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  • Spinal Trauma

    The prevalence of upper cervical injuries and spinal cord injuries is greater.[journals.lww.com] Decompression fusion – This is a surgical procedure that includes both decompression and fusion.[newwestsportsmedicine.com] Reduction of vertebral dislocation can be difficult to achieve and it is mandatory to perform complete arthrectomy of the injured levels before reducing vertebral displacement[nature.com] This minimally invasive lateral approach to the thoracic spine offers a very good alternative to an open thoracotomy (opening up the thoracic cavity with a big incision).[neurosurgery.pitt.edu] Recognition of soft tissue injuries impacts patient management and outcome. Back To Top[appliedradiology.com] As part of the trauma certification, Le Bonheur provides: In-house anesthesia coverage, 24 hours a day, 7 days a week An operating room team on standby for trauma patients[lebonheur.org] However, simple fragility fractures of the thoracic and lumbar spine can be treated with a brace and/or pain medications.[uncmedicalcenter.org] Fracture-dislocations of the thoracic and lumbar spine are caused by very high-energy trauma.[orthoinfo.aaos.org] The main blood substitutes used today are volume expanders such as crystalloids and colloids mentioned above. Also, 'oxygen-carrying substitutes' are emerging.[en.wikipedia.org] Minimally invasive lumbar fusions do not require the large incision or the muscle retraction typically used in conventional fusions.[athensbrainandspine.com]

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  • Kyphosis

    CONCLUSIONS: Congenital kyphosis of the upper thoracic spine has a high incidence of compressive myelopathy.[ncbi.nlm.nih.gov] METHODS: In this prospective study, surgical candidates with LDK were enrolled at three spine centres.[ncbi.nlm.nih.gov] KEYWORDS: Kyphosis; Posterior vertebral column resection; Spinal deformity; Tethered cord syndrome[ncbi.nlm.nih.gov] OBJECTIVE: To describe an operative technique of the mini-open PSO.[ncbi.nlm.nih.gov] […] in which nerve tissue tumors form) Paget disease (disorder that involves abnormal bone destruction and regrowth) Polio Scoliosis (curving of the spine often looks like a[nlm.nih.gov] SUMMARY OF BACKGROUND DATE: Monosegment subtraction osteotomy cannot effectively correct severe kyphosis in ankylosing spondylitis (AS), generally 2-level spinal osteotomy[ncbi.nlm.nih.gov] T1 slope results were similar to C2-7-SVA.[ncbi.nlm.nih.gov] PURPOSE: To review the outcome of single-stage posterior instrumentation for progressive tubercular thoracic and thoracolumbar kyphosis in 45 patients.[ncbi.nlm.nih.gov] Patients were accepted as "normal" if they had no thoracic or spinal complaints or radiographic abnormalities in the chest including the thoracic spine.[doi.org] The information on Spine-health.com is not intended as a substitute for medical professional help or advice but is to be used only as an aid in understanding spine and spine[spine-health.com]

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  • Spinal Tuberculosis

    OBJECTIVE: The current study compared clinical outcomes of two diverse therapeutic strategies for upper thoracic (T1-4) spinal tuberculosis with neurological deficits in elderly[ncbi.nlm.nih.gov] Previous studies have reported different surgical procedures and bone grafts for it.[ncbi.nlm.nih.gov] The vertebral body was normal, with no erosion or bone loss. However, bilateral pedicle and facet joint involvement was seen.[ncbi.nlm.nih.gov] The prognostic factor of open/percutaneous instrumentation was then further compared for potential clinical application.[ncbi.nlm.nih.gov] Cold abscesses are known to spread in subligamentous fashion, considering the bacteria cannot exert a lytic effect in these tissues.[symptoma.com] Mortality occurred in 7 patients (2%), and 77 (25%) developed sequelae.[ncbi.nlm.nih.gov] Preoperative and 2-year followup radiologic parameters were measured, including C0-2 Cobb angle, C2-7 Cobb angle, C2-7 sagittal vertical axis, center of gravity (CG) to C7[ncbi.nlm.nih.gov] To our knowledge, this is the first reported case of posterior listhesis secondary to spinal tuberculosis.[ncbi.nlm.nih.gov] Medical care involves both the diagnostic process and the medical intervention by means of supportive care and anti-tuberculous chemotherapy.[scielo.org.za] Abstract An unusual case is reported of a 53-year-old woman presenting with spinal tuberculosis involving cervical, thoracic and lumbar vertebrae.[ncbi.nlm.nih.gov]

