keyword
https://read.qxmd.com/read/38536654/surgical-technique-proximal-extension-of-instrumentation-using-sublaminar-bands-for-salvage-of-postoperative-proximal-junctional-failure-in-pediatric-patients
#1
JOURNAL ARTICLE
Mason A Fawcett, Richard M Schwend
PURPOSE: Proximal junctional failure is a complication that can occur following posterior spine surgery with instrumentation. The ability to surgically revise this complication is important for the spine surgeon, yet there is little literature on the topic, especially for pediatric patients. METHODS: The technique we describe involves proximal extension of the existing instrumentation using paired levels of sublaminar bands that allows for a smooth transition of forces at the junction of instrumented and non-instrumented regions of the spine...
March 27, 2024: Spine Deformity
https://read.qxmd.com/read/38536653/validation-of-a-patient-specific-finite-element-analysis-framework-for-identification-of-growing-rod-failure-regions-in-early-onset-scoliosis-patients
#2
JOURNAL ARTICLE
Daksh Jayaswal, Manoj Kodigudla, Amey Kelkar, Vijay Goel, Vivek Palepu
PURPOSE: Growing rods are the gold-standard for treatment of early onset scoliosis (EOS). However, these implanted rods experience frequent fractures, requiring additional surgery. A recent study by the U.S. Food and Drug Administration (FDA) identified four common rod fracture locations. Leveraging this data, Agarwal et al. were able to correlate these fractures to high-stress regions using a novel finite element analysis (FEA) framework for one patient. The current study aims to further validate this framework through FEA modeling extended to multiple patients...
March 27, 2024: Spine Deformity
https://read.qxmd.com/read/38536450/surgical-management-of-chiari-ii-malformation-a-systematic-review-of-literature
#3
REVIEW
Rafael C C Vencio, Adriano M Lino-Filho, Renata C F Bonfim, Nayara M Pereira, Cilmária L Franco, Paulo Ronaldo J Ribeiro, Bárbara A Morais
PURPOSE: Chiari II malformation (CM-II) is a congenital malformation of the posterior fossa associated with myelomeningocele. Of the symptomatic patients, 10-33% require surgical treatment. To this date, there is not a consensus about the best surgical technique, and whether to do duroplasty. METHODS: A literature search of the PubMed database and crossed references was performed, per PRISMA guidelines. Data regarding demographic features, extent of cervicomedullary deformity, clinical presentation, surgical techniques, and clinical outcomes were extracted...
March 27, 2024: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://read.qxmd.com/read/38536430/a-grading-system-guided-approach-to-the-severely-contracted-nose
#4
JOURNAL ARTICLE
Dae Won Hong, Ji Hye Oh, Jessica Wang, Tae Hyung Kim, Young Chul Kim, Jong Woo Choi
PURPOSE: Capsular contracture is a rare but serious complication of silicone implant-based augmentation rhinoplasty. When severe, the contracture can affect all layers of the nose, causing significant scarring and disfigurement. There is currently no standardized method of evaluating contracted noses and a paucity of literature on the treatment of severe contracture. Therefore, this study aimed to establish a comprehensive grading system and treatment approach for patients with nasal contracture secondary to silicone implant-based rhinoplasty...
March 27, 2024: Aesthetic Plastic Surgery
https://read.qxmd.com/read/38534081/trends-and-insights-review-nerve-procedures-in-the-management-of-upper-limb-spasticity
#5
REVIEW
Caroline Leclercq, Patrick Mertens
This article reviews the recent advances or nerve-oriented surgical procedures in the treatment of the spastic upper limb. The idea to intervene on the nerve is not recent, but new trends have developed in nerve surgery over the past few years, stimulating experiments and research. Specific surgical procedures involving the nerves have been described at different levels from proximal to distal: at the cervical spinal cord and the dorsal root entry zone (rhizotomy), at the level of the roots (contralateral C7 transfer) or in the peripheral nerve, within the motor trunk (selective neurectomy) or as its branches penetrate the muscles (hyperselective neurectomy)...
March 27, 2024: Journal of Hand Surgery, European Volume
https://read.qxmd.com/read/38533908/ninety-percent-of-patients-are-satisfied-with-their-decision-to-undergo-spine-surgery-for-degenerative-conditions
#6
JOURNAL ARTICLE
Omri Maayan, Pratyush Shahi, Robert K Merrill, Anthony Pajak, Amy Z Lu, Yousi Oquendo, Tejas Subramanian, Kasra Araghi, Olivia C Tuma, Maximilian K Korsun, Tomoyuki Asada, Nishtha Singh, Sumedha Singh, Evan D Sheha, James E Dowdell, Sheeraz A Qureshi, Sravisht Iyer
STUDY DESIGN: Cross-sectional survey and retrospective review of prospectively collected data. OBJECTIVE: To explore how patients perceive their decision to pursue spine surgery for degenerative conditions and evaluate factors correlated with decisional regret. SUMMARY OF BACKGROUND DATA: Prior research shows that one-in-five older adults regret their decision to undergo spinal deformity surgery. However, no studies have investigated decisional regret in patients with degenerative conditions...
