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Thoracolumbar fractures

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https://www.readbyqxmd.com/read/29781783/clinical-and-radiological-outcome-of-non-surgical-management-of-thoracic-and-lumbar-spinal-fracture-dislocations-a-historical-analysis-in-the-era-of-modern-spinal-surgery
#1
Andrei Fernandes Joaquim, Gregory D Schroeder, Alpesh A Patel, Alexander R Vaccaro
CONTEXT: It is well established that traumatic spinal dislocations (AO Type C injuries) should be surgically treated. However, no recent comparative study of surgical versus non-surgical management of type C injuries was found attesting the superiority of surgical treatment. OBJECTIVE: Due to the lack of information about the natural history of non-surgical management of type C injuries, we evaluated the outcome of historical conservative treatment of type C injuries...
May 21, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29776756/sex-hormone-binding-globulin-is-a-biomarker-associated-with-nonvertebral-fracture-in-men-on-dialysis-therapy
#2
Jasna Aleksova, Phillip Wong, Robert McLachlan, Kay Weng Choy, Peter R Ebeling, Frances Milat, Grahame J Elder
Gonadal hormones impact bone health and higher values of sex hormone-binding globulin (SHBG) have been independently associated with fracture risk in men without chronic kidney disease. People with chronic kidney disease have a greatly increased fracture risk, and gonadal dysfunction is common in men receiving dialysis treatment. Nevertheless, in these men the effect of gonadal steroids and SHBG on bone mineral density (BMD) and fracture risk is unknown. Here we investigate relationships between gonadal steroids, SHBG, BMD and fracture in men on long-term dialysis therapy, awaiting kidney or simultaneous pancreas kidney transplantation...
May 15, 2018: Kidney International
https://www.readbyqxmd.com/read/29772860/-effect-observation-of-percutaneous-pedicle-screw-fixation-combined-with-percutaneous-vertebroplasty-for-the-treatment-of-osteoporotic-thoracolumbar-fractures
#3
Nan Wang, Jian-Zhu Xu, En-Liang Chen, Shi-Jie Zhao, Ren-Fu Quan
OBJECTIVE: To evaluate the clinical effects of percutaneous pedicle screw fixation(PPSF) combined with percutaneous vertebroplasty(PVP) for the treatment of osteoporotic thoracolumbar fractures. METHODS: The clinical data of 94 patients with osteoporotic thoracolumbar fractures treated from January 2014 to December 2015 were retrospectively analyzed. There were 31 males and 63 females, aged from 65 to 70 years old with an average of 67.2 years. Fracture level was T₁₁ on 15 cases, T₁₂ on 32 cases, L₁ on 29 cases and L₂ on 18 cases...
April 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29772857/-posterior-spinal-canal-decompression-with-screw-fixation-and-reconstruction-of-three-vertebral-column-for-thoracolumbar-burst-fractures-complicated-with-nerve-injury
#4
Li-Yong Wu, Xue-Mei Huang, Yue Wang, Zhao-Bo Yang, Sheng-Hui Su, Chun Wang
OBJECTIVE: To explore the feasibility and clinical effect of posterior spinal canal decompression with pedicle screw fixation and reconstruction of anterior and middle vertebral column for thoracolumbar burst fractures complicated with nerve injury. METHODS: A total of 36 patients with thoracolumbar burst fractures treated from March 2011 to April 2016 were enrolled in the retrospective study. There were 20 males and 16 females, aged from 21 to 52 years old with an average of 37...
April 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29765210/percutaneous-kyphoplasty-combined-with-zoledronic-acid-infusion-in-the-treatment-of-osteoporotic-thoracolumbar-fractures-in-the-elderly
#5
Chen Shi, Mi Zhang, An-Yuan Cheng, Zi-Feng Huang
Objective: We studied the efficacy of zoledronic acid (ZOL) infusion on radiographic and clinical outcomes after percutaneous kyphoplasty (PKP) for elderly patients with osteoporotic thoracolumbar fractures (osteoporotic vertebral compression fractures [OVCFs]). Materials and methods: We retrospectively analyzed 95 elderly patients (age >65 years) with OVCF. All patients were followed up for 2 years. Thirty-two patients were treated with only once-yearly 5 mg ZOL infusion (ZOL group), 34 patients with only PKP (PKP group) and 29 patients received ZOL infusion 3 days after PKP (PKP+ZOL group)...
