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Cervical Spine Fracture

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2141. A 4-year-old boy with post-traumatic winging of the scapula. Full Text available with Trip Pro

A 4-year-old boy with post-traumatic winging of the scapula. The authors report the case of a 4-year-old boy who presented to the emergency department with acute post-traumatic winging of right scapula following a fall onto his back. The x-ray of his right shoulder showed no fracture. An MRI Scan of cervical spine and brachial plexus did not reveal any abnormalities. He was managed conservatively with regular physiotherapy. At 2 years follow-up, there was no improvement in the winging of his

2011 Emergency Medicine Journal

2142. Yoga vs. Physical Therapy vs. Education for Chronic Low Back Pain in Minority Populations

survey questions. Exclusion Criteria: New CLBP treatments started within the previous month or anticipated to begin in the next 3 months Known pregnancy Inability to understand English at a level necessary to understand treatment instructions and survey questions Previous back surgery or back fracture Specific CLBP pathologies (including spinal canal stenosis, severe scoliosis, spondylolisthesis, ankylosing spondylitis, large herniated disk) Severe or progressive neurological deficits Sciatica pain (...) equal to or greater than back pain Active or recent cervical radiculopathy Active or planned worker's compensation, disability, or personal injury claims Lack of consent Significant participation in yoga or physical therapy in the last six months Has read The Back Pain Helpbook or the Back Book in the previous six months The principal investigator judges the participant to be unable to participate in the study due to serious medical and/or psychiatric comorbidities Has previously participated

2011 Clinical Trials

2143. MaxAn Post Market Surveillance Validation

cervical spinal surgery. Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01343693 Locations Layout table for location information United States, Alabama Montgomery Spine Center Montgomery, Alabama, United States, 36116 United States, Florida (...) for investigator information Principal Investigator: Gary Dix, MD Maryland Spine and Brain More Information Go to Layout table for additonal information Responsible Party: Zimmer Biomet ClinicalTrials.gov Identifier: Other Study ID Numbers: CS-059 First Posted: April 28, 2011 Last Update Posted: March 6, 2018 Last Verified: March 2018 Individual Participant Data (IPD) Sharing Statement: Plan to Share IPD: Undecided Keywords provided by Zimmer Biomet: DDD Deformity Tumor Fracture Cervical Additional relevant

2011 Clinical Trials

2144. Plerixafor (AMD3100) and Bevacizumab for Recurrent High-Grade Glioma

surgery, patient will begin post-surgical cycles of treatment (plerixafor and bevacizumab) at the MTD/regimen established in Part 1 of the study. In addition to taking the study medication, participants will have the following tests and procedures done: physical and neurological exam, assessments of the tumor by MRI or CT scan, routine and research blood tests, routine urine tests, pregnancy test (if applicable), ECG, collection of cerebrospinal fluid (CSF) via spinal tap. Participants may remain (...) , or TIA within 6 months prior to planned Day 1 of dosing History of non-healing wounds or ulcers, or bone refractures within 3 months of fracture History of abdominal fistula, gastrointestinal perforation, or intraabdominal abscess within 6 months prior to planned Day 1 of dosing HIV-positive patients on combination antiretroviral therapy Participants with a history of a different malignancy are ineligible except for the following circumstances: Individuals with a history of other malignancies

2011 Clinical Trials

2145. Safety and Efficacy of Multiple Dosing Regimens of BPS804 in Post Menopausal Women With Low Bone Mineral Density

score or equivalent BMD absolute value (g/cm2) for lumbar spine of between -2.0 and -3.5, inclusive Body mass index (BMI) must be within the range of 18 to 35kg/m2. Subjects must weigh between 45 and 120kg inclusive to participate. 25-(OH) vitamin D serum level of ≥ 15ng/ml Serum calcium within normal limits Exclusion Criteria: Subjects with suspected neural foraminal stenosis (e.g., cervical, spinal, lumbar), or history of Bell's palsy, cranial nerve disorders, temporomandibular joint and muscle (...) dosing frequency 1 Drug: BPS804 Placebo Comparator: placebo dosing frequency 1 Drug: Placebo Experimental: BPS804 dosing frequency 2 Drug: BPS804 Placebo Comparator: placebo dosing frequency 2 Drug: Placebo Experimental: BPS804 dosing frequency 3 Drug: BPS804 Placebo Comparator: Placebo dosing frequency 3 Drug: Placebo Outcome Measures Go to Primary Outcome Measures : Change from baseline to month 9 in bone mineral density at the lumbar spine for the individual BPS804 groups and pooled placebo arms

