4,813 results match your criteria Spinal Hematoma


Any Instrument in Surgeon's Hand Can Be Fatal: Unusual İliac Artery Injury in Lumbar Spinal Deformity Surgery.

World Neurosurg 2020 Aug 7. Epub 2020 Aug 7.

Okan University, Department of Neurosurgery, Istanbul.

Background: Vascular complications, which we rarely encounter during lumbosacral stabilization surgeries, can be life-threatening if they are not treated quickly. These arterial injuries occur during screw insertion. Our presentation with the common iliac artery injury during the decortication process in transverse processes with 'Pedicle awl' will be the first case in the literature as far as we know. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.07.217DOI Listing

A novel model of acute closed ventral spinal cord injury and its pathological changes in rats.

Am J Transl Res 2020 15;12(7):3792-3802. Epub 2020 Jul 15.

Department of Neurosurgery, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University Taizhou 317000, China.

Objective: To establish a spinal cord injury (SCI) model by ventral violence and explore its pathological changes.

Methods: We first designed and made a shape-suitable impinger. SD rats were divided into 4 groups according to force momentum calculated by weight and height: Group A (350 g*28 cm), Group B (280 g*28 cm), Group C (210 g*28 cm), and Group D (sham, 0 g*0 cm). Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7407696PMC

Haematoma, abscess or meningitis after neuraxial anaesthesia in the USA and the Netherlands: A closed claims analysis.

Eur J Anaesthesiol 2020 Sep;37(9):743-751

From the Department of Anaesthesiology, Amsterdam UMC, location Academic Medical Centre, Amsterdam, the Netherlands (EMEB, MWH), Department of Anaesthesiology and Pain Medicine, University of Washington, Seattle, Washington (KLP, KBD), Department of Anaesthesiology, Franciscus Gasthuis and Vlietland, Rotterdam, the Netherlands (MdQ), Division of Anaesthesiology, Intensive Care and Emergency Medicine, University Medical Centre, Utrecht, the Netherlands (CJK) and Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA (PL).

Background: Severe complications after neuraxial anaesthesia are rare but potentially devastating.

Objective: We aimed to identify characteristics and preventable causes of haematoma, abscess or meningitis after neuraxial anaesthesia.

Design: Observational study, closed claims analysis. Read More

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http://dx.doi.org/10.1097/EJA.0000000000001260DOI Listing
September 2020

Posterior reversible encephalopathy syndrome and reversible cerebral vasoconstriction syndrome associated spinal subdural hematoma: A case report.

Medicine (Baltimore) 2020 Jul;99(31):e21522

Rationale: Posterior reversible encephalopathy syndrome (PRES) and reversible cerebral vasoconstriction syndrome (RCVS) are separate clinical entities with distinct pathophysiological features. But in some special conditions PRES and RCVS can occur simultaneously.

Patient Concerns: We report the unique case of a 40-year-old female presented with crescendo headache, blurred vision, and recurrent generalized tonic-clonic seizure. Read More

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http://dx.doi.org/10.1097/MD.0000000000021522DOI Listing

Acute Spontaneous Spinal Subdural Hematoma: A Case Report.

Am J Case Rep 2020 Aug 3;21:e922416. Epub 2020 Aug 3.

Emergency Department, Hamad Medical Corporation, Doha, Qatar.

BACKGROUND Spontaneous spinal subdural hematoma is a rare condition that can lead to devastating neurologic deficits, usually caused by coagulation abnormalities, trauma, underlying neoplasm, or arteriovenous malformation. The patient presents with local and/or radicular pain, followed by loss of sensory, motor, bladder, and bowel function. CASE REPORT A 25-year-old patient presented with left-sided weakness preceded by nontraumatic upper back pain. Read More

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http://dx.doi.org/10.12659/AJCR.922416DOI Listing

Endovascular Repair for Retrograde Type a Intramural Haematoma with Intimal Tear in the Descending Thoracic Aorta.

Eur J Vasc Endovasc Surg 2020 Jul 30. Epub 2020 Jul 30.

