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trauma vertebral

N V Ankith, M Avinash, K S Srivijayanand, Ajoy Prasad Shetty, Rishi Mugesh Kanna, Shanmuganathan Rajasekaran
Study Design: Observational retrospective computed tomography (CT) based study. Purpose: To analyze the congenital anomalies of the cervical spine, their morphological variations and their clinical significance. Overview of Literature: Studies published to date have focused mainly on upper cervical anomalies; no study has comprehensively reported on anomalies of both the occipitocervical and subaxial cervical spine. Methods: Nine hundred and thirty cervical spine CT scans performed in Ganga Hospital, Coimbatore, India between January 2014 and November 2017 were screened by two independent observers to document anomalies of both the upper and lower cervical spine...
March 14, 2019: Asian Spine Journal
Dmitriy Petrov, Michael Spadola, Connor Berger, Gregory Glauser, Ahmad F Mahmoud, Bert O'Malley, Neil R Malhotra
Chordomas are rare, locally aggressive neoplasms that develop from remnants of the notochord. The typical approach to chordomas of the clivus and axial cervical spine often limits successful en bloc resection. In this case report, authors describe the first-documented transoral approach using both transoral robotic surgery (TORS) for exposure and the Sonopet bone scalpel under navigational guidance to achieve en bloc resection of a cervical chordoma. This 27-year-old man had no significant past medical history (Charlson Comorbidity Index 0)...
March 1, 2019: Journal of Neurosurgery. Spine
Nadir Laghmouche, Solène Prost, Kaissar Farah, Thomas Graillon, Benjamin Blondel, Stéphane Fuentes
INTRODUCTION: Flexion-distraction fractures represent around 15% of all thoracolumbar fractures, with neurological deficit in 25% of cases. Optimal surgical strategy remains controversial. In neurologically intact patients, percutaneous fixation can offer quick stabilization with good deformity correction. If necessary, an additional minimally invasive anterior approach can complete the surgical strategy. We report results in a series of 28 thoracolumbar flexion-distraction fractures without neurologic deficit, treated using a minimally invasive approach...
February 18, 2019: Orthopaedics & Traumatology, Surgery & Research: OTSR
M Caroline Nally, Catherine Kling, Kyle M Hocking, Heather Lillemoe, Julia M Boll, John A Curci, C Louis Garrard, Thomas C Naslund, R James Valentine
OBJECTIVE: Routine computed tomography (CT) imaging in trauma patients has led to increased recognition of blunt vertebral artery injuries (BVIs). We sought to determine the prevalence of strokes, injury progression, and need for intervention in patients with BVI. METHODS: Consecutive patients presenting with BVI during 2 years were identified from the institutional trauma registry. Inpatient records, imaging studies, and follow-up data were reviewed in detail from the electronic medical record...
February 18, 2019: Journal of Vascular Surgery
Victor Bilman, Bernardo Massière, Alberto Vescovi, Daniel Leal, Paula Vivas, Bruno Demier, Arno von Ristow
Complications such as pseudoaneurysms (PA) related to cervicothoracic venous access can be devastating. In this article, we present two similar cases in which technological advances impacted diagnosis, treatment, and results. Both patients developed massive PA after deep venous puncture attempts. The first case occurred in 1993 and was diagnosed by a duplex scan that revealed a large PA originating from the right subclavian artery. The artery was approached by median sternotomy with supraclavicular extension...
October 2018: Jornal Vascular Brasileiro
Fernando Brandão Andrade-Silva, Renan Lyuji Takemura, Renato Tavares Bellato, Marcos de Camargo Leonhardt, Kodi Edson Kojima, Jorge Dos Santos Silva
Objectives: To describe the clinical utility of the Manchester triage scale adapted for orthopedic emergency departments and to evaluate its validity in identifying patients with the need for hospital care and its reliability when reproduced by different professionals. Methods: Five triage flowcharts were developed based on the Manchester scale for the following orthopedic disorders: traumatic injuries, joint pain, vertebral pain, postoperative disorders, and musculoskeletal infections...
January 2019: Acta Ortopedica Brasileira
Pierre Grobost, Mehdi Boudissa, Gaël Kerschbaumer, Sébastien Ruatti, Jérôme Tonetti
AND BACKGROUND DATA: Many authors have demonstrated the necessity of reconstruction of the anterior column in spinal trauma with vertebral body collapse or nonunion. There is no publication comparing the result depending on the time between trauma and anterior reconstruction of the vertebral body. OBJECTIVE: To compare long-term clinical and radiological results between early and late anterior vertebral body reconstruction with expandable cages in patients with thoracic and lumbar spine trauma...
