3,925 results match your criteria Paraspinal Injections - Facet Joint and Nerve Root Blocks


Esophageal Adenocarcinoma with Extensive Metastasis to Unexpected Sites: A Case Report.

Case Rep Oncol 2018 Sep-Dec;11(3):742-750. Epub 2018 Nov 12.

Hematology/Oncology, University of Texas Medical Branch, Galveston, Texas, USA.

Background: Esophageal cancer (EC) with unexpected metastasis (UM) to unusual sites have been increasingly reported. EC with metastasis in general has a very high mortality and morbidity rate, and those with UM to unusual sites present another specific field that needs to be further studied in order to understand and manage the presentation. An extensive systematic review was recently completed regarding this field which identified characteristics and findings concerning patients with EC with UM sites. Read More

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November 2018
1 Read

Predictors of clinical success with stabilization exercise are associated with lower levels of lumbar multifidus intramuscular adipose tissue in patients with low back pain.

Disabil Rehabil 2018 Dec 3:1-7. Epub 2018 Dec 3.

a Faculty of Kinesiology , University of New Brunswick , Canada.

Purpose: Investigate the construct validity of prognostic factors purported to predict clinical success with stabilization exercise for low back pain by exploring their associations with lumbar multifidus composition.

Methods: Patients with low back pain were recruited from a hospital imaging department. The presence of fivepredictors (age <40 years, positive prone instability test, aberrant trunk flexion movements, straight leg raise range of motion >91°, spinal hypermobility) were identified by standardized physical examination. Read More

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December 2018
1 Read

Scintigraphic evaluation of colonic transit in children with constipation using Ga-citrate.

World J Nucl Med 2018 Oct-Dec;17(4):249-252

Hospital de Base do Distrito Federal - Nuclear Medicine Service, Brasília, Brasil.

The aim of this study was to assess the colonic transit in children and teenagers with chronic constipation. Twenty patients from 1.5 to 16 years old were included (mean age = 6. Read More

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December 2018

[Avascular necrosis of paravertebral muscle after minimally invasive spine surgery:a report of 2 cases].

Zhongguo Gu Shang 2018 Nov;31(11):1046-1048

Department of Spinal Surgery, People's Hospital of Gansu Province, Lanzhou 730000, Gansu, China;

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November 2018

Unilateral percutaneous endoscopic debridement and drainage for lumbar infectious spondylitis.

J Orthop Surg Res 2018 Dec 3;13(1):306. Epub 2018 Dec 3.

Department of Orthopedics Surgery, Hangzhou First People's Hospital, Zhejiang University School of Medicine, 261 Huansha Road, Hangzhou, 310006, Zhejiang, People's Republic of China.

Background: The treatment of lumbar infectious spondylitis is controversial. In this study, we attempted to demonstrate that unilateral percutaneous endoscopic debridement with physiologic saline and negative pressure drainage postoperatively may achieve a satisfactory result in lumbar infectious spondylitis.

Methods: We retrospectively analyzed 17 patients with lumbar infectious spondylitis who underwent percutaneous endoscopic debridement and drainage (PEDD) through a posterolateral transforaminal approach. Read More

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December 2018
1 Read

Expanding the phenotype of filamin-C-related myofibrillar myopathy.

Clin Neurol Neurosurg 2018 Nov 19;176:30-33. Epub 2018 Nov 19.

Copenhagen Neuromuscular Center, Department of Neurology, Rigshospitalet, University of Copenhagen, Denmark.

We report three patients with a rare filamin C myofibrillar myopathy. They present with atypical symptoms that expand the phenotype of filaminopathy. The new findings are progressive contractures of muscles surrounding the temporomandibular joint, detailed single myofiber histology findings and demonstration of severe affection of paraspinal muscles on MRI. Read More

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November 2018
2 Reads

[Lumbosacral radiculoplexus neuropathy with a small intramedullary lesion in posterior spinal cord: a case report].

Authors:
Motomi Arai

Rinsho Shinkeigaku 2018 Nov 29. Epub 2018 Nov 29.

Department of Neurology, Seirei Mikatahara General Hospital.