Department of Surgery; National Taiwan University Hospital, Taipei, Taiwan; Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan. Electronic address:

Objective: The current treatment for acute retrograde type A intramural haematoma (IMH) remains challenging. Aortic remodelling in both the ascending aorta (AA) and descending thoracic aorta (DTA) was evaluated and the 30 day and mid term outcomes were determined in patients who underwent thoracic endovascular aneurysm repair (TEVAR) for retrograde type A IMH with a primary intimal tear or ulcer like projection in the DTA METHODS: This was a retrospective, multicentre observational study. Clinical data, including post-operative mortality and adverse event, aorta related re-intervention, aortic remodelling, and the survival rate of 18 non-consecutive patients with acute retrograde type A IMH undergoing TEVAR between June 2006 and March 2018 were reviewed. Read More

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http://dx.doi.org/10.1016/j.ejvs.2020.05.021DOI Listing

Preliminary results of spot-stent grafting in Stanford type B aortic dissection and intramural haematoma.

Eur J Cardiothorac Surg 2020 Jul 26. Epub 2020 Jul 26.

Department of Vascular and Endovascular Surgery, University of Heidelberg, Heidelberg, Germany.

Objectives: Optimal treatment for patients with diseased proximal landing zones in acute/subacute Stanford type B dissection and intramural haematoma remains unclear. This study describes the preliminary outcomes of a localized endovascular treatment [spot-stent grafting (SSG)] of main entries/intramural blood pooling located downstream (aortic zones 4 and 5) using one single short device comprising diseased landing zones, looking particularly at the technical and morphological outcomes.

Methods: Patients undergoing thoracic endovascular aortic repair (TEVAR) for acute/subacute aortic dissection Stanford type B/intramural haematoma Stanford type B between 1997 and 2018 were identified from a prospectively maintained institutional database. Read More

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http://dx.doi.org/10.1093/ejcts/ezaa198DOI Listing

Risk-benefit analysis of wound drain usage in spine surgery: a systematic review and meta-analysis with evidence summary.

Eur Spine J 2020 Jul 22. Epub 2020 Jul 22.

Ganga Hospitals, Coimbatore, Tamil Nadu, India.

Study Design: Systematic review, meta-analysis, evidence synthesis.

Objectives: To analyse the literature evidence available to support the usage of wound drain in various scenarios of spine surgery and provide an evidence summary on the surgical practice.

Materials And Methods: We conducted independent and duplicate electronic database searches adhering to PRISMA guidelines in PubMed, Embase, and Cochrane Library till April 2020. Read More

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http://dx.doi.org/10.1007/s00586-020-06540-2DOI Listing

Closed drainage versus non-drainage for single-level lumbar discectomy: a prospective randomized controlled study.

BMC Musculoskelet Disord 2020 Jul 22;21(1):484. Epub 2020 Jul 22.

Department of Spine Surgery, Xi'an Jiaotong University College of Medicine, Honghui Hospital, Xi'an, Shaanxi, China.

Background: Postoperative epidural haematoma and wound infection can cause devastating neurological damage in spinal surgery. Closed drainage is a common method to prevent epidural haematoma, infection and related neurological impairment after lumbar decompression; however, it is not clear whether drainage can reduce postoperative complications and improve clinical efficacy. This randomized study aims to explore the role of closed drainage in reducing postoperative complications and improving the clinical efficacy of single-level lumbar discectomy. Read More

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http://dx.doi.org/10.1186/s12891-020-03504-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7376945PMC
July 2020
1.898 Impact Factor

Effectiveness of Gelatin-Thrombin Matrix Sealants (Floseal®) on Postoperative Spinal Epidural Hematoma during Single-Level Lumbar Decompression Using Biportal Endoscopic Spine Surgery: Clinical and Magnetic Resonance Image Study.

Biomed Res Int 2020 8;2020:4801641. Epub 2020 Jul 8.

Department of Orthopedic Surgery, Daegu Fatima Hospital, Daegu, Republic of Korea.

Background: Symptomatic postoperative spinal epidural hematoma (PSEH) is a devastating complication that could develop after lumbar decompression surgery. PSEH can also develop after biportal endoscopic spine surgery (BESS), one of the recently introduced minimally invasive spine surgery techniques. Gelatin-thrombin matrix sealant (GTMS) is commonly used to prevent PSEH. Read More

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http://dx.doi.org/10.1155/2020/4801641DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7368184PMC

Best-Worst Scaling Study to Identify Complications Patients Want to Be Informed About Prior to Abdominal Aortic Aneurysm Surgery.

Patient 2020 Jul 20. Epub 2020 Jul 20.

Department of Surgery, Amsterdam Cardiovascular Sciences, Amsterdam University Medical Centres, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.

