1,091 results match your criteria fusion pelvis


Congenital Uterine Anomaly and Pelvic Organ Prolapse: A Rare Case of Pelvic Organ Prolapse in a Complete Bicornuate Uterus with Successful Pregnancy Outcomes Undiagnosed until the Time of Sacrocolpopexy.

Authors:
Gina Nam Sa Ra Lee

J Menopausal Med 2021 Apr;27(1):32-36

Department of Obstetrics and Gynecology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Müllerian development anomalies (MDAs) are most commonly diagnosed in the reproductive period. A bicornuate uterus is the result of a fusion defect of the Müllerian ducts, causing an abnormal fundal outline. Most of the cases are diagnosed early in life and present with obstetrical complications, such as recurrent pregnancy loss, preterm birth, intrauterine growth restriction, placental abruption, and cervical incompetence. Read More

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Radiological Outcomes and Complications of Vertical Expandable Titanium Rib Instrumentation in Congenital Scoliosis With or Without Rib Fusion: A Retrospective Study.

Cureus 2021 Mar 29;13(3):e14167. Epub 2021 Mar 29.

Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, CAN.

Introduction: In congenital anomalies of the thoracic spine, fusion in situ and hemi-epiphysiodesis are unsuitable surgical options, because three-dimensional thoracic deformity and insufficiency are uncorrectable. We aimed to evaluate the radiological outcome of vertical expandable titanium rib (VEPTR) application after follow-up in children with congenital scoliosis with or without rib fusion.

Methods: In our study, we included 58 patients with congenital scoliosis with or without fused ribs; all treated with VEPTR from 2005 to 2015 at our institute. Read More

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Complications in ambulatory pediatric patients with nonidiopathic spinal deformity undergoing fusion to the pelvis using the sacral-alar-iliac technique within 2 years of surgery.

J Neurosurg Pediatr 2021 Apr 30:1-8. Epub 2021 Apr 30.

Objective: Significant investigation in the adult population has generated a body of research regarding proximal junctional kyphosis (PJK) and proximal junctional failure (PJF) following long fusions to the sacrum and pelvis. However, much less is known regarding early complications, including PJK and PJF, in the ambulatory pediatric patient. As such, the objective of this study was to address the minimal literature on early complications after ambulatory pediatric patients underwent fusion to the sacrum with instrumentation to the pelvis in the era of sacral-alar-iliac (S2AI) instrumentation. Read More

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Analysis of Fracture Patterns and Characteristics in Sacral Insufficiency Fracture: Do Sacral Fractures Occur in Patients Who Had Previous Lumbosacral Fusion Insufficiency Fractures or Stress Fractures?

Asian Spine J 2021 May 3. Epub 2021 May 3.

Department of Orthopedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Study Design: This study is a retrospective analysis of a case.

Purpose: The purpose of this study is to investigate the fracture patterns and risk factors of sacral insufficiency fractures (SIFs) to improve their diagnosis in clinical practice.

Overview Of Literature: SIFs occur when normal stresses are applied to a bone with decreased density, most often due to osteoporosis. Read More

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Relative pelvic version displays persistent compensatory measures with normalised sagittal vertical axis after deformity correction.

Spine Deform 2021 Apr 29. Epub 2021 Apr 29.

Institut de la Colonne Vertébrale, Spine Unit 1, Bordeaux University Hospital, Bordeaux, France.

Purpose: A normal sagittal vertical axis (SVA) after spinal deformity correction can yield mechanical complications of up to 30%. Post-operative compensatory pelvic orientation can produce a normal SVA. We assess relative pelvic version (RPV), an individualised measure, for persistent post-operative compensatory measures. Read More

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Minimally Invasive Surgery for Neuromuscular Scoliosis: Results and Complications at a Minimal Follow-up of 5 Years.

Spine (Phila Pa 1976) 2021 Apr 23. Epub 2021 Apr 23.

Pediatrics Orthopedics Department, Necker Hospital, Université de Paris, Assistance Publique Hôpitaux de Paris, Paris, France Arts et Métiers ParisTech, LBM/Institut de Biomécanique Humaine Georges Charpak, 151 Bd. de l'Hôpital, 75013, Paris, France.