2011 Clinical Trials

2146. Chlorhexidine Gluconate Oral Care for Adults Experiencing Trauma

. Patients will be randomized to either treatment or standard group based on day of admission to Intensive Care Units. No limitation regarding gender, race, and ethnicity so that the sample will reflect "typical" Trauma population. Exclusion Criteria: All patients admitted under "Doe" Status All patients with acute cervical spine injuries or facial fractures that oral care will create further harm to the patient (physician order stating "no oral care to be given" will be in chart) All patients with Oral

2011 Clinical Trials

2147. Dose Escalation Study to Evaluate the Safety and Tolerability of Multiple Infusions of BPS804 in Adults With Hypophosphatasia (HPP)

localized basal cell carcinoma of the skin and for skeletal malignancies see below), within the past 5 years, regardless of whether there is evidence of local recurrence or metastases. History of skeletal malignancies or bone metastases at any time. History of external beam radiation to the skeleton. Open epiphyses as judged by the Investigator based on previous clinical assessments. Patients with suspected neural foraminal stenosis (e.g., at cervical, spinal, or lumbar site) as judged (...) and/or teriparatide (e.g., ForteoTM) within the last 6 months. Exposure to blood products or monoclonal antibodies within previous 12 months. Any deformation of the spine (e.g., severe scoliosis, ankylosing spondylitis) or the hip which would preclude proper acquisition of lumbar spine or hip BMD by DXA. Other protocol-defined inclusion/exclusion criteria may apply. Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact

2011 Clinical Trials

2148. Biomechanical comparison of odontoid plate fixation versus odontoid screw fixation. (Abstract)

is a possible option for the management of odontoid fractures that are not suitable for conventional screw fixation. Although earlier biomechanical works have evaluated the effectiveness of different odontoid screw fixation techniques, no study has quantified the mechanical stability of odontoid fixation by a plate device.The second cervical vertebra was removed from 15 fresh human spinal columns. The specimens were fixed to the experimental apparatus with the load cell at the articular surface (...) of the odontoid process. In the first test series, stiffness and failure load of the intact odontoid were measured. Type II odontoid fractures were created by a 45 degree oblique extension loading at the articular surface of the odontoid process. Afterward, the specimens were randomly assigned to 1 of the following 3 groups: in group I (n=5), the fractures were stabilized, using a specially designed plate construct, in group II, the fractures were fixed, using two 3.5 mm cortical screws, and in group III, we

2011 Journal of spinal disorders & techniques Controlled trial quality: uncertain

2149. Risk factors for blunt cerebrovascular injury in children: do they mimic those seen in adults? (Abstract)

review for evaluation based on Eastern Association for the Surgery of Trauma criteria, only 52 patients (42%) received subsequent radiographic evaluation. In all, 14 carotid artery or vertebral artery injuries were identified in 11 patients (all admissions, 0.9% incidence; all screened, 21% incidence). Adult risk factors were present in 91% of patients diagnosed with an injury. Major thoracic injury was found in 67% of patients with carotid artery injuries. Cervical spine fracture was found in 100 (...) pediatric trauma patients (age <15 years) presenting over a 5-year period. Data obtained included patient demographics, presence of adult risk factors for BCVI (Glasgow coma scale ≤8, skull base fracture, cervical spine fracture, complex facial fractures, and soft tissue injury to the neck), presence of signs/symptoms of BCVI, method of evaluation, treatment, and outcome.A total of 1,209 pediatric trauma patients were admitted during the study period. While 128 patients met criteria on retrospective

2011 Journal of Trauma

2150. Incidence of pulmonary fat embolism at autopsy: an undiagnosed epidemic. Full Text available with Trip Pro

were men. The cause of death was determined to be trauma in 68% (34/50) of decedents, with 88% (30/34) blunt and 12% (4/34) penetrating. CPR was performed on 30% (15/50), and PFE was present in 76% (38/50) of all patients. Subjects with PFE had no difference with respect to sex, trauma, mechanism of injury, CPR, external contusions, fractures, head, spine, chest, abdominal, pelvic, and extremity injuries. However, subjects without PFE had significantly increased weight (109 ± 29 kg vs. 86 ± 18 kg (...) and cervical spine injury.PFE is common in trauma patients. CPR is associated with a high incidence of PFE regardless of cause of death. PFE occurs acutely within the "golden hour" and should be considered in traumatically injured patients. Further studies are needed to evaluate the pathogenesis of PFE.