Background: Surgeons must discuss the most severe surgical complications with their patients while making a treatment decision. However, it is unclear which complications patients deem most severe. This study aimed to have patients classify potential complications following abdominal aortic aneurysm surgery based on severity using best-worst scaling. Read More

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http://dx.doi.org/10.1007/s40271-020-00438-3DOI Listing

Stroke scan agnosia - What radiologists may not see.

Clin Neurol Neurosurg 2020 Jun 29;195:106052. Epub 2020 Jun 29.

Department of Neurology and Stroke Service, Altnagelvin Hospital, Derry, N. Ireland, BT47 6SB, UK.

Objective: Neuroimaging helps neurologists make accurate diagnoses. We used a multidisciplinary review system to search for perceptual discrepancies in stroke lesions. We sought to identify recurrent pitfalls in the detection of neuroimaging stroke lesions. Read More

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http://dx.doi.org/10.1016/j.clineuro.2020.106052DOI Listing

Post traumatic vertebral arterio-venous fistula: a lifeline from tetraplegia?

World Neurosurg 2020 Jul 12. Epub 2020 Jul 12.

Neurosurgery, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Largo Spedali Civili, 1, 25123 Brescia, Italy.

Background: Vertebral artery rupture is a rare condition that occurs about in 0,5% of cervical trauma. The management of our case was complicated by a spinal epidural hematoma (SEH) leading to worsening neurological deficits. Only one similar case has been reported before in literature. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.07.025DOI Listing

Epidural/spinal anesthesia during delivery in women with factor XI deficiency, a single center experience.

Haemophilia 2020 Jul 14. Epub 2020 Jul 14.

Institute of Hematology, Davidoff Cancer Center, Beilinson Hospital, Rabin Medical Center, Petah-Tikva, Israel.

Introduction: The safety of neuro-axial anaesthesia (epidural/spinal) at labour of women with partial factor XI (FXI) deficiency is uncertain. Although FXI deficiency is frequent in Ashkenazi Jews, it is not routinely measured before labour. Our institute serves a large Ashkenazi population. Read More

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http://dx.doi.org/10.1111/hae.14079DOI Listing

[SBA 2020: Regional anesthesia guideline for using anticoagulants update].

Rev Bras Anestesiol 2020 May 12. Epub 2020 May 12.

Irmandade da Santa Casa de Misericórdia de São Paulo, Anesthesiology Specialization, São Paulo, SP, Brasil.

The development of protocols to prevent perioperative Venous Thromboembolism (VTE) and the introduction of increasingly potent antithrombotic drugs have resulted in concerns of increased risk of neuraxial bleeding. Since the Brazilian Society of Anesthesiology (SBA) 2014 guideline, new oral anticoagulant drugs were approved by international regulating agencies, and by ANVISA. Societies and organizations that try to approach concerns through guidelines have presented conflicting perioperative management recommendations. Read More

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http://dx.doi.org/10.1016/j.bjan.2020.02.006DOI Listing

Comparative study between full-endoscopic laminectomy and microendoscopic laminectomy for the treatment of lumbar spinal canal stenosis.

J Spine Surg 2020 Jun;6(2):E3-E11

Department of Neurosurgery, Iwai FESS Clinic, Tokyo, Japan.

Background: Lumbar spinal canal stenosis (LSCS) is a common disease in the elderly. Although surgical decompression using a posterior approach is commonly used to treat LSCS, there are several different strategies. We compared the outcomes of uniportal full-endoscopic laminectomy (FEL) and microendoscopic laminectomy (MEL) for treating LSCS. Read More

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http://dx.doi.org/10.21037/jss-20-620DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7340829PMC

Unilateral biportal endoscopic decompression for degenerative lumbar canal stenosis.

J Spine Surg 2020 Jun;6(2):438-446

Department of Orthopedic Surgery, Far-Eastern Memorial Hospital, New Taipei.

Background: Unilateral biportal endoscopic (UBE) decompression is a minimally invasive (MI) approach to treat degenerative lumbar canal stenosis (DLCS). Decompression can be performed in a clear and magnified surgical field with proper control of normal saline inflow and outflow.

Methods: Clinical and radiographic data of 81 consecutive patients of DLCS treated between July 2018 and Feb 2019 using UBE techniques were reviewed. Read More

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http://dx.doi.org/10.21037/jss.2020.03.08DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7340817PMC

Acute Spontaneous Cervical Spinal Epidural Haematoma a Very Rare Presentation Mimicking of Carotid Dissection during Sleep.

