859 results match your criteria Thoracic Disc Injuries

Evaluation of body surface temperature variations in dogs affected by spinal cord injuries during physiotherapy exercise in a water treadmill.

J Therm Biol 2022 May 15;106:103247. Epub 2022 Apr 15.

Department of Animal Medicine, Production and Health, University of Padova, 35020, Legnaro, Italy. Electronic address:

The aim this study was to evaluate variation in body surface temperature (BST) in healthy and spinal cord injured (SCI) dogs, and to outline temperature variation at rest (T0), during (T1) and after (T2) water-treadmill physiotherapy sessions in SCI using infrared thermography (IRT). Sixty-seven dogs of different sex, breed, body weight and age were enrolled: 14 healthy dogs and 53 dogs affected by disc pathologies. The study examined three regions of interest (ROIs): the total image of the spine (IMAGE), the spinal cord area from 1st thoracic vertebra to the last lumbar vertebra (AR01) and the surgery wound or spinal cord lesion area (AR02). Read More

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Risk Factors for Postoperative Loss of Correction in Thoracolumbar Injuries Caused by High-Energy Trauma Treated via Percutaneous Posterior Stabilization without Bone Fusion.

Medicina (Kaunas) 2022 Apr 24;58(5). Epub 2022 Apr 24.

Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, Sapporo 060-8543, Japan.

: Percutaneous pedicle screws were first introduced in 2001, soon becoming the cornerstone of minimally invasive spinal stabilization. Use of the procedure allowed adequate reduction and stabilization of spinal injuries, even in severely injured patients. This decreased bleeding and shortened surgical time, thereby optimizing outcomes; however, postoperative correction loss and kyphosis still occurred in some cases. Read More

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Intervertebral disc injury is the mainspring for the postoperative increase in Cobb Angle after thoracolumbar burst fracture.

J Orthop Surg (Hong Kong) 2022 May-Aug;30(2):10225536221088753

Department of Orthopedic Surgery, the First People's Hospital of Yunnan Province, the Affiliated Hospital of Kunming University of Science and Technology, 71240Key Laboratory of Digital Orthopaedics of Yunnan Province, Kunming, China.

Study Design: A single-institution retrospective study of a cohort of patients who underwent internal fixation spine surgery for thoracolumbar burst fracture (TLBF).

Objective: To observe the imaging manifestations of intervertebral disc changes in TLBF, to analyze the relationship between the degree of disc injury and the Cobb angle increase.

Methods: We retrospectively analyzed the data of patients who underwent short-segment pedicle screw instrumentation in the spinal surgery department of a single hospital between January 2014 and December 2017 ( = 90). Read More

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Diagnostic approach, therapeutic strategies, and surgical indications in intradural thoracic disc herniation associated with CSF leak, intracranial hypotension, and CNS superficial siderosis.

Neurol Sci 2022 Jul 8;43(7):4167-4173. Epub 2022 Apr 8.

Department of Neurosurgery, Fondazione IRCCS Istituto Neurologico C. Besta, University of Milan, Via Giovanni Celoria 11, 20133, Milan, Italy.

Background And Purpose: Intradural disc herniation (IDH) can manifest with radicular or medullary syndrome. In about 15% of cases, IDH may be responsible, through a dural laceration, for a CSF leak, determining spontaneous intracranial hypotension (SIH) and CNS superficial siderosis (CNSss). This paper attempts to present an overview on IDH as the cause for both CSF leak, and subsequent SIH, and CNSss, and to describe a peculiar clinical and neuroradiological scenario related to this condition. Read More

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Magnetic resonance imaging of children following esophageal button battery removal: What are we looking for?

Clin Imaging 2022 Jun 24;86:71-74. Epub 2022 Mar 24.

Department of Radiology, University of Washington, Seattle, WA, United States of America; Division of Radiology, Seattle Children's Hospital, Seattle, WA, United States of America. Electronic address:

Despite society recommendations that cross-sectional imaging be obtained following removal of ingested button batteries, there is no published consensus on how it effectively guides clinical management. This single institution survey demonstrates a lack of uniformity by clinicians regarding which imaging findings impact management decisions, highlighting the need for further guidelines. Read More

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Dural Injury Treatment with a Full-Endoscopic Transforaminal Approach: A Case Report and Description of Surgical Technique.

