43,022 results match your criteria Decompression Sickness
World Neurosurg 2018 Dec 3. Epub 2018 Dec 3.
Department of Orthopedic Surgery and Traumatology and Minia University Hospital, Mohammed Badway str., 61111, El-Minia, Egypt; Minia University Spine Unit (MUSU), Faculty of Medicine, Minia University. Minia University Hospital, Mohammed Badway str., 61111, El-Minia, Egypt. Electronic address:
Background Data: Complexity in ventral surgical exposure, presence of scapula and large para-scapular musculature during posterior surgery are the main obstacles in operative treatment of Upper Thoracic Spine Compressive Lesions (UTSCL) like trauma, tuberculosis and neoplasm. Recently, the advantages of combined ventro-dorsal surgery could be successfully gained using 1-stage posterior salvage technique with enough accessibility to all three spinal columns.
Purpose: Retrospective evaluation of 35 patients with UTSCL treated by Posterior Extensive Circumferential Decompressive Reconstructive (PECDR) procedure. Read More
Phys Chem Chem Phys 2018 Dec 6. Epub 2018 Dec 6.
Max Planck Institute of Colloids and Interfaces, D-14424 Potsdam/Golm, Germany.
The monolayers of N-alkanoyl substituted threonine amphiphiles, similar to those of other N-alkanoyl-substituted amino acid amphiphiles, point to substantial differences in the main characteristics compared to usual amphiphilic monolayers. π-A measurements of the enantiomeric and racemic forms of N-alkanoyl-substituted threonine monolayers with C16 and C18 chain lengths reveal that, independent of the alkyl chain length, all compression curves are located above the corresponding decompression curves. A theoretical model developed for the kinetics of two-dimensional condensation of Langmuir monolayers can describe this behavior concluding the attachment of monomers to large aggregates. Read More
J Vet Intern Med 2018 Dec 3. Epub 2018 Dec 3.
Department of Veterinary Surgical and Radiological Sciences, University of California, Davis, California.
Background: Ureteral stent and subcutaneous ureteral bypass (SUB) placement are commonly used for managing ureteral obstructions. Urinary tract infection (UTI) is a recognized complication.
Objectives: To determine postoperative incidence of positive urine cultures in cats undergoing ureteral stent and SUB placement and to identify risk factors associated with positive urine cultures. Read More
Oper Neurosurg (Hagerstown) 2018 Dec 3. Epub 2018 Dec 3.
Department of Neurological Surgery, Nippon Medical School, Tokyo, Japan.
Background: The exoscope has been reported as a novel neurosurgical instrumentation in clinical practice.
Objective: To investigate the possibility that ORBEYE (OE), a novel instrument that excludes eyepiece lenses and allows for microsurgery by observation of the 4K3D monitor, could replace microscopes.
Methods: We report 22 clinical cases by 5 experienced neurosurgeons and the comparative results of training 10 residents. Read More
J Craniofac Surg 2018 Nov 30. Epub 2018 Nov 30.
Department of Neurosurgery, The Second Hospital of Shandong University, Jinan, China.
Objective: The aim of the study was to evaluate the efficacy of microvascular decompression (MVD) and stereotactic gamma knife surgery (GKS) in the treatment of trigeminal neuralgia (TN) in the elderly.
Patients And Methods: Retrospective analysis of 137 elderly cases with TN underwent MVD, partial sensory rhizotomy (PR) treatment from August 2007 to March 2017 and 56 cases underwent GKS treatment from May 2014 to February 2017 was made, compared the efficacy of MVD and GKS in different age groups.
Results: In 125 patients of MVD alone, the responsible vessels included 60 cases of superior cerebellar artery, 55 cases of anterior inferior cerebellar artery, 4 cases of venous vascular compression, 13 cases of mixed arteriovenous compression and 3 cases of vertebral artery, and 2 cases of no responsible vessel. Read More
Eur Radiol 2018 Nov 30. Epub 2018 Nov 30.
Department of Interventional Therapy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 17 Panjiayuan Nanli, Chaoyang District, Beijing, 100021, China.
