keyword
https://read.qxmd.com/read/38524362/the-top-cited-military-relevant-spine-articles
#1
JOURNAL ARTICLE
Daniel D Homeier, Daniel Kang, Robert Molinari, Addisu Mesfin
INTRODUCTION: Historically musculoskeletal injury has substantially affected United States (US) service members. Lumbosacral spine injuries are among the most common sites of injury for service members across all US military branches and usually presents with pain in the lower back and extremities. The aim of this study is to identify and describe the 50 most-cited articles relevant to military medicine on the subject of the spine. METHODS: In April 2020 Web of Science was used to search the key words: spinal cord injury, spine, thoracic spine, lumbar spine, cervical spine, sacrum, sacral, cervical fusion, lumbar fusion, sacral fracture, combat, back pain, neck pain, and military...
August 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38500892/percutaneous-ilioilial-fixator-versus-percutaneous-iliosacral-screw-in-managing-unstable-sacral-fractures-a-prospective-randomised-controlled-study
#2
JOURNAL ARTICLE
Mohamed Shaalan, El Zaher H El Zaher, Ossama M Farag, Ahmad G Abdallatif, Ahmed M Sallam
INTRODUCTION: Unstable sacral fractures with pelvic fractures are challenging to both surgeons and patients, particularly in the immediate post-injury phase and later when definitive fixation is undertaken. Percutaneous iliosacral screw fixation is widely regarded as the gold standard treatment for unstable sacral fractures without spinopelvic dissociation. Closed reduction and percutaneous fixation using iliosacral screws for sacral fractures provide early stabilisation without the need for extensive surgical exposure, thereby mitigating major complications associated with open surgical procedures...
February 2024: Curēus
https://read.qxmd.com/read/38499064/imaging-predictors-of-progression-of-lumbar-spondylolysis-to-spondylolisthesis-a-systematic-review
#3
REVIEW
Stone Sima, Xiaolong Chen, Kyle Sheldrick, Allen Lu, Ashish D Diwan
BACKGROUND CONTEXT: Isthmic spondylolisthesis (IS) is defined as the anterior translation of one lumbar vertebra relative to the next caudal segment as a result of a unilateral or bilateral fracture of the pars interarticularis. These fractures are interchangeably known as "pars defects" or "spondylolysis". Many risk factors have been proposed to explain the progression of a spondylolytic defect to IS, however, none are validated. PURPOSE: This systematic review provides an overview of various radiological and imaging parameters that can help predict the risk of progression of a spondylolytic defect into IS...
March 16, 2024: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/38491520/navigation-versus-fluoroscopy-in-minimalinvasive-iliosacral-screw-placement
#4
JOURNAL ARTICLE
Max Prost, Roman Taday, Carl Christoph Paul Beyersdorf, David Latz, Joachim Windolf, Max Joseph Scheyerer, Markus Rafael Konieczny
INTRODUCTION: When needed operative treatment of sacral fractures is mostly performed with percutaneous iliosacral screw fixation. The advantage of navigation in insertion of pedicle screws already could be shown by former investigations. The aim of this investigation was now to analyze which influence iliosacral screw placement guided by navigation has on duration of surgery, radiation exposure and accuracy of screw placement compared to the technique guided by fluoroscopy. METHODS: 68 Consecutive patients with sacral fractures who have been treated by iliosacral screws were inclouded...
March 16, 2024: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/38478055/clinically-relevant-bleeding-risk-in-low-energy-fragility-fractures-of-the-pelvis-in-elderly-patients
#5
JOURNAL ARTICLE
Charissa L de Herdt, Sverre A I Loggers, Daphne van de Embden, Taco Bijlsma, Pieter Joosse, Kees-Jan Ponsen
INTRODUCTION: Low-energy fragility fractures of the pelvis (FFP) are an underestimated entity, yet increasing in incidence. The bleeding risk for pelvic fractures in high-energy trauma is well known, resulting in adequate treatment guidelines and clear protocols. This is not the case for FFPs but this risk is presumably low. This study aims to investigate the clinically relevant bleeding risk, in patients older than 50 years with a fragility fracture of the pelvis admitted to the emergency department (ED)...
