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Lumbar Spine Fractures and Dislocations

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Posterolateral decompression, distractive reduction and reconstructive stabilization for the treatment of thoracic and lumbar spine fracture-dislocations

Xinlong Ma, Changbao Chen, Xiaolin Zhang,

<title>Abstract</title> <p> Background: Fracture-dislocations of the thoracic and lumbar spine are uncommon and highly unstable injuries, and the ideal management for patients with thoracic and lumbar spine fracture-dislocations is challenging. This study was designed to evaluate the clinical and radiographic results following posterolateral decompression, distractive reduction and reconstructive ... Read more >>

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Mid-lumbar traumatic spondyloptosis without neurological deficit: A case report and literature review.

Feng Xu, Zhisen Tian, Changfeng Fu, Liyu Yao, Mengjie Yan, Congcong Zou, Yi Liu, Yuanyi Wang,

INTRODUCTION:Spondyloptosis is a form of vertebral dislocation and the most advanced form of spondylolisthesis. Traumatic spondyloptosis is usually caused by high-energy impact and results in unstable spine deformity and spinal canal deformation, which lead to severe spinal cord injury. Traumatic spondyloptosis is mostly reported in the lumbo-sacral junction, while it ... Read more >>

Medicine (Baltimore) (Medicine)
[2020, 99(12):e19578]

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Chronic dysphagia caused by Laryngo-vertebral Synostosis after anterior fusion for cervical spine trauma: a case report.

Ichiro Okano, Joe Omata, Yushi Hoshino, Yuki Usui, Tomoaki Toyone, Katsunori Inagaki,

BACKGROUND:Anterior cervical spine surgery is often associated with postoperative dysphagia, but chronic dysphagia caused by laryngo-vertebral synostosis is extremely rare. We report a case of chronic dysphagia caused by synostosis between the cricoid cartilage and cervical spine after anterior surgery for cervical spine trauma. CASE PRESENTATIONS:We present a case of ... Read more >>

BMC Musculoskelet Disord (BMC musculoskeletal disorders)
[2020, 21(1):143]

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[Multivariate analysis of the operative effect on cervical spinal cord injury without fracture or dislocation].

Hong Li, Cheng Jiang,

OBJECTIVE:To explore the influencing factors of the operative effect on cervical spinal cord injury without fracture or dislocation. METHODS:The clinical data of 69 patients with cervical spinal cord injury without fracture or dislocation from November 2010 to November 2016 who received operation were retrospectively analyzed. There were 37 males and ... Read more >>

Zhongguo Gu Shang (Zhongguo gu shang = China journal of orthopaedics and traumatology)
[2020, 33(2):158-165]

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Anterior Approach Following Intraoperative Reduction for Cervical Facet Fracture and Dislocation.

Seul Gi Kim, Seon Joo Park, Hui Sun Wang, Chang Il Ju, Sung Myung Lee, Seok Won Kim,

OBJECTIVE:The purpose of this study was to evaluate the efficacy of the anterior approach following intraoperative reduction under general anesthesia in patients with cervical facet fracture and dislocation. METHODS:Twenty-three patients with single level cervical facet fracture and dislocation who were subjected to the anterior approach alone following immediate intraoperative reduction ... Read more >>

J Korean Neurosurg Soc (Journal of Korean Neurosurgical Society)
[2020, 63(2):202-209]

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Medical and Legal Implications of MRI Scout Imaging in a Surgical Patient with Case Presentation.

Stephen Albano, Ajay Ramnot, Javed Siddiqi, Deependra Mahato,

Spinal epidural angiolipoma is an uncommon finding; this case is presented to display the medical and legal implications of MRI scout imaging. In this case, a preceding period of ambiguous and non-focal symptoms led to an MRI of the lumbar spine without contrast with a scout image that captured a thoracic lesion. ... Read more >>

Cureus (Cureus)
[2020, 12(1):e6833]

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Degeneration of three or more lumbar discs significantly decreases lumbar spine/hip ROM ratio during position change from standing to sitting in AVN patients before THA.