Objectives: To evaluate the changes in arterial oxygenation after portal decompression in Budd-Chiari syndrome (BCS) patients with hepatopulmonary syndrome (HPS).
Methods: From June 2014 to June 2015, all patients with BCS who underwent balloon angioplasty or transjugular intrahepatic portosystemic shunt (TIPS) creation at our institution were eligible for inclusion in this study. Arterial blood gas analysis was performed with the patient in an upright position and breathing room air at 2-3 days and 1 and 3 months after the procedure. Read More
Surg Neurol Int 2018 30;9:217. Epub 2018 Oct 30.
Craniofacial Unit, Department of Pediatric Neurosurgery, Hôpital Necker-Enfants Malades, Paris, France.
Background: Expanding the posterior cranial vault has become a common procedure in the treatment of complex craniosynostosis. Several techniques are available to remodel the posterior vault. Aim of this study was to analyze the posterior vault distraction osteogenesis. Read More
Clin Orthop Surg 2018 Dec 21;10(4):508-512. Epub 2018 Nov 21.
Department of Spine Surgery, Barun Hospital, Jinju, Korea.
Foraminal decompression using a minimally invasive technique to preserve facet joint stability and function without fusion reportedly improves the radicular symptoms in approximately 80% of patients and is considered one of the good surgical treatment choices for lumbar foraminal or extraforaminal stenosis. However, proper decompression was not possible because of the inability to access the foramen at the L5-S1 level due to prominence of the iliac crest. To overcome this challenge, endoscopy-based minimally invasive spine surgery has recently gained attention. Read More
Clin Orthop Surg 2018 Dec 21;10(4):448-454. Epub 2018 Nov 21.
Department of Orthopaedic Surgery and Institute of Health Sciences, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea.
Background: Traumatic spinal cord injury (SCI) is a tragic event that has a major impact on individuals and society as well as the healthcare system. The purpose of this study was to investigate the strength of association between surgical treatment timing and neurological improvement.
Methods: Fifty-six patients with neurological impairment due to traumatic SCI were included in this study. Read More
Clin Orthop Surg 2018 Dec 21;10(4):439-447. Epub 2018 Nov 21.
Department of Orthopedic Surgery, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea.
Background: Since open Wiltse approach allows limited visualization for foraminal stenosis leading to an incomplete decompression, we report the short-term clinical and radiological results of unilateral biportal endoscopic foraminal decompression using 0° or 30° endoscopy with better visualization.
Methods: We examined 31 patients that underwent surgery for neurological symptoms due to lumbar foraminal stenosis which was refractory to 6 weeks of conservative treatment. All 31 patients underwent unilateral biportal endoscopic far-lateral decompression (UBEFLD). Read More
Neurol India 2018 Nov-Dec;66(6):1694-1703
Department of Neurosurgery, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India.
Introduction: Although there are controversies about the optimal management of spontaneous intracerebral hemorrhage (ICH), benefits of endoscopic procedures in ICH have been reported. This study is aimed to evaluate the result of 270 patients undergoing endoscopic treatment of ICH.
Methods: This was a retrospective study from July 2008 to June 2017. Read More
Neurol India 2018 Nov-Dec;66(6):1692-1693
Department of Neurosurgery, Institute of Neurological Sciences, Glasgow, United Kingdom.
Neurol India 2018 Nov-Dec;66(6):1687-1691
Department of Neurosurgery, GIPMER and Maulana Azad Medical College, New Delhi, India.
Introduction: Various nerve compression syndromes, such as trigeminal neuralgia (TN), glossopharyngeal neuralgia (GN), and hemifacial spasm (HFS), are caused by compression of the concerned nerve by the adjacent vessel. Patients who do not respond to medical management are usually treated by "microvascular decompression (MVD) of the nerve." Teflon patch graft is the most commonly used material for MVD. Read More
Gastrointest Endosc 2018 Nov 29. Epub 2018 Nov 29.