Study Design: A prospective study.

Objective: The aim was to report the results of an alternative technique to GR for neuromuscular scoliosis using a minimally invasive fusionless surgery with a minimum of 5 years follow-up.

Summary Of Background Data: Conservative treatment is not effective in progressive neuromuscular scoliosis. Read More

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Heel Lift for Skiing to Compensate for Corrected Sagittal Vertical Axis After Spinal Surgery: A Case Report.

Int J Spine Surg 2021 Feb 18;14(s4):S33-S36. Epub 2021 Jan 18.

Department of Orthopedic Surgery, Spine and Scoliosis Service, Hospital for Special Surgery, Weill Cornell Medical College, New York, New York.

Lateral lumbar interbody fusion (LLIF) and pedicle subtraction osteotomy are common procedures to correct adult spinal deformities. Little is known about returning postoperatively to a high-performance sport such as skiing after spinal surgery. We report a case of an alpine skier who underwent a LLIF procedure combined with a posterior corrective osteotomy and posterior instrumentation, who had difficulties returning to skiing postoperatively because of new spinal biomechanics. Read More

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February 2021

Novel Graft Technique for Lumbopelvic Reconstruction After Sacral Tumor Resection: A Case Report.

Authors:
Robert F McLain

JBJS Case Connect 2021 04 16;11(2). Epub 2021 Apr 16.

Spine and Orthopaedic Institute, St Vincent Charity Medical Center, Adjunct, Biomedical Engineering, Cleveland State University.

Case: Reconstruction after sacral tumor resection carries a high risk of nonunion and requires a slow return to weight-bearing. A bilateral iliac-crest graft, mobilized on a muscular pedicle, was used to graft and fuse the spine and pelvis after resection of a massive sacral schwannoma. Long-term follow-up and three-dimensional computed tomography imaging demonstrate rapid incorporation and solid fusion, with hypertrophy of the graft struts and excellent return to function. Read More

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Pelvic obliquity associated with neuromuscular scoliosis in cerebral palsy: cause and treatment.

Spine Deform 2021 Apr 16. Epub 2021 Apr 16.

Department of Orthopedic Surgery, Albert Einstein College of Medicine/Montefiore Medical Center, 3400 Bainbridge Ave, 6th Floor, Bronx, NY, 10461, USA.

Study Design: Literature Review.

Objective: Review the etiology, clinical manifestations, diagnosis, and treatment of pelvic obliquity in cerebral palsy patients with neuromuscular scoliosis. Neuromuscular scoliosis (NMS) in cerebral palsy (CP) patients is rapidly progressive and often leads to an imbalance in musculoskeletal mechanics that extends to the pelvis. Read More

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Evaluation of Global Alignment and Proportion Score in an Independent Database.

Spine J 2021 Apr 12. Epub 2021 Apr 12.

Department of Orthopedic Surgery, Barnes-Jewish Institute of Health, Washington University, St Louis, Missouri, USA.

Background Context: Sagittal spinopelvic alignment has been associated with patient-reported outcome measures and mechanical complication rates. Recently, it was claimed that linear numerical values of pelvic tilt and lumbar lordosis measurements may be misleading for patients that have different magnitudes of pelvic incidence. The use of "relative" measurements embedded in a weighted scoring of Global Alignment and Proportion (GAP) was proposed. Read More

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Surgical Site Infection Following Neuromuscular Posterior Spinal Fusion Fell 72% After Adopting the 2013 Best Practice Guidelines.

Spine (Phila Pa 1976) 2021 Apr 5. Epub 2021 Apr 5.

Department of Orthopaedic Surgery, Cedars-Sinai Medical Center Children's Orthopaedic Center, Children's Hospital Los Angeles.

Study Design: Retrospective cohort study.

Objective: The purpose of this study is to investigate the incidence of surgical site infection in neuromuscular scoliosis patients at a tertiary children's hospital before and after the implementation of strategies mentioned in the 2013 Best Practice Guideline.

