10,777 results match your criteria Thoracic Spine Trauma


Multimodality Intraoperative Neuromonitoring in Severe Thoracic Deformity PVCR Correction.

World Neurosurg 2019 Apr 11. Epub 2019 Apr 11.

Spine Center, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China. Electronic address:

Background: Multimodal intraoperative neuromonitoring (IONM) has been proposed as an effective way to reduce permanent neurologic injury during spinal deformity surgery. However, few studies have reported evoked potential changes at different surgical stages of thoracic posterior vertebral column resection (PVCR).

Methods: A total of 82 cases with severe thoracic deformity (Yang's A type) treated by PVCR in a single institution between January 2010 and March 2015 were reviewed. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S18788750193081
Publisher Site
http://dx.doi.org/10.1016/j.wneu.2019.03.140DOI Listing
April 2019
2 Reads

Management of Thoracic and Lumbar Spine Fractures: Is MRI Necessary in Patients without Neurological Deficits?

Am Surg 2019 Mar;85(3):306-311

MRI after a CT scan for thoracolumbar spine (TLS) trauma has become commonplace because of the concerns for detection of posterior ligamentous complex injuries in the absence of substantial scientific evidence to support its use. We hypothesized that MRI scans were not necessary in the clinical management of TLS fractures. A prospective study was conducted at our Level I trauma center. Read More

View Article

Download full-text PDF

Source

[Anterior versus posterior decompression for the treatment of thoracolumbar fractures with spinal cord injury:a Meta-analysis].

Zhongguo Gu Shang 2019 Mar;32(3):269-277

Department of Orthopaedics, the Second Hospital of Lanzhou University, Lanzhou 730000, Gansu, China;

Objective: To systematically evaluate the efficacy and safety of anterior decompression and posterior decompression in the treatment of thoracolumbar fractures with spinal cord injury, so as to provide a good scientific basis for more effective treatment of thoracolumbar fractures with spinal cord injury.

Methods: A clinical data about comparative study of anterior decompression and posterior decompression in the treatment of thoracolumbar fractures with spinal cord injury was searched and collected. The databases of Pubmed, Embase, Cochrane Library, CNKI, CBM, Wanfang Medical Network were searched by computer. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3969/j.issn.1003-0034.2019.03.015DOI Listing

Disaster Scenarios in Spine Surgery. A Survey Analysis.

Spine (Phila Pa 1976) 2019 Mar 20. Epub 2019 Mar 20.

Swedish Neuroscience Institute, Swedish Medical Center, Seattle, Washington, United States.

MINI: A survey was created including five hypothetical unpredicted scenarios affecting different organ systems to assess the respondents' preferred reactions. The heterogeneity of responses in the face of "disaster scenario" intraoperative events shows there is room for more thorough and directed education of spine surgeons during training.

Study Design: Survey analysis among spine surgeons OBJECTIVE. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/BRS.0000000000003040DOI Listing
March 2019
1 Read

Interrater reliability of three-dimensional reconstruction of the spine : Low-dose stereoradiography for evaluating bracing in adolescent idiopathic scoliosis.

Orthopade 2019 Mar 21. Epub 2019 Mar 21.

Department of Orthopedic Surgery, Trauma Surgery and Spinal Cord Injury, Heidelberg University, Schlierbacher Landstr. 200A, 69118, Heidelberg, Germany.

Background: Bracing constitutes the mainstay treatment for mild scoliosis. The 3D reconstruction of the spine using low-dose stereoradiographic imaging (LSI) is increasingly being used to determine the true shape of the deformity and to assess the success of bracing.

Objective: The aim of the study was to validate the measurement of 3D spinopelvic parameters and vertebral rotation in the setting of bracing treatment via a reliability study conducted in adherence to the guidelines for reporting reliability and agreement studies (GRRAS). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00132-019-03712-xDOI Listing
March 2019
3 Reads

Compressive chylothorax after lumbar spine fracture.

Arch Pediatr 2019 Apr 18;26(3):168-170. Epub 2019 Mar 18.

Chirurgie orthopédique pédiatrique, hôpital Clocheville, 49, boulevard Beranger, 37000 Tours, France.

A 14-year-old boy was admitted to the hospital after an episode of blunt trauma to the thorax, resulting in a Chance fracture of L1 and a compressive chylothorax 72h after admission. After initial drainage in the operating room, conservative management was successful. This case study documents one of the rare complications of spinal fractures in the context of high-energy blunt trauma. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.arcped.2019.02.012DOI Listing
April 2019
1 Read

Influence of vertebral bone mineral density on total dispersion volume of bone cement in vertebroplasty.

Medicine (Baltimore) 2019 Mar;98(12):e14941

Department of Orthopedic, Shaanxi Provincial People's Hospital.