Asian J Neurosurg 2020 Apr-Jun;15(2):455-457. Epub 2020 May 29.

Department of Neurosurgery, Hospital Sungai Buloh, Selangor, Malaysia.

Acute spontaneous spinal epidural hematoma without any identified etiology is a rare phenomenon and an uncommon cause of acute spinal cord compression. We report a case of acute spontaneous cervical spinal epidural hematoma, with sudden onset of acute neck pain and left-side body weakness during sleep which resembling of cervicle carotid dissection. The pain commenced suddenly, early in the morning while the patient was asleep. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_318_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7335142PMC

Post-Dural Puncture Headache Evolving to a Subdural Hematoma: A Case Report.

Pain Pract 2020 Jul 11. Epub 2020 Jul 11.

Department of Anesthesiology, Emergency Medicine and Multidisciplinary Pain Center, Ziekenhuis Oost-Limburg, Genk, Belgium.

Introduction: Cervical epidural corticosteroid injections are frequently used for the treatment of subacute cervicobrachial pain. This therapy is considered safe, with the vast majority of the complications being minor and transient.

Case Report: We present a case of a woman in her fifties who suffered from cervicobrachialgia and received 2 cervical epidural corticosteroid infiltrations. Read More

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http://dx.doi.org/10.1111/papr.12937DOI Listing

Risk Factors for Spinal Cord Injury and Complications of Cerebrospinal Fluid Drainage in Patients Undergoing Fenestrated and Branched Endovascular Aneurysm Repair.

J Vasc Surg 2020 Jul 5. Epub 2020 Jul 5.

Division of Vascular and Endovascular Surgery, Weill Cornell Medicine, New York-Presbyterian Hospital, New York. Electronic address:

Objective: Spinal cord injury (SCI) is one of the most devastating complications of thoracoabdominal aortic aneurysm (TAAA) repair. Cerebrospinal fluid drainage (CSFD) is routinely used to prevent and treat SCI during open TAAA repair. However, the risks and benefits of CSFD during fenestrated-branched endovascular aneurysm repair (F-BEVAR) are unclear. Read More

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http://dx.doi.org/10.1016/j.jvs.2020.05.070DOI Listing

Rare pathology leading to a diagnostic challenge: A subarachnoid spinal hematoma after catheter cryoablation for atrial fibrillation.

J Cardiol Cases 2020 Jul 7;22(1):36-39. Epub 2020 May 7.

School of Medicine, University of California, Irvine, Irvine, CA, USA.

Catheter ablation for atrial fibrillation is associated with a low rate of complications, with few reports of intracranial hemorrhage in the literature. Additionally, subarachnoid hemorrhage with spinal hematoma is also an uncommon pathology with less than 200 total cases to date described. A 78-year-old female with hypertension and atrial fibrillation on warfarin presented for catheter cryoablation and experienced periprocedural hypertension. Read More

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http://dx.doi.org/10.1016/j.jccase.2020.04.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7326657PMC

Paraplegia Caused by Spontaneous Spinal Hemorrhage in a Patient Undergoing Rivaroxaban Therapy.

Am J Case Rep 2020 Jul 7;21:e923607. Epub 2020 Jul 7.

Department of Nephrology, Transplantology and Internal Medicine, Independent Public Clinical Hospital No. 2, Szczecin, Poland.

BACKGROUND Spinal hematomas can be post-traumatic, iatrogenic, or spontaneous. A spontaneous spinal hematoma is a rare finding, but one with very serious clinical implications. There are some risk factors linked to its occurrence, e. Read More

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http://dx.doi.org/10.12659/AJCR.923607DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7369144PMC

Neurological presentation of acute aortic syndrome: Type A intramural haematoma presenting as ischaemic hemisection of the spinal cord.

Spinal Cord Ser Cases 2020 Jul 6;6(1):57. Epub 2020 Jul 6.

Vascular Surgery, Guy's and St Thomas' NHS Foundation Trust, London, UK.

Introduction: Intramural haematoma (IMH) describes the presence of blood within the aortic wall, and is associated with a significant morbidity and mortality. Early diagnosis is essential for institution of medical, and sometimes surgical, management. Neurological complications have rarely been described during the initial presentation of IMH, or other forms of acute aortic syndrome. Read More

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http://dx.doi.org/10.1038/s41394-020-0306-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7338419PMC

Neuraxial and Perineural Bleeding after Neuraxial Techniques: An Overview of the Last Year.