Case Rep Orthop 2022 15;2022:6570589. Epub 2022 Mar 15.

Clínica Atualli Spine Care-São Paulo, São Paulo, Brazil.

Introduction: The objective of this study was to describe a surgical technique that uses transforaminal full-endoscopic access, which is different from the existing protocol, and to demonstrate another method of dural tear repair during endoscopic spine surgery.

Background: Endoscopic spine surgery was initially described for lumbar disc pathologies. Technical advances and new materials have made it possible to treat cervical and thoracic spinal degenerative disorders. Read More

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Acromioclavicular joint instability on cross-body adduction view: the biomechanical effect of acromioclavicular and coracoclavicular ligaments sectioning.

BMC Musculoskelet Disord 2022 Mar 23;23(1):279. Epub 2022 Mar 23.

Department of Orthopedic Surgery, Nara Medical University, 840 Shijoutyou, Kashihara City, Nara, 634-5821, Japan.

Background: The acromioclavicular (AC) and coracoclavicular (CC) ligaments are important stabilizers of the AC joint. We hypothesized that AC and trapezoid ligament injuries induce AC joint instability and that the clavicle can override the acromion on cross-body adduction view even in the absence of conoid ligament injury. Accordingly, we investigated how sectioning the AC and CC ligaments contribute to AC joint instability in the cross-body adduction position. Read More

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Predictors of adverse events after percutaneous pedicle screws fixation in patients with single-segment thoracolumbar burst fractures.

BMC Musculoskelet Disord 2022 Feb 22;23(1):168. Epub 2022 Feb 22.

Department of Orthopedics, University-Town Hospital of Chongqing Medical University, Chongqing, 401331, China.

Background: Percutaneous pedicle screw fixation (PPSF) is the primary approach for single-segment thoracolumbar burst fractures (TLBF). The healing angle at the thoracolumbar junction is one of the most significant criteria for evaluating the efficacy of PPSF. Therefore, the purpose of this study was to analyze the predictors associated with the poor postoperative alignment of the thoracolumbar region from routine variables using a support vector machine (SVM) model. Read More

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February 2022

Systematic review and meta-analysis of the effect of using percutaneous pedicle screw internal fixation for thoracolumbar fractures.

Ann Palliat Med 2022 Jan;11(1):250-259

Department of Orthopedic, Affiliated Ruijin Hospital Luwan Branch, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Background: Thoracolumbar fractures are common in routine injuries. The best way to treat a thoracolumbar fracture is to repair the thoracic fracture with fixation, which is classified into percutaneous pedicle screw fixation and open pedicle screw fixation.

Methods: The literature was searched in the English database PubMed, Ovid-Medline, Embase, and China Biology Medicine Disc (CBM) from the date of establishment of PubMed to June 2021, and keywords such as percutaneous pedicle screw and posterior percutaneous pedicle screw fixation were searched. Read More

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January 2022

Fate of the intervertebral disc and analysis of its risk factors following high-energy traumatic thoracic and lumbar fractures: MRI results of minimum five years after injury.

Eur Spine J 2022 Jun 18;31(6):1468-1478. Epub 2022 Jan 18.

Division of Spine Surgery, Department of Orthopedics, Daping Hospital of Army Medical University, Chongqing, 400042, China.

Objective: Disc degenerative disease is regarded as the primary cause of low back pain. The purpose of this study was to clarify the fate of Intervertebral disc (IVD) following the traumatic event through long-term follow-up and to identify the risk factors for irrevocable degeneration.

Methods: 78 non-operative patients who had traumatic fracture of the thoracic or lumbar at minimum 5 years before were enrolled. Read More

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Comparison of Intravertebral Clefts between Kümmell Disease and Acute Osteoporotic Vertebral Compression Fracture: A Radiological Study.

Orthop Surg 2021 Oct 15;13(7):1979-1986. Epub 2021 Sep 15.

Department of Orthopedics, 5th Affiliated Hospital, Lishui Municipal Central Hospital, Wenzhou Medical College, Lishui, China.

Objective: The aim of this study was to compare the radiological features of intravertebral clefts (IVC) between Kümmell disease (KD) and acute osteoporotic vertebral compression fracture (OVCF).

Materials And Methods: This is a retrospective study. A total of 79 patients with IVC from January 2014 to December 2018 were included in this study. Read More

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October 2021

Cage or Pelvic Graft-Study on Bony Fusion of the Ventral Thoracic and Lumbar Spine in Traumatic Vertebral Fractures.