2018: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29761236/different-pedicle-osteosynthesis-for-thoracolumbar-vertebral-fractures-in-elderly-patients
#6
Massimo Girardo, Alessandro Rava, Federico Fusini, Giosuè Gargiulo, Angela Coniglio, Pasquale Cinnella
INTRODUCTION: Pedicle screws' stability, especially in osteoporotic fractures, is a really problem for spinal surgeons. Nowadays, little is known about the influence of different screw types and amount of cement applied. This single-center retrospective observational study has the aim of evaluating the middle- to long-term mechanical performances of different types of screws in elderly patients with thoracolumbar fractures. MATERIALS AND METHODS: A total of 91 patients (37 males and 54 females), treated between 2011 and 2016, affected by somatic osteoporotic fractures aged over 65 years were treated...
May 14, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29759081/comparative-study-of-the-paraspinal-muscles-after-ovf-between-the-insufficient-union-and-sufficient-union-using-mri
#7
Marina Katsu, Tetsuro Ohba, Shigeto Ebata, Hirotaka Haro
BACKGROUND: Identification of poor prognostic factors for OVF is important but has not yet been clearly established. Despite paraspinal muscles could play an important role in the etiology of OVF, what influence time-dependent changes in paraspinal muscles have after OVF, and the impact on conservative treatments for patients who have an OVF remain largely unknown. The purposes of this study were to (1) evaluate time-dependent changes of the paraspinal musculature using MRI after injury in patients with osteoporotic vertebral fractures (OVFs), and (2) compare paraspinal muscles between conservatively treated patients with OVF who have successful union and those failed to conservative treatment...
May 14, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29755241/preoperative-manual-on-table-traction-for-the-reduction-of-thoracolumbar-burst-fractures-a-technical-note
#8
Petrini Carlo, Cacciola Francesco
Thoracolumbar burst fractures can frequently be treated either conservatively or surgically. Surgery is generally preferred when safe early mobilization with a reconstructed sagittal alignment is wanted without any external restraint. Various dedicated instruments are available on the market to perform reduction and distraction maneuvers on the spine intraoperatively to restore normal sagittal alignment after a fracture. The authors describe a simple but effective technique of proper patient positioning and preoperative on-table-traction that can effectively aid in the restoration of alignment and performance of surgery even with the most basic instrumentation...
January 2018: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29750137/posterior-only-stabilization-for-traumatic-thoracolumbar-burst-fractures
#9
Omid R Hariri, Samir Kashyap, Ariel Takayanagi, Chris Elia, Quang Ma, Dan E Miulli
Background No consensus exists for the management of unstable thoracolumbar (TL) burst fractures. Surgical options include anterior, lateral, or posterior stabilization (or a combination), depending on the fracture. The potential benefits of anterior reconstruction come with increased operative time and associated morbidity. A posterior-only approach can offer stable correction without increased operative risks but may result in loss of kyphotic correction over time. Purpose To determine whether posterior-only stabilization is a viable treatment option for patients with traumatic TL fractures as opposed to anterior and combined approaches...
March 9, 2018: Curēus
https://www.readbyqxmd.com/read/29721354/unilateral-s2-alar-iliac-screws-for-spinopelvic-fixation
#10
Alireza K Nazemi, Anirudh K Gowd, Alexander R Vaccaro, Jonathan J Carmouche, Caleb J Behrend
Background: This study compared the clinical complications, radiographic measurements of deformity, and quality of life outcomes for patients with de novo scoliosis undergoing thoracolumbar fusions for spinopelvic fixation (SPF) utilizing unilateral S2 alar-iliac (S2AI) screw or unilateral iliac bolt fixation. Methods: This retrospective review was performed in 29 patients who underwent SPF at one institution; 10 patients received unilateral S2AI screws, and 19 patients received unilateral iliac bolts...