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  • Spinal Stenosis

    OBJECTIVE: To explore the clinical effectiveness of various posterior decompression surgeries in the treatment of upper thoracic spinal stenosis combined with multilevel cervical[ncbi.nlm.nih.gov] procedures versus non‐surgical treatments.[doi.org] BACKGROUND: Tuberculosis can cause extensive osseo-ligamentous destruction at the cranio-vertebral junction, leading to atlanto-axial instability and compression of vital[ncbi.nlm.nih.gov] PURPOSE: The purpose of this study is to review the updated evidence comparing outcomes between minimally invasive surgery (MIS) and conventional open surgery (COS) for lumbar[ncbi.nlm.nih.gov] In addition, we examined ligamentum flavum tissues for the expression of markers of cellular proliferation and apoptosis.[ncbi.nlm.nih.gov] LESSONS: HPLL at C1-2 level accompanied with lower cervical spinal stenosis caused myelopathy is rare.[ncbi.nlm.nih.gov] Accessed March 7, 2017. Kim K, et al.[mayoclinic.com] CT revealed a bipartite atlas with midline clefts in anterior and posterior arches, thickening in the anterior arch and hypoplasia of the posterior arch with incurving of[ncbi.nlm.nih.gov] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[nlm.nih.gov] […] spinal stenosis, predominantly in the lower thoracic spine.[ncbi.nlm.nih.gov]

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  • Spondylolisthesis

    RESULTS: Two patients presented rounding deformity of the anterior upper corner at S1 at the initial visit.[ncbi.nlm.nih.gov] There is, however, no strong consensus regarding the various medical and surgical treatments available.[ncbi.nlm.nih.gov] Dynamic angiography confirmed partial stenosis of the right vertebral artery upon rightward head rotation.[ncbi.nlm.nih.gov] Compare minimally invasive surgery (MIS) and open surgery (OS) spinal fusion outcomes for the treatment of spondylolisthesis.[doi.org] The controls were tissue samples collected from both lower lumbar segment levels of 6 male subjects during a multiorgan procurement procedure.[ncbi.nlm.nih.gov] Both patients achieved satisfactory outcomes after a minimum of 2 years of follow-up.[ncbi.nlm.nih.gov] Clinical Features: A 69-year-old female presented with moderate low back pain (7/10 pain) and severe leg cramping (7/10 pain).[ncbi.nlm.nih.gov] To our knowledge, this is the first case described of posterior instability in patients with spondylolisthesis.[ncbi.nlm.nih.gov] Rest, back support, and anti-inflammatory medications control the symptoms in most cases, but orthopedic surgery may be necessary, especially if pressure on spinal nerves[britannica.com] Abstract BACKGROUND The aim of this study was to explore the diagnostic value of sagittal measurement of thoracic inlet parameters for degenerative cervical spondylolisthesis[ncbi.nlm.nih.gov]