The aim of this study was to investigate the influence of vertebral bone mineral density (BMD) on total diffusion volume of bone cement in percutaneous vertebroplasty (PVP). This study was a retrospective review of prospectively collected data of consecutive patients with A1.2 thoracolumbar compression fractures treated by PVP. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000014941DOI Listing
March 2019
1 Read
5.723 Impact Factor

[Functional state of spinal cord and its radices in patients with thoracic and lumbar spine injuries].

Zh Nevrol Psikhiatr Im S S Korsakova 2019;119(2):44-48

Research Institute of Traumatology, Orthopedics and Neurosurgery 'Razumovsky Saratov State Medical University' of Ministry Health of the Russian Federation, Saratov, Russia.

Aim: To estimate the character of neurophysiological monitoring in patients with thoracic and lumbar spine injuries at different treatment stages.

Material And Methods: Thirty-eight patients with non-complicated (22 patients, group 1) and complicated (16 patients, group 2) thoracic and lumbar spine injuries underwent electroneuromyography (ENM) and transcranial magnetic stimulation (TMS). The examination was performed at early (up to 2 weeks) and later (more than 1 month) post-injury periods, before the operation and on the 10 day after decompressing-stabilizing interventions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.17116/jnevro201911902144DOI Listing
January 2019
3 Reads

[Evidence-based guideline for the management of acute thoracolumbar injury].

Authors:

Zhonghua Wai Ke Za Zhi 2019 Mar;57(3):161-165

In order to provide the clinical guidelines of acute thoracolumbar injury for the Chinese orthopedic surgeons, the Spine Trauma Group of Chinese Association of Orthopedic Surgeons compiled this guideline. The guideline applies to adult patients with acute (less than 3 weeks) thoracolumbar fracture and(or) dislocation with or without spinal cord, cauda equina or nerve root injuries. The Study Group wrote the guideline by setting up questions, determining search words, screening literatures according to inclusion and exclusion criteria, analyzing the included literatures, confirming evidence levels and then providing recommendations. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3760/cma.j.issn.0529-5815.2019.03.001DOI Listing

Devastating neurologic injuries in the Syrian war.

Neurol Clin Pract 2019 Feb;9(1):9-15

Faculty of Pharmacy and Pharmaceutical Sciences (YEHA) and Divisions of Surgery (JB), Physical Medicine & Rehabilitation (MC), Psychiatry (SA-N), and Neurology (ASE), Department of Medicine, University of Alberta; Anatomical Acupuncture (TD), Physical Therapist, Adam Physio and Sports Clinic Ltd, Edmonton, Canada; Department of Emergency Medicine (HM), Yale University School of Medicine, New Haven, CT; and Neuroscience Institute (MS), Hamad General Hospital, Doha, Qatar.

Background: Since 2011, hundreds of thousands of Syrians have been displaced and injured due to the ongoing Syrian civil war. In this study, we report the prevalence of neurologic injuries in a major rehabilitation center on the Turkish-Syrian border where death and injury tolls continue to rise.

Method: Based on several on-site visits from 2013 to 2016, medical practitioners collected data from patients in the major rehabilitation center on the border of Turkey and Syria. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1212/CPJ.0000000000000556DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6382378PMC
February 2019
2 Reads

Histochemical and histological changes of paraspinal muscles in patients with thoracic and lumbar spine fractures treated with open and minimally invasive stabilisation.

J Back Musculoskelet Rehabil 2019 Feb 26. Epub 2019 Feb 26.

Background: Histological and histochemical analyses of muscle samples were used to determine the intensity of paraspinal muscle injury during open (OPEN) and minimally invasive (MIS) procedures due to spinal trauma.

Objective: A randomised prospective study design was chosen. According to our hypothesis, OPEN procedures will lead to more intensive microscopic changes than MIS. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3233/BMR-181159DOI Listing
February 2019
1 Read

Percutaneous vertebroplasty vs balloon kyphoplasty in the treatment of newly onset osteoporotic vertebral compression fractures: A retrospective cohort study.

Medicine (Baltimore) 2019 Mar;98(10):e14793

Department of Orthopedics, Zhongshan City Torch High-tech Industrial Development Zone Hospital, Torch High-tech Industrial Development Zone, Zhongshan City, Guangdong Province.

To compare percutaneous vertebroplasty (VP) and balloon kyphoplasty (BKP) for their effectiveness and safety in the treatment of newly onset osteoporotic vertebral compression fractures (VCF).Patients with confirmed diagnosis of newly onset osteoporotic VCF and treated in our center between January 2008 and December 2016 were retrospectively included in the study. Patients were divided into 2 groups according the surgical treatment they have received. Read More

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=00005792-201903080-0006
Publisher Site
http://dx.doi.org/10.1097/MD.0000000000014793DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417511PMC
March 2019
5 Reads
5.723 Impact Factor

Trunk muscle forces and spinal loads in persons with unilateral transfemoral amputation during sit-to-stand and stand-to-sit activities.

