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spinal vertebral trauma

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
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
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
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
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
Samuel Hall, Matthew A Myers, Ahmed-Ramadan Sadek, Mark Baxter, Colin Griffith, Christopher Dare, Emad Shenouda, Ali Nader-Sepahi
OBJECTIVE: Falls from standing are common, particularly amongst the aging population, due to declining mobility, proprioception and vision. They are often complicated by fragility fractures, including vertebral fractures, that are associated with significant morbidity and may represent a pre-terminal condition with high one-year mortality rates. PATIENTS AND METHODS: A retrospective review of the Trauma Audit and Research Network database for a major trauma centre was conducted for all patients admitted between January 2011 and December 2016...
January 7, 2019: Clinical Neurology and Neurosurgery
Zahra Hassannejad, Shayan Abdollah Zadegan, Alexander R Vaccaro, Vafa Rahimi-Movaghar, Omid Sabzevari
BACKGROUND: The complex pathophysiological events occurring after traumatic spinal cord injuries (TSCI) make this devastating trauma still incurable. Peptide amphiphile (PA) hydrogels are nanobiomaterials displaying desirable properties for application in regenerative medicine because they are absorbable, injectable, allowing biofunctionalization, controlling release of trophic factors and mimic extracellular matrix (ECM). In this study, we explored the potentiality of the IKVAV-functionalized PA hydrogel to provide a permissive environment for cell migration and growth as well as sustained release of BDNF at the lesion after severe compression injury model...
December 19, 2018: Injury
Yuri Klassov, Vadim Benkovich, M Moti Kramer
Os odontoideum is a rare condition. Nevertheless this condition was described by Giacomini in 1886. It is defined radiologicaly as an oval or round-shaped ossicle of variable size with smooth circumferential cortical margins representing the odontoid process that has no continuity with the body of C2. It is important to review this topic since the upper cervical spinal region is complex from anatomical point of view and has many vital structures passing in close relation to each other. If a person suffers from hyper mobile dens due to insufficiency of its ligamentous complex, it may cause translation of the atlas on the axis and may compress the cervical cord or vertebral arteries...
December 2018: Trauma Case Reports
Alexandre Jaccard, César Macedo, Gabriel Castro, Alfredo Guiroy
Background: The Gorham-Stout syndrome (GSS), also known as phantom bone disease, is a rare bone condition of unknown etiology. Involvement of the spine is described in <50 cases in the literature. Here, we report a case of thoracic spine fracture dislocation in a young female who was known to have GSS. Case Description: A 23-year-old female developed a left spontaneous hemothorax 10 years previously along with left ribs lytic lessions. Pleural and rib biopsies diagnosed angiomatosis and the clinical diagnosis of GSS was established...
2018: Surgical Neurology International
Paolo Simoni, Merhan Ghassemi, Vinh Dat-Minh Le, Grammatina Boitsios
Ultrasound (US) allows a reliable examination of the brachial plexus except for the spinal nerve roots, located deep in the neuro-foramina, beyond the shadowing of the transverse processes of the vertebral bodies. All the other fascicles of the brachial plexus can be mapped by US from the roots of the spinal cervical nerves, from C5 to T1 to the branches at level of the axillary region. US can be considered as an alternative to Magnetic Resonance Imaging (MRI) when MRI is contraindicated, not readily available or in case of claustrophobia...
December 16, 2017: Journal of the Belgian Society of Radiology
Carlo Giussani, Lelio Guida, Francesco Canonico, Erik P Sganzerla
BACKGROUND: Neurosurgical features of mucopolysaccharidosis (MPS) patients mainly involve the presence of cranio-vertebral junction (CVJ) abnormalities and the development of communicating hydrocephalus. CVJ pathology is a critical aspect that severely influences the morbidity and mortality of MPS patients. Hydrocephalus is slowly progressing; it must be differentiated from cerebral atrophy, and rarely requires treatment. The aim of this paper was to review the literature concerning these conditions, highlighting their clinical, radiological, and surgical aspects to provide a practical point of view for clinicians...
November 16, 2018: Italian Journal of Pediatrics
Simona Portaro, Elisabetta Morini, Maria Elena Santoro, Maria Accorinti, Pietro Marzullo, Antonino Naro, Rocco Salvatore Calabrò
RATIONALE: Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative multisystem disorder, presenting with limb or bulbar onset. To date, there is no cure for ALS. At some stage of the disease, patients may complain of breathlessness due to respiratory failure, thus needing a noninvasive mechanical ventilation (NIMV) support. However, breathlessness is a symptom that may be induced by different causes that must be taken into consideration in ALS management. PATIENTS CONCERNS: We report the case of an 81-year-old man, with a spinal onset ALS, who was admitted to our clinic to start NIMV because of respiratory involvement...
