journal of Back and Musculoskeletal Rehabilitation
S T Howard, D R Woerner, D J Vote, J A Scanga, P L Chapman, T C Bryant, R J Acheson, J D Tatum, K E Belk
The effect of ractopamine hydrochloride (RH) and zilpaterol hydrochloride (ZH) on slice shear force (SSF) and sensory characteristics of beef from calf-fed Holstein steers was evaluated. All steers were implanted with a progesterone (100 mg) plus estradiol benzoate (10 mg) implant followed by a terminal trenbolone acetate (200 mg) plus estradiol (40 mg) implant. Steers were blocked by weight into pens (n = 32) randomly assigned to 1 of 4 treatments: control, RH fed at 300 mg·steer(-1)·d(-1) (RH 300) or RH fed at 400 mg·steer(-1)·d(-1)(RH 400) for the final 31 d of finishing, or ZH fed at 6...
January 2014: Journal of Animal Science
Elizabeth L Stegemöller, Jaimie Roper, Chris J Hass, David J Kennedy
BACKGROUND CONTEXT: Using diagnostic anesthetic blocks, the lumbar zygapophysial (facet) joint has been shown to be the primary cause of pain in approximately 15% of patients with chronic low back pain. Radiofrequency neurotomy (RFN) of the lumbar medial branch innervating the zygapophysial joint has been shown to provide a significant decrease in pain in patients selected by dual comparative anesthetic blocks, but quantitative improvements in mobility have not been fully elucidated. A theoretical concern with RFN is that the multifidus muscle, a stabilizing paraspinal muscle, is also denervated during this procedure, which may have adverse effects on mobility and spine stability...
June 1, 2015: Spine Journal: Official Journal of the North American Spine Society
K T Korn, R P Lemenager, M C Claeys, J N Waddell, M Engstrom, J P Schoonmaker
Two hundred and ten Angus × Simmental steers (initial BW 314 ± 11 kg) were separated into heavy and light BW blocks and allotted evenly by BW to 6 treatments (3 heavy and 2 light pens per treatment) to determine the effect of supplemental vitamin D3: 0 IU (no D), 250,000 IU for 165 d (long-term D), or 5 × 10(6) IU for 10 d (short-term D) on plasma and muscle calcium concentrations and gene expression in steers fed either 0 (NZ) or 8.38 mg/kg (ZH) zilpaterol hydrochloride (ZH) daily for 21 d. Placebo or ZH was added to the diet 24 d, and short-term D was added 13 d before slaughter...
July 2013: Journal of Animal Science
Marie-Pierre Harvey, Martin Descarreaux
BACKGROUND: Low back pain (LBP) is one of the most frequent musculoskeletal conditions in industrialized countries and its economic impact is important. Spinal manipulation therapy (SMT) is believed to be a valid approach in the treatment of both acute and chronic LBP. It has also been shown that SMT can modulate the electromyographic (EMG) activity of the paraspinal muscle. The purpose of this study was to investigate, in a group of patients with low back pain, the persistence of changes observed in trunk neuromuscular responses after a spinal manipulation (SMT)...
2013: BMC Musculoskeletal Disorders
Geoff M Schneider, Gwendolen Jull, Kenneth Thomas, Ashley Smith, Carolyn Emery, Peter Faris, Kathryn Schneider, Paul Salo
OBJECTIVE: To measure the intra- and interrater reliability of select standardized clinical tests used for the assessment of patients with axial neck pain referred for diagnostic facet joint blocks. DESIGN: Single-group, repeated-measures study. SETTING: Tertiary interventional pain management center. PARTICIPANTS: Consecutive patients with persistent neck pain, referred to a tertiary interventional pain management center, were approached to participate...
August 2013: Archives of Physical Medicine and Rehabilitation
Dan Anton, Ryan L Mizner, Jennifer A Hess
STUDY DESIGN: Workplace-simulation study using a crossover design. OBJECTIVES: To evaluate the effect of lift teams on trunk and upper extremity kinematics and muscle activity among bricklayers. BACKGROUND: Healthcare practitioners often instruct individuals with work-related musculoskeletal disorders in proper lifting techniques. Bricklayers are especially affected by lifting-related musculoskeletal disorders. Lift teams are a possible intervention for reducing exposure to heavy lifting...