March 13, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38471702/change-in-pelvic-incidence-due-to-sacral-stress-fracture-following-multilevel-instrumented-fusion
#6
JOURNAL ARTICLE
Pierrenzo Pozzi, Carlotta Morselli, Agostino Cirullo, Roberto Bassani
Multilevel-instrumented fusion is a common surgical technique used to treat adult spinal deformity (ASD), but it can occasionally lead to rare complications such as sacral insufficiency fractures. The impact of sacral fractures on spinopelvic parameters, particularly pelvic incidence (PI), has not been thoroughly investigated even though they have been documented in the literature. Here, we present a case of a patient who underwent a Th11-sacrum instrumented fusion for ASD. She underwent a revision surgery 18 months after the first procedure to treat proximal junctional pain brought on by a localised kyphosis of the rods...
March 12, 2024: BMJ Case Reports
https://read.qxmd.com/read/38459970/functional-outcome-and-analysis-of-factors-affecting-health-related-quality-of-life-of-surgically-managed-pelvic-ring-fractures-a-cross-sectional-study
#7
JOURNAL ARTICLE
Abhay Elhence, Jeshwanth Netaji, Sandeep Kumar Yadav, Rajesh Kumar Rajnish, Saurabh Gupta
INTRODUCTION: Pelvic ring fractures, particularly those involving the posterior pelvis, pose significant challenges due to their inherent instability. The posterior pelvic ring is critical in providing structural support and stability to the pelvis. This study evaluates the functional outcomes and health-related Quality of life (HRQOL) of patients who underwent internal fixation for unstable pelvic fractures. Various factors influencing the outcomes are also investigated. MATERIAL AND METHODS: A single-center cross-sectional study was conducted on patients with unstable sacral fractures treated with posterior tension band plate or sacroiliac plating with or without symphyseal plating between 2016 and 2020...
March 9, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38456170/triangular-osteosynthesis-and-lumbopelvic-fixation-as-a-valid-surgical-treatment-in-posterior-pelvic-ring-lesions-a-systematic-review
#8
REVIEW
Giuseppe Rovere, Domenico De Mauro, Amarildo Smakaj, Giulia Sassara, Rocco De Vitis, Pasquale Farsetti, Lawrence Camarda, Giulio Maccauro, Francesco Liuzza
OBJECTIVE: Unstable fractures of the sacrum often occur in patients with pelvic fractures and represent a real challenge for the orthopedic surgeon. Triangular osteosynthesis (TOS) and lumbopelvic fixation (LP) may represent a valid management option for the treatment of this condition. We present a systematic literature review about lumbopelvic fixation and triangular fixation as treatment option for unstable sacral fractures, to assess clinical and radiological outcomes after surgery and to evaluate appropriate indications and impact on the natural history of sacral fractures...
2024: Frontiers in Surgery
https://read.qxmd.com/read/38455883/outcomes-and-efficacy-of-magnetic-resonance-imaging-compatible-sacral-nerve-stimulator-for-management-of-fecal-incontinence-a-multi-institutional-study
#9
JOURNAL ARTICLE
Binit Katuwal, Amy Thorsen, Kunal Kochar, Ryba Bhullar, Ray King, Ernesto Raul Drelichman, Vijay K Mittal, Jasneet Singh Bhullar
BACKGROUND: Fecal incontinence (FI) is an involuntary passage of fecal matter which can have a significant impact on a patient's quality of life. Many modalities of treatment exist for FI. Sacral nerve stimulation is a well-established treatment for FI. Given the increased need of magnetic resonance imaging (MRI) for diagnostics, the InterStim which was previously used in sacral nerve stimulation was limited by MRI incompatibility. Medtronic MRI-compatible InterStim was approved by the United States Food and Drug Administration in August 2020 and has been widely used...
February 28, 2024: World Journal of Radiology
https://read.qxmd.com/read/38454752/relationship-between-treatment-choices-according-to-the-modified-osteoporotic-fracture-score-and-posttreatment-radiographic-outcomes
#10
JOURNAL ARTICLE
Shinya Tokunaga, Toshiyuki Takahashi, Koki Mitani, Tomoo Inoue, Ryo Kanematsu, Manabu Minami, Izumi Suda, Sho Nakamura, Junya Hanakita
STUDY DESIGN: Retrospective observational study. PURPOSE: TTo evaluate the mOF scores in three treatment groups and compare imaging findings in patients treated and not treated according to the mOF score-based treatment recommendation. OVERVIEW OF LITERATURE: The osteoporotic fracture (OF) score was established by the AO Spine to guide therapeutic decisions. To enhance its applicability, a modified OF (mOF) score was recently introduced. METHODS: Consecutive patients diagnosed with OFs at Fujieda Heisei Memorial Hospital were divided into three groups: nonsurgical therapy, balloon kyphoplasty (BKP), and open surgery groups...