November 2018: Medicine (Baltimore)
Yinxia Zhao, Mingqian Huang, Jie Ding, Xintao Zhang, Karl Spuhler, Shaoyong Hu, Mianwen Li, Wei Fan, Lin Chen, Xiaodong Zhang, Shaolin Li, Quan Zhou, Chuan Huang
BACKGROUND: Bone marrow fat increases when bone mass decreases, which could be attributed to the fact that adipogenesis competes with osteogenesis. Bone marrow fat has the potential to predict abnormal bone density and osteoporosis. PURPOSE: To investigate the predictive value of using vertebral bone marrow fat fraction(BMFF) obtained from modified Dixon(mDixon) Quant in the determination of abnormal bone density and osteoporosis. STUDY TYPE: Prospective...
November 3, 2018: Journal of Magnetic Resonance Imaging: JMRI
Erin M Conlee, Sherilyn W Driscoll, Krista A Coleman Wood, Amy L McIntosh, Mark L Dekutoski, Joline E Brandenburg
BACKGROUND: Posterior lumbar vertebral endplate fracture occurs with avulsion of the ring apophysis from the posterior vertebral body. Although this has been described in adolescents and young adults, proper diagnosis is often delayed or missed entirely. Surgery may be curative. OBJECTIVE: To determine the common clinical features and treatment outcomes in youth and young adults with posterior lumbar vertebral endplate fractures. DESIGN: Descriptive case series...
October 19, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
Hyeun Sung Kim, Nitin Adsul, Jung Soo Bang, Ravindra Singh, Chang Hwan Park, Il-Tae Jang
BACKGROUND: Kummell disease is defined as avascular necrosis of vertebra, occurs after the delayed posttraumatic osteoporotic vertebral collapse, and mainly occurs in adults older than 50 years of age. We report the first case of refracture of Kummell disease and epidural hematoma followed by paraparesis. CASE DESCRIPTION: A 67-year-old woman with a known case of osteoporotic T12 fracture (3 months back) visited our outpatient clinic complaining of persistent back pain and paraparesis after jerking while getting up from the bed...
December 2018: World Neurosurgery
Mohammed Ali Alvi, Joseph R Kapurch, David V Ivanov, Panagiotis Kerezoudis, Mohamad Bydon, Brett A Freedman
OBJECTIVE: To determine if operating on "major" vertebral fractures leads to premature abortion of surgery and/or other acute cardiopulmonary complications. DESIGN: Retrospective review CLINICAL SETTING:: Level 1 trauma center PATIENTS/PARTICIPANTS AND INTERVENTION:: We retrospectively queried our institutional Trauma Registry for all cases presenting with concomitant rib fractures and surgically managed vertebral fractures. MAIN OUTCOME MEASUREMENTS: The main outcomes included the surgical outcome (aborted vs successfully performed), total and ICU length of stay (LOS), adverse discharge, mortality and functional outcomes...
August 23, 2018: Journal of Orthopaedic Trauma
Akhil P Verheyden, Ulrich J Spiegl, Helmut Ekkerlein, Erol Gercek, Stefan Hauck, Christoph Josten, Frank Kandziora, Sebastian Katscher, Philipp Kobbe, Christian Knop, Wolfgang Lehmann, Rainer H Meffert, Christian W Müller, Axel Partenheimer, Christian Schinkel, Philipp Schleicher, Matti Scholz, Christoph Ulrich, Alexander Hoelzl
Study Design: consensus paper with systematic literature review. Objective: The aim of this study was to establish recommendations for treatment of thoracolumbar spine fractures based on systematic review of current literature and consensus of several spine surgery experts. Methods: The project was initiated in September 2008 and published in Germany in 2011. It was redone in 2017 based on systematic literature review, including new AOSpine classification...
September 2018: Global Spine Journal
Philipp Schleicher, Philipp Kobbe, Frank Kandziora, Matti Scholz, Andreas Badke, Florian Brakopp, Helmut Ekkerlein, Erol Gercek, Rene Hartensuer, Philipp Hartung, Jan-Sven Jarvers, Stefan Matschke, Robert Morrison, Christian W Müller, Miguel Pishnamaz, Maximilian Reinhold, Gregor Schmeiser, Klaus John Schnake, Gregor Stein, Bernhard Ullrich, Thomas Weiss, Volker Zimmermann
Study Design: Expert consensus. Objectives: To establish treatment recommendations for subaxial cervical spine injuries based on current literature and the knowledge of the Spine Section of the German Society for Orthopaedics and Trauma. Methods: This recommendation summarizes the knowledge of the Spine Section of the German Society for Orthopaedics and Trauma. Results: Therapeutic goals are a stable, painless cervical spine and protection against secondary neurologic damage while retaining maximum possible motion and spinal profile...
September 2018: Global Spine Journal
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