April 15, 2024: Spine
https://read.qxmd.com/read/38532704/causes-of-intraoperative-neuromonitoring-events-in-adult-spine-deformity-surgery-a-systematic-review
#7
REVIEW
Chloe Cottone, David Kim, Christopher Lucasti, Maxwell M Scott, Benjamin C Graham, Nell Aronoff, Bilal Hasanspahic, David Kowalski, Justin Bird, Dil Patel
STUDY DESIGN: Systematic review. OBJECTIVES: Intraoperative neuromonitoring (IOMN) has become a standard practice in the detection and prevention of nerve damage and postoperative deficit. While multicenter studies have addressed this inquiry, there have been no systematic reviews to date. This systematic review identifies the leading causes of IONM alerts during adult spinal deformity (ASD) surgeries. METHODS: Following PRISMA guidelines, a literature search was performed in PubMed and Embase...
March 27, 2024: Global Spine Journal
https://read.qxmd.com/read/38532254/clinical-outcomes-of-20-brachycephalic-dogs-with-thoracolumbar-spinal-deformities-causing-neurological-signs-treated-with-spinal-stabilization-using-3d-printed-patient-specific-drill-guides
#8
JOURNAL ARTICLE
Francesca Violini, James H Elford, Thomas J A Cardy, Bill Oxley, Andrew Craig, Sebastien Behr
OBJECTIVE: To describe the clinical outcomes for pugs and French bulldogs with congenital vertebral malformations, undergoing thoracolumbar spinal stabilization surgery using 3D-printed patient-specific drill guides. To evaluate the accuracy of pedicle screw placement in this group of dogs. STUDY DESIGN: Retrospective descriptive study. ANIMALS: Twenty dogs (12 pugs and eight French bulldogs). METHODS: Medical records searched between August 2018 and March 2021 for pugs and French bulldogs diagnosed with congenital vertebral abnormalities via magnetic resonance imaging (MRI) scan and computed tomography (CT) scan causing T3-L3 myelopathy signs that underwent spinal stabilization surgery using 3D-printed patient-specific drill guides followed by a postoperative CT scan...
March 26, 2024: Veterinary Surgery
https://read.qxmd.com/read/38532253/heterotopic-ossification-of-the-abdomen-a-rare-sequela-following-trauma-and-damage-control-laparotomy
#9
JOURNAL ARTICLE
Patrick Cherfan, Michael D Cobler-Lichter, Joshua P Kronenfeld, Zoe Weiss, Patricia M Byers
Heterotopic ossification (HO) of the abdomen is a rare yet highly morbid complication following blunt and penetrating trauma requiring damage control laparotomy. We present the case of a 22-year-old man, 20 months after life-threatening motor vehicle crash with major vascular injury requiring multiple abdominal surgeries. The patient was initially treated at a community hospital and subsequently developed a chronic left lower quadrant enterocutaneous fistula, accompanied by a gradually worsening diffuse abdominal pain...
March 26, 2024: American Surgeon
https://read.qxmd.com/read/38531831/restoration-of-spinopelvic-alignment-after-reduction-of-high-grade-spondylolisthesis-myth-or-reality-a-systematic-review-of-the-literature-and-meta-analysis
#10
JOURNAL ARTICLE
Giovanni Viroli, Alberto Ruffilli, Marco Ialuna, Francesca Barile, Marco Manzetti, Matteo Traversari, Fabio Vita, Cesare Faldini
STUDY DESIGN: Systematic review and meta-analysis of literature. OBJECTIVE: The aim of the presented study is to assess whether the reduction of high-grade spondylolisthesis (HGS) through the correction of lumbosacral kyphosis leads to a decrease in the sagittal spinopelvic compensatory mechanisms. SUMMARY OF BACKGROUND DATA: HGS is as an anterior translation of a vertebra, >50%. It is also characterized by a kyphotic deformity of the affected level...