Clin Biomech (Bristol, Avon) 2019 Feb 27;63:95-103. Epub 2019 Feb 27.

F. Joseph Halcomb III, M.D. Department of Biomedical Engineering, University of Kentucky, Lexington, KY 40506, USA. Electronic address:

Background: Alterations and asymmetries in trunk motions during activities of daily living, involving lower extremities, are suggested to cause higher spinal loads in persons with unilateral lower limb amputation. Given the repetitive nature of most activities of daily living, knowledge of the amount of increase in spinal loads is important for designing interventions aimed at prevention of secondary low back pain due to potential fatigue failure of spinal tissues. The objective of this study was to determine differences in trunk muscle forces and spinal loads between persons with and without lower limb amputation when performing sit-to-stand and stand-to-sit tasks. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.clinbiomech.2019.02.021DOI Listing
February 2019
9 Reads

TGN-020 alleviates edema and inhibits astrocyte activation and glial scar formation after spinal cord compression injury in rats.

Life Sci 2019 Apr 6;222:148-157. Epub 2019 Mar 6.

Department of Orthopedics, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai 200072, China. Electronic address:

Aims: Identifying drugs that inhibit edema and glial scar formation and increase neuronal survival is crucial to improving outcomes after spinal cord injury (SCI). Here, we used 2-(nicotinamide)-1,3,4-thiadiazole (TGN-020), a potent selective inhibitor of aquaporin 4 (AQP4), to investigate the effects of TGN-020 on SCI in Sprague-Dawley rats.

Main Methods: We compressed the spinal cord at T10 using a sterile impounder (35 g, 5 min), to induce moderate injury. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.lfs.2019.03.007DOI Listing
April 2019
2 Reads

Validation of the German version of the 24-item Early-Onset Scoliosis Questionnaire.

J Neurosurg Pediatr 2019 Mar 8:1-6. Epub 2019 Mar 8.

2Pediatric Orthopaedics; Department of Trauma, Orthopaedic and Plastic Surgery, University Medical Center Goettingen, Goettingen; and.

OBJECTIVEDuring childhood, early-onset scoliosis (EOS) may show severe progressive deformity, which consequently leads to aggressive treatment strategies, such as serial casting, long-term bracing, or surgical interventions. The latter usually includes repeated surgeries for implant lengthening every 6 months in order to allow sufficient growth of the thorax and spine. In 2011, the 24-item Early-Onset Scoliosis Questionnaire (EOSQ-24) was introduced to measure health-related quality of life for this patient group and their families. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3171/2019.1.PEDS18704DOI Listing
March 2019
7 Reads

Treatment of Synchronous Traumatic Perforations of the Trachea and the Esophagus With Two Inferiorly Based Strap Muscle Interposition Flaps: An Innovative Approach.

J Craniofac Surg 2019 Feb 9. Epub 2019 Feb 9.

Department of Surgery, Division of Plastic Surgery, University of Illinois, College of Medicine, Peoria, IL.

: Traumatic perforations of the esophagus and trachea are devastating injuries that necessitate prompt treatment. Large defects benefit from coverage with well vascularized tissue. Injuries at the level of the thoracic inlet are more challenging, as the options for local tissue coverage are limited. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SCS.0000000000005234DOI Listing
February 2019

Multi-segment spine range of motion in dancers with and without recent low back pain.

Gait Posture 2019 Feb 20;70:53-58. Epub 2019 Feb 20.

Harkness Center for Dance Injuries, NYU Langone Health, 614 2ndAv, Suite G, 2nd Floor, New York, NY 10016, USA. Electronic address:

Background: Altered spine kinematics are a common in people with LBP. This may be especially true for populations such as dancers, who are required to perform repetitive movements of the spine, although this remains unclear.

Research Question: Do dancers with recent LBP display altered spine kinematics compared to their asymptomatic counterparts?

Methods: A cross-sectional study of multi-segment spine kinematics was performed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.gaitpost.2019.02.012DOI Listing
February 2019
1 Read

Facial Fractures as a Result of Falls in the Elderly: Concomitant Injuries and Management Strategies.

Craniomaxillofac Trauma Reconstr 2019 Mar 17;12(1):45-53. Epub 2018 May 17.

Department of Plastic Surgery, Rutgers-New Jersey Medical School, Newark, New Jersey.

Mechanical falls are a common cause of facial trauma in the elderly population. It has been shown that the likelihood of sustaining a facial fracture due to a fall or activities of daily life significantly increases with age. Craniomaxillofacial fractures are most common during the first three decades of life; however, elderly patients more frequently require lengthy hospital stays and surgical intervention, and have shown increased complication rates compared with younger patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0038-1642034DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6391279PMC
March 2019
5 Reads

Atlanto-occipital dislocation in a patient presenting with out-of-hospital cardiac arrest: a case report and literature review.

