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https://www.readbyqxmd.com/read/29916958/comparing-the-efficacy-of-methods-for-immobilizing-the-cervical-spine
#1
Salam Rahmatalla, Jonathan DeShaw, Joshua Stilley, Gerene Denning, Charles Jennissen
STUDY DESIGN: This was a prospective simulator study with 16 healthy male subjects. OBJECTIVE: To compare the relative efficacy of immobilization systems in limiting involuntary movements of the cervical spine using a dynamic simulation model. SUMMARY OF BACKGROUND DATA: Relatively few studies have tested the efficacy of immobilization methods for limiting involuntary cervical movement, and only one of these studies used a dynamic simulation system to do so...
June 18, 2018: Spine
https://www.readbyqxmd.com/read/29902393/administration-and-performance-on-the-spinal-cord-injury-medicine-certification-examination-over-a-10-year-period
#2
Sunil Sabharwal, Anthony E Chiodo, Mikaela M Raddatz
CONTEXT/OBJECTIVE: The examination for Spinal Cord Injury (SCI) Medicine subspecialty certification has been administered since 1998, but published information about exam performance or administration is limited. DESIGN: Retrospective review Setting/Participants: We examined de-identified information from the American Board of Physical Medicine and Rehabilitation (ABPMR) database for characteristics and performance of candidates (n = 566) who completed the SCI Medicine Examination over a 10-year period (2005-2014), during which the exam outline and passing standard remained consistent...
June 14, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29894441/nurse-practitioner-triage-of-the-neurosurgical-patient-a-patient-centered-care-delivery-model
#3
Jody L Miniard, Kathleen Ballman
BACKGROUND: Nurse practitioners (NPs) are helping to bridge the gap not only in primary care but also in specialty practice. In an outpatient, neurosurgical spinal clinic in the midwest, patient volume exceeded provider availability, and to rectify this problem, a proposal for an NP triage system and an NP-led spinal clinic was presented. PURPOSE: The aim of this project was to use NPs to facilitate patient triage in an outpatient neurosurgical practice to expedite patients' access to care and ultimately improve patient satisfaction, outcomes, and healthcare expenditure...
June 12, 2018: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/29882580/hyperbaric-oxygen-therapy-for-spinal-cord-ischaemia-after-complex-aortic-repair-a-retrospective-review
#4
Matteo Parotto, Maral Ouzounian, Ludwik Fedorko, George Oreopoulos, Thomas Lindsay, Rita Katznelson
BACKGROUND: Complex aortic repair (CAR) carries high rates of debilitating postoperative complications, including spinal cord injury. The rate of spinal cord deficits post-CAR is approximately 10%, with permanent paraplegia in 2.9% and paraparesis in 2.4% of patients. Treatment options are limited. Rescue therapies include optimization of spinal cord perfusion and oxygen delivery by mean arterial pressure augmentation (> 90 mm Hg), cerebrospinal fluid drainage, and preservation of adequate haemoglobin concentration (> 100 g L⁻¹)...
June 8, 2018: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/29876264/age-related-diffusion-and-tractography-changes-in-typically-developing-pediatric-cervical-and-thoracic-spinal-cord
#5
Mahdi Alizadeh, Joshua Fisher, Sona Saksena, Yusra Sultan, Chris J Conklin, Devon M Middleton, Laura Krisa, Jürgen Finsterbusch, Adam E Flanders, Scott H Faro, M J Mulcahey, Feroze B Mohamed
Background and objective: Diffusion tensor imaging (DTI) and diffusion tensor tractography (DTT) are two techniques that can measure white matter integrity of the spinal cord. Recently, DTI indices have been shown to change with age. The purpose of this study is (a) to evaluate the maturational states of the entire pediatric spinal cord using DTI and DTT indices including fractional anisotropy (FA), mean diffusivity (MD), mean length of white matter fiber tracts and tract density and (b) to analyze the DTI and DTT parameters along the entire spinal cord as a function of spinal cord levels and age...
