11,410 results match your criteria Thoracic Spine Trauma


Relief of Secondary Headaches with High Thoracic Erector Spinae Plane Block.

Local Reg Anesth 2020 22;13:49-55. Epub 2020 Jun 22.

Department of Anesthesiology, Division of Regional Anesthesiology and Acute Pain Medicine, University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TX 77030, USA.

Intractable headaches can be debilitating, often leading to significant distress, prolonged medical treatment, and unanticipated hospital admissions. There have been significant advances in the treatment of primary intractable headaches such as migraines, tension headaches, and cluster headaches beyond medical management. Treatments may now include interventional strategies such as trigger-point injections, peripheral nerve stimulators, or peripheral nerve and ganglion blocks. Read More

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http://dx.doi.org/10.2147/LRA.S249250DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319503PMC

A Standardized Protocol for Cervical Spine Evaluation in Children Reduces Imaging Utilization: A Pilot Study of the Pediatric Cervical Spine Clearance Working Group Protocol.

J Pediatr Orthop 2020 Jun 26. Epub 2020 Jun 26.

Department of Pediatric General, Thoracic, and Minimally Invasive Pediatric Surgery.

Background: Cervical spine injuries (CSI) have the potential to cause severe morbidity in children. Multiple imaging studies are used during evaluation of CSIs but come at a cost, both financially and in radiation exposure. To reduce resource utilization and radiation exposure, we implemented the Pediatric Cervical Spine Clearance Working Group (PCSCWG) standardized protocol (SP) for evaluating CSIs in children. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001619DOI Listing

[Trauma to the thoracic spine and chest].

Radiologe 2020 Jul;60(7):610-623

Universitätsklinik für Orthopädie und Unfallchirurgie, Medizinische Universität Wien, Wien, Österreich.

Background: The assessment of traumatic lesions to the chest and thoracic spine can pose a challenge for the emergency radiologist. Collaboration with the treating clinicians and knowledge of the patients' history and the trauma mechanism are essential.

Standard Radiological Methods: In case of minor trauma, digital radiography may be sufficient for diagnosis. Read More

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http://dx.doi.org/10.1007/s00117-020-00712-3DOI Listing

Extradural thoracic meningeal cyst without spinal dysraphism causing adulthood myelopathy: Case illustration and review of the literature.

J Clin Neurosci 2020 Jun 26. Epub 2020 Jun 26.

Department of Neurological Surgery, University of California San Francisco, United States.

Extradural spinal meningeal cysts are rare lesions in the adult spine and are an uncommon cause of neurologic deficits. We present the case of an adult who presented with myelopathic symptoms related to a dorsally based extradural thoracic meningeal cyst in the absence of any defect in the posterior spinal elements and no history of spinal dysraphism or trauma. We also performed a review of the literature to evaluate the surgical techniques for extradural meningeal cysts. Read More

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http://dx.doi.org/10.1016/j.jocn.2020.05.039DOI Listing

Thoracic Spinal Stability and Motion Behavior Are Affected by the Length of Posterior Instrumentation After Vertebral Body Replacement, but Not by the Surgical Approach Type: An Study With Entire Rib Cage Specimens.

Front Bioeng Biotechnol 2020 9;8:572. Epub 2020 Jun 9.

Institute of Orthopaedic Research and Biomechanics, Trauma Research Centre Ulm, Ulm University Medical Center, Ulm, Germany.

Spinal tumors and unstable vertebral body fractures usually require surgical treatment including vertebral body replacement. Regarding primary stability, however, the best possible treatment depends on the spinal region. The purpose of this study was to evaluate the effects of instrumentation length and approach size on thoracic spinal stability including the entire rib cage. Read More

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http://dx.doi.org/10.3389/fbioe.2020.00572DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7295896PMC

Pediatric Spinal Traumas.

Pediatr Neurosurg 2020 Jun 24:1-6. Epub 2020 Jun 24.

Department of Neurosurgery, University of Health Sciences, Diyarbakır Gazi Yasargil Education and Research Hospital, Diyarbakır, Turkey.

Introduction: Although childhood trauma is a major cause of morbidity and mortality, the incidence of spinal trauma is significantly lower in children than in adults. Existing studies on pediatric spinal trauma (PST) largely concern cervical trauma because of its frequency of incidence. We aimed to obtain more information by examining all types of spinal trauma, and evaluating factors such as age, trauma type, injury type, and American Spinal Injury Association score and comparing them with data from the literature. Read More

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http://dx.doi.org/10.1159/000508332DOI Listing

Intercostal artery hemorrhage with hemothorax following combined lateral and posterior lumbar interbody fusion: a case report.

Spinal Cord Ser Cases 2019 06 21;5(1):60. Epub 2019 Jun 21.

Spine Care Institute, Hospital for Special Surgery, Weill Cornell Medical College, New York, NY, USA.