J Med Case Rep 2019 Feb 26;13(1):44. Epub 2019 Feb 26.

Division of General Anaesthesiology, Emergency and Intensive Care Medicine, Medical University of Graz, Auenbruggerplatz 5, 8036, Graz, Austria.

Background: Atlanto-occipital dislocation is a rare and severe injury of the upper spine associated with a very poor prognosis.

Case Presentation: We report the case of a 59-year-old European man who suffered from out-of-hospital cardiac arrest following a motor vehicle accident. Cardiopulmonary resuscitation was initiated immediately by bystanders and continued by emergency medical services. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13256-018-1926-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6390378PMC
February 2019
2 Reads

Heel-Raised Foot Posture Does Not Affect Trunk and Lower Extremity Biomechanics During a Barbell Back Squat in Recreational Weight lifters.

J Strength Cond Res 2019 Mar;33(3):606-614

Outpatient Physical Therapy Clinic, Desert View Hospital, Pahrump, Nevada.

Lee, S-P, Gillis, CB, Ibarra, JJ, Oldroyd, DF, and Zane, RS. Heel-raised foot posture does not affect trunk and lower extremity biomechanics during a barbell back squat in recreational weight lifters. J Strength Cond Res 33(3): 606-614, 2019-It is claimed that weightlifting shoes with a raised heel may lead to a more upright trunk posture, and thus reduce the risk of back injuries during a barbell back squat. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1519/JSC.0000000000001938DOI Listing
March 2019
1 Read

Bracing after percutaneous vertebroplasty for thoracolumbar osteoporotic vertebral compression fractures was not effective.

Clin Interv Aging 2019 5;14:265-270. Epub 2019 Feb 5.

Department of Spine Surgery, Hong Hui Hospital, Xi'an Jiaotong University, Xi'an 710054, Shaan'xi Province, China,

Objective: The objective of this study was to evaluate the effectiveness of bracing after percutaneous vertebroplasty (PVP) for thoracolumbar osteoporotic vertebral compression fractures (OVCF).

Methods: This is a retrospective study where we recruited 138 patients with single-level thoracolumbar OVCF who underwent PVP from January 2018 to March 2018 without bracing after PVP (Group A). The visual analog score (VAS) and vertebral body compression ratio (VCR) were recorded at preoperation, on the second day, at 2 weeks, 1 month, and 6 months after operation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2147/CIA.S192821DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368123PMC
April 2019
2 Reads

Clinical Outcomes of Cervical Facet Fractures Treated Nonoperatively With Hard Collar or Halo Immobilization.

Global Spine J 2019 Feb 10;9(1):48-54. Epub 2018 May 10.

University of Alabama at Birmingham, AL, USA.

Study Design: Retrospective review.

Objectives: To evaluate the rate of nonoperative treatment failure for cervical facet fractures while secondarily validating computed tomography-based criteria proposed by Spector et al for identifying risk of failure of nonoperative management.

Methods: Single-level or multilevel unilateral cervical facet fractures from 2007 to 2014 were included. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2192568218771911DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362546PMC
February 2019
2 Reads

Outcomes of Fusions From the Cervical Spine to the Pelvis.

Global Spine J 2019 Feb 10;9(1):6-13. Epub 2018 May 10.

University of California, San Francisco, CA, USA.

Study Design: Retrospective cohort study.

Objective: Determine the indications, complications, and clinical outcomes in patients requiring fusions from the cervical spine to the pelvis. Several investigators have examined fusions from the thoracic spine to the sacrum, but no similar study has been performed for cervical-to-pelvis fusions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2192568217705655DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362548PMC
February 2019
2 Reads

[Thoracic Endovascular Aortic Repair for Traumatic Aortic Injury with Internal Iliac Approach;Report of a Case].

Kyobu Geka 2019 Feb;72(2):124-127

Department of Cardiothoracic Surgery, Takaoka Hospital, Takaoka, Japan.

A 40-year-old female was injured in a car accident while driving. Computed tomography confirmed a dissection localized to the distal aortic arch and hematoma around the area. Severe liver damage with surrounding extravasation was also confirmed. Read More

View Article

Download full-text PDF

Source
February 2019

Neurological recovery following traumatic spinal cord injury: a systematic review and meta-analysis.

J Neurosurg Spine 2019 Feb 15:1-17. Epub 2019 Feb 15.

1Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences.

OBJECTIVEPredicting neurological recovery following traumatic spinal cord injury (TSCI) is a complex task considering the heterogeneous nature of injury and the inconsistency of individual studies. This study aims to summarize the current evidence on neurological recovery following TSCI by use of a meta-analytical approach, and to identify injury, treatment, and study variables with prognostic significance.METHODSA literature search in MEDLINE and EMBASE was performed, and studies reporting follow-up changes in American Spinal Injury Association (ASIA) Impairment Scale (AIS) or Frankel or ASIA motor score (AMS) scales were included in the meta-analysis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3171/2018.10.SPINE18802DOI Listing
February 2019
1 Read

Early versus delayed corpectomy in thoracic and lumbar spine trauma. A long-term clinical and radiological retrospective study.