February 11, 2019: Orthopaedics & Traumatology, Surgery & Research: OTSR
Frank V Bensch, Elina A Varjonen, Tuomo T Pyhältö, Seppo K Koskinen
PURPOSE: BCVI may lead to ischemic stroke, disability, and death, while being often initially clinically silent. Screening criteria for BCVI based on clinical findings and trauma mechanism have improved detection, with Denver criteria being most common. Up to 30% of patients do not meet BCVI screening criteria. The aim of this study was to analyze the effect of augmented Denver criteria on detection, and to determine the relative risk for ischemic stroke. METHODS: Denver screening criteria were augmented by any high-energy trauma of the cervical spine, thorax, abdomen, or pelvis...
February 12, 2019: Emergency Radiology
Sebastian A Ahmadi, Hosai Sadat, Kai-Michael Scheufler, Hans-Jakob Steiger, Beate Weber, Thomas Beez
STUDY DESIGN: Retrospective analysis of anonymized malpractice claims. SUMMARY OF BACKGROUND DATA: Spine surgery is considered a high-risk specialty with regards to malpractice claims. However, limited data is available for Germany. We analyzed the rate, subject and legal outcome of malpractice claims faced by spine surgeons in one of the largest Medical Council coverage areas in Germany, representing 60,000 physicians and a population of 10 million. METHODS: Analysis of all malpractice claims regarding spinal surgeries completed by the Review Board (RB) of the North Rhine Medical Council (NRMC) from 2012-2016...
February 8, 2019: Spine Journal: Official Journal of the North American Spine Society
Sharath Kittanakere Ramanath, Rahul Hemant Shah
Introduction: Antiretroviral drugs are known to cause osteoporosis making the bones susceptible to fracture. Osteoporotic fractures are majorly seen in the vertebral bodies. Pathological fractures need to be fixed without much delay to start mobilization of the patients. Case Report: The present case describes a 72-year-old male who was diagnosed to be human immunodeficiency virus-positive 11 months back for which the patient was on a combination of antiretroviral therapy for 11 months...
September 2018: Journal of Orthopaedic Case Reports
Suresh Pillai
Introduction: Pathological fractures resulting from trivial trauma may be overlooked, especially, when it is after a road traffic accident. Case Report: A 56-year-old male was operated elsewhere for burst fracture L3 vertebra following a trivial road traffic accident. Due to the persistence of symptoms, he was reevaluated. Magnetic resonance imaging revealed infection at the operated site. The implants were removed, pus drained, and a transpedicular biopsy was taken from L3 vertebral body along with bone marrow aspirate from the iliac crest, suspecting a pathological fracture...
September 2018: Journal of Orthopaedic Case Reports
Giuseppe Toro, Francesco Langella, Michele Gison, Gabriella Toro, Antimo Moretti, Antonio Toro, Giovanni Iolascon
Calcaneus is the most common site of hindfoot fracture, frequently caused by fall from height or high energy trauma. The therapeutic strategy ranged from non-operative to ORIF (Open Reduction Internal Fixation). Indications for percutaneous fixation include soft tissue damage or relative contraindications to open surgery. Minimally invasive percutaneous calcaneoplasty should be an alternative to ORIF aiming to reach a stable reduction, early functional recovery and short hospital stay. The aim of our study was to evaluate the clinical and radiographic outcomes of calcaneus fractures treated with balloon calcaneoplasty (BCP) by using a new generation vertebral augmentation system, VBS™-Vertebral Body Stent-DePuy Synthes...
February 2, 2019: Injury
Danielle Golub, Lizbeth Hu, Siddhant Dogra, Jose Torres, Maksim Shapiro
Spontaneous cervical artery dissection (sCAD) is a major cause of stroke in young adults. Multiple sCAD is a rarer, more poorly understood presentation of sCAD that has been increasingly attributed to cervical trauma such as spinal manipulation or genetic polymorphisms in extracellular matrix components. The authors present the case of a 49-year-old, otherwise healthy woman, who over the course of 2 weeks developed progressive, hemodynamically significant, bilateral internal carotid artery and vertebral artery dissections...
February 1, 2019: Neurosurgical Focus
Ann Mallory, Jason Stammen, Motao Zhu
OBJECTIVE: Motor vehicle occupants aged 8 to 12 years are in transition, in terms of both restraint use (booster seat or vehicle belt) and anatomical development. Rear-seated occupants in this age group are more likely to be inappropriately restrained than other age groups, increasing their vulnerability to spinal injury. The skeletal anatomy of an 8- to 12-year-old child is also in developmental transition, resulting in spinal injury patterns that are unique to this age group. The objective of this study is to identify the upper spine injuries commonly experienced in the 8- to 12-year-old age group so that anthropomorphic test devices (ATDs) representing this size of occupant can be optimized to predict the risk of these injuries...
