Lihua Zhang, Ben Wang, Songbo Han, Shaomin Yang, Liang Jiang, Huishu Yuan, Zhongjun Liu
OBJECTIVES: Symptomatic vertebral haemangioma (SVH) can present with atypical imaging features. Thus, this study analysed the imaging features of SVH using CT and MRI to improve SVH awareness. METHODS: We retrospectively analysed CT and MRI characteristics of 118 patients with clinically and pathologically confirmed SVH. RESULTS: Overall, 118 patients were diagnosed with SVH, including 79 females and 39 males (mean age, 45.76 ± 16.36 years)...
February 26, 2021: British Journal of Radiology
Bijan Ameri, Harry L Shufflebarger, Blaze Emerson, Jahangir Asghar, Stephen G George, Subaraman Ramchandran
No abstract text is available yet for this article.
February 26, 2021: Spine Deformity
Federico Solla, Romain Lefèbvre, Jean-Luc Clément, Yoann Levy, Ioana Oborocianu, Virginie Rampal, Carlo Mario Bertoncelli
PURPOSE: To describe the potential issues in the methodology of surgical site infection (SSI) prevention and how it was investigated and corrected in a single institution. METHODS: A pediatric orthopedic unit experienced an increase of SSI, concerning up to 10% of scoliosis surgery cases from 2011 to 2013. An institutional procedure of multimodal and interdisciplinary risk evaluation was initiated, including a review of the literature, a morbi-mortality meeting, internal and external audits concerning the hygiene conditions in the operating room, the antibiotic prophylaxis, patients, and sterile material pathways...
February 26, 2021: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
C Y Barrey, A di Bartolomeo, L Barresi, N Bronsard, J Allia, B Blondel, S Fuentes, B Nicot, V Challier, J Godard, P Marinho, P Kouyoumdjian, M Lleu, N Lonjon, E Freitas, J Berthiller, Y P Charles
BACKGROUND: C1-C2 injury represents 25-40% of cervical injuries and predominantly occurs in the geriatric population. METHODS: A prospective multicentre study was conducted under the aegis of the french spine surgery society (SFCR) investigating the impact of age, comorbidities, lesion type, and treatment option on mortality, complications, and fusion rates. RESULTS: A total of 417 patients were recruited from 11 participating centres. The mean ± SD age was 66...
February 26, 2021: European Spine Journal
Bayram Farisoğulları, Gözde Kübra Yardımcı, Alper Sarı, Emre Bilgin, Ertuğrul Çağrı Bölek, Emine Duran, Levent Kılıç, Ali Akdoğan, Ömer Karadağ, Şule Apraş Bilgen, Ali İhsan Ertenli, Sedat Kiraz, Umut Kalyoncu
OBJECTIVES: To compare enteropathic spondylitis (ES) with psoriatic spondylitis (PS) and ankylosing spondylitis (AS), in patients on biological disease-modifying anti-rheumatic drug (bDMARD) treatment. METHODS: Patients who were enrolled in the HUR-BIO registry were included. ES patients were considered as the main study group; AS and PS patients were included as the control groups. ES was defined as patients with inflammatory bowel disease (IBD) having inflammatory back pain/spine symptoms plus radiological sacroiliitis...
February 25, 2021: Clinical and Experimental Rheumatology
Louay Baroun-Agob, Susan Liew, Belinda Gabbe
BACKGROUND: There is limited, and often conflicting, data in the literature about the prevalence and risk factors for surgical site infections (SSI) in spine surgery patients, with the majority consisting of elective spine surgery cohorts. Furthermore, there is no reported Australian data regarding rates of SSI in a spinal trauma cohort. The aim of this study is to identify factors associated with SSI following spinal column trauma. METHODS: Adult (16+ years) patients that underwent surgery following emergency admission for spinal trauma between January 2010 and December 2016 at a major trauma centre in Melbourne, Australia, were identified through the Victorian Orthopaedic Trauma Outcomes Registry...
February 26, 2021: ANZ Journal of Surgery
J N Mireles-Cano, E Escoto-Venegas, O G García-González, A Miranda-González, J González-Ramírez, E Hernández-Sepúlveda, R Martínez-Pérez
INTRODUCTION: Multiple myeloma represents 1% of all cancers and 10% of hematological cancers. Up to 80-90% of cases will have skeletal involvement and the spine is the most frequently involved site. Any intervention must be aimed to improve the patients functional prognosis and will impact their quality of life. OBJECTIVE: To describe the clinical presentation of vertebral destruction syndrome due to multiple myeloma and to present the management algorithm used for the study and decision-making in treatment...