Gastroenterology, Hepatology, & Nutrition, The Ohio State University Wexner Medical Center, Columbus, OH. Electronic address:
Background And Aims: Acute biliary pancreatitis (ABP) is associated with increased rates of morbidity in pregnancy. Because there is a paucity of population-based studies evaluating ABP in pregnancy, we sought to investigate clinical outcomes in hospitalized pregnant women on a national level.
Methods: Using the Nationwide Readmission Database (2011-2014), we identified all women (age ≥18 years) with an index admission for ABP in the United States. Read More
World Neurosurg 2018 Nov 29. Epub 2018 Nov 29.
Department of Spinal Surgery, General Hospital of Ningxia Medical University, Yinchuan, China; Shanghai Guolong hospital, Shanghai, China. Electronic address:
Objective: This retrospective comparative analysis was conducted to assess the effectiveness of affected-vertebrae fixation versus short-segment fixation to treat thoracic spinal tuberculosis.
Methods: This study included 110 patients receiving treatment for thoracic spinal tuberculosis at this hospital between January 2006 and June 2013. All cases involved the use of posterior spinal correction, posterior lateral fusion, internal fixation, anterior decompression, radical debridement, and intervertebral supporting bone grafts. Read More
World Neurosurg 2018 Nov 29. Epub 2018 Nov 29.
Department of Neurosurgery, SanBo Brain Hospital, Capital Medical University, Beijing, China; Department of Neurosurgery, Fuxing Hospital, Capital Medical University, Beijing, China.
Objective: The repositioning of a dolichoectatic vertebrobasilar artery for arterial decompression has been extensively utilized in the clinical setting. This study aims to describe and summarize the technical characteristics and clinical results of the sling technique.
Methods: The terms "dolichoectatic aneurysm", "dolichoectasia", "ectasia" and "megadolichoectasia" were used to search for pertinent articles related to the VBA territory. Read More
J Surg Res 2019 Jan 18;233:408-412. Epub 2018 Sep 18.
Division of Surgery, Trauma and Surgical Critical Care, Dewitt-Daughtry Family Department of Surgery, University of Miami Miller School of Medicine and Ryder Trauma Center, Miami, Florida.
Background: Gastrografin (GG)-based nonoperative approach is both diagnostic and therapeutic for partial small bowel obstruction (SBO). Absence of X-ray evidence of GG in the colon after 8 h is predictive of the need for operation, and a recent trial used 48 h to prompt operation. We hypothesize that a significant number of patients receiving the GG challenge require >48 h before an effect is seen. Read More
Auris Nasus Larynx 2018 Nov 27. Epub 2018 Nov 27.
Department of Otorhinolaryngology - Head and Neck Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Objective: This study was performed to determine whether endolymphatic sac surgery improves vestibular and cochlear endolymphatic hydrops 2 years after sac surgery and to elucidate the relationship between the degree of improvement of endolymphatic hydrops and the changes in vertigo symptoms, the hearing level, and the summating potential/action potential ratio (-SP/AP ratio) by electrocochleography (ECochG) in patients with Ménière's disease (MD).
Methods: Twenty-one patients with unilateral MD who underwent sac surgery were included in this study. All patients underwent gadolinium-enhanced magnetic resonance imaging (Gd-MRI) before and 2 years after sac surgery. Read More
J Hand Surg Am 2018 Nov 27. Epub 2018 Nov 27.
Department of Orthopaedic Surgery, Geisinger Medical Center, Danville, PA.
Purpose: To assess the use of preoperative, dynamic ultrasound to predict ulnar nerve instability following in situ decompression for cubital tunnel syndrome.
Methods: Prior to undergoing in situ decompression, 43 consecutive patients underwent dynamic ultrasound to assess the stability of the ulnar nerve during elbow flexion. The dynamic ultrasound findings were compared with the intraoperative assessment of nerve stability following in situ decompression. Read More
J Orthop Sports Phys Ther 2018 Nov 30:1-27. Epub 2018 Nov 30.
Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcón, Spain.
Study Design: A randomized clinical trial.
Background: Carpal tunnel syndrome (CTS) results in substantial costs for the society and can be treated by either nonsurgical or surgical approaches.