Introduction: Lateral lumbar interbody fusion (LLIF) is a safe treatment for degenerative spine conditions. However, risk of complications such as vascular injuries remains. We report a unique case of an intercostal artery (ICA) hemorrhage with hemothorax following LLIF. Read More

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http://dx.doi.org/10.1038/s41394-019-0205-9DOI Listing

Magnetically controlled growing rods in early onset scoliosis: radiological results, outcome, and complications in a series of 22 patients.

Arch Orthop Trauma Surg 2020 Jun 18. Epub 2020 Jun 18.

Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong SAR, China.

Introduction: Magnetically controlled growing rods (MCGR) for the surgical treatment of early onset scoliosis (EOS) allow non-invasive outpatient based distractions during spinal growth. The purpose of this study is to present the results of a single center case series of 22 patients, evaluate the effect of MCGR treatment on the development of spino-pelvic parameters during growth, and report initial outcomes after end of treatment.

Materials And Methods: Prospectively collected data of 22 EOS patients with MCGR treatment has been analyzed. Read More

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http://dx.doi.org/10.1007/s00402-020-03518-zDOI Listing

Hyperextension thoracic spine fracture with complete neurological recovery after surgical fixation: A case report.

Surg Neurol Int 2020 30;11:137. Epub 2020 May 30.

Department of Neurosurgery, 7Tir hospital, Iran University of Medical Sciences, Tehran, Iran.

Background: Hyperextension thoracic spine fractures (HTSFs) typically involve the anterior ligamentous complex of the spine. These patients often present with paraplegia and warrant early surgical reduction/fixation even though few deficits resolve. Here, we present the unusual case of a 40-year-old male whose paraparetic deficit resolved following reduction/fixation of a T7-T8 HTSF. Read More

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http://dx.doi.org/10.25259/SNI_226_2020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7294168PMC

Minimally invasive far lateral debridement combined with posterior instrumentation for thoracic and lumbar tuberculosis without severe kyphosis.

J Orthop Surg Res 2020 Jun 16;15(1):221. Epub 2020 Jun 16.

Department of Spine Surgery, Yantai Affiliated Hospital of Binzhou Medical University, No. 717, Jinbu Street, Yantai, 264000, Shandong, China.

Background: Anti-tuberculous therapy (ATT) alone cannot easily cure spine tuberculosis (STB) though it is the most essential treatment. Many studies have confirmed the efficacy of the surgical treatment of STB through anterior, anterolateral, posterior debridement, and intervertebral fusion or combined with internal fixation. However, the conventional surgical approach requires extensive exposure of the affected areas with high rates of morbidity and mortality. Read More

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http://dx.doi.org/10.1186/s13018-020-01703-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7298961PMC

Long-term impact of sagittal malalignment on hardware after posterior fixation of the thoracolumbar spine: a retrospective study.

BMC Musculoskelet Disord 2020 Jun 16;21(1):387. Epub 2020 Jun 16.

Department of Orthopedics and Trauma Surgery, Division of orthopedics, Medical University of Vienna, Waehringer Guertel 18-20, A-1090, Vienna, Austria.

Background: The importance of sagittal alignment in healthy individuals and in reconstructive spinal surgery has been studied over the last 15 years. The aim of the present study was to assess the long-term effects of abnormal sagittal alignment on hardware after posterior thoracolumbar spinal fusion.

Methods: Patients who had undergone revision surgery (revision cohort, n = 34) due to breakage of their implants were compared retrospectively with patients who had intact implants at the final follow-up investigation after a long posterior thoracolumbar and/or lumbar spinal fusion (control cohort, n = 22). Read More

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http://dx.doi.org/10.1186/s12891-020-03405-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7298821PMC

Pressure ulcers after traumatic spinal injury in East Africa: risk factors, illustrative case, and low-cost protocol for prevention and treatment.

Spinal Cord Ser Cases 2020 Jun 15;6(1):48. Epub 2020 Jun 15.

Department of Neurological Surgery, Weill Cornell Medicine, New York, NY, USA.

Study Design: Retrospective, case-control study.

Objectives: In a traumatic spinal injury (TSI) cohort from Tanzania, we sought to: (1) describe potential risk factors for pressure ulcer development, (2) present an illustrative case, and (3) propose a low-cost outpatient protocol for prevention and treatment.

Setting: Tertiary referral hospital. Read More

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http://dx.doi.org/10.1038/s41394-020-0294-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7295768PMC

In vitro comparison of personalized 3D printed versus standard expandable titanium vertebral body replacement implants in the mid-thoracic spine using entire rib cage specimens.

Clin Biomech (Bristol, Avon) 2020 Jun 3;78:105070. Epub 2020 Jun 3.