2018: NeuroImage: Clinical
https://www.readbyqxmd.com/read/29871371/comparison-of-epidural-spreading-patterns-and-clinical-outcomes-of-transforaminal-epidural-steroid-injection-with-high-volume-injectate-via-the-subpedicular-versus-the-retrodiscal-approach
#6
Won-Joong Kim, Hwa-Yong Shin, Seung Hee Yoo, Hahck Soo Park
BACKGROUND: The effect of transforaminal epidural steroid injection (TFESI) appears to be influenced by the volume of the injected material because there is a positive correlation between injection volume and extent of pain relief. OBJECTIVES: The purpose of this study was to examine how many vertebral segments are covered by the subpedicular (SP) approach and the retrodiscal (RD) approach and to compare the clinical outcomes of the 2 approaches in TFESI with high-volume injectates...
May 2018: Pain Physician
https://www.readbyqxmd.com/read/29857864/percutaneous-vertebroplasty-in-tumoral-spinal-fractures-with-posterior-vertebral-wall-involvement-feasibility-and-safety
#7
Nicolas Amoretti, Palominos Diego, Pellegrin Amélie, Olivier Andreani, Pauline Foti, Heidy Schmid-Antomarchi, Jean-Claude Scimeca, Pascal Boileau
PURPOSE: to evaluate the technical feasibility and safety of CT and fluoroscopy guided percutaneous vertebroplasty in the treatment of tumoral vertebral fractures with posterior wall involvement. MATERIALS AND METHODS: Institutional review board approval and informed consent were obtained for this study. Sixty-three consecutive adult patients (35 women, 28 men; mean age+/- standard deviation: 69 years+/- 14) with tumoral spinal fractures that compromised the posterior wall were treated by means of percutaneous vertebroplasty with CT and fluoroscopy guidance...
July 2018: European Journal of Radiology
https://www.readbyqxmd.com/read/29795015/multidisciplinary-approach-for-bone-metastasis-a-review
#8
REVIEW
Takahiro Kimura
Progress in cancer treatment has improved the survival of patients with advanced-stage cancers. Consequently, the clinical courses of patients are prolonged and often accompanied by morbidity due to bone metastases. Skeletal-related events (SREs), such as pathological fractures and spinal paralysis, cause impairment in activities of daily life and quality of life (QOL). To avoid serious SREs causing impairment in QOL and survival, early diagnosis and a prophylactic approach are required. It is necessary to initiate a bone management program concurrently with the initiation of cancer treatment to prevent complications of bone metastasis...
May 24, 2018: Cancers
https://www.readbyqxmd.com/read/29794460/exendin-4-plays-a-protective-role-in-a-rat-model-of-spinal-cord-injury-through-serca2
#9
Zhonglei Sun, Yingfu Liu, Xianbin Kong, Renjie Wang, Yunqiang Xu, Chongzhi Shang, Jingrui Huo, Mengqiang Huang, Fei Zhao, Kefeng Bian, Sai Zhang, Yue Tu, Xuyi Chen
BACKGROUND/AIMS: Current therapies for spinal cord injury (SCI) have limited efficacy, and identifying a therapeutic target is a pressing need. Sarcoplasmic/endoplasmic reticulum Ca2+ ATPase 2 (SERCA2) plays an important role in regulating calcium homeostasis, which has been shown to inhibit apoptosis. Exendin-4 has been shown to inhibit the apoptosis of nerve cells in SCI, which can also improve SERCA2 expression. In this study, we sought to determine whether exendin-4 plays a protective role in a rat model of SCI via SERCA2...
May 22, 2018: Cellular Physiology and Biochemistry
https://www.readbyqxmd.com/read/29750117/effect-of-technique-and-transfer-board-use-on-the-performance-of-wheelchair-transfers
#10
Giulia Barbareschi, Tsu-Jui Cheng, Catherine Holloway
Transferring to and from the wheelchair seat is a necessary skill for many wheelchair users who wish to be independent of their everyday life. The performance of wheelchair transfers has been associated with the risk of falling and developing upper limb injuries. Both present a risk to the independence of the individual. Previous studies on wheelchair transfers have focused mainly on the analysis of sitting transfers performed by individuals with spinal cord injury, which only represent a small portion of the wider wheelchair users' population...