Objective: To evaluate cost-effectiveness differences of manual physical therapy versus surgery in women with CTS. Read More
J Chem Phys 2018 Nov;149(20):204501
Research Center for Advanced Measurement and Characterization, National Institute for Materials Science (NIMS), Namiki 1-1, Tsukuba, Ibaraki 305-0044, Japan.
To solve a mystery of low-temperature liquid water, a liquid-liquid critical point (LLCP) hypothesis that the two kinds of waters, low-density and high-density liquids (LDL and HDL), and a critical point relating to the two waters exist is thought to be the most realistic idea. However, there is no conclusive evidence showing the existence of LLCP. I measured the polyamorphic volume changes of the glassy dilute polyol (ethylene glycol, glycerol, -erythritol, xylitol, and D-sorbitol) aqueous solutions during the compression and decompression processes and estimated the location of LLCP for the polyol aqueous solution by a new analysis of the concentration dependence of polyamorphic transition. Read More
J Neurol Surg A Cent Eur Neurosurg 2018 Dec 5. Epub 2018 Dec 5.
Department of Neurosurgery, Medical Center University of Aachen, RWTH University, Aachen, NRW, Germany.
Background: To evaluate whether decompression in lumbar spinal stenosis without fusion leads to sufficient improvement of back pain and leg pain and whether re-decompression alone is sufficient for recurrent lumbar spinal stenosis for patients without signs of instability.
Material And Methods: A successive series of 102 patients with lumbar spinal stenosis (with and without previous lumbar surgery) were treated with decompression alone during a 3-year period. Data on pre- and postoperative back pain and leg pain (numerical rating scale [NRS] scale) were retrospectively collected from questionnaires with a return rate of 65% ( = 66). Read More
Diving Hyperb Med 2018 Dec;48(4):262-263
Department of Acute Critical Care Medicine, Juntendo Shizuoka Hospital, Izunokuni City, Shizuoka Prefecture, Japan.
Commercial or occupational breath-hold (BH) harvest divers along the coast and islands of Japan are collectively called Ama divers. Repetitive BH diving by Ama divers may place them at risk of developing neurological decompression sickness (DCS). We report a 74-year-old Ama diver who demonstrated right hemiparesis during an ascent after free diving at a depth of 5 metres' sea water. Read More
Diving Hyperb Med 2018 Dec;48(4):259-261
Department of Pulmonary Medicine, Kameda Medical Centre, Kamogawa, Chiba, Japan.
Immersion pulmonary oedema (IPE) is particularly associated with an excessive reaction to exercise and/or cold stress. IPE usually resolves without recompression therapy within a day or two. Herein we report a diver diagnosed with IPE, in whom symptoms persisted for five days. Read More
Diving Hyperb Med 2018 Dec;48(4):252-258
Washington DC, USA.
Introduction: Whilst the US Navy has been very systematic about validating Navy dive computer algorithms, there has been little documented or published evidence of rigorous testing of the algorithms in commercial off-the-shelf dive computers. This paper reports the evaluation of four algorithms used in these - Bühlmann ZHL-16C; VPM-B; Suunto-RGBM; EMC-20H - by comparison with US Navy experimental dives with known decompression sickness outcomes.
Methods: Three specific tests were developed to test the algorithms' ability to mitigate decompression sickness: Total decompression time; no stop times and first stop depth. Read More
Diving Hyperb Med 2018 Dec;48(4):235-240
Department of Kinesiology, Faculty of Medicine, Université Laval, Québec, Canada.
Introduction: Vibration from a helicopter during aeromedical retrieval of divers may increase venous gas emboli (VGE) production, evolution or distribution, potentially worsening the patient's condition.
Aim: To review the literature surrounding the helicopter transport of injured divers and establish if vibration contributes to increased VGE.
Method: A systematic literature search of key databases was conducted to identify articles investigating vibration and bubbles during helicopter retrieval of divers. Read More
Diving Hyperb Med 2018 Dec;48(4):218-223
Department of Anaesthesiology, Faculty of Medicine and Health Sciences, University of Auckland.