Medicina (Kaunas) 2021 Jul 31;57(8). Epub 2021 Jul 31.

Department of Trauma Surgery, Orthopaedics and Plastic Surgery, University Medical Center Göttingen, Robert-Koch Str. 40, 37075 Göttingen, Germany.

Stabilization of the spine by cage implantation or autologous pelvic bone graft are surgical methods for the treatment of traumatic spine fractures. These methods serve to stably re-adjust the spine and to prevent late detrimental effects such as pain or increasing kyphosis. They both involve ventral interventions using interbody fusion to replace the intervertebral disc space between the vertebral bodies either by cages or autologous pelvic bone grafts. Read More

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[Imageology study of correlation loss and its related factors after short-segment pedicle screw reduction and fixation for lumbar fractures].

Zhongguo Gu Shang 2021 Jul;34(7):654-8

Trauma Department of Orthopaedics, the First Affiliated Hospital, Yijishan Hospital, Wannan Medical College, Wuhu 241000, Anhui, China.

Objective: To analyze the correction loss after posterior segmental fixation for lumbar spine fractures and explore the related image factors.

Methods: Posterior short-segment fixation was received in 48 patients with L-L fractures. There were 32 males and 16 females, with ages of 23 to 60 (45. Read More

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Mechanisms of mid-thoracic spine fracture/dislocation due to falls during horse racing: A report of two cases.

Paul C Ivancic

Chin J Traumatol 2021 Nov 6;24(6):397-400. Epub 2021 Jul 6.

North Haven, Connecticut, 06473, USA. Electronic address:

We reported two cases of jockeys who sustained fracture/dislocation of the mid-thoracic spine due to traumatic falls during horse racing. We examined the injury mechanism based upon the patients' diagnostic images and video footage of races, in which the accidents occurred. Admission imaging of patient 1 (a 42 years old male) revealed T5 burst fracture with bony retropulsion of 7 mm causing complete paralysis below T5/6. Read More

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November 2021

Comparison of disc and wire electrodes to restore cough via lower thoracic spinal cord stimulation.

J Spinal Cord Med 2022 05 7;45(3):354-363. Epub 2021 Jul 7.

Department of Physical Medicine and Rehabilitation, Case Western Reserve University, MetroHealth Medical Center, Cleveland, Ohio, USA.

Objective: To compare the safety and effectiveness of wire (WE) vs. disc (DE) electrodes to restore cough in subjects with spinal cord injury (SCI).

Design: Clinical trials assessing the effectiveness and clinical outcomes associated with two electrode systems to activate the expiratory muscles. Read More

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Endovascular Versus Open Surgical Repair for Ruptured Descending Aortic Pathologies: A Systematic Review and Meta-Analysis of Observational Studies.

Cardiovasc Intervent Radiol 2021 Nov 25;44(11):1709-1719. Epub 2021 Jun 25.

Division of Cardiac Surgery, Ospedale Policlinico San Martino, Genoa, Italy.

Purpose: Ruptured descending thoracic aorta (rDTA) is an harmful condition requiring emergent treatment. Thoracic endovascular aortic repair (TEVAR) is replacing the traditional open repair in the majority of descending thoracic aortic disease. An unanimous agreement regarding the optimal approach to treat rDTA has not been reached yet due to the lack of evidences supporting the improvement of long-term survival. Read More

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November 2021

Thoracic degenerative spondylolisthesis-associated myelopathy: A case report.

Medicine (Baltimore) 2021 May;100(21):e26150

Department of Spine Surgery, Fuzhou Second Hospital Affiliated to Xiamen University, Fuzhou, China.

Rationale: The thoracic spine is stabilized in the anteroposterior direction by the rib cage and the facet joints, thus thoracic degenerative spondylolisthesis is very uncommon. Here, we report a rare case of thoracic degenerative spondylolisthesis in which the lower thoracic region was the only region involved.

Patient Concerns: We present the case of a 56-year-old Chinese female who suffered from thoracic degenerative spondylolisthesis. Read More

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Safety of lateral access to the concave side for adult spinal deformity.

J Neurosurg Spine 2021 May 14:1-5. Epub 2021 May 14.

1Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona; and.