Eurasian J Med 2020 Jun 9;52(2):211-216. Epub 2020 Jun 9.

Department of Medicine - DIMED, University of Padova Section of Anesthesiology and Intensive Care, Padova, Italy.

Spinal hematoma following neuraxial or perineural techniques is a rare but severe complication that can potentially lead to catastrophic consequences. The aim of this review is to analyze all reported cases of neuraxial or perineural bleeding after performance of a locoregional technique since the last guidelines update in 2018. We included articles indexed by MEDLINE, Scopus, and Google Scholar. Read More

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http://dx.doi.org/10.5152/eurasianjmed.2019.19212DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311137PMC

The complication trends of adult spinal deformity surgery in Japan - The Japanese Scoliosis Society Morbidity and Mortality survey from 2012 to 2017.

J Orthop Sci 2020 Jun 23. Epub 2020 Jun 23.

The Japanese Scoliosis Society, Japan.

Background: The Japanese Scoliosis Society Morbidity & Mortality Committee performed a longitudinal nationwide complication survey of spinal deformity surgery from 2012 to 2017. The present study aimed to analyze the survey results and report the complication trends of adult spinal deformity surgery in Japan.

Methods: All Japanese Scoliosis Society members were invited to participate in the survey. Read More

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http://dx.doi.org/10.1016/j.jos.2020.05.006DOI Listing

Acute spinal epidural hematoma: A case report and review of the literature.

Ulus Travma Acil Cerrahi Derg 2020 Jun;26(4):628-631

Department of Neurosurgery, Okan University Faculty of Medicine, İstanbul-Turkey.

Spinal epidural hematoma (SEH) is a rare but a significant cause of spinal cord compression and neurologic deficits. Its etiology is usually unknown and requires emergency intervention. The present study aims to review the clinical significance, treatment strategies and clinical outcomes of traumatic SEH with a rare case presentation. Read More

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http://dx.doi.org/10.14744/tjtes.2019.60956DOI Listing

Spontaneous Intracranial Hypotension with a Reversible Splenial Lesion after Swimming.

Intern Med 2020 Jun 23. Epub 2020 Jun 23.

Department of Neurology, Tokyo Teishin Hospital, Japan.

Spontaneous intracranial hypotension (SIH) is an important cause of headache mainly associated with spinal cerebrospinal fluid leakage. We herein report the case of a 51-year-old man who developed SIH after swimming. Brain magnetic resonance imaging (MRI) showed a transient high-intensity lesion in the splenium of the corpus callosum (SCC), in addition to bilateral subdural hematomas (SDH) and pseudo-subarachnoid hemorrhage on brain computed tomography. Read More

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http://dx.doi.org/10.2169/internalmedicine.4971-20DOI Listing

Spontaneous spinal epidural haematoma due to polypharmacy including multiple antiplatelet agents.

Postgrad Med J 2020 Jun 23. Epub 2020 Jun 23.

General Medicine, Showa University Koto Toyosu Hospital, Tokyo, Japan.

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http://dx.doi.org/10.1136/postgradmedj-2020-137755DOI Listing

Spinal dural arteriovenous fistula masquerading as subdural hematoma.

Surg Neurol Int 2020 6;11:142. Epub 2020 Jun 6.

Department of Neurological Surgery, Ohio State University Wexner Medical Center, Ohio, United States.

Background: This case highlights an angiographically occult spinal dural AVF presenting with a spinal subdural hematoma. While rare, it is important that clinicians be aware of this potential etiology of subdural hematomas before evacuation.

Case Description: A 79-year-old female presented with acute lumbar pain, paraparesis, and a T10 sensory level loss. Read More

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http://dx.doi.org/10.25259/SNI_160_2020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7294149PMC

Immediate plastic surgery closure at index spinal surgery minimizes complications compared to delayed reconstruction: A retrospective cohort review.

J Plast Reconstr Aesthet Surg 2020 Aug 16;73(8):1499-1505. Epub 2019 Dec 16.

Division of Plastic Surgery, Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA, United States.

Background: Complex spine surgery in patients with major comorbidities leads to increased need for midline back wound reconstruction by plastic surgeons. Literature suggests that back wound reconstruction concurrent with high-risk immediate/index spine surgery may lead to fewer complication. This study aimed to validate this claim in a large cohort treated at a tertiary center. Read More

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http://dx.doi.org/10.1016/j.bjps.2019.11.008DOI Listing

Cone-beam computed tomography guided unipedicular central stentoplasty of the thoracolumbar spine: Early technical experience and results.

