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Thoracolumbar fractures

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https://www.readbyqxmd.com/read/29349998/-comparative-study-of-minimally-invasive-percutaneous-pedicle-screw-fixation-and-open-surgery-in-the-treatment-of-thoracolumbar-fractures
#1
Hui Ye, Qi-Xin Chen
OBJECTIVE: To compare the clinical outcomes of minimally invasive percutaneous pedicle screw fixation and open surgery in the treatment of thoracolumbar fracture. METHODS: A retrospective study of patients who had undergone surgery for thoracolumbar fracture from June 2014 to December 2014 was performed. Sixty-one cases were included and 29 cases were treated by minimally invasive percutaneous pedicle screw fixation (minimally invasive group) and 32 cases were treated by the traditional open pedicle screw fixation(open group)...
February 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29349095/spinal-motocross-injuries-in-the-united-kingdom
#2
Rohit Singh, Amit Bhalla, Matthew Ockendon, Stuart Hay
Background: Motocross is a form of motorcycle racing held on established off-road circuits and has been a recreational and competitive sport across the world for >100 years. In the United Kingdom alone, motocross has grown into a phenomenally ambitious and popular franchise. There are >200 motocross clubs across the country, permitting >900 events annually. Purpose: To assess the current trend of spine-related motocross injuries over the past 5 years. Study Design: Descriptive epidemiology study...
January 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29331975/is-postoperative-bracing-after-pedicle-screw-fixation-of-spine-fractures-necessary-study-protocol-of-the-ornot-study-a-randomised-controlled-multicentre-trial
#3
Arjen Johannes Smits, Jaap Deunk, Agnita Stadhouder, Mark Cornelis Altena, Diederik Hendrik Ruth Kempen, Frank Willem Bloemers
INTRODUCTION: The most common surgical treatment of traumatic spine fractures is through a posterior approach using pedicle screws and rods. Postoperative treatment protocols including the use of postoperative orthoses however differ between hospitals and surgeons. A three-point hyperextension orthosis is designed to support proper posture and unload the anterior column. Some motion remains when wearing an orthosis, and its main value in postoperative treatment is therefore believed to be pain relief and patient confidence...
January 13, 2018: BMJ Open
https://www.readbyqxmd.com/read/29328004/thoracolumbar-injury-classification-and-severity-score-in-children-a-reliability-study
#4
Ross L Dawkins, Joseph H Miller, Omar I Ramadan, Michael C Lysek, Elizabeth N Kuhn, Brandon G Rocque, Michael J Conklin, R Shane Tubbs, Beverly C Walters, Bonita S Agee, Curtis J Rozzelle
OBJECTIVE There are many classification systems for injuries of the thoracolumbar spine. The recent Thoracolumbar Injury Classification and Severity Score (TLICS) has been shown to be a reliable tool for adult patients. The aim of this study was to assess the reliability of the TLICS system in pediatric patients. The validity of the TLICS system is assessed in a companion paper. METHODS The medical records of pediatric patients with acute, traumatic thoracolumbar fractures at a single Level 1 trauma center were retrospectively reviewed...
January 12, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/29323806/spine-and-spinal-cord-injuries-after-falls-from-tree-stands-during-the-wisconsin-deer-hunting-season
#5
Kimberly Hamilton, Brandon Rocque, Nathaniel Brooks
BACKGROUND: Deer hunting is popular in much of the United States. In Wisconsin, use of tree stands for hunting is common. Spine surgeons at a Level 1 Trauma Center observed a high incidence of spine and spinal cord injury due to falls from tree stands while hunting. This study's purpose is to systematically characterize and classify those injuries. METHODS: We reviewed the University of Wisconsin Hospital and Clinics' trauma database for tree stand-related injuries from 1999 to 2013...
November 2017: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29320988/prevalence-and-key-radiographic-spinal-malalignment-parameters-that-influence-the-risk-for-gastroesophageal-reflux-disease-in-patients-treated-surgically-for-adult-spinal-deformity
#6
Tetsuro Ohba, Shigeto Ebata, Kensuke Koyama, Hirotaka Haro
BACKGROUND: Gastroesophageal reflux disease (GERD) is a factor that has a significant negative impact on the quality of life (QoL). Vertebral fractures and/or spinal malalignment may influence the frequency of GERD. However, the epidemiology and pathology of GERD in patients with adult spinal deformity (ASD) are still largely unknown. To establish the optimal surgical strategy for GERD in patients treated surgically for ASD, we sought to clarify the GERD prevalence, determine radiographically which spinal malalignment parameters influence GERD risk, and evaluate GERD improvement postoperatively...