March 8, 2024: Asian Spine Journal
https://read.qxmd.com/read/38448954/effects-of-ultrasound-guided-lumbar-plexus-and-sacral-plexus-block-combined-with-general-anesthesia-on-the-anesthetic-efficacy-and-surgical-outcomes-in-elderly-patients-undergoing-intertrochanteric-fracture-surgery-a-randomized-controlled-trial
#11
JOURNAL ARTICLE
Ji Feng, Guangyan Tang, Yunhua Shui, Jilin Xiang, Zhijun Qin
BACKGROUND: Surgery for intertrochanteric fractures in elderly patients is challenging due to the risk of severe pain and significant stress responses. We investigated the effects of a combined approach of ultrasound-guided lumbar plexus and sacral plexus block with general anesthesia on anesthetic efficacy and surgical outcomes in these patients. METHODS: A randomized controlled trial was conducted involving 150 elderly patients, divided into two groups: the combined anesthesia group (receiving ultrasound-guided lumbar plexus and sacral plexus block along with general anesthesia) and the general anesthesia alone group...
March 7, 2024: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/38421122/percutaneous-iliosacral-screw-fixation-of-sacral-u-type-fracture-using-a-mid-foot-intramedullary-bolt-a-case-report
#12
JOURNAL ARTICLE
Peng Lee, Yong Sheng Chen, Amritpal Singh, Antony Gardner
No abstract text is available yet for this article.
January 8, 2024: Singapore Medical Journal
https://read.qxmd.com/read/38420224/triangular-osteosynthesis-as-a-surgical-treatment-option-for-unstable-sacral-fracture-fixation-with-sacroiliac-dislocation-a-case-report
#13
Anurag Baghel, Mohit Kumar Verma, Sanjay Sharma
INTRODUCTION: Sacral fractures, which can occur in young individuals following road traffic accidents or falls from a height, as well as in elderly individuals with osteoporosis after minor trauma, are considered a diverse type of fracture. The incidence of non-osteoporotic sacral fractures is estimated to be 2.1/100,000 people, whereas osteoporotic fractures are estimated to affect 1-5% of elderly individuals at risk. Triangular osteosynthesis is a relatively new fixation technique used as a surgical treatment for unstable sacral fractures...
February 2024: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/38414180/combined-lumbar-sacral-plexus-block-in-facioscapulohumeral-muscular-dystrophy-for-hip-fracture-surgery-a-case-report
#14
JOURNAL ARTICLE
Mete Manici, İlayda Kalyoncu, Cemil Cihad Gedik, Mehmet Ali Deveci, Yavuz Gürkan
Facioscapulohumeral muscular dystrophy (FSHD) is a muscular dystrophy that can affect individuals of all age groups. Its prevalence is reported to be 0.4-1 in 10,000 people. Because of the low occurrence of FSHD, anaesthetic management is primarily based on expert opinions, case reviews, or brief series. Here, we present the case of a 72-year-old woman with FSHD who underwent hip fracture (HF) surgery. To prevent respiratory compromise due to FSHD, we opted for lumbar-sacral plexus block. To the best of our knowledge, there is no information in the literature regarding the use of combined lumbar-sacral plexus block in patients with FSHD undergoing HF surgery...
February 28, 2024: Turkish Journal of Anaesthesiology and Reanimation
https://read.qxmd.com/read/38405007/differences-in-lumbopelvic-alignment-in-adolescent-male-soccer-players-with-bilateral-and-unilateral-lumbar-bone-stress-injuries-an-mri-evaluation
#15
JOURNAL ARTICLE
Toshiharu Tsutsui, Toshinao Kamikubo, Wataru Sakamaki, Seira Takei, Toshihiro Maemichi, Suguru Torii
BACKGROUND: Differences in the physical characteristics of bilateral and unilateral lumbar bone stress injuries (BSIs) are unknown. PURPOSE: To compare bilateral and unilateral lumbar BSIs in adolescent male soccer players, with a focus on lumbopelvic alignment. STUDY DESIGN: Cross-sectional study; Level of evidence, 3. METHODS: A total of 78 players (age range, 12-15 years) from a local soccer club who had magnetic resonance imaging (MRI) evaluations were included in the study...