2011 Journal of Trauma

2151. Outcome analysis of cardiac arrest due to hanging injury. (Abstract)

%) experienced a return of spontaneous circulation and 1 revealed cervical spine fracture. Of the 13 return-of-spontaneous-circulation patients, 5 survived to be discharged. The mean age of these 5 surviving patients was 36 years. All 5 patients were graded as cerebral performance category 4 at discharge.The first monitored cardiac rhythms of patients presenting with OHCA due to hanging were nonshockable rhythms wherein the survival rate of these patients was 9.6%. All of the survivors were relatively young (...) and demonstrated poor neurologic outcomes at discharge. Physicians must consider cervical spine fracture in patients who had cardiac arrest from hanging.Copyright © 2012 Elsevier Inc. All rights reserved.

2011 American Journal of Emergency Medicine

2152. A Retrospective Review Over 1999 to 2007 of Head, Shoulder and Knee Soft Tissue and Fracture Dislocation Injuries and Associated Costs for Rugby League in New Zealand. (Abstract)

and shoulder. There should be a focus on increasing awareness of correct tackling technique, head injury awareness and management of suspected cervical spine injuries.© Georg Thieme Verlag KG Stuttgart · New York. (...) A Retrospective Review Over 1999 to 2007 of Head, Shoulder and Knee Soft Tissue and Fracture Dislocation Injuries and Associated Costs for Rugby League in New Zealand. King et al. reported that of 5 941 moderate to serious claims resulting in medical treatment for rugby league injuries, the knee, shoulder, and head and neck body sites and soft tissue and fracture-dislocation injuries were most frequent and costly in the New Zealand national no-fault injury compensation corporation database

2011 International Journal of Sports Medicine

2153. Physical therapy Full Text available with Trip Pro

, George SZ (2012). . Journal of Electromyography and Kinesiology . 22 (5): 643–7. : . . . CS1 maint: Multiple names: authors list ( ) . Roosevelt Warm Springs Institute. . About Us . Roosevelt Warm Springs Institute . Retrieved 29 May 2008 . McKenzie, R A (1998). The Cervical and Thoracic Spine: Mechanical Diagnosis and Therapy . New Zealand: Spinal Publications Ltd. pp. 16–20. . McKenzie (2002). "Patient Heal Thyself". Worldwide Spine & Rehabilitation . 2 (1): 16–20. af Klinteberg, Margareta (1992 (...) sports injuries, arthritis, sprains, strains, back and neck pain, spinal conditions, and amputations. Joint and spine mobilization/manipulation, (similar to ), therapeutic , neuromuscular techniques, muscle reeducation, hot/cold packs, and (e.g., , , ) are employed to expedite recovery in the orthopedic setting. [ ] Additionally, an emerging adjunct to diagnosis and treatment is the use of for diagnosis and to guide treatments such as muscle retraining. Those who have suffered injury or disease

2012 Wikipedia

2154. Osteogenesis imperfecta

Ol developed basilar impression (BI) over time. Basilar Impression is an upward displacement with vertebral and ends up softening the bones at the base of the skull. People with severe type III are at greater risk. With infants they are seen to have a much larger head circumference. Gastrointestinal [ ] Found in both children and adults it causes spine, hip, and pelvic deformities leading to occasional constipation found in children. Diseases related to gastrointestinal are celiac disease, gluten (...) quality but is produced in insufficient quantities. Bones fracture easily Slight spinal curvature Loose joints Poor muscle tone Discoloration of the (whites of the eyes), usually giving them a blue-gray color. The blue-gray color of the sclera is due to the underlying choroidal veins which show through. This is due to the sclera being thinner than normal because the defective Type I collagen is not forming correctly. Early loss of hearing in some children Slight protrusion of the eyes IA and IB

2012 Wikipedia

2155. Orthopedic surgery Full Text available with Trip Pro

Orthopedic surgery Orthopedic surgery - Wikipedia Orthopedic surgery From Wikipedia, the free encyclopedia Orthopedic surgery This fracture of the lower cervical vertebrae is one of the conditions treated by orthopedic surgeons and . [ ] Orthopedic surgery or orthopedics , also spelled orthopaedics , is the branch of concerned with conditions involving the . Orthopedic surgeons use both surgical and nonsurgical means to treat , spine diseases, , , , , and . Contents Etymology [ ] Further (...) practice, went on to expand the field into general treatment of fracture and other musculoskeletal problems. He advocated enforced rest as the best remedy for and and created the so-called 'Thomas Splint', to stabilize a fractured femur and prevent infection. He is also responsible for numerous other medical innovations that all carry his name: 'Thomas's collar' to treat tuberculosis of the cervical spine, 'Thomas's manoeuvre', an orthopedic investigation for fracture of the hip joint, , a method