J Med Imaging Radiat Oncol 2020 Jun 14. Epub 2020 Jun 14.

Department of Diagnostic Radiology, Tan Tock Seng Hospital, Singapore City, Singapore.

Introduction: An unipedicular vertebral body stenting technique, termed 'central stentoplasty', was developed at our institution. With this technique, a single vertebral body stent was deployed percutaneously in the midline of the vertebral body using cone-beam computed tomography (CBCT) guidance.

Methods: From September 2013 to July 2015, forty-four patients with fifty-six vertebral bodies underwent central stentoplasty. Read More

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http://dx.doi.org/10.1111/1754-9485.13067DOI Listing
June 2020
0.951 Impact Factor

Dual-Plane Gluteal Myocutaneous Flap for Reconstruction of Ischial Tuberosity Pressure Wounds.

Ann Plast Surg 2020 Jul;85(S1 Suppl 1):S23-S27

From the Long Island Plastic Surgical Group, PC, Garden City, NY.

Purpose: Ischial tuberosity pressure wounds are the most common type of pressure wound and contribute to a large percentage of the total cost of surgical and nonsurgical management of pressure wounds. Gluteal myocutaneous and fascocutaneous flaps are well-documented methods of coverage for ischial pressure wounds. This study aimed to describe results using a novel dual-plane gluteal myocutaneous flap technique for reconstruction of ischial tuberosity pressure wounds. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002331DOI Listing

Transient paraplegia due to subarachnoid haemorrhage following spinal anaesthesia.

Anaesth Rep 2020 Jan-Jun;8(1):40-43. Epub 2020 Jun 5.

SCDU Anestesia Rianimazione Torino Italy.

Spinal subarachnoid haemorrhage is a rare complication of spinal anaesthesia, especially following atraumatic lumbar puncture and in the absence of coagulopathies. The initial presentation of spinal subarachnoid haemorrhage is variable and paraplegia with full recovery within a few hours is rare. Bleeding can extend into the intracranial subarachnoid space, but there are only a few reports of symptomatic intracranial and spinal subarachnoid haemorrhage after spinal anaesthesia. Read More

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http://dx.doi.org/10.1002/anr3.12043DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7273695PMC

Need for ensuring care for neuro-emergencies-lessons learned from the COVID-19 pandemic.

Acta Neurochir (Wien) 2020 08 8;162(8):1795-1801. Epub 2020 Jun 8.

Department of Neurosurgery and Center for Stroke Research Berlin (CSB), Charité - Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany.

Background: To investigate whether patients with critical emergency conditions are seeking or receiving the medical care that they require, we characterized the reality of care for patients presenting with neuro-emergencies during the first phase of the COVID-19 pandemic.

Methods: In this observational, longitudinal cohort study, all neurosurgical admissions that presented to our department between February 1 and April 15 during the COVID-19 pandemic and during the same time period in 2019 were identified and categorized according to the presence of a neuro-emergency, the route of admission, management, and the category of disease. Further, the clinical course of patients with aneurysmal subarachnoid hemorrhage (aSAH) and chronic subdural hematoma (cSDH) was investigated representatively for severe vascular and semi-urgent traumatic conditions that present with a wide variety of symptoms. Read More

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http://dx.doi.org/10.1007/s00701-020-04437-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276655PMC

[Lower extremity paralysis caused by epidural hematoma after sacral canal block technique in patient with oral warfarin:a case report].

Zhongguo Gu Shang 2019 10;32(10):960-964

Department of Orthopaedics and Traumatology, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China;

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.10.018DOI Listing
October 2019

[Surgical treatment of deep infection around the spine].

Zhongguo Gu Shang 2019 Oct;32(10):886-891

Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China;

Objective: To study the surgical method and clinical effect of deep infection around the spine.

Methods: The clinical data of 7 patients with deep infections around the spine treated from January 2015 to January 2018 were retrospectively analyzed. All patients were acute infection within 3 weeks after spinal surgery. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.10.003DOI Listing
October 2019

Technical note: Novel use of recombinant tissue plasminogen activator for the evacuation of an acute extensive spinal epidural haematoma in a patient with coagulopathy.

Br J Neurosurg 2020 May 28:1-4. Epub 2020 May 28.

National Centre of Neurosurgery, Beaumont Hospital, Dublin, Ireland.