September 2020: Acta Ortopédica Mexicana
J H Guimbard-Pérez, P Nicolás-Ortiz, M Cristiani-Winer, D Orosco-Falcone, N Gutiérrez, M Pomba
INTRODUCTION: In vitro studies suggest that vancomycin is highly cytotoxic for osteoblasts. However, several clinical studies in vivo have not provided evidence or determined that effect on osteogenesis. The aim of this work was to investigate the effect of topical vancomycin on a lumbar arthrodesis model on New Zealand white rabbits. MATERIAL AND METHODS: Double-blind randomized experimental study. Posterolateral spinal fusion was performed on 30 rabbits, divided into two groups, A: graft/placebo, B: graft/vancomycin...
September 2020: Acta Ortopédica Mexicana
Paulien H Hilven, Jan J Vranckx
BACKGROUND:  The iliac crest bone flap (ICBF), based on the deep circumflex iliac artery, has a bad reputation regarding donor site morbidity. However, the ICBF has an ideal curvature and shape for occlusion-based hemimandibular reconstructions with rapid dental rehabilitation and for vertical class III maxillary reconstructions that require bony support and muscular bulk to fill cavities and to provide intraoral lining. Is this notorious donor site reputation still valid with modern flap procurement using computer aided design/computer aided manufacturing (CAD/CAM) and recipient-site closure techniques? MATERIALS AND METHODS:  We performed a literature search of the public databases PubMed, Cochrane, Google Scholar, and Web of Science for papers using mesh keywords related to donor site morbidity of the ICBF...
February 25, 2021: Journal of Reconstructive Microsurgery
Zahra Shahriarpour, Bita Nasrabadi, Sudiyeh Hejri-Zarifi, Seyedeh-Elaheh Shariati-Bafghi, Mahboobe Yousefian-Sanny, Mohsen Karamati, Bahram Rashidkhani
To our knowledge, this is the first study to examine the association of oxidative balance score (OBS) and risk of osteoporosis. Findings suggest that a predominance of anti- over pro-oxidant exposures, as reflected by a higher OBS, is associated with lower risk of lumbar spine osteoporosis among postmenopausal Iranian women. PURPOSE: The oxidative balance score (OBS) is a combined measure of pro- and anti-oxidant exposure status, with a higher OBS indicating a predominance of anti- over pro-oxidant exposures...
February 25, 2021: Archives of Osteoporosis
Natalie Leong, Ernest Lim, Chi Long Ho
Unilateral cervical facet joint dislocation (UCFJD) is the most frequently missed cervical spine injury on plain radiographs. If left untreated, UCFJD can progress to bilateral cervical facet joint dislocation. Given the complexity of cervical facet joint dislocations, radiologists rely on metaphorical signs to identify them on radiographs. The "Bow-tie" and "laminar space" signs represent UCFJD on plain radiographs. The "reversed hamburger", "naked facet" and "headphones" signs represent cervical facet joint dislocations on axial cross-sectional imaging...
February 16, 2021: Journal of the Belgian Society of Radiology
Giacomo Rossettini, Filippo Maselli, Cosimo de Filippis, Firas Mourad, Andrea Lovato
CrossFit workout is associated with injuries mostly located over the spine and upper limb. Chiari I malformation (CIM) is characterized by migration of the cerebellar tonsils below the foramen magnum and this clinical condition has never been described after high-intense training such as CrossFit. A 19-year-old woman presented to the ED with acute vertigo, nausea, vomiting, and horizontal spontaneous nystagmus; symptoms began after an intense workout session. During neuro-otological examination, spontaneous positional left-beating horizontal nystagmus, normal response to bi-thermal caloric stimulations, and unremarkable cervical vestibular evoked myogenic potentials in both ears were observed; pure tone audiometry showed normal hearing...
February 22, 2021: Curēus
James P Caruso, Salah G Aoun, Jean-Luc K Kabangu, Olutoyosi Ogunkua, Carlos A Bagley
Epidural analgesia is an efficient method of controlling pain and has a wide spectrum of therapeutic and diagnostic applications. Potential complications may occur in a delayed fashion, can remain undiagnosed, and can be a source of significant morbidity. We present a 37-year-old woman presented with severe spontaneous occipital headaches, diplopia, and dizziness that occurred spontaneously six weeks after giving birth. Her primary method of pain control during labor was epidural analgesia. Her neurologic exam revealed a cranial nerve six palsy with ptosis, and her brain MRI demonstrated a Chiari I malformation which had not been previously diagnosed...