2012 Wikipedia

2156. Advanced Trauma Life Support

signs. Each region of the body must be fully examined. X-rays indicated by examination are obtained. If at any time during the secondary survey the patient deteriorates, another primary survey is carried out as a potential life threat may be present. The person should be removed from the hard and placed on a firm mattress as soon as reasonably feasible as the spine board can rapidly cause and pain while a firm mattress provides equivalent stability for potential spinal fractures. Tertiary survey (...) not been studied. Contents Primary survey [ ] The first and key part of the assessment of patients presenting with trauma is called the primary survey. During this time, life-threatening injuries are identified and simultaneously is begun. A simple mnemonic, , is used as a for the order in which problems should be addressed. Airway maintenance with cervical spine protection [ ] Main article: The first stage of the primary survey is to . If the patient is able to talk, the airway is likely to be clear

2012 Wikipedia

2157. Hanging

spine and bilateral vertebral artery disruptions, but no major vertebral fractures or crush injuries to the spinal cord. Death from a "hangman's fracture" occurs mainly when the applied force is severe enough to also cause a severe of the C2 and C3 vertebra that crushes the spinal cord and/or disrupts the vertebral arteries. Hangman's fractures from other hyperextension injuries (the most common being unrestrained motor vehicle accidents and falls or diving injuries where the face or chin suddenly (...) and the second most commonplace among women (after poisoning). Those who survive a suicide-via-hanging attempt, whether due to breakage of the cord or , or being discovered and cut down, face a range of serious injuries, including (which can lead to permanent brain damage), laryngeal fracture, cervical spine fracture (which may cause ), tracheal fracture, pharyngeal laceration, and carotid artery injury. As human sacrifice [ ] There are that the practiced hanging as human sacrifices to , to honour Odin's own

2012 Wikipedia

2158. Failed back syndrome

been calls for more aggressive surgical treatment in Europe. Success rates of spinal surgery vary for many reasons. Contents Cause [ ] Spinal surgeons operating on a patient's back. Patients who have undergone one or more operations on the lumbar spine and continue to experience pain afterward can be divided into two groups. The first group comprise those in whom surgery was not actually indicated or the surgery performed was not likely to achieve the desired result, and those in whom surgery (...) on diagnostic blocks. Smoking [ ] CT scan showing markedly thickened (yellow ligament) causing in the lumbar spine. Recent studies have shown that cigarette smokers will routinely fail all spinal surgery, if the goal of that surgery is the decrease of pain and impairment. Many surgeons consider smoking to be an absolute to spinal surgery. Nicotine appears to interfere with bone metabolism through induced resistance and decreased osteoblastic function. It may also restrict small blood vessel diameter leading

2012 Wikipedia

2159. Emergency medical technician

), and Paramedic (replacing EMT-Intermediate/99 and EMT-Paramedic). Education requirements in transitioning to the new levels are substantially similar. EMR [ ] EMR (Emergency Medical Responder) is the first, most basic level of EMS. EMRs, many of whom are volunteers, provide basic, immediate lifesaving care including bleeding control, manual stabilization of extremity fractures and suspected cervical spine injuries, eye irrigation, taking vital signs, supplemental oxygen administration, oral suctioning (...) of a two-paramedic crew. EMTs are a vital part of the voluntary and auxiliary services where a practitioner must be on board any ambulance in the process of transporting a patient to hospital. PHECC responder levels ( ) Responder title Abbr Level of care CFR Trained in with emphasis on and the OFA Trained as CFR with additional training in management of bleeding, fractures etc. particularly in the workplace Emergency First Responder EFR Extensive first aid and BLS training with introduction

2012 Wikipedia

2160. Hysterectomy

supracervical hysterectomy. There was no difference in the rates of other complications, recovery from surgery, or readmission rates. In the short-term, randomized trials have shown that cervical preservation or removal does not affect the rate of subsequent pelvic organ prolapse. Supracervical hysterectomy does not eliminate the possibility of having since the cervix itself is left intact and may be contraindicated in women with increased risk of this cancer; regular to check for or are still needed (...) and Gynecology . 86 (1): 72–7. : . . Durães Simões R, Chada Baracat E, Szjenfeld VL, de Lima GR, José Gonçalves W, de Carvalho Ramos Bortoletto C (1995). "Effects of simple hysterectomy on bone loss". Revista Paulista de Medicina . 113 (6): 1012–5. : . . Hreshchyshyn MM, Hopkins A, Zylstra S, Anbar M (1988). "Effects of natural menopause, hysterectomy, and oophorectomy on lumbar spine and femoral neck bone densities". Obstetrics and Gynecology . 72 (4): 631–8. . Menon RK, Okonofua FE, Agnew JE, Thomas M

2012 Wikipedia

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