Spontaneous extensive spinal epidural haematoma poses a unique challenge for the neurosurgeon. Performing extensive laminectomies to remove all of the compressive haematoma can destabilise the patient's spinal column, which may require fixation. This is further complicated in patients with significant coagulopathy. Read More

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http://dx.doi.org/10.1080/02688697.2020.1773395DOI Listing

Cervical spine subdural hematoma: A rare radiographic abnormality in a trauma patient.

JAAPA 2020 Jun;33(6):27-29

James Levi Shearer practices emergency medicine at Madigan Army Medical Center at Joint Base Lewis-McChord in Tacoma, Wash. Rebecca Sciandra is a battalion PA at Joint Base Lewis-McChord. Brett Gendron is deputy director of the EMPA Army Baylor Residency at Madigan Army Medical Center. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Spinal subdural hematomas (SSDH) are a rare radiographic finding that can lead to significant long-term disability. Many clinicians are unfamiliar with this condition and the available treatment options. This article describes one approach to managing a patient with an SSDH. Read More

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http://dx.doi.org/10.1097/01.JAA.0000662372.70551.1bDOI Listing

Incidence and risk factors of spinal epidural hemorrhage after spine surgery: a cross-sectional retrospective analysis of a national database.

BMC Musculoskelet Disord 2020 May 25;21(1):324. Epub 2020 May 25.

College of Pharmacy, Korea University, 2511 Sejong-ro, Sejong-si, 30019, South Korea.

Background: With increasing number of patients undergoing spine surgery, the spinal epidural hemorrhage (SEH) has become a growing concern. However, current studies on SEH rely on case reports or observations from a single center. Our study attempted to demonstrate the incidence rate and risk factors of SEH using a national dataset. Read More

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http://dx.doi.org/10.1186/s12891-020-03337-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249427PMC

Delayed Development of Spinal Subdural Hematoma Following Cranial Trauma: A Case Report and Review of the Literature.

World Neurosurg 2020 May 22;141:44-51. Epub 2020 May 22.

Department of Neuro-Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, USA; Morsani College of Medicine, University of South Florida, Tampa, Florida, USA. Electronic address:

Background: Spinal subdural hematomas (SDHs) have been reported secondary to direct trauma or iatrogenic causes associated with coagulopathies. Spinal SDHs found after the development of acute intracranial SDHs, without any evidence of trauma to the spine, are extremely rare. In addition to this rare presentation, there is a lack of consensus regarding whether surgical decompression is the ideal treatment strategy. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.05.158DOI Listing
May 2020
2.417 Impact Factor

[Clinical study of single-level cervical disc herniation treated by full-endoscopic decompression via anterior transcorporeal approach].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 May;34(5):543-549

Department of Spinal Surgery, Honghui Hospital Affiliated to Medical School of Xi'an Jiaotong University, Xi'an Shaanxi, 710054, P.R.China.

Objective: To investigate the clinical feasibility of full-endoscopic decompression for the treatment of single-level cervical disc herniation via anterior transcorporeal approach.

Methods: According to the inclusion and exclusion criteria, 21 patients with cervical disc herniation who received full-endoscopic decompression via anterior transcorporeal approach between September 2014 and March 2016 were retrospectively analyzed. There were 12 males and 9 females with an age ranged from 32 to 65 years, with an average of 48. Read More

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http://dx.doi.org/10.7507/1002-1892.201905118DOI Listing

Incidence and Clinical Features of Postoperative Symptomatic Hematoma after Spine Surgery: A Multicenter Study of 45 Patients.

Spine Surg Relat Res 2020 1;4(2):130-134. Epub 2019 Nov 1.

Department of Orthopaedic Surgery, Kyoto University, Kyoto, Japan.

Introduction: Symptomatic postoperative hematoma after spine surgery is a rare but serious complication. The objective of this study was to investigate the incidence and clinical features of symptomatic postoperative hematoma after spine surgery.

Methods: We retrospectively identified 10,680 patients who underwent spine surgery between 2002 and 2012 in nine hospitals. Read More

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http://dx.doi.org/10.22603/ssrr.2019-0080DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7217683PMC
November 2019

[Atypical presentation of spontaneous spinal epidural haematoma].

Ugeskr Laeger 2020 May;182(20)

Spontaneous spinal epidural haematoma is a rare condition with serious long- term effects. It has no proven causes but is associated with use of blood thinners, coagulopathies, underlying vascular malformations or tumours, and pregnancy. This is a case report of a 57-year-old woman with an atypical presentation, where an intracranial condition was suspected. Read More

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Legal Implications in the Care of Orthopedic Patients: Serious Complications.