January 10, 2018: BMC Gastroenterology
https://www.readbyqxmd.com/read/29317367/biomechanical-role-of-the-thoracolumbar-ligaments-of-the-posterior-ligamentous-complex-a-finite-element-study
#7
Cong-Cong Wu, Hai-Ming Jin, Ying-Zhao Yan, Jian Chen, Ke Wang, Jian-Le Wang, Zeng-Jie Zhang, Ai-Min Wu, Xiang-Yang Wang
OBJECTIVES: To investigate the effect of sequential ligament failure on the range of motion (ROM) and location of the instantaneous axes of rotation (IAR) of the thoracolumbar spine (T12-L1) finite element (FE) model, and to verify the role of the supraspinous ligament (SSL) in maintaining the stability of the injured thoracolumbar spine. METHODS: A FE model of the fracture thoracolumbar spine was developed and validated against published data. The posterior ligamentous complex (PLC) in the fractured T12-L1 segment was then reduced in a sequential manner from the facet capsular ligament (FCL), part of the interspinous ligament (ISL), supraspinous ligament, and entire ISL, to the ligamentum flavum (LF)...
January 6, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29317155/compensatory-mechanism-of-the-spine-after-corrective-surgery-without-lumbar-sacral-fixation-for-traumatic-thoracolumbar-kyphotic-spine-deformity
#8
Koji Matsumoto, Masahiro Hoshino, Keita Omori, Hidetoshi Igarashi, Takashi Tsuruta, Koji Yamasaki, Hiromi Matsuzaki, Takanori Iriuchishima, Yasuaki Tokuhashi
BACKGROUND: It remains unclear whether long fusion including lumbar-sacral fixation is needed in corrective surgery to obtain good global sagittal balance (GSB) for the treatment of traumatic thoracolumbar kyphotic spine deformity. The purposes of this study were to evaluate compensatory mechanism of the spine after corrective surgery without lumbar-sacral fixation and to evaluate the parameters affecting the achievement of good GSB post-operatively. METHODS: Twenty (20) subjects requiring corrective surgery (distal end of fixation was L3) were included in this study...
January 6, 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/29299097/paravertebral-calcification-as-a-potential-indicator-for-nonaccidental-trauma
#9
Katsuaki Kojima, Jennifer Nimtz, Steven W Martin, Stephen R Guertin, Ellen C Cavenagh
We report a case of nonaccidental trauma (NAT) involving a 23-month-old boy who presented with seizures, acute subarachnoid hemorrhage, and acute subdural hemorrhage. Ophthalmologic examination showed bilateral intraretinal hemorrhages. Further evaluation revealed that he had bilateral thoracolumbar paravertebral calcifications. The Children's Protective Services agency was involved in the case. The child was discharged to an inpatient rehabilitation facility. Vertebral fracture associated with paravertebral calcification has been reported as a sign of NAT...
July 2017: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/29290537/assessment-of-variability-in-turkish-spine-surgeons-trauma-practices
#10
Engin Çetin, Alpaslan Şenköylü, Emre Acaroğlu
OBJECTIVES: The aim of this study was to analyse the variability among Turkish spinal surgeons in the management of thoracolumbar fractures by carrying out a web survey. METHODS: An invitation text and web-link of the survey were sent to the members of the Turkish Spine Society mail group. A fictitious spine trauma vignette, a 23 year-old male with a L1 burst fracture, was presented and 25 questions were asked to participants. Variability of answers in a given question was assessed with the Index of Qualitative Variation (IQV)...