Orthop Traumatol Surg Res 2019 Feb 11. Epub 2019 Feb 11.

Orthopedic and trauma unit, Grenoble-Alpes University Hospital, 38000 Grenoble, France.

And Background Data: Many authors have demonstrated the necessity of reconstruction of the anterior column in spinal trauma with vertebral body collapse or nonunion. There is no publication comparing the result depending on the time between trauma and anterior reconstruction of the vertebral body.

Objective: To compare long-term clinical and radiological results between early and late anterior vertebral body reconstruction with expandable cages in patients with thoracic and lumbar spine trauma. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.otsr.2018.11.019DOI Listing
February 2019
1 Read

Does injury pattern among major road trauma patients influence prehospital transport decisions regardless of the distance to the nearest trauma centre? - a retrospective study.

Scand J Trauma Resusc Emerg Med 2019 Feb 13;27(1):18. Epub 2019 Feb 13.

Neuroscience Research Australia, 139 Barker Street, Randwick, Sydney, NSW, 2031, Australia.

Background: Prehospital undertriage occurs when the required level of care for a major trauma patient is underestimated and the patient is transported to a lower-level emergency care facility. One possible reason is that the pattern of injuries exceeding a certain severity threshold is not easily recognizable in the field. The present study aims to examine whether the injury patterns of major road trauma patients are associated with trauma centre transport decisions in Sweden, controlling for the distance from the crash to the nearest trauma centre and other patient characteristics. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13049-019-0593-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6375202PMC
February 2019
1 Read

Augmenting Denver criteria yields increased BCVI detection, with screening showing markedly increased risk for subsequent ischemic stroke.

Emerg Radiol 2019 Feb 12. Epub 2019 Feb 12.

Department of Radiology, Karolinska Institute, Stockholm, Sweden.

Purpose: BCVI may lead to ischemic stroke, disability, and death, while being often initially clinically silent. Screening criteria for BCVI based on clinical findings and trauma mechanism have improved detection, with Denver criteria being most common. Up to 30% of patients do not meet BCVI screening criteria. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-019-01677-0DOI Listing
February 2019
1 Read

Management of Spinal Injuries in Polytrauma Patients: An Experience of Tertiary Care Hospital.

Mymensingh Med J 2019 Jan;28(1):182-192

Dr Md Kamrul Ahsan, Associate Professor of Spinal Surgery, Department of Orthopaedic Surgery, Bangabandhu Sheikk Mujib Medical University (BSMMU), Dhaka, Bangladesh.

Spine injuries, a common component in Polytrauma are usually affects the young people and is a major cause of morbidity and poses a significant health care expenditure and considerable threats to survival and quality of life. We retrospectively assess the demographics, incidence, mode of trauma, associated spine injuries, complications, neurological improvement and mortality. Records of total 1695 admitted patients, spinal injuries were 262 patients. Read More

View Article

Download full-text PDF

Source
January 2019
1 Read

Fracture patterns in patients with multiple fractures: the probability of multiple fractures and the most frequently associated regions.

Eur J Trauma Emerg Surg 2019 Feb 12. Epub 2019 Feb 12.

St. Vincent Hospital-Metabolic Bone Diseases Unit, The VINFORCE Study Group, Vienna, Austria.

Introduction: Multiple fractures are of high clinical relevance, as a significant increase in mortality rate has been described. The purpose of this study was to evaluate differences in age and gender distribution in multiple fractures dependent on severity of trauma. Furthermore, affected anatomic regions and frequently associated fracture regions were investigated. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00068-019-01087-4DOI Listing
February 2019
3 Reads

A review of children with severe trauma admitted to pediatric intensive care in Queensland, Australia.

PLoS One 2019 7;14(2):e0211530. Epub 2019 Feb 7.

Menzies Health Institute Queensland, Griffith University, Brisbane, Australia.

Background: The aim of this study is to review patient characteristics, injury patterns, and outcomes of trauma cases admitted to pediatric intensive care in Children's Health Queensland, Brisbane, Queensland, Australia.

Methods: Routinely recorded data collected prospectively from the Children's Health Queensland Trauma Service registry from November 2008 to October 2015 were reviewed. Demographic and clinical characteristics of trauma cases in children under 16 years of age are described, and their association with age and mortality analyzed. Read More

View Article

Download full-text PDF

Source
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0211530PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6366734PMC
February 2019
13 Reads

Cervical and thoracic spine injury in pediatric motor vehicle crash passengers.

Traffic Inj Prev 2019 4;20(1):84-92. Epub 2019 Feb 4.

d Nationwide Children's Center for Injury Research and Policy , Columbus , Ohio.