Nurs Clin North Am 2020 06 15;55(2):209-224. Epub 2020 Apr 15.

American Association of Legal Nurse Consultants, Chicago, IL, USA; The Pat Iyer Group, 11205 Sparkleberry Drive, Fort Myers, FL 33913, USA.

To help reduce potentially devastating outcomes from spinal complications and venous thromboembolism, it is essential for the bedside nurse to have a comprehensive understanding of risk factors and assessments. The orthopedic nurse carries a responsibility for accurately assessing, documenting, and mobilizing the team when abnormal changes occur. Nurses act as patient advocates. Read More

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http://dx.doi.org/10.1016/j.cnur.2020.02.003DOI Listing

Acute spinal subdural hematoma: A case report of spontaneous recovery from paraplegia.

Medicine (Baltimore) 2020 May;99(19):e20032

Departments of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Japan.

Rationale: Spontaneous spinal subdural hematoma (SSDH) is a rare disease that can cause severe permanent neurological dysfunction. Here we present a case of spontaneous SSDH, in which a series of magnetic resonance images (MRIs) taken through the course of the disease facilitated understanding of the resolution process of the hematoma and the diagnosis of SSDH.

Patient Concerns: A 59-year-old male presented with sudden severe back pain and rapid onset of paraplegia. Read More

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http://dx.doi.org/10.1097/MD.0000000000020032DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220760PMC

40% reoperation rate in adolescents with spondylolisthesis.

Spine Deform 2020 May 6. Epub 2020 May 6.

Children's Orthopaedic Center, Children's Hospital Los Angeles, 4650 Sunset Blvd, Mailstop #69, Los Angeles, CA, 90027, USA.

Study Design: Multicenter retrospective.

Objective: To determine the long-term complication rate associated with surgical treatment of spondylolisthesis in adolescents. There is limited information on the complication rate associated with posterior spinal fusion (PSF) of spondylolisthesis in the pediatric and adolescent population. Read More

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http://dx.doi.org/10.1007/s43390-020-00121-5DOI Listing

Treatment options and long-term outcomes in pediatric spinal cord vascular malformations: a case report and review of the literature.

Childs Nerv Syst 2020 May 6. Epub 2020 May 6.

New Jersey Pediatric Neuroscience Institute, 131 Madison Avenue, Morristown, NJ, 07960, USA.

A 16-month-old female was admitted for prolonged fever, gait ataxia, and neurogenic bowel and bladder. Neurological exam was significant for decreased sensory and motor functions in bilateral lower extremities. Initial MRI showed a thoracic spine hematoma and diagnostic angiogram revealed a large AVM and aneurysm. Read More

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http://dx.doi.org/10.1007/s00381-020-04624-4DOI Listing

Postdischarge antibiotic use for prophylaxis following spinal fusion.

Infect Control Hosp Epidemiol 2020 May 5:1-10. Epub 2020 May 5.

Division of Infectious Diseases, Washington University School of Medicine, St Louis, Missouri.

Objective: Despite recommendations to discontinue prophylactic antibiotics after incision closure or <24 hours after surgery, prophylactic antibiotics are continued after discharge by some clinicians. The objective of this study was to determine the prevalence and factors associated with postdischarge prophylactic antibiotic use after spinal fusion.

Design: Multicenter retrospective cohort study. Read More

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http://dx.doi.org/10.1017/ice.2020.117DOI Listing

Antiplatelet and Anticoagulant Risk for Select Spine Interventions: A Retrospective Cohort.

Pain Med 2020 05;21(5):910-917

Department of Physical Medicine and Rehabilitation, Vanderbilt University, Nashville, Tennessee.

Objectives: To identify significant bleeding complications following spinal interventions in patients taking medications with antiplatelet or anticoagulation effect.

Design: Retrospective chart review of a 12-month period.

Setting: Outpatient academic medical practice. Read More

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http://dx.doi.org/10.1093/pm/pnaa009DOI Listing

Reversible Cerebral Vasospasms Secondary to Spinal Subdural Hematoma: A Case Report.

Clin Neurol Neurosurg 2020 Apr 18;195:105852. Epub 2020 Apr 18.

Department of Radiology, Junwakai Memorial Hospital, Miyazaki, Japan. Electronic address:

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http://dx.doi.org/10.1016/j.clineuro.2020.105852DOI Listing