Summary Of Background Data: Patients with neuromuscular scoliosis are at high risk for surgical site infection following spine surgery. Read More

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Second sacral sacralalar-iliac (S2AI) screw placement in adult degenerative scoliosis (ADS) patients: an imaging study.

BMC Surg 2021 Apr 6;21(1):181. Epub 2021 Apr 6.

Department of Orthopedics, the Fourth Medical Centre, Chinese PLA General Hospital, 51 Fucheng Road, Haidian District, 100048, Beijing, China.

Background: The imaging characteristics of sacral sacralalar-iliac (S2AI) screw trajectory in adult degenerative scoliosis (ADS) patients will be determined.

Methods: S2AI screw trajectories were mapped on three-dimensional computed tomography (3DCT) reconstructions of 40 ADS patients. The starting point, placement plane, screw template, and a circle centered at the lowest point of the ilium inner cortex were set on these images. Read More

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L5 Vertebral Column Resection for Correction of Severe Lumbar Hyperlordosis and Pelvic Anteversion in an Adolescent With Prior Myelomeningocele Repair and Lumbar Fusion: Case Report.

Oper Neurosurg (Hagerstown) 2021 Apr 2. Epub 2021 Apr 2.

The Daniel and Jane Och Spine Hospital, New York Presbyterian/Columbia University Medical Center, New York, New York, USA.

Background And Importance: Lumbar hyperlordosis in ambulatory children is an uncommon but potentially problematic spinal deformity, and the operative management has not been comprehensively described.

Clinical Presentation: We report the case of a 14-yr-old girl presenting with severe progressive lumbar hyperlordosis (-122°) and sagittal imbalance (-6 cm). She had multiple prior surgeries, including myelomeningocele repair at 10 d old, midlumbar meningioma resection at 8 mo old, and posterior lumbar instrumented spinal fusion at 5 yr old. Read More

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Bilateral pelvic kidneys with upper pole fusion and malrotation: a  case report and  review of the literature.

J Med Case Rep 2021 Apr 5;15(1):181. Epub 2021 Apr 5.

Department of Radiology, Wad-Medani Teaching Hospital, Wad Madani, Sudan.

Background: The incidence of ectopic kidneys is 1:12,000 clinically and 1:900 postmortem. Patients with pelvic mal-rotated kidneys are more susceptible to recurrent urinary tract infections, recurrent renal stones, and renal injury. Fusion of the kidney lower poles is relatively common compared to other types of renal anomalies. Read More

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Unveiling the confusion in renal fusion anomalies: role of imaging.

Abdom Radiol (NY) 2021 Apr 3. Epub 2021 Apr 3.

Department of Radiology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.

Renal fusion anomalies are common congenital anomalies of the urogenital tract and have their genesis in the early embryonic period. They are classified into partial fusion anomalies (e.g. Read More

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A Hybrid Tracking System of Full-Body Motion Inside Crowds.

Sensors (Basel) 2021 Mar 17;21(6). Epub 2021 Mar 17.

Institute for Advanced Simulation 7, Civil Safety Research, Forschungszentrum Jülich, 52428 Jülich, Germany.

For our understanding of the dynamics inside crowds, reliable empirical data are needed, which could enable increases in safety and comfort for pedestrians and the design of models reflecting the real dynamics. A well-calibrated camera system can extract absolute head position with high accuracy. The inclusion of inertial sensors or even self-contained full-body motion capturing systems allows the relative tracking of invisible people or body parts or capturing the locomotion of the whole body even in dense crowds. Read More

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The first magnetically controlled growing rod (MCGR) in the world - lessons learned and how the identified complications helped to develop the implant in the past decade: case report.

BMC Musculoskelet Disord 2021 Apr 1;22(1):319. Epub 2021 Apr 1.

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

Background: The first magnetically controlled growing rod (MCGR) was implanted in 2009. Since then multiple complications have been identified that have helped drive the development of the MCGR and its surgery. The aim of this report is to illustrate how identified complications in the first MCGR helped with developments in the past decade and to report a unique failure mechanism with stud fracture close to the barrel opening. Read More

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Reconstruction after Subtotal Sacrectomy for Sacral Ewing's Sarcoma Using Tibial Allograft Strut Grafting: A Case Report.