Institute of Orthopaedic Research and Biomechanics, Trauma Research Centre Ulm, Ulm University, Ulm, Germany. Electronic address:

Background: Expandable titanium implants have proven their suitability as vertebral body replacement device in several clinical and biomechanical studies. Potential stabilizing features of personalized 3D printed titanium devices, however, have never been explored. This in vitro study aimed to prove their equivalence regarding primary stability and three-dimensional motion behavior in the mid-thoracic spine including the entire rib cage. Read More

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http://dx.doi.org/10.1016/j.clinbiomech.2020.105070DOI Listing

Early Spinal Injury Stabilization in Multiple-Injured Patients: Do All Patients Benefit?

J Clin Med 2020 Jun 5;9(6). Epub 2020 Jun 5.

Department for Trauma and Reconstructive Surgery, RWTH Aachen University Hospital, Pauwelsstraße 30, 52074 Aachen, Germany.

Background: Thoracolumbar spine fractures in multiple-injured patients are a common injury pattern. The appropriate timing for the surgical stabilization of vertebral fractures is still controversial. The purpose of this study was to analyse the impact of the timing of spinal surgery in multiple-injured patients both in general and in respect to spinal injury severity. Read More

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http://dx.doi.org/10.3390/jcm9061760DOI Listing

Thoracic computerised tomography scans in one hundred eighteen orthopaedic patients during the COVID-19 pandemic: identification of chest lesions; added values; help in managing patients; burden on the computerised tomography scan department.

Int Orthop 2020 Jun 7. Epub 2020 Jun 7.

Orthopedic Department, Clinique Geoffroy Saint Hilaire, 75005, Paris, France.

Purpose: Based on the recent literature, chest computed tomography (CT) examination could aid for management of patients during COVID-19 pandemic. However, the role of chest CT in management of COVID-19 patients is not exactly the same for medical or surgical specialties. In orthopaedic or trauma emergency, abdomen, pelvis, cervical, dorsal, and lumbar spine CT are performed to investigate patients; the result is a thoracic CT scan incorporating usually the thorax; however, information about lung parenchyma can be obtained on this thorax CT, and manifestations of COVID-19 can be diagnosed. Read More

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http://dx.doi.org/10.1007/s00264-020-04651-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275929PMC

A rare cause of neurological deterioration to complete paraplegia after surgery for thoracic myelopathy: a case report.

Spinal Cord Ser Cases 2019 06 5;5(1):55. Epub 2019 Jun 5.

Department of Spine Service, Indian Spinal Injuries Center, New Delhi, India.

Introduction: Progressive deterioration of neurological status post-thoracic myelopathy surgery after a clinically stable period is rare and can pose a diagnostic dilemma. We present our experience with such a case where all known etiologies were ruled out and the cause of deterioration could not be conclusively identified. The course was found to be similar to sub-acute post-traumatic ascending myelopathy (SPAM). Read More

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http://dx.doi.org/10.1038/s41394-019-0202-zDOI Listing

Safety of Balloon Kyphoplasty in the Treatment of Thoracic Osteoporotic Vertebral Compression Fractures in Vietnamese Patients.

Clin Orthop Surg 2020 Jun 14;12(2):209-216. Epub 2020 May 14.

Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam.

Background: The evidence for the efficacy and safety of balloon kyphoplasty (BKP) in treating the Vietnamese patients is sparse. There is no convincing evidence regarding BKP's efficacy in Vietnamese patients, especially in the patients with thoracic osteoporotic vertebral compression fractures (VCFs). This article aims to evaluate the outcomes of restoring the body height of the compressed thoracic vertebrae in patients undergoing BKP. Read More

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http://dx.doi.org/10.4055/cios19160DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7237258PMC

Percutaneous pedicle screw fixation combined with transforaminal endoscopic spinal canal decompression for the treatment of thoracolumbar burst fracture with severe neurologic deficit: A case report.

Medicine (Baltimore) 2020 May;99(21):e20276

Department of Spine Surgery, Affiliated Hospital of Chengde Medical University, Shuangqiao District, Chengde, Hebei Province.

Rationale: The most common fractures of the spine are associated with the thoracolumbar junction (T10-L2). And burst fractures make up 15% of all traumatic thoracolumbar fractures, which are often accompanied by neurological deficits and require open surgeries. Common surgeries include either anterior, posterior or a combination of these approaches. Read More

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http://dx.doi.org/10.1097/MD.0000000000020276DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249900PMC

Anterior column reconstruction of the thoracolumbar spine with a new modular PEEK vertebral body replacement device: retrospective clinical and radiologic cohort analysis of 48 cases with 1.7-years follow-up.

Eur Spine J 2020 May 28. Epub 2020 May 28.

Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Freiburgstrasse 8, 3010, Bern, Switzerland.