Jianming Gu, Huixiong Feng, Xiao Feng, Yixin Zhou,

BACKGROUND:Limitations in the lumbar spine movement reduce lumbar vertebral motion and affect spinopelvic kinematics. We studied the influence of lumbar intervertebral disc degeneration on spinofemoral movement, from standing to sitting, in patients undergoing total hip arthroplasty (THA). METHODS:Of 138 consecutive patients scheduled for THA due to unilateral avascular necrosis (AVN) ... Read more >>

BMC Musculoskelet Disord (BMC musculoskeletal disorders)
[2020, 21(1):39]

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Anterior decompression through transoral axis slide and rotation osteotomy for salvage of failed posterior occipitocervical fusion: a novel technique note.

Aimin Wu, Haiming Jin, Haicheng Dou, Xiangxiang Pan, Sunren Sheng, Chongan Huang, Xiangyang Wang,

Atlantoaxial dislocation could be caused by odontoid fractures or Os odontoideum. The previous surgical techniques in treatment of atlantoaxial dislocation were based on arch remove decompression or anterior atlantoaxial release and atlantoaxial (occipital-cervical) screw fixation-based reduction and fusion. However, for some clinical situations, all of above techniques cannot be applied. ... Read more >>

Ann Transl Med (Annals of translational medicine)
[2020, 8(4):129]

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Traumatic posterior Atlanto-axial dislocation: case report of an atypical C1-C2 dislocation with an anterior arch fracture of C1.

Soufiane Ghailane, Mohammad A Alsofyani, Vincent Pointillart, Houssam Bouloussa, Olivier Gille,

BACKGROUND:An atypical case of a traumatic posterior C1-C2 dislocation with an anterior arch fracture of C1 is reported. A novel conservative treatment for this rare lesion is described. CASE PRESENTATION:An eighty-nine-year-old male fell off a ladder at home and presented with an acute traumatic cervical spine trauma, which we believe ... Read more >>

BMC Musculoskelet Disord (BMC musculoskeletal disorders)
[2019, 20(1):612]

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Subaxial spine arthrodesis in patients with spine fractures and facet joint dislocations: Is magnetic resonance imaging required to determine the optimal surgical approach?

Guilherme Finger, Andre Martins de Lima Cecchini, Ericson Sfreddo, Felipe Martins de Lima Cecchini, Otávio Garcia Martins, Tiago Paczko Bozko Cecchini, Alisson Roberto Teles, Asdrubal Falavigna,

Background:The medical literature suggests that facet dislocations (FDs) must be managed surgically, even in the absence of spinal cord injury. In fact, there is no standard guideline for managing FD cases and whether magnetic resonance imaging (MRI) should be utilized for optimizing treatment planning. Methods:Fifteen cases of FD were evaluated ... Read more >>

Surg Neurol Int (Surgical Neurology International)
[2019, 10:239]

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Conus Medullaris Syndrome Due to Missed Thoracolumbar Spinal Fracture in a Patient with Ankylosing Spondylitis who Underwent Hip Surgery.

Ki Tae Jung, Keum Young So, Bo Hyun Jang, Sang Hun Kim,

Ankylosing spondylitis (AS) is vulnerable to fracture, and the missed diagnosis can lead to neurological deterioration. Herein, we present the conus medullaris syndrome due to aggravation of the missed spinal fracture in an 85-year-old woman with AS who underwent hip surgery. She underwent osteosynthesis in a supine position with supports ... Read more >>

Turk J Anaesthesiol Reanim (Turkish Journal of Anaesthesiology and Reanimation)
[2020, 48(2):160-164]

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Development and Clinical Application of a New Open-Powered Nail Anterior Cervical Plate System.

Xiao-Feng Zhao, Yi-Bo Zhao, Xiang-Dong Lu, De-Tai Qi, Xu Yang, Wen-Xuan Wang, Xiao-Nan Wang, Run-Tian Zhou, Yuan-Zhang Jin, Bin Zhao,

OBJECTIVE:To observe and evaluate the clinical curative effect of a new type of open-powered cervical spine system developed for anterior cervical surgery. METHODS:A retrospective analysis was performed in our hospital in 2015-2017 of 329 orthopaedic patients treated with cervical anterior decompression, cage or titanium mesh graft fusion, new open-powered nail ... Read more >>

Orthop Surg (Orthopaedic surgery)
[2020, 12(1):248-253]

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Lumbar Erector Spinae Plane Block as a Main Anesthetic Method for Hip Surgery in High Risk Elderly Patients: Initial Experience with a Magnetic Resonance Imaging.

