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https://www.readbyqxmd.com/read/29679730/stand-alone-lateral-lumbar-interbody-fusion-for-the-treatment-of-symptomatic-adjacent-segment-degeneration-following-previous-lumbar-fusion
#1
Philip K Louie, Arya G Varthi, Ankur S Narain, Victor Lei, Daniel D Bohl, Grant D Shifflett, Frank M Phillips
BACKGROUND CONTEXT: Revision posterior decompression and fusion for patients with symptomatic ASD is associated with significant morbidity and is technically challenging. The use of a stand-alone LLIF in patients with symptomatic ASD may avoid many of the complications associated with revision posterior surgery. PURPOSE: To assess the clinical and radiographic outcomes of patients who underwent stand-alone lateral lumbar interbody fusion (LLIF) for symptomatic adjacent segment disease (ASD)...
April 18, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29677027/surgery-complications-and-quality-of-life-a-longitudinal-cohort-study-exploring-the-role-of-psychosocial-factors
#2
Stephanie Archer, Anna Pinto, Sabine Vuik, Colin Bicknell, Omar Faiz, Ben Byrne, Maximilian Johnston, Petros Skapinakis, Thanos Athanasiou, Charles Vincent, Ara Darzi
OBJECTIVE: To determine whether psychosocial factors moderate the relationship between surgical complications and quality of life (QoL). BACKGROUND: Patients who experience surgical complications have significantly worse postoperative QoL than patients with an uncomplicated recovery. Psychosocial factors, such as coping style and level of social support influence how people deal with stressful events, but it is unclear whether they affect QoL following a surgical complication...
April 19, 2018: Annals of Surgery
https://www.readbyqxmd.com/read/29671541/ibuprofen-and-morphine-provide-similar-post-op-pain-relief-in-kids-ibuprofen-has-fewer-harms
#3
Mark H Ebell
No abstract text is available yet for this article.
March 15, 2018: American Family Physician
https://www.readbyqxmd.com/read/29669676/evaluation-of-absorbent-versus-conventional-wound-dressing
#4
Jan Bredow, Katharina Hoffmann, Johannes Oppermann, Martin Hellmich, Peer Eysel, Kourosh Zarghooni
BACKGROUND: Lower-limb endoprosthetic operations and spinal operations are among the more common types of orthopedic procedures. Postoperative woundhealing disturbances and infections can lead to longer periods of hospital stay and recovery as well as to higher morbidity and mortality. METHODS: 209 patients who had been judged to have an indication for a primary knee or hip endoprosthesis or for a primary spinal operation were included in this randomized trial (ClinicalTrials...
March 30, 2018: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29658666/-application-of-modified-lateral-window-for-maxillary-sinus-floor-augmentation
#5
Wei Lu, Mengna Lin, Shifang Zhao, Huiming Wang, Fuming He
<b>Objective:</b> To evaluate the clinical efficacy of modified lateral window for maxillary sinus floor augmentation (MSFA). <b>Methods:</b> Fifty-five patients who visited the Stomatology Hospital Affiliated to Zhejiang University School of Medicine between June 2012 and October 2014 were enrolled in the study. Patients underwent MSFA with Bio-Oss grafts based on modified access window. During the operation the vertical height of the bony window was reduced from 6-8 mm of conventional oval window to 4-5 mm of slot-shaped window...
May 25, 2017: Zhejiang da Xue Xue Bao. Yi Xue Ban, Journal of Zhejiang University. Medical Sciences
https://www.readbyqxmd.com/read/29657889/pre-operative-versus-post-operative-radiosurgery-for-brain-metastasis-effects-on-treatment-volume-and-inter-observer-variability
#6
B A Vellayappan, J Doody, E Vandervoort, J Szanto, J Sinclair, J M Caudrelier, S Malone
Purpose/Objectives: Compared to post-operative whole brain radiotherapy, resection cavity radiosurgery reduces impact on neuro-cognitive function and improves quality-of-life. However, coverage of the operative tract, in addition to tumour bed, may lead to large treatment volumes and inter-observer variability. We hypothesized that pre-operative radiosurgery reduces target volume size and inter-observer variability compared to post-operative radiosurgery. Materials/Methods: We identified 10 consecutive patients, with solitary brain metastasis, treated with post-operative cavity radiosurgery...