Case Rep Oncol 2021 Jan-Apr;14(1):296-302. Epub 2021 Mar 3.

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

We present the case of a 15-year-old girl. Two months after becoming aware of pain, she was diagnosed with a sacral tumor and referred to our department. She was diagnosed with a sacral Ewing's sarcoma; after chemotherapy, it was determined that the tumor could be resected, so surgical treatment was performed. Read More

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Improvement of coronal alignment in fractional low lumbar curves with the use of anterior interbody devices.

Spine Deform 2021 Mar 19. Epub 2021 Mar 19.

Norton Leatherman Spine Center, Louisville, KY, USA.

Study Design: Retrospective chart review.

Objectives: To determine if the addition of an anterior lumbar interbody fusion (ALIF) improves the fractional curve in adult spinal deformity correction when compared to posterior surgery alone. ALIF is commonly advocated to improve lordosis and fusion in adult deformity surgery. Read More

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Global sagittal alignment after surgery of right thoracic idiopathic scoliosis in adolescents and adults with and without thoracic hypokyphosis.

Sci Rep 2021 Mar 18;11(1):6294. Epub 2021 Mar 18.

Department of Imaging and Interventional Radiology, Faculty of Medicine, The Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China.

This study aimed to characterize global sagittal alignment in adolescent idiopathic scoliosis (AIS) with normal kyphosis (NTK, kyphosis > 10°) and with thoracic hypokyphosis (THK, kyphosis < 10°), before and after posterior spinal fusion, and compare them with asymptomatic controls. 27 AIS girls and young adults with right thoracic curves were included (seventeen with age ≤ 18 years, then age > 21). Biplanar radiographies were acquired at baseline, immediate post-operatively, 1-year and 2-year follow-up, and 3D reconstruction of the spine and pelvis was performed. Read More

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Caudally directed upper-instrumented vertebra pedicle screws associated with minimized risk of proximal junctional failure in patients with long posterior spinal fusion for adult spinal deformity.

Spine J 2021 Mar 13. Epub 2021 Mar 13.

Department of Orthopedic Surgery, The Johns Hopkins University, 601 N. Caroline St, JHOC 5223, Baltimore, MD, USA. Electronic address:

Background Context: It is unknown whether upper instrumented vertebra (UIV) pedicle screw trajectory and UIV screw-rod angle are associated with development of proximal junctional kyphosis (PJK) and/or proximal junctional failure (PJF).

Purpose: To determine whether (1) the cranial-caudal trajectory of UIV pedicle screws and (2) UIV screw-vertebra angle are associated with PJK and/or PJF after long posterior spinal fusion in patients with adult spinal deformity (ASD).

Study Design/setting: Retrospective review. Read More

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Sacroiliac joint arthropathy in adult spinal deformity patients with long constructs to the pelvis.

Clin Neurol Neurosurg 2021 Apr 3;203:106593. Epub 2021 Mar 3.

Department of Neurosurgery and Brain Repair, University of South Florida Morsani College of Medicine, Tampa, FL, USA. Electronic address:

Objective: Sacroiliac joint (SIJ) arthropathy is an increasingly recognized problem in adult spinal deformity patients undergoing long construct surgery. S2-alar-iliac (S2AI) screw instrumentation is thought to reduce morbidity from pelvic fixation in these patients. The goal of this study is to assess the overall incidence of SIJ arthropathy in patients with long constructs to the pelvis as well as compare SIJ outcomes of partially threaded (PT) versus fully threaded (FT) S2AI screws. Read More

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The role of imaging in computer assisted tumor surgery of the sacrum and pelvis.

Curr Med Imaging 2021 Mar 2. Epub 2021 Mar 2.

IRCCS Policlinico di Sant'Orsola, Bologna. Italy.

The use of a navigation system allows precise resection of a tumor and accurate reconstruction of the resultant defect thereby sparing important anatomical structures and preserving function. It is an "image-based" system where the imaging (computed tomography and magnetic resonance imaging) is required to supply the software with data. The fusion of the preoperative imaging provides pre-operative information about local anatomy and extent of the tumor, so that it allows an accurate preoperative planning. Read More

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Chylous retroperitoneum following 720 degree anteroposterior-combined corrective surgery for adult spinal deformity with split vertebral fracture subluxation: a case report.