Ali Ahiskalioglu, Serkan Tulgar, Mine Celik, Zeliha Ozer, Haci Ahmet Alici, Muhammed Enes Aydin,

Objective:Since initial description by Forero for thoracic region, ultrasound guided erector spinae plane (ESP) block has experienced several surgeries for postoperative pain management, chronic pain or surgical anesthesia. Although ESP block has been reported to provide effective analgesia in the thoracic region, its effect in lumbar region still unclear. In ... Read more >>

Eurasian J Med (The Eurasian journal of medicine)
[2020, 52(1):16-20]

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Clinical characteristics and treatment of fracture-dislocation of thoracic spine with or without minimal spinal cord injury.

Xiaojun Tang, Yijiang Huang, Shaoqi He, Chengxuan Tang, Maoxiu Peng, Minghai Dai, Wenliang Chen,

BACKGROUND:It is important to evaluate clinical efficacy and safety of posterior internal fixation using pedicle screw system. OBJECTIVES:To investigate clinical characteristics of patients diagnosed with fracture-dislocation of the thoracic spine with or without minimal spinal cord. METHODS:Twenty-eight patients with fracture-dislocation of thoracic spine with or without minimal spinal cord injury ... Read more >>

J Back Musculoskelet Rehabil (Journal of back and musculoskeletal rehabilitation)
[2019, :]

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Timing of Lumbar Spinal Fusion Affects Total Hip Arthroplasty Outcomes.

Abiram Bala, Deepak V Chona, Derek F Amanatullah, Serena S Hu, Kirkham B Wood, Todd F Alamin, Ivan Cheng,

Many patients are affected by concurrent disease of the hip and spine, undergoing both total hip arthroplasty (THA) and lumbar spinal fusion (LSF). Recent literature demonstrates increased prosthetic dislocation rates in patients with THA done after LSF. Evidence is lacking on which surgery to do first to minimize complications. The ... Read more >>

J Am Acad Orthop Surg Glob Res Rev (Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews)
[2019, 3(11):e00133]

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Prevalence of Ligamentous Knee Injuries in Pedestrian Versus Motor Vehicle Accidents

Shaun Tkach, Raymond Garrett Steinmetz, Matthew McDonald, John Hamilton, Gregory Heigle, Kimberly Hollabaugh, David Teague, Douglas Rowles,

<title>Abstract</title> <p> Purpose: The purpose of this study was to determine the prevalence and characteristics of ligamentous knee injuries and to compare patient demographics, associated injuries and hospital stay to pedestrians who did not sustain a ligamentous knee injury. Methods: A retrospective review of all adult patients presenting ... Read more >>

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Short-Segment Fixation of Thoracolumbar Fractures with Incorporated Screws at the Level of Fracture.

Hassan Fathy El Behairy, Ashraf M Abdelaziz, Ayman K Saleh, Faisal Ahmed Hashem Elsherief, Ibrahim Elsayed Abdellatif Abuomira, Ahmed Ibrahim Elkawary, Wael Aldahshan, Wael Sh Mahmoud,

OBJECTIVE:To evaluate the effect of including the fractured vertebra in the short-segment fixation of thoracolumbar (TL) fractures. METHODS:A total of 32 patients with thoraco-lumbar fractures, selected between August 2013 and February 2016, were managed by short-segment fixation with screws at the level of the fracture, and decompression was performed only ... Read more >>

Orthop Surg (Orthopaedic surgery)
[2020, 12(1):170-176]

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Indicatory external findings in two cases of fatal cervical spine injury.

Clara-Sophie Schwarz, Katrin Uebbing, Tanja Germerott, Astrid Krauskopf,

A fatality of an 83-year-old female experiencing acute circulatory failure as a result of a type II odontoid fracture is compared with the case of an 86-year-old female who died from delayed cardiopulmonary complications due to a lower cervical spine injury. Falls on the forehead from minor height can cause ... Read more >>

J Forensic Leg Med (Journal of forensic and legal medicine)
[2020, 69:101883]

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Use of dual mobility cups in patients undergoing primary total hip arthroplasty with prior lumbar spine fusion.