April 2018: Healthcare Technology Letters
https://www.readbyqxmd.com/read/29709750/reliability-and-agreement-of-different-spine-fracture-classification-systems-an-independent-intraobserver-and-interobserver-study
#11
Miguel Pishnamaz, Stephan Balosu, Inez Curfs, Daniel Uhing, Markus Laubach, Christian Herren, Christian Weber, Frank Hildebrand, Paul Willems, Philipp Kobbe
OBJECTIVE: Currently, no spinal classification system has achieved universal acceptance. Therefore, it is important to choose a reliable classification within clinical practice. The objective of this study was to determine and compare the intraobserver and interobserver agreement of the Load Sharing Classification (LSC), the Thoracolumbar Injury Classification System (TLICS), and the AOSpine Thoracolumbar Spine Injury Classification System. METHODS: In this web-based intraobserver and interobserver study (www...
April 27, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29657891/stereotactic-radiosurgery-for-primary-tumors-of-the-spine-and-spinal-cord-%C3%A2
#12
Erinma Elibe, David Boyce-Fappiano, Samuel Ryu, M Salim Siddiqui, Ian Lee, Jack Rock, Farzan Siddiqui
Purpose: The purpose of this study was to evaluate the role of stereotactic radiosurgery in the treatment of primary tumors of the spine and spinal cord. Methods: An Institutional Review Board approved retrospective analysis of 30 patients with primary spine tumors treated at a single institution was performed. Post-treatment pain, neurological, and radiographic responses were the endpoints. Results: Nine patients were treated for benign tumors, and 21 patients were treated for malignant tumors...
2018: Journal of Radiosurgery and SBRT
https://www.readbyqxmd.com/read/29649676/intradural-spinal-tumors-10-years-surgical-experience-in-a-single-institution
#13
Pablo David Guerrero-Suarez, Ernesto Magdaleno-Estrella, Paola Guerrero-López, Arturo Isaac Vargas-Figueroa, Jaime Jesús Martínez-Anda
OBJECTIVES: The aim of the study is to present the therapeutic results of intradural tumor management over a 10 years period in a single institution. PATIENTS AND METHODS: The study consists in a prospective case series of patients treated at the neurosurgery service of the Social Security Institute of Mexico State and Provinces (ISSSEMYM), between January 2006 and December 2016. All patients were provided with information about the procedure and signed informed consent and institutional board approved files review for this study...
June 2018: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29582111/clinical-utility-of-diffusion-weighted-imaging-in-spinal-infections
#14
Rebecca A Dumont, Nayela N Keen, Courtnay W Bloomer, Brian S Schwartz, Jason Talbott, Aaron J Clark, David M Wilson, Cynthia T Chin
PURPOSE: Both laboratory markers and radiographic findings in the setting of spinal infections can be nonspecific in determining the presence or absence of active infection, and can lag behind both clinical symptoms and antibiotic response. Magnetic resonance imaging (MRI) with diffusion-weighted imaging (DWI) has been shown to be helpful in evaluating brain abscesses but has not been commonly used in evaluating spinal infections. We aimed to correlate findings on DWI of the spine to results of microbiological sampling in patients with suspected spinal infections...
March 26, 2018: Clinical Neuroradiology
https://www.readbyqxmd.com/read/29547485/use-of-an-errorless-learning-approach-in-a-person-with-concomitant-traumatic-spinal-cord-injury-and-brain-injury-a-case-report
#15
Annie Hartmann, Deb Kegelmeyer, Anne Kloos
: Individuals with concomitant spinal cord injury and traumatic brain injury have cognitive deficits that may limit the ability to learn novel motor tasks necessary for functional independence. Errorless learning has been shown to improve cognitive task performance in persons with brain injury but little is known about its usefulness for improving novel motor task learning. CASE DESCRIPTION: A 44-year-old man with traumatic spinal cord and brain injuries from a motor vehicle accident was admitted to an inpatient rehabilitation hospital...