2018: Surgical Neurology International
https://www.readbyqxmd.com/read/29721244/epidemiology-of-vertebral-fractures-in-pediatric-and-adolescent-patients
#11
Dominik Saul, Klaus Dresing
Spinal injuries in children and adolescents are rare injuries, but consequences for the growing skeleton can be devastating. Knowledge of accident causes, clinical symptoms and diagnostics should be part of every trauma department treating these patients. We retrospectively analyzed patients with radiographically proven vertebral fractures of the spine. After clinical examination and tentative diagnosis the fractures and injuries were proven with conventional X-ray, computed tomography (CT) scans or magnetic resonance imaging (MRI)...
March 22, 2018: Pediatric Reports
https://www.readbyqxmd.com/read/29712534/a-scoping-review-on-health-economics-in-neurosurgery-for-acute-spine-trauma
#12
Brian C F Chan, B Catharine Craven, Julio C Furlan
OBJECTIVE Acute spine trauma (AST) has a relatively low incidence, but it often results in substantial individual impairments and societal economic burden resulting from the associated disability. Given the key role of neurosurgeons in the decision-making regarding operative management of individuals with AST, the authors performed a systematic search with scoping synthesis of relevant literature to review current knowledge regarding the economic burden of AST. METHODS This systematic review with scoping synthesis included original articles reporting cost-effectiveness, cost-utility, cost-benefit, cost-minimization, cost-comparison, and economic analyses related to surgical management of AST, whereby AST is defined as trauma to the spine that may result in spinal cord injury with motor, sensory, and/or autonomic impairment...
May 2018: Neurosurgical Focus
https://www.readbyqxmd.com/read/29709750/reliability-and-agreement-of-different-spine-fracture-classification-systems-an-independent-intra-and-inter-observer-study
#13
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 intra- and inter-observer 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 intra- and inter-observer study (www...
April 27, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29707551/minimally-invasive-surgery-for-thoracolumbar-spinal-trauma
#14
REVIEW
Corey T Walker, David S Xu, Jakub Godzik, Jay D Turner, Juan S Uribe, William D Smith
The indications for operative intervention after thoracolumbar spine trauma have been well described. Advances in minimally invasive techniques, including percutaneous pedicle screw fixation and mini-open anterolateral retractor-based approaches can improve surgical outcomes when appropriately applied by reducing blood loss, operative duration and post-operative pain. Moreover, they allow for theoretical advantages by preservation of muscular and skeletal blood supply and innervation that is typically lost during the muscular dissection of open approaches...
March 2018: Annals of Translational Medicine
https://www.readbyqxmd.com/read/29702425/impact-of-frailty-on-complications-in-patients-with-thoracic-and-thoracolumbar-spinal-fracture
#15
Remi A Kessler, Rafael De la Garza Ramos, Taylor E Purvis, A Karim Ahmed, C Rory Goodwin, Daniel M Sciubba, Muhammad M Abd-El-Barr
OBJECTIVES: It is well-documented that geriatric patients are at risk for serious injuries after fracture due to pre-existing medical conditions, physical changes of aging, and medication effects. Frailty has been demonstrated to be a predictor of morbidity and mortality in inpatient head and neck surgery, and for surgical intervention for adult spinal deformity and degenerative spine disease. However, the impact of frailty on complications following thoracolumbar/thoracic fractures are unknown and has not been previously assessed in the literature, particularly in a nationwide setting...
April 9, 2018: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29693471/hidden-blood-loss-in-spine-surgery-for-a1-a3-thoracolumbar-fractures-comparison-between-three-approaches
#16
Panagiotis Korovessis
No abstract text is available yet for this article.