Objective: Minimally invasive surgery (MIS) techniques, particularly lateral lumbar interbody fusion (LLIF), have become increasingly popular for adult spinal deformity (ASD) correction. Much discussion has been had regarding theoretical and clinical advantages to addressing coronal curvature from the convex versus concave side of the curve. In this study, the authors aimed to broadly evaluate the clinical outcomes of addressing ASD with circumferential MIS (cMIS) techniques while accessing the lumbar coronal curvature from the concave side. Read More

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Effects of endplate healing morphology on intervertebral disc degeneration after pedicle screw fixation for thoracolumbar fractures.

Medicine (Baltimore) 2021 Apr;100(17):e25636

Orthopaedic Trauma Service Center, The Third Hospital of Hebei Medical University, Major Laboratory of Orthopaedic Biomechanics in Hebei Province.

Abstract: The cartilage endplate plays an important role in the stress distribution and nutrition metabolism of the intervertebral disc. The healing morphology of the endplate after spinal fracture and its effect on the intervertebral disc degeneration are still unclear.This was a retrospective study. Read More

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Pediatric Thoracolumbar Spinal Injuries in United States Trauma Centers.

Pediatr Emerg Care 2022 Feb;38(2):e876-e880

Department of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, OH.

Objectives: Injuries are the leading cause of morbidity and mortality in children ages 1 to 18 years. There are limited studies about pediatric thoracolumbar (TL) spinal injuries; the purpose of this study was to characterize TL spinal injuries among pediatric patients evaluated in US trauma centers.

Methods: This was a retrospective cohort study of the National Trauma Data Bank. Read More

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February 2022

Trunk Injuries in Athletes.

Curr Sports Med Rep 2021 Mar;20(3):150-156

Department of PM&R, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA.

Abstract: Trunk pain is a common cause of performance limitation and time away from sport in athletes. However, atraumatic trunk injuries are underrepresented in medical literature and underrecognized clinically. Delays in diagnosis and initiation of appropriate treatment can increase injury morbidity and return-to-play time. Read More

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Image classification of osteoporotic vertebral fracture with endplate-disc complex Injury.

BMC Musculoskelet Disord 2021 Feb 17;22(1):197. Epub 2021 Feb 17.

Department of Orthopedics, The Affiliated Hospital of Southwest Medical University, NO. 25 Taiping S tr eet, Sichuan, 646000, Luzhou City, China.

Background: The purpose of this study was to use MRI and CT to observe osteoporosis vertebral fracture (OVF) combined with endplate-disc complex (EDC) injury and to classify the degree of EDC injury according to the changes in EDC signal intensity and morphology on the images.

Methods: We investigated the incidence of EDC injury, observed the morphology and signal intensity changes of EDC injury using MRI and CT, and graded the injuries from 0 to 4 according to their severity. We compared whether there were differences in the degree of EDC injury among different vertebral fractures, bone mineral density(BMD), and severity of vertebral fractures. Read More

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February 2021

[Risk factors of recurrent kyphosis in thoracolumbar burst fracture patients treated by short segmental pedicle screw fixation].

Beijing Da Xue Xue Bao Yi Xue Ban 2020 Dec;53(1):167-174

Department of Orthopaedic Surgery, Peking University Third Hospital, Beijing 100191, China.

Objective: To analyze the risk factors of recurrent kyphosis after removal of short segmental pedicle screw fixation in patients with thoracolumbar burst fractures.

Methods: Retrospective analysis was conducted of 144 cases of thoracolumbar burst fractures without neurological impairment treated in Peking University Third Hospital from January 2010 to December 2017. There were 74 males and 70 females, with an average age of (39. Read More

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December 2020

Biomechanical finite element analysis of vertebral column resection and posterior unilateral vertebral resection and reconstruction osteotomy.

J Orthop Surg Res 2021 Jan 28;16(1):88. Epub 2021 Jan 28.

Department of Orthopaedics, Tianjin Hospital, No. 406, Jiefang South Road, Hexi District, Tianjin, China.

Background: Regarding the repair of vertebral compression fractures, there is a lack of adequate biomechanical verification as to whether only half of the vertebral body and the upper and lower intervertebral discs affect spinal biomechanics; there also remains debate as to the appropriate length of fixation.