Objective: Motor vehicle occupants aged 8 to 12 years are in transition, in terms of both restraint use (booster seat or vehicle belt) and anatomical development. Rear-seated occupants in this age group are more likely to be inappropriately restrained than other age groups, increasing their vulnerability to spinal injury. The skeletal anatomy of an 8- to 12-year-old child is also in developmental transition, resulting in spinal injury patterns that are unique to this age group. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/15389588.2018.1529412DOI Listing
February 2019
1 Read

Immediate biomechanical, systemic, and interoceptive effects of myofascial release on the thoracic spine: A randomised controlled trial.

J Bodyw Mov Ther 2019 Jan 24;23(1):74-81. Epub 2018 Oct 24.

College of Human & Health Sciences, Swansea University, Singleton Park, Swansea, Wales, SA2 8PP, UK. Electronic address:

Background: Myofascial release (MFR) is used to restore tissue extensibility of the fascia tissue and is considered to be useful in a number of clinical settings such as low back pain, ankle injuries, fibromyalgia, and headaches. There is, however, despite the popularity of MFR in manual therapy, little consensus on whether it leads to biomechanical, systemic or interoceptive outcomes.

Aims: This study aimed to explore the immediate biomechanical (increased elasticity for increased range of motion), systemic (local vs. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S13608592183044
Publisher Site
http://dx.doi.org/10.1016/j.jbmt.2018.10.006DOI Listing
January 2019
6 Reads

Hypertrophic cervical spine pachymeningitis due to sarcoidosis: a case report.

Hosp Pract (1995) 2019 Apr 6;47(2):99-103. Epub 2019 Feb 6.

d Pathology , Lehigh Valley Health Network , Allentown , PA , USA.

Hypertrophic pachymeningitis (HP) is a chronic, progressive diffuse inflammatory condition that leads to thickening of the dura mater and can be idiopathic or associated with sarcoidosis among other disorders. In this case report, we present a rare case of cervical spine HP in a 29-year-old woman in the post-partum period, who had a history of pituitary adenoma and juvenile rheumatoid arthritis. Magnetic resonance imaging (MRI) of the spine revealed a soft tissue mass and moderate cord compression. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/21548331.2019.1
Publisher Site
http://dx.doi.org/10.1080/21548331.2019.1575645DOI Listing
April 2019
14 Reads

Surgical management of spinal metastases of thymic carcinoma: A case report and literature review.

Medicine (Baltimore) 2019 Jan;98(3):e14198

Department of Orthopaedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences.

Rationale: Metastatic thymic carcinoma in the spine is a rare disease with no standard curative managements yet. The objective of this study is to report a very rare case of spinal metastases of thymic carcinoma successfully operated by combination of instrumentation and cement augmentation together with adjuvant treatment. The management of these unique cases has yet to be well-documented. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000014198DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6370146PMC
January 2019
4 Reads

Cervical spine alignment following surgery for adolescent idiopathic scoliosis (AIS): a pre-to-post analysis of 81 patients.

BMC Surg 2019 Jan 15;19(1). Epub 2019 Jan 15.

Clinic for Orthopaedics and Trauma Surgery, Center for Orthopaedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital, Schlierbacher Landstr.200a, 69118, Heidelberg, Germany.

Background: Several studies have emphasized the importance of restoring thoracic kyphosis (TK) in the setting of AIS, but very few have discussed changes in cervical spine alignment following surgery. Aim of this study was to evaluate reciprocal cervical alignment change after modification of global and regional thoracolumbar alignment with surgery in the setting of adolescent idiopathic scoliosis (AIS).

Methods: Baseline and 2-yrs follow-up radiographs of AIS patients (n = 81) were analysed measuring cervical parameters (upper cervical: C2-C0, McGregor Slope; lower cervical: C2-C7, C2-C7 sagittal vertical axis (SVA), C2-T3, C2-T3SVA, C2-T1Harrison (C2-T1Ha), T1 Slope (T1S)), thoracic, lumbar, pelvic and global alignment parameters. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12893-019-0471-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334400PMC
January 2019
4 Reads

[Surgical treatment strategy for the "shell" phenomenon after thoracolumbar fracture].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 01;33(1):49-55

SectionⅠDepartment of Orthopaedics, the Fourth People's Hospital of Zigong City, Zigong Sichuan, 643000, P.R.China.

Objective: To explore the surgical treatment strategy of the vertebral "shell" after thoracolumbar fracture, and provide clinical reference for the intervention and treatment of "shell".

Methods: Between June 2015 and January 2017, 53 patients with high risk of vertebral "shell" after thoracolumbar fracture surgery were enrolled in a prospective study according to the selection criteria. All patients were randomly divided into two groups according to the order of treatment, 27 cases in the treatment group were treated with short-segment fixation combined with vertebral reconstruction, 26 cases in the control group were treated with short-segment fixation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7507/1002-1892.201806085DOI Listing
January 2019
2 Reads

Spinal fractures incurred by a fall from standing height.