2018: Journal of Radiosurgery and SBRT
https://www.readbyqxmd.com/read/29628717/oblique-scotty-dog-versus-antero-posterior-ap-views-in-performing-x-ray-guided-facet-joint-injections
#7
K Al-Tawil, D Lopez, M Blackman, S Suresh
Background: Facet joint pain contributes significantly to lower back pain. Image intensifier x-ray guidance is used to locate the facet joints. This can either be in the oblique "Scotty dog" or antero-posterior views. The aim is to investigate whether improved visualisation of facet joints using the oblique method would increase the accuracy of the injection and hence lead to enhanced pain relief effect when compared to AP views in Lumbar facet joints. Methods: Single centre, single blinded...
March 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29628698/drug-resistant-skeletal-tuberculosis-in-a-tertiary-care-centre-in-south-india
#8
J Arockiaraj, G S Balaji, V M Cherian, Jepegnanam T S, B P Thomas, Joy S Michael, P M Poonnoose
Back ground: Drug resistant tuberculosis is alarmingly on the rise especially in developing countries. Skeletal tuberculosis accounts up to 10% of all extra pulmonary tuberculosis. World Health Organisation (WHO) has not formulated guidelines for the management of Multi-drug resistant skeletal tuberculosis. Results: A retrospective analysis of patients treated for musculoskeletal tuberculosis was done, to study drug resistance patterns. The outcome was assessed both clinically and radiologically...
March 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29628684/thirty-day-mortality-following-total-knee-arthroplasty-over-7-years-at-a-tertiary-referral-centre-of-orthopaedic-excellence
#9
Yuen Chan, Veenesh Selvaratnam, Videsh Raut
Total Knee Arthroplasty (TKA) is one of the most successful orthopaedic procedures. Around 100,000 TKAs are performed yearly in the United Kingdom. The aim of this study was to report the mortality rate within 30 days after a TKA in an Orthopaedic Centre of Excellence. We reviewed prospectively collected data of 7067 TKAs performed between April 2009-November 2016. All mortalities within 30 days of a TKA were recorded. Data such as age, sex, ASA, comorbidities and cause of death was recorded. There were 14 (0...
January 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29624876/very-long-term-voice-handicap-index-voice-outcomes-after-montgomery-thyroplasty-a-cross-sectional-study
#10
G Desuter, E Zapater, S van der Vorst, S Henrard, J T van Lith-Bijl, P P van Benthem, E V Sjögren
OBJECTIVE: The aim of this multi-centric cross-sectional study was to examine the permanency of Montgomery Thyroplasty (MTIS) results from a patient's perspective. DESIGN: The study consisted of collecting Voice Handicap Index (VHI-30) questionnaires from patients who had been previously been operated with MTIS between 2 and 12 years before. Very long term (>2 years) post-operative data were compared to the previously acquired pre-operative and early post-operative VHI results...
April 6, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29613949/reduced-dnase-enzyme-activity-in-response-to-high-post-injury-mitochondrial-dna-concentration-provides-a-therapeutic-target-for-sirs
#11
Daniel J McIlroy, Kyra Minahan, Simon Keely, Natalie Lott, Philip Hansbro, Doug W Smith, Zsolt J Balogh
BACKGROUND: Cell free mitochondrial DNA (mtDNA) is pro-inflammatory and has been detected in high concentrations in trauma patients' plasma. Deoxyribonuclease (DNase) is the free plasma enzyme responsible for the digestion of extracellular DNA. The relationship between mtDNA and DNase after major trauma is unknown. We hypothesized that DNase activity would be elevated after injury and trauma surgery, and would be associated with high concentrations of extracellular DNA. METHODS: 2-year prospective study was performed on 103 consecutive trauma patients (Male 81%, Age: 38 IQR 30-59 years; ISS: 18 IQR 12-26) who underwent standardised major orthopaedic trauma surgical interventions...