Purpose: To evaluate whether a new PEEK vertebral body replacement can maintain the sagittal alignment as an anterior column reconstruction device in thoracic and lumbar spinal defects due to trauma or tumor.

Methods: Retrospective review of 48 patients who underwent a corpectomy between T5 and L5 due to trauma or tumor and were stabilized with the new PEEK vertebral body replacement, between 2013 and 2017. We excluded patients who underwent a corpectomy for infection or degenerative disease and patients without complete follow-up in our institution. Read More

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http://dx.doi.org/10.1007/s00586-020-06464-xDOI Listing

Vertical Expandable Rib-based Distraction Device for Correction of Congenital Scoliosis in Children of 3 Years of Age or Younger: A Preliminary Report.

J Pediatr Orthop 2020 May 27. Epub 2020 May 27.

Departments of Pediatric Orthopedics.

Background: This study was designed to evaluate the treatment outcome of very young children with congenital scoliosis aged 3 years or under after surgery with a vertical expandable prosthetic titanium rib (VEPTR)-based distraction device.

Methods: A retrospective study of 13 children undergoing implantation of a vertical expandable rib-based distraction device. From September 2007 to June 2018, 13 children (7 male and 6 female patients) with congenital scoliosis were followed after treatment with a VEPTR. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001597DOI Listing

Financial ties between leaders of influential US professional medical associations and industry: cross sectional study.

BMJ 2020 05 27;369:m1505. Epub 2020 May 27.

Charles Perkins Centre and School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, NSW, Australia.

Objective: To investigate the nature and extent of financial relationships between leaders of influential professional medical associations in the United States and pharmaceutical and device companies.

Design: Cross sectional study.

Setting: Professional associations for the 10 costliest disease areas in the US according to the US Agency for Healthcare Research and Quality. Read More

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http://dx.doi.org/10.1136/bmj.m1505DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7251422PMC

Multi-Site Optical Monitoring of Spinal Cord Ischemia During Spine Distraction.

J Neurotrauma 2020 May 27. Epub 2020 May 27.

Stony Brook University, 12301, Orthopedic Surgery, Stony Brook, New York, United States;

Optimal surgical management of spine trauma will restore blood flow to the ischemic spinal cord. However, spine stabilization may also further exacerbate injury by inducing ischemia. Current electrophysiological technology is not capable of detecting acute changes in spinal cord blood flow or localizing ischemia. Read More

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http://dx.doi.org/10.1089/neu.2020.7012DOI Listing

Delayed development of spinal subdural hematoma following cranial trauma: A case report and review of the literature.

World Neurosurg 2020 May 22. Epub 2020 May 22.

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

Background: Spinal subdural hematomas (SDHs) have been reported as a result of direct trauma or from iatrogenic causes associated with coagulopathies. Extremely rare are spinal SDHs that are found after the development of acute intracranial SDHs, without any evidence of trauma to the spine. In addition to this rare presentation, there is a lack of consensus on 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

Possible advantages of early stabilization of spinal fractures in multiply injured patients with leading thoracic trauma - analysis based on the TraumaRegister DGU®.

Scand J Trauma Resusc Emerg Med 2020 May 24;28(1):42. Epub 2020 May 24.

Department of Orthopedics and Trauma Surgery, Medical Center - Albert-Ludwigs-University of Freiburg, Faculty of Medicine, Hugstetter Str. 55, 79106, Freiburg, Germany.

Background: Major trauma often comprises fractures of the thoracolumbar spine and these are often accompanied by relevant thoracic trauma. Major complications can be ascribed to substantial simultaneous trauma to the chest and concomitant immobilization due to spinal instability, pain or neurological dysfunction, impairing the respiratory system individually and together. Thus, we proposed that an early stabilization of thoracolumbar spine fractures will result in significant benefits regarding respiratory organ function, multiple organ failure and length of ICU / hospital stay. Read More

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http://dx.doi.org/10.1186/s13049-020-00737-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7245984PMC

Ventral Displacement of Spinal Cord in Spontaneous Intracranial Hypotension: A Sign Easily Be Overlooked.

Acta Neurol Taiwan 2020 Jun;29(2):59-63

Division of Neurology, Department of Internal Medicine, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Taiwan.

Purpose: Spontaneous intracranial hypotension (SIH) is suspected in patients presenting orthostatic headache and needs excluding structural or iatrogenic causes. Image studies are required to confirm the diagnosis and define exact locations of cerebrospinal fluid leakage, but currently there is no single study sensitive enough to make identifications among patients with various symptoms.

Case Report: We present a 24-year-old young woman having acute orthostatic headache. Read More

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Cyanoacrylate Dermal Closure in Spine Surgery: Systematic Review and Pooled Analysis.

Global Spine J 2020 Jun 10;10(4):493-498. Epub 2019 Jul 10.

The Alfred Hospital, Melbourne, Victoria, Australia.