January 23, 2021: Curēus
Dawlat Khan, Muhammad Umar Saddique, Theresa Paul, Khaled Murshed, Muhammad Zahid
Tuberculous spondylitis (Pott's disease) is among the frequent extra-pulmonary presentations of tuberculosis (TB). The global incidence of lung adenocarcinoma is on the rise, and it is a rare differential diagnosis of miliary shadows on chest imaging. It has a predilection to metastasize to ribs and spine in particular. There is a very close clinical and radiological resemblance in the presentation of spinal metastasis of lung cancer and Potts's disease. It poses a diagnostic challenge to clinicians particularly in TB endemic areas to arrive at an accurate diagnosis, leading to disease progression and poor outcome...
January 22, 2021: Curēus
Noman Saleem, Rabia Saleem, Hannan Asghar, Musab Zubair, Umar Farooque
Primary spinal melanoma (PSM) is a rare primary central nervous system melanoma with limited literature. A 30-year-old male presented with one year of progressive bilateral leg weakness and back pain. Physical examination revealed slightly decreased power and deep tendon reflexes of the lower extremities, decreased sensation at the level of T10, and normal anal sphincter and plantar reflexes. Magnetic resonance imaging (MRI) scan of the thoracolumbar spine revealed a hypointense lesion on T2-weighted and a hyperintense lesion on T1-weighted imaging at the level of T10 with mild extensions...
January 22, 2021: Curēus
Ivan Urits, Ruben H Schwartz, Joseph Brinkman, Lukas Foster, Paulo Miro, Amnon A Berger, Hisham Kassem, Alan D Kaye, Laxmaiah Manchikanti, Omar Viswanath
Purpose of Review: This review presents epidurolysis as a procedure to alleviate pain and disability from epidural adhesions. It reviews novel and groundbreaking evidence, describing the background, indications, benefits and adverse events from this procedure in an effort to provide healthcare experts with the data required to decide on an intervention for their patients. Recent Findings: Epidural adhesions (EA) or epidural fibrosis (EF) is defined as non-physiologic scar formation secondary to a local inflammatory reaction provoked by tissue trauma in the epidural space...
October 15, 2020: Psychopharmacology Bulletin
Alaa Abd-Elsayed, Michael Loebertman, Peter Huynh, Ivan Urits, Omar Viswanath, Nalini Sehgal
Background: Radiofrequency ablation (RFA) has been proven to be an effective option for treating chronic low back pain. In addition to RFA as a treatment modality, the administration of concomitantly to minimize the effect of hyperalgesia is common practice. However, there is insufficient evidence about the long-term outcomes of their use. Methods: This was a retrospective study that examined 239 patients who received spine, knee joint, and sacroiliac joint RFA between June 2014 and June 2018...
October 15, 2020: Psychopharmacology Bulletin
Sahitya K Denduluri, Jayme C B Koltsov, Chason Ziino, Nicole Segovia, Craig McMains, Jonathan Falakassa, John Ratliff, Kirkham B Wood, Todd Alamin, Ivan Cheng, Serena S Hu
STUDY DESIGN: This was a retrospective cohort study. OBJECTIVE: The objective of this study was to compare implant-related complications between mixed-metal and same-metal rod-screw constructs in patients who underwent posterior fusion for adult spinal deformity. SUMMARY OF BACKGROUND DATA: Contact between dissimilar metals is discouraged due to potential for galvanic corrosion, increasing the risk for metal toxicity, infection, and implant failure...
March 1, 2021: Clinical Spine Surgery
Hongtao Ding, Bo Han, Yong Hai, Yuzeng Liu, Li Guan, Aixing Pan, Tie Liu
STUDY DESIGN: This was a retrospective observational study. OBJECTIVE: We aimed to characterize the feasibility of assessing the accuracy of cortical bone trajectory (CBT) screw placement in midline lumbar interbody fusion using a traditional pedicle screw insertion accuracy evaluation system based on computed tomography (CT). SUMMARY OF BACKGROUND DATA: Since Santoni and colleagues proposed CBT as an alternative approach for the treatment of lumbar degenerative disease, CBT has been biomechanically and clinically investigated in detail...
March 1, 2021: Clinical Spine Surgery
Samuel Z Maron, Joshua Dan, Jonathan S Gal, Sean N Neifert, Michael L Martini, Colin D Lamb, Lisa Genadry, Robert J Rothrock, Jeremy Steinberger, Jonathan J Rasouli, John M Caridi
STUDY DESIGN: Retrospective analysis of clinical data from a single institution. OBJECTIVE: The objective of this study was to assess the time of surgery as a possible predictor for outcomes, length of stay, and cost following microdiscectomy. SUMMARY OF BACKGROUND DATA: The volume of microdiscectomy procedures has increased year over year, heightening interest in surgical outcomes. Previous investigations have demonstrated an association between time of procedures and clinical outcomes in various surgeries, however, no study has evaluated its influence on microdiscectomy...
March 1, 2021: Clinical Spine Surgery
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