March 22, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29609841/the-safety-and-risk-factors-of-revision-adenoidectomy-in-children-and-adolescents-a-nationwide-retrospective-population-based-cohort-study
#12
Dai-Lou Lin, Chuan-Song Wu, Chao-Hsiun Tang, Ting-Yu Kuo, Tzong-Yang Tu
OBJECTIVE: To investigate the safety of adenoidectomy and risk factors of re-adenoidectomy, and intend to provide evidence-based information to clinicians for further consideration. METHODS AND MATERIALS: This study was based on data obtained from Taiwan's National Health Insurance Research Database from the period 2002-2011. We utilized that data from the hospitalization group and collected information regarding those individuals who accepted adenoidectomy with or without tonsillectomy and post-adenoidectomy bleeding...
March 30, 2018: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/29600059/video-assisted-thoracic-surgery-for-thymoma-long-term-follow-up-results-and-prognostic-factors-single-center-experience-of-150-cases
#13
Jian-Feng Li, Ben-Gang Hui, Xiao Li, Rong-Xin Xiao, Guan-Chao Jiang, Jun Liu, Jun Wang
Background: The use of video-assisted thoracic surgery (VATS) in the treatment of thymoma is becoming more and more common. The aim of this study was to evaluate safety and effectiveness of thoracoscopic treatment of thymoma and, more importantly, to report long-term follow-up results of a large single-center cohort. Methods: A retrospective review of a prospective database was performed. In total, 150 patients who underwent VATS resection for thymoma at Peking University People's Hospital from April 2001 to November 2014 were retrospectively reviewed...
January 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29596822/impact-of-regional-collaboration-on-quality-improvement-and-associated-cost-savings-in-coronary-artery-bypass-grafting
#14
Jeffrey B Rich, Clifford E Fonner, Mohammed A Quader, Gorav Ailawadi, Alan M Speir
BACKGROUND: Prolonged ventilation and acute renal failure were identified as the biggest cost drivers following isolated CABG in a statewide database. Reducing these complications through regional collaboration should improve outcomes and lower healthcare costs. METHODS: 27,978 patients who underwent isolated CABG were divided into pre- and post-quality improvement initiative groups (early era, 2008-2011, n=15,176 and later era, 2012-2015, n=12,802). Focused learning sessions on prolonged ventilation (PV) and post-op renal failure (RF) were undertaken in the earlier era...
March 26, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29590461/prognostic-value-of-contrast-enhancement-and-flair-for-survival-in-newly-diagnosed-glioblastoma-treated-with-and-without-bevacizumab-results-from-acrin-6686
#15
Jerrold L Boxerman, Zheng Zhang, Yair Safriel, Jeffrey M Rogg, Ronald L Wolf, Suyash Mohan, Helga Marques, A Gregory Sorensen, Mark R Gilbert, Daniel P Barboriak
Background: ACRIN 6686/RTOG 0825 was a phase III trial of conventional chemoradiation plus adjuvant temozolomide with bevacizumab or without (placebo) in newly diagnosed glioblastoma. This study investigated whether changes in contrast-enhancing and FLAIR-hyperintense tumor assessed by central reading prognosticate overall survival (OS). Methods: 284 patients (171 men; median age 57 years, range 19-79; 159 on bevacizumab) had MRI at post-op (baseline) and pre-cycle 4 of adjuvant temozolomide (22 weeks post- chemoradiation initiation)...