We present the unique case of a patient with lumbosacral radiculoplexus neuropathy (LRPN) and a small intramedullary lesion, probably an infarction, in the spinal cord. A previously healthy 58-year-old female developed acute severe pain involving the entire right lower limb, followed by weakness of the right lower limb a few hours later. The patient could not walk and was referred to our clinic. Read More

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November 2018

Acute traumatic thoracolumbar paraspinal compartment syndrome: case report.

Authors:

J Neurosurg Spine 2018 Oct 1:1-6. Epub 2018 Oct 1.

Although compartment syndrome can occur in any compartment in the body, it rarely occurs in the paraspinal musculature and has therefore only been reported in a few case reports. Despite its rare occurrence, acute paraspinal compartment syndrome has been shown to occur secondary to reperfusion injury and traumatic and atraumatic causes. Diagnosis can be based on clinical examination findings, MRI or CT studies, or through direct measurement of intramuscular pressures. Read More

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October 2018

Establishment of an Uncomplicated Radiation-delayed Wound Healing Model Using Irradiation in Pigs.

Wounds 2018 Nov 22. Epub 2018 Nov 22.

Department of Plastic and Reconstructive Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, China.

Introduction: Radiation-delayed wounds require diverse therapeutic strategies to achieve effective healing. However, the development of novel therapies with a radiation-delayed wound healing model is hindered by the lack of standardized animal models.

Objective: In this study, the authors propose and verify a procedure to establish a radiation-delayed wound healing model in pigs. Read More

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November 2018

Stabilization exercises combined with neuromuscular electrical stimulation for patients with chronic low back pain: a randomized controlled trial.

Braz J Phys Ther 2018 Oct 18. Epub 2018 Oct 18.

Department of Physical Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, United States.

Background: One proposed mechanism of chronic low back pain might be paraspinal muscle impairment. Commonly, this impairment is treated with stabilization exercises. However, the effect size of stabilization exercises has been previously reported to be small. Read More

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October 2018
2 Reads

[Assessment of biomechanical properties of paraspinal muscles in adolescent idiopathic scoliosis].

Zhonghua Yi Xue Za Zhi 2018 Nov;98(43):3485-3489

Department of Orthopedics, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China.

To assess the bio-mechanical properties of paraspinal muscles in adolescent idiopathic scoliosis (AIS). The MyotonPro® device and shear wave elasticity imaging(SWEI) technique were applied to detect the paraspinal muscle tone (F), stiffness (S), relaxation time (R), Deborah number (C) and elasticity (D) of paravertebral muscles on the concave side and convex side of scoliosis curvature at several points: apex of the curve (a), upper (b) and lower (c) limits of the curve in 23 cases of AIS treated from October to December 2017 in Beijing Chaoyang Hospital.Cobb angle of the main curve was measured on the standing anteroposterior whole spine radiograph. Read More

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November 2018
4 Reads

Multilevel critical stenosis with minimal functional deficits: a case of cervical spondylotic myelopathy.

Spinal Cord Ser Cases 2018 19;4:104. Epub 2018 Nov 19.

St. Luke's University Health Network, 801 Ostrum Street, Bethlehem, PA 18015 USA.

Introduction: We present a case of a previously asymptomatic and highly functional individual whose critical degenerative stenosis was exacerbated by recent trauma (motor vehicle accident), resulting in cervical spondylotic myelopathy.

Case Presentation: A 57-year-old African-American man with no significant past medical history presented to the Orthopaedic Surgery outpatient clinic with mild neck discomfort, stiffness, and bilateral hand numbness 4 days after being involved in a motor vehicle accident. He ambulated without assistive devices and displayed a tandem gait pattern with normal cadence. Read More

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November 2018
8 Reads

Psoas muscle area and quality are independent predictors of survival in patients treated for abdominal aortic aneurysms.

Ann Vasc Surg 2018 Nov 23. Epub 2018 Nov 23.

Faculty of Medicine and Life Sciences, University of Tampere, FI-33014, Tampere, Finland; Division of Vascular Surgery, Department of Surgery, Tampere University Hospital, PO BOX 2000 FI-33521 Tampere, Finland; Finnish Cardiovascular Research Center, Tampere, Finland. Electronic address:

Background: Sarcopenia is associated with mortality after abdominal aortic aneurysm (AAA) repair. The reliability of computed tomography (CT) core muscle areas and quality i.e. Read More

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November 2018
3 Reads

Cervical paraspinal muscle compartment pressure after laminoplasty: A cadaveric study.