December 28, 2017: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29290375/prediction-of-mri-findings-including-disc-injury-and-posterior-ligamentous-complex-injury-in-neurologically-intact-thoracolumbar-burst-fractures-by-the-parameters-of-vertebral-body-damage-on-ct-scan
#11
Jie Mi, Xiao-Jiang Sun, Kai Zhang, Chang-Qing Zhao, Jie Zhao
OBJECTIVE: To formulate radiological indexes based on CT for further MRI examination to detect posterior ligamentous complex injury (PLC) or disc injury in thoracolumbar burst fractures without neurological deficit in the emergent setting. MATERIALS AND METHODS: Patients with a single thoracolumbar burst fracture and no neurological deficit were included into this study. Radiological indexes on CT included canal compromise (CC), anterior and posterior vertebral height ratio (PVH and AVH ratio), local kyphosis (LK) and regional kyphosis (RK)...
December 15, 2017: Injury
https://www.readbyqxmd.com/read/29283958/risk-of-pneumonia-after-vertebral-compression-fracture-in-women-with-low-bone-density-a-population-based-study
#12
Byunghyun Kim, Joonghee Kim, You Hwan Jo, Si-Hyuck Kang, Yeon Joo Lee, Jae Hyuk Lee, Je Eun Hwang, Min Ji Park, Sihyung Lee
STUDY DESIGN: Retrospective large population based-study. OBJECTIVE: The aim of this study is to elucidate the association between VCFs and pneumonia. SUMMARY OF BACKGROUND DATA: Vertebral compression fracture (VCF) is known to be associated with impaired pulmonary function. However, the risk of developing a pneumonia after a new-onset VCF has not been evaluated. METHODS: The data source was the National Health Screening Program Cohort, a population-based sample cohort of national health screening enrolees...
December 27, 2017: Spine
https://www.readbyqxmd.com/read/29279751/thoracolumbar-vertebral-injuries-with-neurological-deficit-treated-with-posterior-decompression-short-segment-pedicle-screw-fixation-and-interlaminar-fusion
#13
Sachin Kumar, Satish Kumar, Rajender Kumar Arya, Avinash Kumar
Study Design: Prospective clinical study. Purpose: The purpose of this study was to evaluate the effect of interlaminar fusion and short segment pedicle screw fixation on thoracolumbar vertebral injuries for preventing pain and post-traumatic kyphosis. Overview of Literature: The treatment of thoracolumbar injuries continues to be one of the most controversial areas in spine care. The main aim of surgical treatment is to decompress the spinal cord or nerve roots, realign the spine, and correct or prevent post-traumatic kyphosis...
December 2017: Asian Spine Journal
https://www.readbyqxmd.com/read/29248192/thoracolumbar-spine-loading-associated-with-kinematics-of-the-young-and-the-elderly-during-activities-of-daily-living
#14
Dominika Ignasiak, Andrea Rüeger, Ramona Sperr, Stephen J Ferguson
Excessive mechanical loading of the spine is a critical factor in vertebral fracture initiation. Most vertebral fractures develop spontaneously or due to mild trauma, as physiological loads during activities of daily living might exceed the failure load of osteoporotic vertebra. Spinal loading patterns are affected by vertebral kinematics, which differ between elderly and young individuals. In this study, the effects of age-related changes in spine kinematics on thoracolumbar spinal segmental loading during dynamic activities of daily living were investigated using combined experimental and modeling approach...
December 6, 2017: Journal of Biomechanics
https://www.readbyqxmd.com/read/29246407/can-ct-imaging-of-the-chest-abdomen-and-pelvis-identify-all-vertebral-injuries-of-the-thoracolumbar-spine-without-dedicated-reformatting
#15
Jonathan B Imran, Tarik D Madni, Jeffrey H Pruitt, Canon Cornelius, Madhu Subramanian, Audra T Clark, Ali A Mokdad, Paul Rizk, Joseph P Minei, Michael W Cripps, Alexander L Eastman
BACKGROUND: The main objective of this study was to compare detection rates of clinically significant thoracolumbar spine (TLS) fracture between computed tomography (CT) imaging of the chest, abdomen, and spine (CT CAP) and CT for the thoracolumbar spine (CT TL). METHODS: We retrospectively identified patients at our institution with a TLS fracture over a two-year period that had both CT CAP and reformatted CT TL imaging. The sensitivity of CT CAP to identify fracture was calculated for each fracture type...