February 2024: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/38398413/sacroplasty-for-sacral-insufficiency-fractures-narrative-literature-review-on-patient-selection-technical-approaches-and-outcomes
#16
REVIEW
Manjot Singh, Mariah Balmaceno-Criss, Ashley Knebel, Michael Kuharski, Itala Sakr, Mohammad Daher, Christopher L McDonald, Bassel G Diebo, John K Czerwein, Alan H Daniels
Sacral insufficiency fractures commonly affect elderly women with osteoporosis and can cause debilitating lower back pain. First line management is often with conservative measures such as early mobilization, multimodal pain management, and osteoporosis management. If non-operative management fails, sacroplasty is a minimally invasive intervention that may be pursued. Candidates for sacroplasty are patients with persistent pain, inability to tolerate immobilization, or patients with low bone mineral density...
February 15, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38395085/stereotactic-body-radiotherapy-sbrt-for-sacral-metastases-deviation-from-recommended-target-volume-delineation-increases-the-risk-of-local-failure
#17
JOURNAL ARTICLE
Daniel Moore-Palhares, Kang Liang Zeng, Chia-Lin Tseng, Hanbo Chen, Sten Myrehaug, Hany Soliman, Pejman Maralani, Jeremie Larouche, Husain Shakil, Katarzyna Jerzak, Mark Ruschin, Beibei Zhang, Eshetu G Atenafu, Arjun Sahgal, Jay Detsky
PURPOSE: Although spine stereotactic body radiotherapy (SBRT) is considered a standard of care in the mobile spine, mature evidence reporting outcomes specific to sacral metastases is lacking. Furthermore, there is a need to validate the existing sacral SBRT international consensus contouring guidelines to define the optimal contouring approach. We report mature rates of local failure (LF), adverse events, and the impact of contouring deviations in the largest experience to date specific to sacrum SBRT...
February 21, 2024: International Journal of Radiation Oncology, Biology, Physics
https://read.qxmd.com/read/38353686/posterior-pelvic-ring-injuries-lumbosacral-junction-instabilities-and-stabilization-techniques-for-spinopelvic-dissociation-a-narrative-review
#18
REVIEW
Periklis Godolias, Jonathan Plümer, Charlotte Cibura, Marcel Dudda, Thomas A Schildhauer, Jens R Chapman
INTRODUCTION: From transiliac Harrington rods to minimally invasive (MIS) percutaneous 3D-navigated transsacral-transiliac screw (TTS) fixation, concepts of fixation methods in pelvic injuries with spinopelvic dissociation (SPD) are steadily redefined. This narrative review examines the literature of recent years regarding surgical treatment options and trends in SPD, outlining risks and benefits of each treatment option and addressing biomechanical aspects of sacral injuries and common classification systems...
February 14, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38350597/risks-associated-with-surgical-management-of-lumbosacral-transitional-vertebrae-systematic-review-of-surgical-considerations-and-illustrative-case
#19
JOURNAL ARTICLE
Stephen Albano, Nolan J Brown, Zach Pennington, Andrew Nguyen, Timothy I Hsu, Martin H Pham, Michael Y Oh
INTRODUCTION: Lumbosacral transitional vertebrae (LSTV) are congenital anomalies of the L5-S1 segments characterized by either sacralization of the most caudal lumbar vertebra or lumbarization of the most cephalad sacral vertebra. This variation in anatomy exposes patients to additional surgical risks. METHODS: In order to shed light on surgical considerations reported for lumbar spine cases involving LSTV as described in the extant literature, we performed a systematic review in accordance with PRISMA guidelines...
February 11, 2024: World Neurosurgery
https://read.qxmd.com/read/38347986/the-role-of-mri-and-ct-scan-in-classification-and-management-of-pelvic-fractures-a-systematic-review
#20
REVIEW
Dalal H Almansouri, Ayat I Elsherbini, Manal Alharthi, Shatha ALotaibi, Lamyaa Alshehri
The mortality risk for individuals with pelvic fractures ranges from 10% to 50%, depending on the severity of the bleeding and the presence of concurrent brain, thorax, and abdomen injuries. This systematic review aims to comprehensively investigate the role of MRI and CT in diagnosing and managing pelvic fractures. PubMed, SCOPUS, Web of Science, and Science Direct were systematically searched for relevant literature. The keywords "Pelvic fractures," "Diagnosis," "Computed tomography," "CT," "Magnetic resonance imaging," and "MRI" were converted into PubMed Mesh terms and used to find the relevant studies...
January 2024: Curēus
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