J Clin Neurosci 2018 Nov 21. Epub 2018 Nov 21.

Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand. Electronic address:

Axial neck pain is a common complaint after cervical laminoplasty and the causes are still not well-understood. We hypothesized that abnormal paracervical muscle compartment pressures might be one of them. The cervical paraspinal muscle compartment pressures of 10 cadavers were measured in six different areas under four different conditions. Read More

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November 2018
1 Read

GNE Myopathy With Novel Mutations and Pronounced Paraspinal Muscle Atrophy.

Front Neurol 2018 8;9:942. Epub 2018 Nov 8.

Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada.

GNE myopathy is characterized by distal muscle weakness, and caused by recessive mutations in . Its onset is characteristically in young adulthood, although a broad spectrum of onset age is known to exist. A large number of mutations in are pathogenic and this clinical phenotype can be difficult to differentiate clinically from other late-onset myopathies. Read More

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November 2018
4 Reads

Extensive Paraspinal Tuberculosis Masquerading Malignant Tumor in an Elderly Male.

Asian J Neurosurg 2018 Oct-Dec;13(4):1202-1204

Department of Neurosurgery, Narayana Medical College Hospital, Nellore, Andhra Pradesh, India.

Paraspinal tuberculosis is an uncommon manifestation of extrapulmonary tuberculosis, and in rare cases, these lesions can mimic malignant lesions. We report a case of an elderly man where imaging showed extensive left paraspinal lesion which was mimicking malignant neoplasm. The patient underwent L3-L4 unilateral partial laminotomy, there was grayish, relatively avascular lesion in the left paraspinal region, involving the left psoas muscle and going into the neural foramina, and a subtotal resection of the lesion could be performed. Read More

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November 2018
6 Reads

Evaluation of the Correlation of Magnetic Resonance Imaging and Electrodiagnostic Findings in Chronic Low Backache Patients.

Asian J Neurosurg 2018 Oct-Dec;13(4):1078-1083

Department of Community Medicine, Government Medical College and Hospital, Chandigarh, India.

Background: Low back pain (LBP) is one of the most common medical complaints and leading cause of workforce loss in many countries. Magnetic resonance imaging (MRI) is a highly sensitive method for the detection of lesions in the spine because of its excellent imaging of anatomical detail. However, MRI does not provide information about physiological nerve function and has relatively low specificity. Read More

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November 2018

Insights About the Neuroplasticity State on the Effect of Intramuscular Electrical Stimulation in Pain and Disability Associated With Chronic Myofascial Pain Syndrome (MPS): A Double-Blind, Randomized, Sham-Controlled Trial.

Front Hum Neurosci 2018 16;12:388. Epub 2018 Oct 16.

Post-Graduate Program in Medical Sciences, School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.

There is limited evidence concerning the effect of intramuscular electrical stimulation (EIMS) on the neural mechanisms of pain and disability associated with chronic Myofascial Pain Syndrome (MPS). To provide new insights into the EIMS long-term effect on pain and disability related to chronic MPS (primary outcomes). To assess if the neuroplasticity state at baseline could predict the long-term impact of EIMS on disability due to MPS we examined the relationship between the serum brain-derived-neurotrophic-factor (BDNF) and by motor evoked potential (MEP). Read More

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October 2018
4 Reads
2.900 Impact Factor

Demographic and clinical characteristics of spinal calcinosis in systemic sclerosis: Possible association with peripheral angiopathy.

J Dermatol 2018 Nov 16. Epub 2018 Nov 16.

Department of Dermatology, Gunma University Graduate School of Medicine, Maebashi, Japan.

The objective was to evaluate the demographic and clinical characteristics of systemic sclerosis (SSc) patients with spinal calcinosis. Paraspinal and intraspinal calcinosis was assessed blindly by orthopedic surgeons specializing in spinal diseases using chest high-resolution computed tomography (CT) that was performed for the screening and prospecting of interstitial lung disease in 159 Japanese SSc patients. Among these patients, we identified 27 (17%) with spinal calcinosis, and the most common site was cervical level at 77. Read More

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November 2018
3 Reads

Severe Lumbar Disability Is Associated With Decreased Psoas Cross-Sectional Area in Degenerative Spondylolisthesis.