Methods: A model of old vertebral compression fractures with kyphosis was established based on CT data. Vertebral column resection (VCR) and posterior unilateral vertebral resection and reconstruction (PUVCR) were performed at T12; long- and short-segment fixation methods were applied, and we analyzed biomechanical changes after surgery. Read More

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January 2021

Penetrating angle grinder injury to the neck causing subclavian artery injury.

Trauma Case Rep 2021 Feb 10;31:100378. Epub 2020 Dec 10.

National Trauma Research Institute, The Alfred Hospital, Melbourne, Victoria, Australia.

Penetrating injuries to the neck present a unique challenge due to the confined space of the thoracic outlet for haemorrhage control and repair. This results in high mortality rates when the major vascular structures of the neck are transected, as well as potential neurological compromise. We present the case of a penetrating injury to the proximal subclavian artery from a broken angle grinder disc which is a unique mechanism of injury that can have fatal consequences. Read More

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February 2021

Use of the sagittal Cobb* angle to guide the rod bending in the treatment of thoracolumbar fractures: a retrospective clinical study.

J Orthop Surg Res 2020 Dec 1;15(1):574. Epub 2020 Dec 1.

Department of Orthopedics, The Second Affiliated Hospital of Nanjing Medical University, 121 Jiangjiayuan Road, Nanjing, 210000, Jiangsu, China.

Background: Pedicle screw fixation is a well-established technique for thoracolumbar fracture. A large number of studies have shown that the bending angle of the connecting rod has a significant correlation with the postoperative spinal stability. However, no studies have confirmed an objective indicator to guide the bending angle of the connecting rod during the operation. Read More

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December 2020

Varicella-Zoster Radiculitis Mimicking Sciatica: A Diagnostic Dilemma.

Asian J Neurosurg 2020 Jul-Sep;15(3):666-669. Epub 2020 Aug 28.

Spinal Services, Indian Spinal Injuries Centre, New Delhi, India.

Varicella-zoster virus (VZV) presenting as a radicular pain in the thoracic region is not uncommon, but the presentation in the lumbar and thigh region is not frequently seen. Characteristic segmental vesicular-bullous rash in a dermatomal distribution associated with pain and allodynia is a prominent feature. The pain appears before rash. Read More

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Design of a robot-assisted system for transforaminal percutaneous endoscopic lumbar surgeries: study protocol.

J Orthop Surg Res 2020 Oct 19;15(1):479. Epub 2020 Oct 19.

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

Background: Transforaminal percutaneous endoscopic lumbar surgeries (PELS) for lumbar disc herniation and spinal stenosis are growing in popularity. However, there are some problems in the establishment of the working channel and foraminoplasty such as nerve and blood vessel injuries, more radiation exposure, and steeper learning curve. Rapid technological advancements have allowed robotic technology to assist surgeons in improving the accuracy and safety of surgeries. Read More

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October 2020

Burst fractures lead to a fracture-associated intervertebral vacuum phenomenon: a case series of 305 traumatic fractures of the thoracolumbar spine.

Eur Spine J 2021 10 10;30(10):3068-3073. Epub 2020 Sep 10.

Department for Orthopaedics and Trauma Surgery, St. Remigius Krankenhaus Leverkusen, Leverkusen, Germany.

Purpose: Intervertebral vacuum phenomenon (IVP) is mainly seen as a sign of degenerative disc diseases. Although studies have shown that IVP also occurs after traumatic injuries to the spine, its clinical relevance in spinal fractures remains unknown. Therefore, the aim of this study was to analyse the prevalence, demographic parameters and fracture morphology in patients with fracture-associated IVP (FAVP) of the thoracolumbar spine. Read More

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October 2021

Analysis of intervertebral discs adjacent to thoracolumbar A3 fractures treated by percutaneous instrumentation and kyphoplasty.

Orthop Traumatol Surg Res 2020 Oct 2;106(6):1221-1226. Epub 2020 Sep 2.

Spine surgery department, hôpitaux universitaires de Strasbourg, hôpital Hautepierre 2, 1, avenue Molière, 67200 Strasbourg, France.

Introduction: Percutaneous instrumentation and kyphoplasty can be used to treat A3 fractures at T12-L1. However, the effect on adjacent intervertebral discs remains controversial. The purpose of this retrospective study was to analyze the degeneration of the discs adjacent to the fracture and to determine its relationship with age, vertebral body deformity and clinical scores. Read More

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October 2020