Clin Neurol Neurosurg 2019 Feb 7;177:106-113. Epub 2019 Jan 7.

Department of Neurosurgery, Wessex Neurological Centre, University Hospital Southampton NHS Foundation Trust, Tremona Road, Southampton, SO16 6YD, United Kingdom; Division of Clinical Neurosciences, School of Medicine, University of Southampton, Tremona Road, Southampton, SO16 6YD, United Kingdom. Electronic address:

Objective: Falls from standing are common, particularly amongst the aging population, due to declining mobility, proprioception and vision. They are often complicated by fragility fractures, including vertebral fractures, that are associated with significant morbidity and may represent a pre-terminal condition with high one-year mortality rates.

Patients And Methods: A retrospective review of the Trauma Audit and Research Network database for a major trauma centre was conducted for all patients admitted between January 2011 and December 2016. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S03038467193000
Publisher Site
http://dx.doi.org/10.1016/j.clineuro.2019.01.005DOI Listing
February 2019
15 Reads

Grisel syndrome presenting as hemiplegia in a patient with multifocal sepsis.

Malawi Med J 2018 06;30(2):127-131

Consultant Trauma and Orthopaedic Surgeon; Dean of Faculty of Medicine, College of Medicine, University of Malawi.

Introduction: Grisel syndrome is a non-traumatic rotary subluxation of C1 on C2 (atlantoaxial subluxation). It is a rare condition predominantly described in paediatric population with previous history of upper respiratory infections orotolaryngeal procedures. The diagnosis is established by the association of clinical and radiologic findings4,6. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4314/mmj.v30i2.13DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307069PMC
June 2018
6 Reads

Cervical and High-Thoracic Dorsal Root Ganglion Stimulation in Chronic Neuropathic Pain.

Neuromodulation 2019 Jan 8. Epub 2019 Jan 8.

Department of Functional Neurosurgery and Stereotaxy, Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany.

Introduction: Dorsal root ganglion stimulation is a meanwhile established but rather new technique of neuromodulation to treat chronic pain states of different origin. While being primarily used in the lumbar region, dorsal root ganglion (DRG) stimulation also can be used in the upper thoracic and cervical region with slight alterations of the surgical approach. This offers new therapeutic options especially in the treatment of neuropathic pain states of the upper extremities. Read More

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1111/ner.12916
Publisher Site
http://dx.doi.org/10.1111/ner.12916DOI Listing
January 2019
10 Reads

The relationship between global spinal alignment and pelvic orientation from standing to sitting following pedicle subtraction osteotomy in ankylosing spondylitis patients with thoracolumbar kyphosis.

Arch Orthop Trauma Surg 2019 Jan 4. Epub 2019 Jan 4.

Spine Surgery, Drum Tower Hospital of Nanjing University Medical School, Zhongshan Road 321, Nanjing, 210008, China.

Introduction: To investigate the relationship between the spinal sagittal alignment and arc of pelvic motion from standing to sitting in ankylosing spondylitis (AS) patients with thoracolumbar kyphosis following pedicle subtraction osteotomy (PSO).

Materials And Methods: AS patients who underwent PSO for thoracolumbar kyphosis from January 2016 to July 2018 were recruited. EOS standing and sitting images were obtained pre- and postoperatively. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s00402-018-03107-1
Publisher Site
http://dx.doi.org/10.1007/s00402-018-03107-1DOI Listing
January 2019
12 Reads

Analysis of the Frequency and Mechanism of Injury to Warfighters in the Under-body Blast Environment.

Stapp Car Crash J 2018 Nov;62:489-513

Survivability/Lethality Analysis Directorate (SLAD).

During Operation Iraqi Freedom and Operation Enduring Freedom, improvised explosive devices were used strategically and with increasing frequency. To effectively design countermeasures for this environment, the Department of Defense identified the need for an under-body blast-specific Warrior Injury Assessment Manikin (WIAMan). To help with this design, information on Warfighter injuries in mounted under-body blast attacks was obtained from the Joint Trauma Analysis and Prevention of Injury in Combat program through their Request for Information interface. Read More

View Article

Download full-text PDF

Source
November 2018
14 Reads

Human Shoulder Response to Lateral Impact in Intermediate Loading Conditions Between High-Velocity, Short-Duration and Low-Velocity, Long-Duration.

Stapp Car Crash J 2018 Nov;62:319-357

Université Paris René Descartes (Paris, France).