Global Spine J 2018 Oct 27;8(7):716-721. Epub 2018 Mar 27.

Rothman Institute at Thomas Jefferson University, Philadelphia, PA, USA.

Study Design: Retrospective cohort.

Objectives: Alterations in lumbar paraspinal muscle cross-sectional area (CSA) may correlate with lumbar pathology. The purpose of this study was to compare paraspinal CSA in patients with degenerative spondylolisthesis and severe lumbar disability to those with mild or moderate lumbar disability, as determined by the Oswestry Disability Index (ODI). Read More

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October 2018
1 Read

Botulinum toxin for Pisa syndrome: An MRI-, ultrasound- and electromyography-guided pilot study.

Parkinsonism Relat Disord 2018 Nov 5. Epub 2018 Nov 5.

Department of Neuroscience "Rita Levi Montalcini", University of Turin, Torino, Italy. Electronic address:

Introduction: Pisa syndrome is a disabling, medication-resistant, postural abnormality that may affect 7-10% of patients with Parkinson's disease. In this study, we sought to assess the efficacy of botulinum toxin injections in Parkinson's disease-associated Pisa syndrome using a Magnetic Resonance Imaging-, Ultrasonography-, and Electromyography-guided combined approach.

Methods: We conducted a pilot study to evaluate the efficacy of botulinum toxin type-A injection in paraspinal and non-paraspinal axial muscles after a Magnetic Resonance Imaging and ultrasound-guided electromyography evaluation. Read More

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November 2018
7 Reads

Loss of paraspinal muscle mass is a gender-specific consequence of cirrhosis that predicts complications and death.

Aliment Pharmacol Ther 2018 Dec 11;48(11-12):1271-1281. Epub 2018 Nov 11.

Section Hepatology, Department of Gastroenterology and Rheumatology, University Hospital Leipzig, Leipzig, Germany.

Background: Loss of skeletal muscle mass is a recognised complication with a prognostic impact in patients with cirrhosis.

Aim: To explore in a retrospective analysis which muscle compartment most reliably predicts the occurrence of cirrhosis-associated complications and if there are gender-related differences.

Methods: 795 patients with cirrhosis listed for liver transplantation between 2001 and 2014 met the inclusion and exclusion criteria including an abdominal CT scan (±200). Read More

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December 2018
1 Read

Severe Lumbar Intervertebral Disc Degeneration Is Associated with Modic Changes and Fatty Infiltration in the Paraspinal Muscles at all Lumbar Levels, Except for L1-L2: A Cross-Sectional Analysis of 50 Symptomatic Women and 50 Age-Matched Symptomatic Men.

World Neurosurg 2018 Nov 9. Epub 2018 Nov 9.

Orthopedic Surgery Clinic, Antalya Atatürk State Hospital, Antalya, Turkey.

Background: Low back pain is a common public health problem associated with lumbar intervertebral disc degeneration. It is still unclear, however, whether intervertebral disc degeneration is an isolated process or accompanied by other degenerative events. We analyzed whether disc degeneration was associated with vertebral end-plate changes and fatty infiltration in the paraspinal muscles. Read More

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November 2018
5 Reads

An unusual case of Nocardia cyriacigeorgica presenting with spinal abscesses in a renal transplant recipient and a review of the literature.

Transpl Infect Dis 2018 Nov 10:e13025. Epub 2018 Nov 10.

Institute of Human Virology and Division of Infectious Diseases, University of Maryland School of Medicine, Baltimore, Maryland.

Nocardia species represent a well-recognized yet uncommon cause of opportunistic infections in humans. It most frequently presents as a pulmonary infection with or without central nervous system involvement. It is a very rare cause of spinal abscesses, with only 26 cases reported in the literature. Read More

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November 2018
4 Reads

Management of Dumbbell and Paraspinal Tumors of the Thoracic Spine Using a Single-stage Posterolateral Approach: Case Series.

Orthop Surg 2018 Nov 8;10(4):343-349. Epub 2018 Nov 8.

Department of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.