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  • Radiculopathy

    Centre, Shimla, Himachal Pradesh, India. [email protected] Abstract This report describes the case of an elderly gentleman who presented with sudden onset bilateral upper[ncbi.nlm.nih.gov] There are three surgical procedures commonly performed to treat cervical radiculopathy.[orthoinfo.aaos.org] KEYWORDS: Oblique corpectomy; Radiculopathy; Vertebral artery dissection[ncbi.nlm.nih.gov] Open resection of the ganglion via surgical hip subluxation was performed.[ncbi.nlm.nih.gov] Interestingly, artificial and squared atrophy of the skin and subcutaneous tissue, thought to correspond to the radiation fields, were observed in the lower back, and electromyography[ncbi.nlm.nih.gov] ., 2011, p. 265). 2. Keep in mind what each test is doing.[raynersmale.com] Arch Phys Med Rehabil . 2005 Jul. 86(7):1333-7. [Medline] .[emedicine.medscape.com] In the Journal of the American Medical Association (JAMA) December 8, 2018 issue ( 3 ), editors provided a 2018 update of “medical overuse”, that is medical treatments that[caringmedical.com] However, thoracic OLF rarely causes radiculopathy. We report a rare case of thoracic radiculopathy caused by OLF.[ncbi.nlm.nih.gov] Polydeoxyribonucleotide (PDRN) was recently noted as a substitute for glucocorticoids.[ncbi.nlm.nih.gov]

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  • Lumbar Laminectomy

    Pushups and other upper extremity exercises may also be included at this point to help balance your muscle strength throughout your back.[livestrong.com] Abstract Background: The objective of this study is to determine the clinical and surgical outcomes following lumbar laminectomy.[ncbi.nlm.nih.gov] The effects of thoracic and lumbar vertebral strain, displacement, and rigidity on spinal stability were measured following both single and multiple segment laminectomy.[ncbi.nlm.nih.gov] […] with successful outcomes in the assessment of laminectomies - operating room times, estimated blood loss, length of stay, and complications - of the minimally invasive and open[ncbi.nlm.nih.gov] Prior to wound closure, the muscle and subcutaneous tissues were infiltrated with bupivacaine 0.375% or sterile physiologic saline.[ncbi.nlm.nih.gov] There was significantly greater pain relief in Group 1 than in Group 2 after 2, 6, and 12 hours, respectively.[ncbi.nlm.nih.gov] In addition, 11 patients who had RD developed superficial infection/irritation; 7 required oral antibiotics (7-10 days) alone, whereas 4 were referred to plastic surgeons[ncbi.nlm.nih.gov] View posterior lumbar laminectomy animation Posterior Lumbar Laminectomy with Instrumentation and Fusion After removing bone during a posterior lumbar laminectomy, bone grafts[hss.edu] […] with back and/or leg pain or weakness, particularly those who have a difficult time walking for long distances, who have failed conservative measures (physical therapy, medications[rushcopley.com] Abstract We report the development of a new laminoplasty for the thoracic and lumbar spine.[ncbi.nlm.nih.gov]

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  • Klippel-Feil Syndrome

    She also demonstrated mild bilateral upper-extremity weakness.[ncbi.nlm.nih.gov] She underwent surgical repair with a Dacron interposition graft under hypothermic circulatory arrest. She continues to do well 18 months following repair.[ncbi.nlm.nih.gov] GDF6 is expressed at the boundaries of the developing carpals, tarsals, and vertebrae and within the adult vertebral disc.[ncbi.nlm.nih.gov] The purpose of this paper is to describe the management of a 13-year-old patient with KFS, extensive dental caries, and restricted mouth opening using a deep sedation technique[ncbi.nlm.nih.gov] Dup NGS Congenital heart disease NGS panel CHD7, ELN, GATA4, GATA6, GDF1, JAG1, NKX2-5, NKX2-6, NOTCH1, NOTCH2, NR2F2, TAB2, TBX1, TBX20, TBX5, ZIC3 Del Dup NGS Connective tissue[ctgt.net] Indian J Pediatr 2002 May;69(5):441-2 2. Br J Urol 1993 May;71(5):617-8 3. Cardiovascular Pathol 2003 Mar-Apr;12(2):115-7 4. Anesth Analg 2001 Feb;92(2):514-6 5.[biomed.uninet.edu] On MRI, the spinal cord was compressed by a protruding cervical disc and bony spurs at C6-7.[ncbi.nlm.nih.gov] CONCLUSION: The experience prompted me to review reports in the literature since 1936 of posterior fossa dermoid tumour associated with KFS.[ncbi.nlm.nih.gov] 43210, USA. 3 Ohio State University Wexner Medical Center, Department of Neurology, Columbus, OH, USA.[ncbi.nlm.nih.gov] Radiologically there was evidence of maldeveloped cervical and upper thoracic vertebrae associated with elevated scapula.[ncbi.nlm.nih.gov]