The EuroSID-2re (ES-2re) Anthropomorphic Test Device (ATD) commonly known as the crash test dummy is also used in the military domain to assess the risk of injury of armored vehicles occupants from lateral impact. The loading conditions range from low velocity - long duration impacts (4 m/s - 50 ms) similar to the automotive domain, to high velocity - short duration impacts (28 m/s - 3 ms) corresponding to cases where the panel deforms under an explosion. The human shoulder response to lateral impact was investigated at bounds of the loading condition spectrum previously mentioned, and also at intermediate conditions (14 m/s - 9 ms) in previous studies. Read More

View Article

Download full-text PDF

Source
November 2018
3 Reads

Injury Risk Curves for the Human Cervical Spine from Inferior-to-Superior Loading.

Stapp Car Crash J 2018 Nov;62:271-292

Applied Physics Laboratory, Johns Hopkins University, Laurel, MD.

Cervical spine injuries can occur in military scenarios from events such as underbody blast events. Such scenarios impart inferior-to-superior loads to the spine. The objective of this study is to develop human injury risk curves (IRCs) under this loading mode using Post Mortem Human Surrogates (PMHS). Read More

View Article

Download full-text PDF

Source
November 2018

The Effectiveness of Noninvasive Positive Pressure Ventilation in Subarachnoid Pleural Fistula: A Case Report and Literature Review.

Neurospine 2018 Dec 2;15(4):394-399. Epub 2018 Oct 2.

Department of Spine Surgery, Ganga Hospital, Coimbatore, India.

Subarachnoid pleural fistula (SPF) is an aberrant communication between the pleural cavity and subarachnoid space, resulting in uncontrolled cerebrospinal fluid drainage. The negative pressure of the pleural cavity creates a continuous suctioning effect, thereby impeding the spontaneous closure of these fistulas. Dural tears or punctures in cardiothoracic procedures, spinal operations, and trauma are known to cause such abnormal communications. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.14245/ns.1836056.028DOI Listing
December 2018
3 Reads

Foreign body in the thoracic spine due to a nail gun penetrating injury: A case report.

Medicine (Baltimore) 2018 Dec;97(52):e13870

Department of Emergency Medicine, Kaohsiung Medical University Hospital.

Rationale: Spinal cord injuries could be catastrophic because they may result in severe neurovascular complications. Here, we present a case of thoracic spine-penetrating injury by a nail-gun.

Patient Concerns: A 60-year-old male presented to our emergency department with complaints of progressive right chest pain for 1 week that was preceded by back pain. Read More

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=00005792-201812280-0006
Publisher Site
http://dx.doi.org/10.1097/MD.0000000000013870DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314768PMC
December 2018
6 Reads

The Role of Computed Tomography and Magnetic Resonance Imaging in the Diagnosis of Pediatric Thoracolumbar Compression Fractures.

J Pediatr Orthop 2018 Dec 26. Epub 2018 Dec 26.

Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee-Campbell Clinic.

Background: Because of concerns about radiation exposure, some centers consider magnetic resonance imaging (MRIs) the preferred imaging modality for pediatric thoracic and/or lumbar compression fractures. The purpose of this study was to evaluate the sensitivity of computed tomography (CT) and MRI in diagnosing thoracolumbar compression fractures and the utility of MRI in their management.

Methods: Retrospective review identified 52 patients aged 0 to 18 years with 191 thoracic and/or lumbar compression fractures who had both CT and MRI during the initial trauma evaluation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/BPO.0000000000001316DOI Listing
December 2018
4 Reads

Assessment of Inter- and Intraobserver Reliability and Accuracy to Evaluate Apical Vertebral Rotation Using Four Methods: An Experimental Study Using a Saw Bone Model.

Spine Deform 2019 01;7(1):11-17

Department of Orthopedic Surgery, SUNY Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210, USA. Electronic address:

Study Design: After placing a thoracic three-vertebra segment saw bones model on a standardized turntable, a series of anteroposterior (AP) radiographs were obtained and then set in increments to 90° rotation. Then the specimen was instrumented with 35-mm pedicle screws bilaterally and the rotation process and image acquisition were repeated.

Objective: Assess reliability and accuracy of spine surgeons evaluating apical vertebral rotation (AVR) through surgeon's visual x-ray estimation, Nash-Moe system, Upasani trigonometric method, and Upasani grading system. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S2212134X183012
Publisher Site
http://dx.doi.org/10.1016/j.jspd.2018.06.009DOI Listing
January 2019
11 Reads

Identification of unique characteristics and the management of blunt traumatic aortic injuries occurring at unusual locations in the descending thoracic aorta.

J Vasc Surg 2019 01;69(1):40-46

Division of Vascular Surgery, Department of Surgery, University of Florida, College of Medicine, Jacksonville, Fla.

Background: The usual location of thoracic blunt traumatic aortic injury (BTAI) is just distal to the left subclavian artery; however, injuries can also be found in other locations in the descending thoracic aorta (DTA).

Methods: This is a single-institution, retrospective study, using 74 consecutive BTAI in the DTA. The patients were separated into two groups based on the location of the injury. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jvs.2018.06.208DOI Listing
January 2019