Joseph M Nessler, Arthur L Malkani, Shikha Sachdeva, Joseph P Nessler, Geoff Westrich, Steven F Harwin, David Mayman, Seth Jerabek,

BACKGROUND:Patients undergoing primary total hip arthroplasty (THA) with prior lumbar spine fusion (LSF) are a high-risk group for instability with reported incidence of dislocation as high as 8.3% using fixed bearing femoral heads. Purpose of this study was to determine risk of post-operative instability in patients undergoing primary THA with ... Read more >>

Int Orthop (International orthopaedics)
[2020, :]

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Less Invasive Surgery is Feasible in the Management of Traumatic Thoracolumbar Fractures in Isolated and Polytrauma Injury.

I Sanli, A Spoor, S P J Muijs, F C Öner,

Background:Less invasive stabilization systems (LISSs) have gained popularity. However, limited quality of life (QOL) and clinical outcome data exist for trauma patients treated with LISSs. The objective of this study is to describe QOL and outcome for posterior percutaneous pedicle screw fixation in the management of traumatic thoracolumbar fractures. Methods:Between ... Read more >>

Int J Spine Surg (International journal of spine surgery)
[2019, 13(6):561-567]

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Polyaxial pedicle screw dislocation during screw tightening for posterior spinal lumbar stabilization.

Ali Akhaddar,

Surg Neurol Int (Surgical Neurology International)
[2019, 10:255]

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One-stage posterior debridement, bone grafting fusion, and mono-segment vs. short-segment fixation for single-segment lumbar spinal tuberculosis: minimum 5-year follow-up outcomes.

Zheng Liu, Weiwei Li, Zhengchao Xu, Xiyang Wang, Hao Zeng,

BACKGROUND:To compare the clinical and radiological outcomes between posterior mono-segment and short-segment fixation combined with one-stage posterior debridement and bone grafting fusion in treating single-segment lumbar spinal tuberculosis (LSTB). METHODS:Sixty-two patients with single-segment LSTB treated by a posterior-only approach were divided into two groups: short-segment fixation (Group A, n = 32) and ... Read more >>

BMC Musculoskelet Disord (BMC musculoskeletal disorders)
[2020, 21(1):86]

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Miniplate-Augmented Interlaminar Fusion in C1-C2 Screwing.

Po-Jen Huang, Jiann-Her Lin, Yung-Hsiao Chiang,

OBJECTIVE:The interlaminar fusion combination involving C1-C2 screwing fixation is one of the most effective techniques for atlantoaxial dislocation or subluxation, and the bone graft is usually stabilized by wiring constructs. However, some adverse events were reported during the insertion of sublaminar wiring, such as accidentally damaging the spinal cord or ... Read more >>

World Neurosurg (World neurosurgery)
[2020, :]

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Computer-assisted surgical navigation is associated with an increased risk of neurological complications: a review of 67,264 posterolateral lumbar fusion cases.

Remi M Ajiboye, Jayme C B Koltsov, Brian Karamian, Steven Swinford, Blake K Montgomery, Alexander Arzeno, Chason Ziino, Ivan Cheng,

Background:Pedicle screw malposition may result in neurological complications following posterolateral lumbar fusions (PLF). While computer-assisted navigation (NAV) and intraoperative neuromonitoring (ION) have been shown to improve safety in deformity surgeries, their use in routine PLFs remain controversial. This study assesses the risk of complications and reoperation for pedicle screw revision ... Read more >>

J Spine Surg (Journal of spine surgery (Hong Kong))
[2019, 5(4):457-465]

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Posterior Vertebrectomy via the Unilateral Pedicle or Bilateral Pedicle Approach in the Treatment of Lumber Burst Fracture with Neurological Deficits: A Comparative Retrospective Cohort Study.

Yuan Xiong, Hexing Zhang, Shuangqi Yu, Wei Chen, Song Wan, Rong Liu, Yi Zhang, Fan Ding,

BACKGROUND Posterior vertebrectomy with bilateral pedicle approach (BPA) is widely applied in lumber burst fracture (LBF). However, some disadvantages exist, such as a prolonged operation time, extensive soft tissue injury, and excessive blood loss. Posterior vertebrectomy with unilateral pedicle approach (UPA) is a novel technique for decompression of spinal canal. ... Read more >>

Med. Sci. Monit. (Medical science monitor : international medical journal of experimental and clinical research)
[2020, 26:e921754]

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