December 5, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/29245267/refracture-of-osteoporotic-vertebral-body-after-treatment-by-balloon-kyphoplasty-three-cases-report
#16
REVIEW
Xigong Li, Yang Lu, Xiangjin Lin
RATIONALE: Balloon kyphoplasty is a widely accepted treatment of osteoporotic vertebral compression fractures (OVCFs) with good results and a low risk for complications. A refracture of previously treated vertebra is a relatively rare condition. PATIENT CONCERNS: We reported our 3 cases and reviewed all relevant literatures of 11 cases with refracture of osteoporotic vertebral body after kyphoplasty. DIAGNOSES: Follow-up radiographs or magnetic resonance imaging examination confirmed refractures of previously treated vertebrae after kyphoplasty...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29245233/clinical-outcome-and-surgical-strategies-for-late-post-traumatic-kyphosis-after-failed-thoracolumbar-fracture-operation-case-report-and-literature-review
#17
REVIEW
Suyun Li, Zhi Li, Wenbin Hua, Kun Wang, Shuai Li, Yunkun Zhang, Zhewei Ye, Zengwu Shao, Xinghuo Wu, Cao Yang
RATIONALE: Thoracic-lumbar vertebral fracture is very common in clinic, and late post-traumatic kyphosis is the main cause closely related to the patients' life quality, which has evocated extensive concern for the surgical treatment of the disease. This study aimed to analyze the clinical outcomes and surgical strategies for late post-traumatic kyphosis after failed thoracolumbar fracture operation. PATIENT CONCERNS: All patients presented back pain with kyphotic apex vertebrae between T12 and L3...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29232355/proximal-junctional-kyphosis-inter-and-intraobserver-reliability-of-radiographic-measurements-in-adult-spinal-deformity
#18
Farbod Rastegar, Alec Contag, Alan Daniels, Jayme Hiratzka, Clifford Lin, Jason Chang, Khoi Than, Ahmed Raslan, Christopher Kong, Ngoc-Lam Nguyen, Richard Hostin, Marie Kane, Robert A Hart
STUDY DESIGN: Reliability study of radiographic measures of proximal junctional kyphosis (PJK) in patients with adult spinal deformity (ASD). OBJECTIVE: To assess impacts of level of proximal endpoint and vertebral fracture on reliability of measurement of junctional kyphosis. SUMMARY OF BACKGROUND DATA: Radiographic assessment is important in determining management of patients with PJK or proximal junctional failure (PJF). No study to date has evaluated the reliability of radiographic measurement of the junctional kyphotic angle after surgery for ASD...
January 1, 2018: Spine
https://www.readbyqxmd.com/read/29208863/short-segment-versus-long-segment-stabilization-for-unstable-thoracolumbar-junction-burst-fractures
#19
M K Ahsan, A A Mamun, Z Zahangiri, M A Awwal, S I Khan, N Zaman, M H Haque
The treatment of unstable thoracolumbar junction burst fractures remains a controversial issue. We evaluate the efficacy of short segment (SS) compared with that of long-segment (LS) stabilization in terms of clinical and the radiological outcomes. Records of 88 patients with thoracolumbar burst fracture underwent posterior pedicle screw fixation from January 2004 to December 2015, studied retrospectively. These patients were divided into two groups: SS and the LS-group. Clinical parameters: back pain, disability, neurological deficit and radiologic parameters: Cobb angle, sagittal index, the kyphotic deformation of vertebral body, vertebral height and canal compromise were measured before surgery and immediately after surgery and at 3, 6 and 12 months postoperatively...
October 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/29204193/management-and-outcome-analysis-of-pediatric-unstable-thoracolumbar-spine-injury-large-surgical-series-with-literature-review
#20
REVIEW
Guru Dutta Satyarthee, M Sangani, Sumit Sinha, Deepak Agrawal
Pediatric thoracolumbar spine fractures are considered rare injuries with paucity of publication across the globe. Further, spine injuries in children are comparatively rarer, and pediatric spine differs from adults, both biomechanically and anatomically; so, adult spine management strategy cannot be applied to pediatric cases, and exact guidelines for management of pediatric spinal injury is lacking. The current study is undertaken to study epidemiology, surgical management, and outcome of pediatric dorsolumbar unstable spine injury...
July 2017: Journal of Pediatric Neurosciences
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