This study investigated the surgical results of a single-stage posterolateral approach with arc incision, unilateral laminectomy, and costotransversectomy for the management of dumbbell tumors and paraspinal tumors of the thoracic spine. From January 2010 to March 2017, 14 patients with dumbbell tumors or paraspinal tumors of the thoracic spine who underwent resection with single-stage posterolateral approach were followed up and analyzed retrospectively. The operations were performed using a single-stage posterolateral approach with arc incision, unilateral laminectomy, and costotransversectomy without any instrumentation. Read More

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November 2018
5 Reads

Automated assessment of paraspinal muscle fat composition based on the segmentation of chemical shift encoding-based water/fat-separated images.

Eur Radiol Exp 2018 Nov 7;2(1):32. Epub 2018 Nov 7.

Philips Research Laboratories, Hamburg, Germany.

Proton-density fat fraction (PDFF) of the paraspinal muscles, derived from chemical shift encoding-based water-fat magnetic resonance imaging, has emerged as an important surrogate biomarker in individuals with intervertebral disc disease, osteoporosis, sarcopenia and neuromuscular disorders. However, quantification of paraspinal muscle PDFF is currently limited in clinical routine due to the required time-consuming manual segmentation procedure. The present study aimed to develop an automatic segmentation algorithm of the lumbar paraspinal muscles based on water-fat sequences and compare the performance of this algorithm to ground truth data based on manual segmentation. Read More

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November 2018
1 Read

Muscle Atrophy Measurement as Assessment Method for Low Back Pain Patients.

Adv Exp Med Biol 2018 ;1088:437-461

Department of Rheumatology and Rehabilitation, Poznan University of Medical Sciences, Poznan, Poland.

Low back pain is one of the most common pain disorders defined as pain, muscle tension, or stiffness localized below the costal margin and above the inferior gluteal folds, sometimes with accompanying leg pain. The meaning of the symptomatic atrophy of paraspinal muscles and some pelvic muscles has been proved. Nowadays, a need for new diagnostic tools for specific examination of low back pain patients is posited, and it has been proposed that magnetic resonance imaging assessment toward muscle atrophy may provide some additional information enabling the subclassification of that group of patients. Read More

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January 2018
5 Reads

Outcomes Following Hypofractionated Dose-Escalation using a Simultaneous Integrated Boost Technique for Treatment of Spine Metastases Not Amenable to Stereotactic Radiosurgery.

Pract Radiat Oncol 2018 Oct 29. Epub 2018 Oct 29.

Dept. of Radiation Oncology, University of Texas MD Anderson Cancer Center. Electronic address:

Purpose: Spine stereotactic radiosurgery (SSRS) delivers an ablative dose of radiation (RT) with high conformity relative to standard fractionated RT. This technique is suboptimal for extended targets (>3 vertebral levels) owing to treatment alignment concerns, or for patients with marked epidural extension. In these patients, we hypothesized that use of hypofractionated IMRT/VMAT to dose escalate the GTV to 40 Gy as a spinal simultaneous integrated boost (SSIB) would allow for durable local control and palliation. Read More

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October 2018
2 Reads

Autopsy diagnosis of acupuncture-induced bilateral tension pneumothorax using whole-body postmortem computed tomography: A case report.

Medicine (Baltimore) 2018 Nov;97(44):e13059

From the Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai.

Rationale: Acupuncture, a component of traditional Chinese medicine, is also a well-known form of complementary and alternative medicine. Serious adverse events of acupuncture have been reported, including the acupuncture-related pneumothorax which is a rare but fatal condition sometimes. The pneumothorax was related to needle insertion in the upper back or paraspinal area and the reported victims suffered from either unilateral or bilateral pneumothorax. Read More

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November 2018
5 Reads

Huge chondromyxoid fibroma of the right iliac wing with tremendous soft tissue extensions.

BJR Case Rep 2018 21;4(1):20170014. Epub 2017 Oct 21.

Department of Radiology, Benha University, Benha, Egypt.

This report describes a huge chondromyxoid fibroma (CMF) that developed in the right iliac crest and wing. The tumour is rare, perhaps the rarest of all bone tumours, and its occurrence in the iliac crest and wing of a 63-year-old male is extraordinarily uncommon. The patient complained of gradual onset of right groin pain over a period of more than 2 years and low back pain and tender swelling of the right gluteal region over a period of another 1 year. Read More

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October 2017
3 Reads

Visualization of walking speed variation-induced synchronized dynamic changes in lower limb joint angles and activity of trunk and lower limb muscles with a newly developed gait analysis system.