Study Design: Systematic review.

Objectives: Cyanoacrylate glue closure has been utilized for dermal closure in surgical incisions. Its safety and efficacy in spine surgery are not established. Read More

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http://dx.doi.org/10.1177/2192568219861619DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222684PMC

Analysis of reciprocal changes in upper cervical profiles after posterior spinal fusion with the simultaneous double rod rotation technique for adolescent idiopathic scoliosis.

Orthop Traumatol Surg Res 2020 May 11. Epub 2020 May 11.

Department of Orthopaedic Surgery, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama-machi, Yufu-shi, 879-5593 Oita, Japan.

Background: The relationship between postoperative change of cervical lordotic alignment and restoration of thoracic kyphosis with adolescent idiopathic scoliosis (AIS) is still controversial. We investigated reciprocal changes in the sagittal profiles of the upper and middle-lower cervical spinal segments after posterior spinal fusion with the simultaneous double rod rotation technique (SDRRT) for AIS.

Hypothesis: Occiput-C2 and C2-C7 sagittal profiles of patients with AIS could change significantly after surgical adequate increase of thoracic kyphosis with SDRRT. Read More

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http://dx.doi.org/10.1016/j.otsr.2020.03.017DOI Listing

Demographics, mechanism of injury, and associated injuries of 25,615 patients with talus fractures in the National Trauma Data Bank.

J Clin Orthop Trauma 2020 May-Jun;11(3):426-431. Epub 2019 Jun 8.

Yale School of Medicine, Department of Orthopaedics and Rehabilitation, 47 College Street, New Haven, CT, 06510, USA.

Background: Extensive research has been conducted concerning the epidemiology of fractures of the calcaneus and ankle. However, less work has characterized the population sustaining talus fractures, necessitating the analysis of a large, national sample to assess the presentation of this important injury.

Methods: The current study included adult patients from the 2011 through 2015 National Trauma Data Bank (NTDB) who had talus fractures. Read More

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http://dx.doi.org/10.1016/j.jcot.2019.06.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7211819PMC

Traumatic Fractures of the Thoracic Spine.

Z Orthop Unfall 2020 May 11. Epub 2020 May 11.

Department of Orthopaedics, Trauma and Reconstructive Surgery, University Hospital Leipzig.

The majority of traumatic vertebral fractures occur at the thoracolumbar junction and the lumbar spine and less commonly at the mid-thoracic and upper thoracic spine. In accordance, a high number of articles are dealing with thoracolumbar fractures focusing on the thoracolumbar junction. Nonetheless, the biomechanics of the thoracic spine differ from the thoracolumbar junction and the lumbar vertebral spine. Read More

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http://dx.doi.org/10.1055/a-1144-3846DOI Listing

Antibiotic-impregnated polymethylmethacrylate strut graft as a treatment of spinal osteomyelitis: case series and description of novel technique.

J Neurosurg Spine 2020 May 8:1-6. Epub 2020 May 8.

1Swedish Neuroscience Institute, Swedish Medical Center, Seattle.

Objective: The surgical treatment of osteomyelitis and discitis of the spine often represents a challenging clinical entity for a multitude of reasons, including progression of infection despite debridement, development of spinal deformity and instability, bony destruction, and seeding of hardware. Despite advancement in spinal hardware and implantation techniques, these aforementioned challenges not uncommonly result in treatment failure, especially in instances of heavy disease burden with enough bony endplate destruction as to not allow support of a modern titanium cage implant. While antibiotic-infused polymethylmethacrylate (aPMMA) has been used in orthopedic surgery in joints of the extremities, its use has not been extensively described in the spine literature. Read More

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http://dx.doi.org/10.3171/2020.3.SPINE191313DOI Listing

Diagnostic performance of dual-energy computed tomography for detection of acute spinal fractures.

Skeletal Radiol 2020 May 8. Epub 2020 May 8.

Department of Radiology, Wonkwang University School of Medicine, 895 Muwang-Ro, Iksan, Jeonbuk, 54538, Republic of Korea.

Objective: To assess the diagnostic performance of dual-energy computed tomography (DECT) with the color-coded virtual non-calcium (VNC) technique for detecting acute fractures in patients after acute spine trauma, especially in an emergency clinical setting.

Materials And Methods: Our retrospective study included 31 patients presented to emergency department with suspected spine trauma. All patients underwent both DECT (80 kVp and 140 kVp) and MRI. Read More

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http://dx.doi.org/10.1007/s00256-020-03450-8DOI Listing

Giant intrathoracic ganglioneuroma with scoliosis treated by one-stage posterior resection and scoliosis correction: a case report.

SICOT J 2020 7;6:12. Epub 2020 May 7.

Department of Cardiothoracic surgery, Assiut University Hospitals, 71111 Assiut, Egypt.