April 2013: Journal of Orthopaedic and Sports Physical Therapy
Nobuki Shioya, Yoriko Ishibe, Shigenori Kan, Takayuki Masuda, Naoya Matsumoto, Gaku Takahashi, Hideyuki Makabe, Yasuhiko Yamada, Shigeatsu Endo
BACKGROUND: Septic arthritis of the sternoclavicular joint (SCJ) is extremely rare, and usually appears to result from hematogenous spread. Predisposing factors include immunocompromising diseases such as diabetes. CASE PRESENTATION: A 61-year-old man with poorly controlled diabetes mellitus presented to our emergency department with low back pain, high fever, and a painful mass over his left SCJ. He had received two epidural blocks over the past 2 weeks for severe back and leg pain secondary to lumbar disc herniation...
2012: BMC Emergency Medicine
Hooman Yarmohammadi, Dean A Nakamoto, Nami Azar, Salim M Hayek, John R Haaga
Computed Tomography (CT)-guided percutaneous cryoablation was performed in a 43-year-old patient with intractable epigastric abdominal pain caused by advanced adenocarcinoma of the pancreas and extensive celiac trunk involvement. Initial treatment with celiac plexus nerve neurolysis using local ethanol injection was unsuccessful. A 17-gauge 17-cm cryoablation probe (Galil Medical Inc. Plymouth Meeting, PA) was placed into the expected location of the celiac plexus through a left paraspinal approach under CT guidance and two cycles of freeze-thaw were performed...
October 2011: Journal of Cancer Research and Therapeutics
Thomas Pfandlsteiner, Peter Wallnoefer, Cornelius Wimmer
OBJECTIVE: Growth modulation in operative treatment of juvenile scoliosis can be done by USS paediatric instrumentation to control spinal growth in patients of small stature with juvenile scoliosis. The double-rod system has to be distracted every 4-6 months. The system is used in young patients too tall for VEPTR (vertical expandable prosthetic titanium rib) instrumentation. The system with a very low profile allows reduced soft-tissue pressure saving soft tissue from atrophy or the development of pseudocysts above the screws...
May 2010: Operative Orthopädie und Traumatologie
Michael S Truitt, R Clark Mooty, Joseph Amos, Manuel Lorenzo, Alicia Mangram, Ernest Dunn
BACKGROUND: Rib fractures continue to be a challenging problem from both a pulmonary and analgesia standpoint. As a result, numerous modalities have been used to treat this condition, but none has proven universally available and efficacious. The objective of this pilot study was to assess the efficacy of a novel technique for placing an elastomeric infusion pump (EIP) catheter (On-Q; Lake Forest, CA, USA) in the extrathoracic paraspinous space to create a continuous intercostal nerve block...
October 2010: World Journal of Surgery
Maria Gabriella Saracco, W Valfrè, M Cavallini, M Aguggia
Headache syndromes often involve occipital and neck symptoms suggesting a functional connectivity between nociceptive trigeminal and cervical afferents. Several studies have suggested that pain relief in migraine and other types of headache can be achieved by local injections of steroids, local anaesthetics or a mixture of both in the area of greater occipital nerve (GON). Usually greater occipital nerve block (GONB) is performed by using local anaesthetics alone or with steroid. The rationale of performing a GONB for the treatment of chronic headache states is on the anatomical connections between trigeminal and upper cervical sensory fibres at the level of the trigeminal nucleus caudalis...
June 2010: Neurological Sciences
Takeshi Yoneshiro, Sayuri Aita, Mami Matsushita, Toshimitsu Kameya, Kunihiro Nakada, Yuko Kawai, Masayuki Saito
Brown adipose tissue (BAT) can be identified by (18)F-fluorodeoxyglucose (FDG)-positron emission tomography (PET) in adult humans. Thirteen healthy male volunteers aged 20-28 years underwent FDG-PET after 2-h cold exposure at 19 °C with light-clothing and intermittently putting their legs on an ice block. When exposed to cold, 6 out of the 13 subjects showed marked FDG uptake into adipose tissue of the supraclavicular and paraspinal regions (BAT-positive group), whereas the remaining seven showed no detectable uptake (BAT-negative group)...
January 2011: Obesity
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