J Orthop Surg (Hong Kong) 2018 May-Aug;26(3):2309499018806688

1 Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.

Purpose:: To evaluate a newly developed system for dynamic analysis of gait kinematics and muscle activity.

Methods:: We recruited 10 healthy men into this study. Analyses of three-dimensional motion and wireless surface electromyogram (EMG) were integrated to achieve synchronous measurement. Read More

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October 2018
5 Reads

A Case of Tuberculosis Spondylodiscitis With Paraspinal Abscess in a 2-Year-Old Child.

Glob Pediatr Health 2018 15;5:2333794X18805614. Epub 2018 Oct 15.

KK Women's and Children's Hospital, Singapore, Singapore.

In this article, we report a case of tuberculosis spondylodiscitis in a 2-year-old child. Imaging of her spine showed a paraspinal abscess. The diagnosis of spinal tuberculosis remains difficult, and we discuss its salient features and current management within the pediatric population. Read More

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October 2018
11 Reads

Vancomycin Concentrations in Paraspinal Muscles During Posterior Spinal Fusions for Neuromuscular Scoliosis.

Spine Deform 2018 Nov - Dec;6(6):736-740

Washington University School of Medicine, 660 S Euclid Ave, St. Louis, MO 63110, USA. Electronic address:

Study Design: Prospective consecutively enrolled cohort.

Objectives: To evaluate paraspinal muscle concentration of intravenously administered vancomycin, at predetermined time points, during posterior spinal fusion (PSF) with instrumentation in neuromuscular scoliosis (NMS).

Summary: Surgical site infection (SSI) after PSF for NMS can be a devastating complication, which may lead to prolonged antibiotic use, multiple additional surgical procedures, pseudarthroses, and sepsis. Read More

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October 2017
5 Reads

Extra-abdominal Desmoid Tumor Mimicking Cervical Spine Schwannoma.

Cureus 2018 Aug 14;10(8):e3145. Epub 2018 Aug 14.

Neurosurgery, University of Missouri, Columbia, USA.

Extra-abdominal desmoid tumors (DTs) are rare tumors of apparent fibroblastic origin with unpredictable clinical behavior. Though histologically benign and slow growing, DTs can be proliferative, aggressive tumors, invading the surrounding areas. DTs located extra-abdominally are most commonly found in the extremities or proximal structures like the shoulders, chest wall, and neck. Read More

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August 2018
8 Reads

Sling-based infant carrying affects lumbar and thoracic spine neuromechanics during standing and walking.

Gait Posture 2019 Jan 12;67:172-180. Epub 2018 Oct 12.

ETH Zurich, Institute for Biomechanics, Zurich, Switzerland; Swiss Federal Institute of Sport Magglingen SFISM, Magglingen, Switzerland.

Background: Regular infant carrying might be a contributing factor for the development and progression of low back and pelvic girdle pain in mothers after childbirth. However, the neuromechanical adaptations of the spine due to different sling-based carrying techniques are not sufficiently well understood in order to provide evidence-based carrying recommendations.

Research Question: What are the immediate effects of different sling-based infant carrying techniques on trunk neuromechanics?

Methods: Using a Vicon motion capture and a wireless surface electromyography system, three-dimensional pelvis and spinal kinematics as well as activation patterns of eight trunk muscles were derived from fifteen healthy young women during upright standing and level walking without carrying a load and while carrying a 6 kg-dummy with a sling in front and on either side. Read More

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January 2019

Rhabdomyolysis of Unknown Etiology - Initial Suspicion and Detection on 99mTc-MDP Skeletal Scintigraphy.

J Assoc Physicians India 2018 Jan;66(1):84

Department of Medicine, Vijaya Diagnostic Centre, Visakhapatnam, Andhra Pradesh.

The classical bone scan findings of Rhabdomyolysis is presented in this illustration. A 60 year old female patient with complaints of low backache and bilateral lower limbs weakness over 1 year was referred for whole body skeletal status evaluation. Whole body skeletal scintigraphy undertaken 3 hrs after I. Read More

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January 2018
4 Reads

Tissue oximetry during cardiac surgery and in the cardiac intensive care unit: A prospective observational trial.

Ann Card Anaesth 2018 Oct-Dec;21(4):371-375

Department of Anesthesiology, Perioperative and Pain Medicine, Icahn School of Medicine at Mount Sinai, NY, USA.