Spinal ganglioneuroma occurs mostly in the thoracic spine causing various manifestations including scoliosis that can be misdiagnosed as idiopathic scoliosis. Few reports exist in the literature on the diagnosis and management of scoliosis secondary to huge ganglioneuroma and usually staged treatment is preferred. In this report, we present a 17-year-old female patient presented with back pain, lower limbs numbness, spinal deformity, and shortness of breath. Read More

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http://dx.doi.org/10.1051/sicotj/2020012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204781PMC

Traumatic unilateral jumped facet joint in the upper thoracic spine: Case presentation and literature review.

Surg Neurol Int 2020 25;11:77. Epub 2020 Apr 25.

Department of Neurosurgery, Warren Alpert Medical School, Brown University, Providence, Rhode Island, United States.

Background: A jumped facet joint is defined by when the inferior articular process of the superior vertebra becomes locked anterior to the superior articular process of the inferior vertebra. These typically traumatic lesions are exceedingly rare in the thoracic spine. Here, we present a patient with a unilateral jumped facet joint in the upper thoracic spine treated with open reduction and an instrumented fusion. Read More

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http://dx.doi.org/10.25259/SNI_119_2020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7193257PMC

Stingray spear injury to the pediatric spinal cord: case report and review of the literature.

Childs Nerv Syst 2020 May 2. Epub 2020 May 2.

Servicio de Neurocirugía, Hospital Nacional de Niños, "Dr. Carlos Sáenz Herrera", San José, Costa Rica.

Stingray injuries are rare, mostly causing injuries to the lower extremities but occasionally fatal if there is direct puncture of the thorax, abdomen, or neck. Direct combined stingray injury to the central nervous system has not been reported in the literature. Herein we present the case of a 12-year-old boy who, while wading at the seashore of the Costa Rica's Pacific Ocean, sustained a combined oblique penetrating injury to the C6 vertebra caused by a Stingray. Read More

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http://dx.doi.org/10.1007/s00381-020-04629-zDOI Listing

Long-term effect of physical inactivity on thoracic and lumbar disc degeneration-an MRI-based analysis of 385 individuals from the general population.

Spine J 2020 Apr 30. Epub 2020 Apr 30.

Department for Diagnostic and Interventional Radiology, Eberhard Karls University Tuebingen, University Hospital Tuebingen, 72076 Tuebingen, Germany.

Background Context: The correlation between physical inactivity, thoracolumbar disc degeneration, and back pain remains unclear.

Purpose: This study investigated the relationship between short- and long-term physical inactivity and degenerative changes of the thoracic and lumbar spine in a southern German cohort from the general population over a time period of 14 years.

Study Design/setting: This study was designed as a cross-sectional case-control study, nested in a prospective cohort from the "Cooperative Health Research in the Region of Augsburg/Kooperative Gesundheitsforschung in der Region Augsburg" (KORA) study. Read More

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http://dx.doi.org/10.1016/j.spinee.2020.04.016DOI Listing

Comparison of Perioperative Complications Between Anterior Fusion and Posterior Fusion for Osteoporotic Vertebral Fractures in Elderly Patients: Propensity Score-Matching Analysis Using Nationwide Inpatient Database.

Clin Spine Surg 2020 Apr 28. Epub 2020 Apr 28.

Global Health Promotion, Tokyo Medical and Dental University Graduate School of Medicine, Tokyo, Japan.

Study Design: This was a retrospective cohort study using a nationwide inpatient database.

Objective: The objective of this study was to evaluate the perioperative complications post-anterior fusion (AF) and posterior fusion (PF) for osteoporotic vertebral fractures (OVFs) with a large National Inpatient Database.

Summary Of Background Data: OVF of the thoracolumbar spine often occur because of bone fragility and low-energy trauma in elderly patients. Read More

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http://dx.doi.org/10.1097/BSD.0000000000000992DOI Listing

Back pain from painful osteoporotic vertebral fractures: discrepancy between the actual fracture location and the location suggested by patient-reported pain or physical examination findings.

Osteoporos Int 2020 Apr 28. Epub 2020 Apr 28.

Department of Spine Surgery, Center of Orthopedics, Daping Hospital (Army Medical Center of PLA), Army Medical University, No. 10 Changjiang Branch Road, Yuzhong District, Chongqing, China.

Caution is necessary when using symptom or physical examination findings to localize the osteoporotic vertebral fractures (VFs) attributable to the discrepant colocalized relationship.

Introduction: Whether the location of symptoms or physical examination findings delineates the appropriate spinal range for imaging has not been thoroughly investigated for VFs. The present study aims to analyze the consistency between the fractural vertebrae location and the location suggested by patient-reported pain or physical examination findings. Read More

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http://dx.doi.org/10.1007/s00198-020-05434-9DOI Listing

Whole Spine CT Scan for the Detection of Acute Spinal Fractures in Diffuse Idiopathic Skeletal Hyperostosis Patients Who Sustained Low-energy Trauma.