March 26, 2018: Neuro-oncology
https://www.readbyqxmd.com/read/29588551/hip-hemi-arthroplasty-vs-total-hip-replacement-for-displaced-intra-capsular-hip-fractures-retrospective-age-and-sex-matched-cohort-study
#16
Daniel Dawson, David Milligan, Fayaz Callachand, Laurence Cusick
Introduction: The Royal Victoria Hospital in Belfast is the largest volume hospital in the UK Hip Fracture Database. Management of displaced intra-capsular hip fractures is evolving in light of NICE2 and BOA guidelines3 , with more patients receiving total hip replacement (THR) over hemi-arthroplasty. With current rationing within the NHS, it is vital that principles of the 'Getting It Right First time' (GIRFT) report4 are implemented and the correct treatment choice made. Our aim was to assess Barthel scores5 , complication rate, blood transfusion rate and post op functional ability in two age and sex matched cohorts to see if our patient selection was appropriate...
January 2018: Ulster Medical Journal
https://www.readbyqxmd.com/read/29578382/pre-operative-screening-for-asymptomatic-bacteriuria-and-associations-with-post-operative-outcomes-in-patients-with-spinal-cord-injury
#17
Margaret A Fitzpatrick, Katie J Suda, Stephen P Burns, Linda Poggensee, Swetha Ramanathan, Charlesnika T Evans
CONTEXT: Screening for asymptomatic bacteriuria (ASB) before non-urologic surgery is common but of unclear benefit. Our aim was to describe pre-operative ASB screening and post-operative outcomes in patients with neurogenic bladder due to spinal cord injury (SCI). METHODS: This was a descriptive retrospective cohort study of adults with SCI undergoing neurosurgical spine or orthopedic lower limb surgery from 10/1/2012-9/30/2014 at Veterans Affairs (VA) medical centers...
March 26, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29575589/clinical-and-esthetic-outcome-with-immediate-insertion-and-provisionalization-with-or-without-connective-tissue-grafting-in-presence-of-mucogingival-recessions-a-retrospective-analysis-with-follow-up-between-1-and-8-years
#18
Robert Noelken, Maximilian Moergel, Tobias Pausch, Martin Kunkel, Wilfried Wagner
BACKGROUND: Recessions following immediate implant insertion are frequently reported in the literature. Data regarding implant installation in presence of mucogingival recessions are rare. PURPOSE: This study observes soft tissue level changes following immediate implant insertion and provisionalization of implants with or without connective tissue grafts in the anterior maxilla in patients with initial mucogingival recession within a follow-up period between one and eight years...
March 24, 2018: Clinical Implant Dentistry and related Research
https://www.readbyqxmd.com/read/29570703/injectable-silicone-rubber-for-ocular-implantation-after-evisceration
#19
Peng Fei Zheng, Qi Sheng You, Qian Li, Hong Yan Deng, Ian Y H Wong, Xiao Yan Peng
OBJECTIVE: To investigate the usefulness of addition type liquid silicone rubber (ATLSR) as injectable implant after evisceration to maintain the eyeball volume in an animal experiment. METHODS: Twelve adult New Zealand white rabbits were included. One eye of each rabbit was randomly selected for evisceration with the fellow eye as control. ATLSR was injected to fill the eyeball socket after evisceration. In vivo observation and photographs were performed up to 24 weeks post-op...
2018: PloS One
https://www.readbyqxmd.com/read/29566590/the-natural-history-of-type-2-endoleaks-after-endovascular-aneurysm-repair-justifies-conservative-management
#20
Mark Ajalat, Russell Williams, Samuel E Wilson
Objective Management of type 2 endoleaks after endovascular aneurysm repair has been controversial. Some advocate for conservative management, while others believe that intervention is indicated. This study investigated the natural history of type 2 endoleaks in order to derive direction in management. Methods Patients who had endovascular aneurysm repair at the Veterans Affairs Long Beach were retrospectively identified and computerized tomographic angiography was independently reviewed by a radiologist and a vascular surgeon...
January 1, 2018: Vascular
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