Background: Cerebral oximetry using near-infrared spectroscopy (NIRS) has well-documented benefits during cardiac surgery. The authors tested the hypothesis that NIRS technology can be used at other sites as a tissue oximeter during cardiac surgery and in the Intensive Care Unit (ICU).

Aims: To establish feasibility of monitoring tissue oximetry during and after cardiac surgery, to examine the correlations between tissue oximetry values and cerebral oximetry values, and to examine correlations between oximetry values and mean arterial pressure (MAP) in order to test whether cerebral oximetry can be used as an index organ. Read More

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October 2018
6 Reads

Paraspinal Leiomyoma.

Pediatr Dev Pathol 2018 Oct 17:1093526618808723. Epub 2018 Oct 17.

1 Department of Pathology, School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland.

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October 2018
2 Reads

Concurrent Schwannoma and Meningioma Arising in the Same Spinal Level: A Report of Two Cases.

NMC Case Rep J 2018 Oct 13;5(4):105-109. Epub 2018 Sep 13.

Department of Neurosurgery, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, Hiroshima, Japan.

Concurrent multiple tumors developing in the spinal cord are rare, except for in genetic disorders, such as neurofibromatosis and von Hippel-Lindau disease. Furthermore, concurrent tumors arising in the same spinal level with discrete histopathology are much rarer. We report two such cases. Read More

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October 2018
9 Reads

Associations Between Lumbar Vertebral Bone Marrow and Paraspinal Muscle Fat Compositions-An Investigation by Chemical Shift Encoding-Based Water-Fat MRI.

Front Endocrinol (Lausanne) 2018 28;9:563. Epub 2018 Sep 28.

Department of Diagnostic and Interventional Neuroradiology, Klinikum rechts der Isar, Technische Universität München, Munich, Germany.

Advanced magnetic resonance imaging (MRI) methods enable non-invasive quantification of body fat situated in different compartments. At the level of the lumbar spine, the paraspinal musculature is the compartment spatially and functionally closely related to the vertebral column, and both vertebral bone marrow fat (BMF) and paraspinal musculature fat contents have independently shown to be altered in various metabolic and degenerative diseases. However, despite their close relationships, potential correlations between fat compositions of these compartments remain largely unclear. Read More

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September 2018
5 Reads

Synovial sarcoma of cervicodorsal spine: A case report.

J Pak Med Assoc 2018 Jul;68(7):1100-1104

Shifa International Hospital, Islamabad.

Synovial sarcoma is a soft-tissue sarcoma. Its involvement of the spine is extremely rare. We report a 40 year old male who presented with shoulder pain and progressive weakness in all four limbs for six months with a visible, slowly growing bulge in his upper back. Read More

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July 2018
6 Reads

Precision implantation with positional confirmation of fine-wire EMG electrodes in the deep posterior neck muscles.

J Electromyogr Kinesiol 2018 Dec 6;43:162-167. Epub 2018 Oct 6.

Department of Anesthesiology, Oslo University Hospital, Oslo, Norway; Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.

Precise electrode placement is essential for obtaining useful electromyographic (EMG) recordings. Our aim was to develop a protocol for computerized-tomography (CT) guided fine-wire (FW) electrode placement that permits confirmation of the final electrode position in the deep posterior cervical multifidus (CM). FW-EMG electrodes were custom-made from three 50-µm diameter Teflon-insulated platinum/iridium wires. Read More

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December 2018

Compartment syndrome of lumbar paraspinal musculature after percutaneous pedicle screw fixation.

Surg Neurol Int 2018 20;9:190. Epub 2018 Sep 20.

Department of Orthospine, Sir Ganga Ram Hospital, New Delhi, India.

Background: Compartment syndromes have been reported in nearly every anatomical area of the extremities. Similarly, in the lumbar spine, there is a risk of a compartment syndrome following either direct or indirect injury to the paraspinal muscles. In this study, we present a case of lumbar paraspinal compartment syndrome after percutaneous pedicle screw fixation for a spine fracture. Read More

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September 2018
2 Reads

Magnetic Resonance Elastography in the Assessment of Acute Effects of Kinesio Taping on Lumbar Paraspinal Muscles.