Introduction: Health and safety within the recreational diving industry are poorly described. We aimed to obtain the true prevalence of decompression illness (DCI) and other diving and non-diving injuries, including occupational injuries, in a large recreational diving charter operation.
Methods: A New Zealand recreational diving operator keeps detailed records of diving activity and event/incident reports. Read More
Diving Hyperb Med 2018 Dec;48(4):209-217
Department of Kinesiology, Faculty of Medicine, Université Laval, Québec, Canada.
Introduction: High concentration normobaric oxygen (O₂) is a priority in treating divers with suspected decompression illness. The effect of different O₂ mask configurations on tissue oxygenation when breathing with a demand valve was evaluated.
Methods: Sixteen divers had tissue oxygen partial pressure (PtcO₂) measured at six limb sites. Read More
Plast Reconstr Surg 2018 Nov 27. Epub 2018 Nov 27.
Department of Plastic-, Reconstructive- and Hand surgery, Utrecht University Medical Center, Utrecht, the Netherlands.
Plast Reconstr Surg 2018 Nov 27. Epub 2018 Nov 27.
Continuum (Minneap Minn) 2018 Dec;24(6):1588-1602
Purpose Of Review: This article reviews the management of cerebral edema, elevated intracranial pressure (ICP), and cerebral herniation syndromes in neurocritical care.
Recent Findings: While corticosteroids may be effective in reducing vasogenic edema around brain tumors, they are contraindicated in traumatic cerebral edema. Mannitol and hypertonic saline use should be tailored to patient characteristics including intravascular volume status. Read More
J Surg Case Rep 2018 Nov 30;2018(11):rjy322. Epub 2018 Nov 30.
Department of Surgery, Harvard Medical School, The Cambridge Hospital, Cambridge, MA, USA.
A 26-year-old, otherwise healthy female presented to the Emergency Room for the evaluation of abdominal pain. It was immediately apparent that she had a massively distended abdomen. History revealed progressive abdominal distension over several years. Read More
Zhongguo Gu Shang 2018 Nov;31(11):1049-1053
Department of Orthopaedics, West China Hospital, Sichuan University, Chengdu 610041, China.
Objective: To explore a method of modified incision to prevent the postoperative spinal lateral angulation via anterior approach for lumbar fracture.
Methods: A total 40 patients with lumbar fracture from January 2016 to Jun 2017 were internalized in the study. Including 28 males and 12 females, aged from 27 to 68 years with an average of (39. Read More
Zhongguo Gu Shang 2018 Nov;31(11):1034-1040
The First Department of Orthopaedics, the First People's Hospital of Yongkang, Yongkang 321300, Zhejiang, China.
Objective: To compare the clinical effects and complications of two hybrid decompression techniques in treating multilevel (>=3) cervical spondylotic myelopathy(MCSM).
Methods: The clinical data of 124 patients with multilevel (>=3) cervical spondylotic myelopathy treated by surgery and follow-up from January 2008 to December 2016 were retrospectively analyzed. According to the different operative methods, the patients were divided into group A and group B. Read More
Int J Surg Case Rep 2018 Nov 20;54:20-22. Epub 2018 Nov 20.
Hepato-Pancreato-Biliary & Transplant Unit, Austin Hospital, Melbourne, Australia; The University of Melbourne, Department of Surgery, Austin Hospital, Melbourne, Australia.
Introduction: Serum carbohydrate antigen 19-9 (CA19-9) is routinely used in the management of pancreatic cancer for diagnosis, prognostication and surveillance purposes despite its low specificity.
Case Presentation: This case report demonstrates the challenges of interpreting elevated serum CA19.9 levels in a patient with pancreatic cancer. Read More
Orbit 2018 Dec 4:1-7. Epub 2018 Dec 4.
a Department of Otorhinolaryngology, Head and Neck Surgery , University Hospital Essen , Essen , Germany.