April 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/29547234/differences-in-lung-function-after-the-use-of-2-extrication-systems-a-randomized-crossover-trial
#16
Marta Rasal Carnicer, Laura Juguera Rodríguez, Nuria Vela de Oro, Ana Belén García Pérez, Nuria Pérez Alonso, Manuel Pardo Ríos
OBJECTIVES: The main purpose of this study in healthy volunteers was to compare the lung function effects of 2 extrication devices that use spinal vests: the Kendrick Extrication Device (KED) and the Ferno KED-XT board. MATERIAL AND METHODS: Randomized crossover trial in 50 healthy adult volunteers. The subjects were placed in the KED and KED-XT devices for 5 minutes each and rested for 10 minutes between devices. Assignment to the first device was randomized. Each subject underwent spirometry at baseline and after placement of each device...
2018: Emergencias: Revista de la Sociedad Española de Medicina de Emergencias
https://www.readbyqxmd.com/read/29503682/minimally-invasive-transforaminal-lumbar-interbody-fusion-an-attractive-option-for-select-failed-backs
#17
Arvind G Kulkarni, Shashidhar Bangalore Kantharajanna, Abhilash N Dhruv
Study Design: Retrospective case series. Purpose: To compare minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) outcomes in primary and revision surgeries. Overview of Literature: Revision spinal fusion is often associated with an increased risk of approach-related complications. Patients can potentially benefit from the decreased approach-related morbidity associated with MI-TLIF. Methods: Sixty consecutive MI-TLIF patients (20 failed back [Fa group], 40 primary [Pr group]) who underwent surgery between January 2011 and May 2012 were reviewed after Institutional Review Board approval to compare operative times, blood loss, complications, Oswestry Disability Index (ODI) scores, and Visual Analog Scale (VAS) scores for back and leg pain before surgery and at the last follow-up...
February 2018: Asian Spine Journal
https://www.readbyqxmd.com/read/29464328/correction-to-epidural-balloon-placement-for-protection-of-the-spinal-canal-during-cryoablation-of-paraspinal-lesions
#18
Jeffrey Forris Beecham Chick, Ravi N Srinivasa, Evan Johnson, Matthew L Osher, Anthony Hage, Joseph J Gemmete
In the published article the first sentence under the section heading Case Reports ("This study was conducted with the institutional review board approval and complied with the Health Insurance Portability and Accountability Act.") is incorrect. That sentence should be replaced with: "Case reports are exempt from IRB approval at the authors' institution. This study complied with the Health Insurance Portability and Accountability Act."
February 20, 2018: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/29456757/the-natural-history-of-spinal-deformity-in-patients-with-coffin-lowry-syndrome
#19
M Welborn, S Farrell, P Knott, E Mayekar, S Mardjetko
Purpose: Little is known about the natural history of spinal deformities in Coffin-Lowry syndrome (CLS). Our goal was to evaluate the spinal deformity progression and clinical impact. Methods: In this institutional review board-approved study, we performed a multinational retrospective review of six male CLS patients, aged 13 to 22 years at final follow-up, for a mean of 7.25 years (3 to 13). Results: All showed delayed skeletal maturity. Three had calcifications of their lower cervical ligamentum flavum, all experienced neural axis abnormalities, including lower extremity weakness, numbness and tingling and in one, quadriparesis...
February 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29429794/treatment-plan-quality-and-delivery-accuracy-assessments-on-3-imrt-delivery-methods-of-stereotactic-body-radiotherapy-for-spine-tumors
#20
Long Huang, Toufik Djemil, Tingliang Zhuang, Martin Andrews, Samuel T Chao, John H Suh, Ping Xia
Stereotactic body radiotherapy (SBRT) for spine tumors has demonstrated clinical effectiveness. The treatment planning and delivery techniques have evolved from dynamic conformal arc therapy, to fixed gantry angle intensity modulated radiotherapy (IMRT), and most recently to volumetric modulated arc therapy (VMAT). A hybrid-arc (HARC) planning and delivery method combining dynamic conformal arc therapy delivery with a number of equally spaced IMRT beams is proposed. In this study we investigated plan quality, delivery accuracy, and efficiency of 3 delivery techniques: IMRT, HARC, and VMAT...
February 8, 2018: Medical Dosimetry: Official Journal of the American Association of Medical Dosimetrists
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