March 27, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38531820/impact-of-controlled-versus-uncontrolled-mfi-5-frailty-on-perioperative-complications-after-adult-spinal-deformity-surgery
#11
JOURNAL ARTICLE
Jarod Olson, Kevin C Mo, Jessica Schmerler, Wesley M Durand, Khaled M Kebaish, Richard L Skolasky, Brian J Neuman
STUDY DESIGN: Retrospective review. OBJECTIVES: We substratified the mFI-5 frailty index to reflect controlled and uncontrolled conditions and assess their relationship to perioperative complications. SUMMARY OF BACKGROUND DATA: Risk assessment before adult spinal deformity (ASD) surgery is critical because the surgery is highly invasive with a high complication rate. Although frailty is associated with risk of surgical complications, current frailty measures do not differentiate between controlled and uncontrolled conditions...
March 27, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38531089/posterior-transdural-approach-for-thoracic-corpectomies-in-the-setting-of-complex-spine-deformity-reconstruction
#12
JOURNAL ARTICLE
Samuel Brehm, Miguel A Ruiz-Cardozo, Magalie Cadieux, Karma Barot, Karan Joseph, Tim Bui, Michael Ryan Kann, Sofia Lopez-Alviar, Gabriel Trevino, Alexander T Yahanda, Taryn E LeRoy, Julio J Jauregui, Nicholas A Pallotta, Camilo A Molina
BACKGROUND AND OBJECTIVE: There are many surgical approaches for execution of a thoracic corpectomy. In cases of challenging deformity, traditional posterior approaches might not be sufficient to complete the resection of the vertebral body. In this technical note, we describe indications and technique for a transdural multilevel high thoracic corpectomy. METHODS: A 25-year-old man with a history of neurofibromatosis type 1 presented with instrumentation failure after a previous T1-T12 posterior spinal fusion, extensive laminectomy, and tumor resection...
March 26, 2024: Operative Neurosurgery (Hagerstown, Md.)
https://read.qxmd.com/read/38530612/predicting-early-return-to-the-operating-room-in-early-onset-scoliosis-patients-using-machine-learning-techniques
#13
JOURNAL ARTICLE
Brett R Lullo, Patrick J Cahill, John M Flynn, Jason B Anari
PURPOSE: Surgical treatment of early-onset scoliosis (EOS) is associated with high rates of complications, often requiring unplanned return to the operating room (UPROR). The aim of this study was to create and validate a machine learning model to predict which EOS patients will go on to require an UPROR during their treatment course. METHODS: A retrospective review was performed of all surgical EOS patients with at least 2 years follow-up. Patients were stratified based on whether they had experienced an UPROR...
March 26, 2024: Spine Deformity
https://read.qxmd.com/read/38530205/management-of-fixed-flexion-contracture-in-primary-total-knee-arthroplasty-recent-systematic-review
#14
JOURNAL ARTICLE
Elliot Sappey-Marinier, Andréa Fernandez, Jobe Shatrov, Cécile Batailler, Elvire Servien, Denis Huten, Sébastien Lustig
INTRODUCTION: This study aimed to systematically review the literature and identify the surgical management strategy for fixed flexion contracture in primary total knee arthroplasty (TKA) surgery, pre-, intra-, and post-operatively. Secondary endpoints were etiologies and factors favoring flexion contracture. MATERIALS AND METHODS: Searches were carried out in November 2023 in several databases (Pubmed, Scopus, Cochrane, and Google Scholar) using the following keywords: "flexion contracture AND TKA", "fixed flexion deformity AND TKA", "posterior capsular release AND TKA", "posterior capsulotomy in TKA", "distal femoral resection AND TKA"...
2024: SICOT-J
https://read.qxmd.com/read/38529468/poller-screws-and-post-operative-pain-relief-in-tibial-fractures
#15
JOURNAL ARTICLE
Florence Bradshaw, Edward Wakefield, James Zhang, Ansh Tandon, Matija Krkovic
Introduction Poller screws optimise fracture alignment in those fractures managed with intramedullary (IM) nails. They enhance stability, control nail insertion, and prevent translation. Indications encompass acute fractures, delayed unions/non-unions, and deformity. Classified into four generations, they've shown positive outcomes: improved alignment, reduced complications, and shorter healing. However, their pain management impact is understudied. This retrospective cohort study aimed to compare opioid medication needs in tibial fractures managed with IM nails with and without poller screws...