Introduction: Different minimally invasive surgical approaches to the orbit allow individualized bone resection to reduce proptosis and decompress the optic nerve in patients with Graves' orbitopathy (GO). This study aims to compare piezosurgery to an oscillating saw used to resect bone from the lateral orbital wall.
Methods: In a retrospective study, we analyzed balanced orbital decompressions performed on 174 patients (318 cases) with GO. Read More
Dan Med J 2018 Dec;65(12)
Introduction: The Subgroups for Targeted Treatment (STarT) Back Screening Tool is used in general practice to stratify patients with acute back pain into either a low, medium or a high risk of developing complex pain. This study determines if the STarT Back Screening Tool can identify patients who are at a high risk of developing complex pain after spine surgery.
Methods: The STarT Back Screening Tool was administered pre-operatively to a consecutive series of patients who had lumbar spine surgery between 29 October 2012 and 1 February 2013. Read More
Eur Spine J 2018 Dec 3. Epub 2018 Dec 3.
Department of Orthopaedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
Purpose: To evaluate whether 3D-printed vertebrae offer realistic haptic simulation of posterior pedicle screw placement and decompression surgery with normal to osteoporotic-like properties.
Methods: A parameterizable vertebra model was developed, adjustable in cortical and cancellous bone thicknesses. Based on this model, five different L3 vertebra types (α, β, γ1, γ2, and γ3) were designed and fourfold 3D-printed. Read More
Eur Radiol 2018 Dec 3. Epub 2018 Dec 3.
Department of Interventional and Diagnostic Imaging, University Hospital of Caen, Avenue de la Côte de Nacre, 14033, Caen Cedex, France.
Purpose: This study was conducted in order to investigate the safety and accuracy of percutaneous transluminal forceps biopsy (PTFB) during percutaneous biliary drainage (PTBD) in patients with a suspicion of malignant biliary stricture.
Material And Methods: Fifty consecutive patients with obstructive jaundice underwent PTFB during PTBD. Biopsy specimens were obtained using 5. Read More
Acta Neurochir (Wien) 2018 Dec 4. Epub 2018 Dec 4.
Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue 1277, Wuhan, 430022, Hubei, China.
Bilateral hemifacial spasm (biHFS) is an infrequent cranial nerve disorder that causes patients to suffer from severe psychological stress, and there are no reported cases of synchronous biHFS. In this study, a 46-year-old right-handed woman was diagnosed with a synchronous biHFS. After one unilateral microvascular decompression (MVD) surgery, the left facial twitching movements relieved immediately, and the right side twitching movements self-relieved the next day. Read More
Adv Orthop 2018 28;2018:6578097. Epub 2018 Oct 28.
UAB Faculty Office Tower #960, 510 20th Street South, Birmingham, AL 35233, USA.
Traumatic lumbosacral dislocation is a rare, high-energy mechanism injury characterized by displacement of the fifth lumbar vertebra in relation to the sacrum. Due to the violent trauma typically associated with this lesion, there are often severe, coexisting injuries. High-quality radiographic studies, in addition to appropriate utilization of CT scan and MRI, are essential for proper evaluation and diagnosis. Read More
Am J Emerg Med 2019 Jan 24;37(1):173.e1-173.e2. Epub 2018 Sep 24.
University of Utah Health, USA.. Electronic address:
Spontaneous pneumothorax (SP) is a relatively common pathology in emergency medicine; however, scant information is published regarding SPs developing tension physiology in the literature. Risk factors for spontaneous pneumothorax include smoking, family history, and underlying lung disease such as chronic obstructive lung disease (COPD), cystic fibrosis, tuberculosis, among others. Treatment often involves conservative management, needle aspiration, catheter placement, or tube thoracostomy. Read More
J Hand Surg Eur Vol 2018 Dec 3:1753193418813788. Epub 2018 Dec 3.
Consultant Hand and Orthopaedic Trauma Surgeon, The Royal Alexandra Hospital, NHS Greater Glasgow and Clyde, Paisley, Scotland, UK.