Spine (Phila Pa 1976) 2020 Apr 23. Epub 2020 Apr 23.

Departments of Diagnostic Imaging and.

Study Design: Retrospective cohort study.

Objective: To evaluate the role and value of whole-spine computerized tomography (WSCT) vs. radiographs and targeted CT to tender spinal regions in patients with diffuse idiopathic skeletal hyperostosis (DISH) after low-energy trauma. Read More

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http://dx.doi.org/10.1097/BRS.0000000000003536DOI Listing

Probe versus drill: A biomechanical evaluation of two different pedicle preparation techniques for pedicle screw fixation in human cadaveric osteoporotic spine.

Clin Biomech (Bristol, Avon) 2020 May 19;75:104997. Epub 2020 Apr 19.

Faculty of Medicine and University Hospital Cologne, Department of Orthopedics and Trauma Surgery, University of Cologne, Kerpener Str. 62, 50937 Cologne, Germany. Electronic address:

Background: Aim of this biomechanical study was to investigate the anchorage of pedicle screws in osteoporotic vertebrae using two different preparation techniques (probe versus drill-assisted).

Methods: Twelve thoracic vertebrae were used for the study. The right and left pedicles of the vertebra were prepared with a thoracic probe or a 3. Read More

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http://dx.doi.org/10.1016/j.clinbiomech.2020.104997DOI Listing

Aviation Sports Crashes in the Austrian Mountains: A 10-Year Retrospective Study.

Wilderness Environ Med 2020 Jun 21;31(2):165-173. Epub 2020 Apr 21.

International Commission for Mountain Emergency Medicine (ICAR MEDCOM); Department of Anesthesiology and Intensive Care Medicine, Hospitallers Brothers Hospital, Paracelsus Medical University, Salzburg, Austria.

Introduction: We aimed to describe the epidemiology and injury patterns of aviation sports crashes in the Austrian mountains and identify risk factors.

Methods: In this retrospective cohort study, out-of-hospital data on patients who sustained crashes when participating in aviation sports from January 1, 2006 through December 31, 2015 were assessed. The out-of-hospital data were merged with in-hospital data obtained from Innsbruck Medical University Hospital. Read More

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http://dx.doi.org/10.1016/j.wem.2020.01.005DOI Listing

Mortality and morbidity of stairlift injuries: Analysis of the UK TARN database.

Injury 2020 Jun 10;51(6):1306-1311. Epub 2020 Apr 10.

Department of Trauma and Orthopaedics, St George's University Hospitals NHS Foundation Trust, United Kingdom.

Aims: To investigate the incidence and pattern of injury in patients with a diagnosis of a fall from a stairlift.

Methods: Data was analysed from the Trauma Audit and Research Network (TARN) database from 2000 to 2018 for those recorded suffering stairlift related injuries between the ages of 40-100 years. Patient demographics, injury mechanism and pattern, mortality rate and height of fall were analysed. Read More

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http://dx.doi.org/10.1016/j.injury.2020.04.004DOI Listing
June 2020
2.137 Impact Factor

Complete Traumatic Spinal Cord Injury: Current Insights Regarding Timing of Surgery and Level of Injury.

Global Spine J 2020 May 1;10(3):324-331. Epub 2019 May 1.

VU University Medical Center, Amsterdam, Netherlands.

Study Design: A narrative literature review.

Objectives: To review the neurological recovery patterns in traumatic spinal cord injury (tSCI) patients with a complete lack of motor and sensory function below the level of injury (ie, ASIA A [American Spinal Injury Association scale]), as well as the impact of level of injury and timing of surgical intervention.

Results: Spontaneous neurological recovery in patients with complete tSCI differs per level of injury: patients with cervical and thoracolumbar tSCI recover ≥1 ASIA grade in 17. Read More

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http://dx.doi.org/10.1177/2192568219844990DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7160809PMC

Long-term follow-up results in patients with thoracolumbar unstable burst fracture treated with temporary posterior instrumentation without fusion and implant removal surgery: Follow-up results for at least 10 years.

Medicine (Baltimore) 2020 Apr;99(16):e19780

Daegu Catholic University Medical Center, Daegu, South Korea.

Segmental fusion is not necessarily needed in treatment of thoracolumbar unstable burst fracture requiring surgery. Our objective was to report the results of follow-up for at least 10 years in patients with thoracolumbar unstable burst fracture requiring surgery in which fractured segment was healed following temporary posterior instrumentation without fusion, and in whom implants were subsequently removed.Retrospective Cohort Study. Read More

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http://dx.doi.org/10.1097/MD.0000000000019780DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220516PMC

Guillain-Barré Syndrome After a Gunshot Wound to the Thoracic Spine.