Spine Deform 2021 Mar 2. Epub 2021 Mar 2.

Department of Orthopaedic Surgery, Kitasato University School of Medicine, 1-15-1, Kitazato, Minami-ku, Sagamihara, Kanagawa, 252-0374, Japan.

Study Design: Clinical case report.

Purpose: To report the rare case with post-operative chylous retroperitoneum after corrective surgery for adult spinal deformity.

Methods: We present a case of a 73-year-old woman with Parkinson's disease. Read More

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The role of the fractional lumbosacral curve in persistent coronal malalignment following adult thoracolumbar deformity surgery: a radiographic analysis.

Spine Deform 2021 May 2;9(3):721-731. Epub 2021 Mar 2.

Department of Orthopaedic Surgery, Washington University School of Medicine in St. Louis, 660 Euclid Avenue, Campus Box 8233, Saint Louis, MO, 63110, USA.

Study Design: Retrospective cohort.

Objective: Assess radiographically the effect of an all-posterior approach on correction of coronal balance in primary adult thoracolumbar spinal deformities based on Bao's classification of coronal imbalance with a focus on lumbosacral curve correction. Achieving appropriate coronal alignment is difficult in adults with coronal malalignment due to trunk shift ipsilateral to degenerated thoracolumbar scoliosis' apex. Read More

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Rod contour and overcorrection are risk factors of proximal junctional kyphosis after adult spinal deformity correction surgery.

Eur Spine J 2021 Mar 1. Epub 2021 Mar 1.

Department of Orthopedic Surgery, Kansai Medical University, Hirakata, Japan.

Purpose: To examine the risk factors of proximal junctional kyphosis (PJK) after surgery for adult spinal deformity (ASD) focusing on rod contour.

Methods: Sixty-three patients with ASD who underwent surgery using lateral lumbar interbody fusion and percutaneous pedicle screws were analyzed. Fixation range was from the lower thoracic spine to the pelvis in all cases. Read More

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Safety Profile, Surgical Technique, and Early Clinical Results for Simultaneous Lateral Lumbar Interbody Fusion and Anterior Lumbar Interbody Fusion in a Lateral Position.

Clin Spine Surg 2021 Mar;34(2):E92-E99

Department of Orthopedic Surgery, Hospital for Special Surgery.

Study Design: Description of surgical technique and retrospective review.

Objective: To describe a novel surgical technique for multilevel lumbar fusion and describe early clinical results.

Summary Of Background Data: Patients with multilevel lumbar spinal stenosis and adult degenerative scoliosis often require multilevel interbody placement to achieve indirect decompression and lordosis. Read More

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Intraoperative versus postoperative radiographic coronal balance for adult spinal deformity surgery.

Spine Deform 2021 Feb 24. Epub 2021 Feb 24.

Department of Orthopaedics, Columbia University Medical Center, The Och Spine, Hospital At New York-Presbyterian, 5141 Broadway, New York, NY, 10034, USA.

Background: Coronal malalignment in adult spinal deformity (ASD) has a close relationship with patient clinical outcomes. The purpose of this study is to evaluate the relationship between intra- and postoperative coronal radiographic parameters. A novel parameter, the central sacral pelvic line (CSPL), and its relation to the central sacral vertical line (CSVL) is explored. Read More

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February 2021

Instrumentation of the sacroiliac joint with cylindrical threaded implants: A detailed finite element study of patient characteristics affecting fixation performance.

J Orthop Res 2021 Feb 23. Epub 2021 Feb 23.

Department of Mechanical Engineering, Polytechnique Montréal, Montreal, Quebec, Canada.

The sacroiliac joint (SIJ) is a known pain generator that, in severe cases, may require surgical fixation to reduce intra-articular displacements and allow for arthrodesis. The objective of this computational study was to analyze how the number of implants affected SIJ stabilization with patient-specific characteristics such as the pelvic geometry and bone quality. Detailed finite element models were developed to account for three pelvises of differing anatomy. Read More

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February 2021