Isolated posterior interosseous nerve palsy is an uncommon condition and its management is controversial. Existing literature is sparse and a treatment algorithm based on existing best evidence is absent. A comprehensive review was undertaken to elucidate the causes of spontaneous posterior interosseous nerve palsy and suggest a management strategy based on the current evidence. Read More
Pain Physician 2018 Nov;21(6):E643-E650
Department of Neurosurgery, Spine and Spinal Cord Research Institute, Yonsei University College of Medicine, Seoul, Korea.
Background: The non-operative treatment of herniated intervertebral discs has long been a fundamental challenge. A novel technique of laser ablation to ablate the nucleus pulposus under a transforaminal epiduroscope (TELA system, Lutronics, Seoul, Republic of Korea) was recently developed.
Objective: The purpose of this study was to evaluate the safety and effectiveness of transforaminal epiduroscopic laser ablation (TELA) for selective ablation of the nucleus pulposus in single-level disc disease. Read More
Pain Physician 2018 Nov;21(6):593-606
Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Background: When conventional interventional procedures fail, percutaneous epidural adhesiolysis (PEA), which has moderate evidence for successful treatment of lumbar spinal stenosis (LSS), has been recommended over surgical treatments. In a previous study, we demonstrated the efficacy of a newly developed inflatable balloon catheter for overcoming the access limitations of pre-existing catheters for patients with severe stenosis or adhesions.
Objectives: This study compared the treatment response of combined PEA with balloon decompression and PEA only in patients with central LSS over 6 months of follow-up. Read More
Medicine (Baltimore) 2018 Nov;97(48):e13446
Department of General and Gastroenterological Surgery, Osaka Medical College, Daigaku-machi, Takatsuki.
Rationale: Liposarcoma (LPS) is a rare malignant soft-tissue tumor. Management of LPS is relatively difficult, because there are no characteristic symptoms, or biomarkers, nor any established effective treatment. Hence, the report of the accumulation of each LPS case is necessary. Read More
World Neurosurg 2018 Nov 27. Epub 2018 Nov 27.
Derriford Hospital, Plymouth.
Background: Malignant middle cerebral artery infarctions are large space-occupying infarctions involving massive oedema, herniation, and, frequently death. Survivors are disabled. Management involves medical treatment, with or without decompressive hemicraniectomy and later duraplasty. Read More
World Neurosurg 2018 Nov 27. Epub 2018 Nov 27.
Mayo Clinic Neuro-Informatics Laboratory, Mayo Clinic College of Medicine and Science, Rochester, MN. Electronic address:
Background: In the modern, increasingly pay-for-performance era, unplanned ROR is gaining attention as a surgical quality metric. However, large-scale data on the appropriateness and utility of this measure in neurosurgery are scarce.
Objective: To provide a comprehensive description of all unplanned returns to the operating room (RORs) after neurosurgical procedures in a national surgical registry and identify factors associated with ROR. Read More
Int Orthop 2018 Nov 29. Epub 2018 Nov 29.
Department of Orthopaedic Surgery, Columbia University, New York, NY, USA.
Although relatively rare, post-operative nerve injuries may occur after cervical spine procedures. The most common post-operative neural disorder is C5 nerve palsy. The risk factors for C5 nerve palsy are male gender, OPLL, and posterior cervical approaches. Read More
Oral Maxillofac Surg 2018 Nov 29. Epub 2018 Nov 29.
Department of Oral and Maxillofacial Surgery, Traumatology and Prosthesis, Faculty of Dentistry of the University of São Paulo, Av Prof. Lineu Prestes 2227 Butantã, São Paulo, 05508-000, Brazil.
Purpose: This study was conducted in order to determine whether marsupialization before definitive enucleation of nonsyndromic odontogenic keratocysts (OKCs) is capable of decreasing the recurrence rate more effectively than just enucleation.
Methods: We searched MEDLINE, Web of Science, Scopus, and Cochrane Library, until August 5th of 2017 for original studies reporting on the treatment of OKCs with and without previous marsupialization and the related recurrence rate. All records and data were independently assessed, meta-analysis was performed, and the odds ratio of recurrence was the effect measure; P value for the summary effect of < 0. Read More