February 2024: Curēus
https://read.qxmd.com/read/38528856/early-reconstruction-with-locoregional-free-flaps-in-post-covid-19-rhino-orbital-cerebral-mucormycosis-craniofacial-deformities-a-single-center-clinical-experience-from-india
#16
JOURNAL ARTICLE
Veena K Singh, Ansarul Haq, Sarsij Sharma, Anupama Kumari
Aim of the Study  Mucormycosis is a rare invasive and fatal fungal infection and its resurgence in coronavirus disease 2019 (COVID-19) patients has been a matter of grave concern. It is essentially a medical disease, but surgical debridement of necrotic tissues is of paramount importance leading to severe craniofacial deformities. In this case series, we present our experience with the feasibility of early reconstruction after surgical debridement. Case Series  As a Dedicated COVID Center (DCH), the institute received the largest population of COVID-19 mucormycosis patients from the entire eastern region of the country between May 2021 and August 2021...
January 2024: Surgery Journal
https://read.qxmd.com/read/38528614/will-coronal-alignment-postoperatively-be-deteriorating-in-adult-spinal-deformity-after-long-fusion-surgery
#17
JOURNAL ARTICLE
Zifang Zhang, Tianhao Wang, Nianhu Li, Guoquan Zheng, Chunyang Meng
BACKGROUND: To investigate whether the coronal alignment (CA) will deteriorate, and identify the risk factors for coronal malalignment (CM) developing in adult spinal deformity (ASD) after long-fusion surgery. METHODS: A multi-center retrospective study was performed, which included a total of 161 ASD patients who had undergone the surgical procedure of long-fusion (≥ 5 vertebras) with instrumentations in three medical centers. All of the participants were retrospectively reviewed, and subsequently assigned into the consistency group (C7 plumb line (C7PL) shifting towards the convex side of the main curve), and the opposition group (C7PL shifting towards the concave side)...
March 25, 2024: European Journal of Medical Research
https://read.qxmd.com/read/38528193/investigation-of-orthognathic-surgery-indicators-combination-with-index-of-orthognathic-functional-treatment-needs-ioftn-and-maxillofacial-morphometric-analysis
#18
JOURNAL ARTICLE
Zhuoyang Zheng, Daichi Hasebe, Daisuke Suda, Naoaki Saito, Daisuke Saito, Jun Nihara, Kaname Nohno, Isao Saito, Tadaharu Kobayashi
PURPOSE: The aim of this retrospective study was to determine orthognathic surgery indicators for Japanese patients with jaw deformities using both Index of Orthognathic Functional Treatment Needs (IOFTN) and maxillofacial morphometric analysis. SUBJECTS AND METHODS: The subjects were 89 patients treated with orthognathic surgery and 92 patients treated with orthodontic treatment alone, and were classified as class I, II, or III according to the ANB angle. Based on the results for IOFTN and the results of cephalometric analysis, the indication criteria for orthognathic surgery were examined...
March 25, 2024: Oral and Maxillofacial Surgery
https://read.qxmd.com/read/38527622/no-clinical-difference-in-outcomes-between-inlay-and-onlay-arthroscopic-biceps-tenodesis-techniques-during-rotator-cuff-repair
#19
JOURNAL ARTICLE
Stephan G Pill, Zachary Rogozinski, Hunter Bohon, Ernesto Barquet Arrambide, Grace E Welch, Jordyn M Carroll, Adam Lutz, Ellen Shanley, Charles A Thigpen, Stefan J Tolan, Douglas J Wyland, Michael J Kissenberth
BACKGROUND: Both inlay and onlay arthroscopic biceps tenodesis (ABT) are common procedures performed during rotator cuff repair. The inlay method involves creating a bone socket in the bicipital groove to secure the long head of the biceps tendon (LHBT) using an interference screw. The onlay method utilizes a suture anchor to secure the LHBT on the surface of the bicipital groove. Little is known on the long-term differences in patient reported outcomes (PROs) between these two techniques...
March 23, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38527619/surgical-treatment-of-trigger-finger-a-comparative-study-of-a1-pulley-opening-versus-ulnar-superficialis-slip-resection
#20
JOURNAL ARTICLE
Taha Mouhib, Jerome Jeudy, Yann Saint Cast, Fabrice Rabarin, Nicolas Bigorre
Trigger finger is a common condition. Surgery most frequently involves opening the A0 and A1 pulleys. However, this shows limited effectiveness in correcting proximal interphalangeal joint fixed flexion deformity. The present study aimed to compare clinical outcomes between two surgical techniques for trigger finger treatment. This retrospective study included 127 patients, 72 of whom underwent resection of the ulnar slip of the flexor superficialis, and 55 underwent opening of the pulleys. Study data comprised patient characteristics, range of motion, proximal interphalangeal fixed flexion deformity measurement, Quick-DASH and PRWE scores, and overall satisfaction...
March 23, 2024: Hand Surgery and Rehabilitation
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