February 4, 2019: Traffic Injury Prevention
Shrikant Vasantrao Solav, Shailendra Vasant Savale, Abhijit Mahaveer Patil
FDG PET CT scan is considered to be a sensitive tool to detect skeletal metastasis in known malignancies. However, it's high sensitivity and low specificity may account for false positive diagnosis in cases of trauma, infection, inflammation and other benign conditions. Skeletal hemangioma is one of the common benign conditions which are typically ametabolic on FDG PET CT with no uptake on bone scan. However, rarely they may have atypical imaging features and appear hypermetabolic. Other imaging modalities such as MRI and CT scan have typical imaging findings for hemangioma and can be used for evaluation of focal hypermetabolic skeletal lesions...
2019: Asia Oceania Journal of Nuclear Medicine & Biology
Zhi-Chao Hu, Xiao-Bin Li, Zhen-Hua Feng, Ji-Qi Wang, Lan-Fang Gong, Jiang-Wei Xuan, Xin Fu, Bing-Jie Jiang, Long Wu, Wen-Fei Ni
INTRODUCTION: The optimal treatment for burst fractures of the thoracolumbar spine is controversial. The addition of screws in the fractured segment has been shown to improve construct stiffness, but can aggravate the trauma to the fractured vertebra. Therefore, optimised placement of two pedicle screws at the fracture level is required for the treatment of thoracolumbar burst fractures. This randomised controlled study is the first to examine the efficacy of diverse orders of pedicle screw placement and will provide recommendations for the treatment of patients with thoracolumbar burst fractures...
January 28, 2019: BMJ Open
Ben Strickland, Courtney S Lewis, Martin H Pham
Vertebral artery injury is known to potentially occur in conjunction with blunt cervical spine trauma. Rarely, these injuries present bilaterally as complete occlusions. Twelve cases of bilateral vertebral artery occlusions after closed cervical spine trauma have been reported in the literature, nearly all of which demonstrated signs and symptoms of vertebrobasilar insufficiency and ischemia. Our patient presented after a trauatic C5-6 flexion-distraction injury resulting in bilateral locked facets and spinal cord injury as well as bilateral vertebral artery occlusions at the V1 segment, but did not show any cranial symptomatology despite his neurovascular injury...
January 23, 2019: World Neurosurgery
Eijiro Okada, Toshitaka Yoshii, Tsuyoshi Yamada, Kei Watanabe, Keiichi Katsumi, Akihiko Hiyama, Masahiko Watanabe, Yukihiro Nakagawa, Motohiro Okada, Teruaki Endo, Yasuyuki Shiraishi, Kazuhiro Takeuchi, Shunji Matsunaga, Keishi Maruo, Kenichiro Sakai, Sho Kobayashi, Tetsuro Ohba, Kanichiro Wada, Junichi Ohya, Kanji Mori, Mikito Tsushima, Hirosuke Nishimura, Takashi Tsuji, Atsushi Okawa, Morio Matsumoto, Kota Watanabe
BACKGROUND: Diffuse idiopathic skeletal hyperostosis (DISH) increases the spine's susceptibility to unstable fractures that can cause neurological deterioration. However, the detail of injury is still unclear. A nationwide multicenter retrospective study was conducted to assess the clinical characteristics and radiographic features of spinal fractures in patients with DISH. METHODS: Patients were eligible for this study if they 1) had DISH, defined as flowing ossification along the anterolateral aspect of at least four contiguous vertebral bodies, and 2) had an injury in the ankylosing spine...
January 21, 2019: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
S A Hardcastle, F Yahya, A K Bhalla
Mini Abstract: Pregnancy-associated osteoporosis (PAO) is a rare syndrome affecting women during late pregnancy and the early postpartum period. We set out to review the clinical features of ten cases of PAO from a single UK centre. Patients had attended the Royal National Hospital for Rheumatic Diseases, Bath (RNHRD) between January 2000 and June 2016. The principal criterion for inclusion was the occurrence of low trauma fractures either during pregnancy or the immediate post-partum period. Data were obtained from retrospective review of medical notes...
January 23, 2019: Osteoporosis International
Trine G Eskesen, Josefine S Baekgaard, Thomas Peponis, Jae Moo Lee, Noelle Saillant, Haytham M A Kaafarani, Peter J Fagenholz, David R King, Marc de Moya, George C Velmahos, D Dante Yeh
BACKGROUND: We aimed to determine the incidence, risk factors, and outcomes of cervical spinal cord injury (CSCI) after blunt assault. METHODS: The ACS National Trauma Data Bank (NTDB) 2012 Research Data Set was used to identify victims of blunt assault using the ICD-9 E-codes 960.0, 968.2, 973. ICD-9 codes 805.00, 839.00, 806.00, 952.00 identified cervical vertebral fractures/dislocations and CSCI. Multivariable analyses were performed to identify independent predictors of CSCI...
June 23, 2018: American Journal of Surgery
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