World Neurosurg 2020 Apr 18;139:175-178. Epub 2020 Apr 18.

Department of Trauma Surgery, Advocate Christ Medical Center, Oak Lawn, Illinois, USA.

Background: Guillain-Barré syndrome (GBS) is a rare but well-documented cause of paralysis, often occurring after infection. Few cases have been reported in association with spinal cord injury (SCI), which masks the characteristic ascending paralysis. To our knowledge, this is the first reported case of confirmed GBS during the clinical course of thoracic paraplegia due to a gunshot wound (GSW). Read More

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http://dx.doi.org/10.1016/j.wneu.2020.04.054DOI Listing

Far Side Impact Injury Threshold Recommendations Based on 6 Paired WorldSID / Post-Mortem Human Subjects Tests.

Stapp Car Crash J 2019 Nov;63:127-146

Toyota Motor Corporation (Japan).

Far side has been identified in the literature as a potential cause of numerous injuries and fatalities. Euro NCAP developed a far side test protocol to be performed to assess adult protection. A monitoring phase was undertaken between January 2018 and December 2019, and the far side assessment will become part of the rating for all vehicles launched in 2020 onward. Read More

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November 2019

Spinal Cord Lateral Hemisection and Asymmetric Behavioral Assessments in Adult Rats.

J Vis Exp 2020 Mar 24(157). Epub 2020 Mar 24.

Spinal Cord and Brain Injury Research Group, Stark Neurosciences Research Institute, Department of Neurological Surgery and Goodman Campbell Brain and Spine, Indiana University School of Medicine;

Incomplete spinal cord injury (SCI) often leads to impairments of sensorimotor functions and is clinically the most frequent type of SCI. Human Brown-Séquard syndrome is a common type of incomplete SCI caused by a lesion to one half of the spinal cord which results in paralysis and loss of proprioception on the same (or ipsilesional) side as the injury, and loss of pain and temperature sensation on the opposite (or contralesional) side. Adequate methodologies for producing a spinal cord lateral hemisection (HX) and assessing neurological impairments are essential to establish a reliable animal model of Brown-Séquard syndrome. Read More

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http://dx.doi.org/10.3791/57126DOI Listing

Meta-analysis of the validity and reliability of rasterstereographic measurements of spinal posture.

Eur Spine J 2020 Apr 10. Epub 2020 Apr 10.

Department of Orthopaedics, University Hospital RWTH Aachen, Aachen, Germany.

Objective: We provide a meta-analysis for clinicians and researchers regarding reliability and validity of rasterstereographic measurement of the spinal posture.

Method: A comprehensive PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) literature search identified 19 eligible studies evaluating reliability and validity of static rasterstereographic measurements in healthy subjects and patients with different spinal pathologies.

Results: Our meta-analysis suggests that rasterstereography is a reliable and valid instrument to assess spinal posture parameters, especially thoracic kyphosis, lumbar lordosis, and scoliosis, reliability overall effect sizes rs > . Read More

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http://dx.doi.org/10.1007/s00586-020-06402-xDOI Listing

[Percutaneous versus open technique transpedicular fixation in patients with thoracolumbares type A fractures].

Acta Ortop Mex 2019 Jul-Aug;33(4):217-224

Servicio de Ortopedia, Centro Médico (ISSEMyM) Instituto de Seguridad Social del Estado de México y Municipios, Toluca. Estado de México. México.

Introduction: Percutaneous transpedicular fixation techniques are an emerging tool in the treatment of spinal trauma, however, their use is not fully accepted.

Objective: Compare results in patients with traumatic vertebral fracture, treated with percutaneous transpedicular fixation surgery versus open transpedicular fixation.

Material And Methods: From January to December 2016, 15 patients with traumatic vertebral fracture were randomly divided into 2 groups, group A were six treated with percutaneous transpedicular fixation, group B were treated with open technique transpedicular fixation, three patients were eliminated. Read More

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Shoulder injuries in polytraumatized patients: an analysis of the TraumaRegister DGU®.

Eur J Trauma Emerg Surg 2020 Mar 27. Epub 2020 Mar 27.

Department of Trauma, Hand and Reconstructive Surgery, University Hospital Muenster, Albert-Schweitzer-Campus, Building W1, 48149, Muenster, Germany.

Background: The aim of the present study was to analyze the prevalence, epidemiology and relevance of shoulder injuries in polytraumatized patients in a large national trauma database. We hypothesize a high prevalence of shoulder injuries in traffic accidents and a high prevalence of concomitant injuries of the thorax leading to an aggravated clinical course and higher Injury Severity Score (ISS). Furthermore, we hypothesize an increased rate of surgical treatment with the severity of the injury. Read More

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http://dx.doi.org/10.1007/s00068-020-01340-1DOI Listing