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  • Cervical Spondylosis

    OBJECTIVE: The objective of the study was to identify associations between disk degeneration in the subaxial cervical spine and upper cervical spinal motion in patients with[ncbi.nlm.nih.gov] All surgical interventions significantly (P CONCLUSION: Surgical interventions for cervical spondylosis due to OPLL significantly improve JOA score as observed at the latest[ncbi.nlm.nih.gov] A Torg-Pavlov ratio above 1.2 was regarded as a small cervical vertebral body (SCVB), and below 1.2 as a nonsmall vertebral body (NSCVB).The NSCVB group was more prone to[ncbi.nlm.nih.gov] The "open door" operation is less radical, less traumatizing and safer, and ensures considerable enlargement of the vertebral canal.[ncbi.nlm.nih.gov] Arthritis is one of more than 100 types of rheumatic diseases (diseases that affect joints and connective tissues).[northwell.edu] We report 2 patients of cervical spondylosis with concomitant cervical vertigo and hypertension who were treated successfully with anterior cervical discectomy and fusion.[ncbi.nlm.nih.gov] Evoked spinal cord potentials following ulnar nerve stimulation were attenuated at the C6/7 intervertebral level.[ncbi.nlm.nih.gov] The EOPLL, hypertrophy of the posterior longitudinal ligament (HPLL), and the disc-PLL complex were directly resected.[ncbi.nlm.nih.gov] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[nlm.nih.gov] […] spondylosis without myelopathy convert 721.2 to ICD-10-CM 721.3 Lumbosacral spondylosis without myelopathy convert 721.3 to ICD-10-CM 721.4 Thoracic or lumbar spondylosis[icd9data.com]

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  • Spinal Fractures

    Abstract To investigate the incidence and pattern of patients managed for traumatic upper cervical spinal fractures (TUCSFs) in teaching hospitals in China over 13 years.We[ncbi.nlm.nih.gov] Our main outcome measure was surgical versus nonsurgical treatment for spinal injury; our main predictor was insurance status.[ncbi.nlm.nih.gov] Some patients with vertebral fractures report that they felt no back pain or other symptoms.[spine-health.com] The surgical treatment consisted of open kyphoplasty after laminectomy and decompression.[ncbi.nlm.nih.gov] Arthritis is one of more than 100 types of rheumatic diseases (diseases that affect joints and connective tissues).[northwell.edu] Then, patients were classified into two groups (group 1: Risser 2 and group 2, Risser 2) to assess the influence of skeletal maturity on the restoration of a correct sagittal[ncbi.nlm.nih.gov] The clinical data on these 7 patients are presented.[ncbi.nlm.nih.gov] OBJECTIVE: To determine the effectiveness of posterior spinal fixation in maintaining the stability of spine and to determine mortality in 6 months after posterior spinal[ncbi.nlm.nih.gov] […] hospital records of all patients who suffered traumatic spinal fracture and were treated at Xinqiao Hospital and Southwest Hospital (both affiliated with The Third Military Medical[ncbi.nlm.nih.gov] Definition/Description Most thoracic spine fractures occur in the lower thoracic spine, with 60% to 70% of thoracolumbar fractures occurring in the T11 to L2 region, which[physio-pedia.com]

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