April 25, 2018: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://www.readbyqxmd.com/read/29692935/percutaneous-injection-of-strontium-containing-hydroxyapatite-versus-polymethacrylate-plus-short-segment-pedicle-screw-fixation-for-traumatic-a2-and-a3-ao-type-fractures-in-adults
#17
Panagiotis Korovessis, Eva Mpountogianni, Vasileios Syrimpeis, Andreas Baikousis, Vasileios Tsekouras
Introduction: Polymethacrylate (PMMA) is commonly used in vertebroplasty and balloon kyphoplasty, but its use has been associated with complications. This study tests three hypotheses: (1) whether strontium hydroxyapatite (Sr-HA) is equivalent to PMMA for restoring thoracolumbar vertebral body fractures, (2) whether the incidence of PMMA leakage is similar to that of Sr-HA leakage, and (3) whether Sr-HAis is resorbed and substituted by new vertebral bone. Materials and Methods: Two age- and sex-matched groups received short percutaneous pedicle screw fixation plus PEEK implant (Kiva, VCF Treatment System, Benvenue Medical, Santa Clara, CA, USA) filled with either Sr-HA (Group A) or PMMA (Group B) after A2- and A3/AO-type thoracolumbar vertebral body fractures...
2018: Advances in Orthopedics
https://www.readbyqxmd.com/read/29685417/short-segment-percutaneous-pedicle-screw-fixation-after-direct-spinal-canal-decompression-in-thoracolumbar-burst-fractures-an-alternative-option
#18
REVIEW
Seon-Ho Park, Sang-Deok Kim, Bong Ju Moon, Shin-Seok Lee, Jung-Kil Lee
OBJECTIVE: To investigate the surgical results of percutaneous pedicle screw fixation (PPSF) after spinal canal decompression via a small laminectomy for the treatment of thoracolumbar burst fractures. METHOD: Twenty-seven patients underwent PPSF after spinal canal decompression via small laminectomies between April 2009 and April 2015. Inclusion criteria consisted of a single-level, closed, thoracolumbar burst fracture and neurological symptoms. Decompression was performed via a small laminectomy, followed by PPSF, including at the level of the fractured vertebra...
April 20, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29682034/bone-turnover-in-vertebral-fractures-does-it-effect-the-decision-of-surgery
#19
Zeki Serdar Ataizi, Hasan Emre Aydin, Evin Kocatürk, Ahmet Çerezci, İbrahim Özkan Alatas
Background and Aim: Instrumentation is commonly used in spinal surgery to stabilize the fracture. In the present study, we aimed to compare the early and late changes seen in bone production and degradation products in patients with traumatic spinal fracture who had been treated surgically or conservatively. Materials and Methods: Forty-three patients were admitted to the Neurosurgery Department with thoracolumbar or lumbar fracture in this prospective study. Patients were divided into two groups of surgically treated ( n = 23) and nonsurgically/conservatively treated ( n = 20) patients...
April 2018: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/29679136/the-pedicle-instrumentation-and-percutaneous-elevation-pi-pe-a-new-cementless-surgical-technique-in-type-a-post-traumatic-vertebral-fractures
#20
Andrea Piazzolla, Giuseppe Solarino, Davide Bizzoca, Claudia Parato, Gaetano Monteleone, Franca Dicuonzo, Biagio Moretti
PURPOSE: To investigate if bone substitutes are strictly necessary to restore the vertebral body height and improve the clinical outcome, in patients with thoracolumbar or lumbar AO type A post-traumatic vertebral fractures, managed with balloon kyphoplasty combined with posterior screw and rod system. METHODS: 105 patients with post-traumatic thoracolumbar spine fracture were recruited. At baseline, the patients underwent a CT and an MRI of the spine. Clinical evaluation was performed, using the Visual Analog Scale (VAS) and the Oswestry Disability Index (ODI), at baseline, 48 h after surgery, at 3-month follow-up (FU), 6-month FU, 48 h after the instrumentation removal and at 24-month FU...
April 20, 2018: European Spine Journal
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