J Magn Reson Imaging 2018 Oct 4. Epub 2018 Oct 4.

College of Photonics, National Chiao Tung University, Tainan, Taiwan.

Background: Kinesio tape (KT) is an elastic therapeutic tape used for treating sports-related injuries and a number of other disorders. To date, the objective evidence to link pathophysiological effects and actual reactions triggered by KT is limited.

Purpose: To explore the effect of KT on the lumbar paraspinal muscles by magnetic resonance (MR) elastography. Read More

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October 2018
8 Reads

Evaluation of Role of Electrophysiological Studies in Patients with Lumbar Disc Disease.

Asian J Neurosurg 2018 Jul-Sep;13(3):585-589

Department of Neurosurgery, Sher-I-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India.

Background: The role of the electrophysiologic studies in peripheral nerves and muscles of lower limbs (including paraspinal muscles) in prolapsed lumbar intervertebral discs has been studied with equivocal results. Pre- and post-operative electrodiagnostic studies have not been compared much.

Aims And Objectives: To study the role of the electrophysiologic studies in prolapsed lumbar/lumbosacral intervertebral discs for finding the association between clinical findings and electrophysiological changes and to compare the electrophysiologic studies pre- and post-operatively. Read More

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October 2018
5 Reads

Enchondroma Protuberans of the Transverse Process of D8 Vertebra Extending to the 7th and 8th Ribs: A Rare Case Report.

Int J Spine Surg 2018 Jan 30;12(1):43-48. Epub 2018 Mar 30.

Spine Department, Star Hospitals, Road No. 10, Banjara Hills, Hyderabad, Telangana, India.

Background: Enchondroma protuberans (EP) is rare, benign cartilaginous bone tumor arising from the intramedullary cavity of long bones and usually protrudes beyond the cortex with an exophytic growth pattern resembling osteochondroma. This study reports on a rare case of EP arising from the transverse process of the D8 vertebra and extending to the adjacent 7th and 8th ribs and the paraspinal tissues.

Methods: A 45-year-old female patient came in with complaints of upper back pain radiating up to the left costal margin for the past 6 months. Read More

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January 2018
7 Reads

Generalized Lymphatic Anomaly Associated with Multiple Paraspinal Arteriovenous Malformations and Renal Artery Aneurysms.

J Vasc Interv Radiol 2018 Nov 28;29(11):1633-1635.e1. Epub 2018 Sep 28.

Department of Neuroendovascular Therapy, St. Luke's International Hospital, 9-1 Akashi-cho, Chuo-ku, Tokyo 104-8560, Japan.

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November 2018
15 Reads

Is Selective Brachial Plexus Block Necessary After Erector Spinae Plane Block in Breast Surgery?

A A Pract 2018 11;11(9):261

Department of Medicine (DIMED), Section of Anaesthesiology and Intensive Care, University of Padua, Padua, Italy,

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November 2018

Relationships between paraspinal muscle morphology and neurocompressive conditions of the lumbar spine: a systematic review with meta-analysis.

BMC Musculoskelet Disord 2018 Sep 27;19(1):351. Epub 2018 Sep 27.

Faculty of Kinesiology, University of New Brunswick, 3 Bailey Drive, Fredericton, New Brunswick, E3B 5A3, Canada.

Background: Individual study results have demonstrated unclear relationships between neurocompressive disorders and paraspinal muscle morphology. This systematic review aimed to synthesize current evidence regarding the relationship lumbar neurocompressive disorders may have with lumbar paraspinal muscle morphology.

Methods: Searches were conducted in seven databases from inception through October 2017. Read More

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September 2018
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A Wilms' Tumor with Spinal Cord Compression: An Extrarenal Origin?

Case Rep Pediatr 2018 3;2018:1709271. Epub 2018 Sep 3.

Département de Pathologie, CHU de Grenoble, Grenoble, France.

Spinal cord compression in Wilms' tumor (WT) is an extremely rare event that can have a very poor prognosis if not taken care of rapidly. Most cases reported in the literature involve widely metastatic patient with bone or paraspinal metastases or occasionally intradural metastasis. Here, we present the case of a 3-year-old girl of WT confirmed by biopsy, with spinal cord compression due to the direct contiguous spread of a tumor through 2 vertebral foramina. Read More

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September 2018
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