How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

1,832 results for

Thoracic Spine Anatomy

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

41. A comparative study on the accuracy of pedicle screw placement assisted by personalized rapid prototyping template between pre- and post-operation in patients with relatively normal mid-upper thoracic spine. (Abstract)

A comparative study on the accuracy of pedicle screw placement assisted by personalized rapid prototyping template between pre- and post-operation in patients with relatively normal mid-upper thoracic spine. The aim of this study was to assess the accuracy of rapid prototyping drill template technique for placing pedicle screws in the mid-upper thoracic vertebrae in clinics.151 consecutive patients underwent thoracic instrumentation and fusion for a total of 582 pedicle screws placed in the mid (...) -right-Δy(P = 0.015)).Use of a rapid prototyping drill template to assist in the placement of mid and upper thoracic pedicle screws may lead to increased accuracy. This patient specific technology must be combined with an understanding of the patients' anatomy and carefully secured to the posterior elements intraoperatively to avoid nerve or vascular complications.

2016 European Spine Journal

42. Thoracic spine morphology of a pseudo-biped animal model (kangaroo) and comparisons with human and quadruped animals. (Abstract)

Thoracic spine morphology of a pseudo-biped animal model (kangaroo) and comparisons with human and quadruped animals. Based on the structural anatomy, loading condition and range of motion (ROM), no quadruped animal has been shown to accurately mimic the structure and biomechanical function of the human spine. The objective of this study is to quantify the thoracic vertebrae geometry of the kangaroo, and compare with adult human, pig, sheep, and deer.The thoracic vertebrae (T1-T12) from whole (...) of the adult human and quadruped animals. The most significant (p < 0.001) correlations (Rho) found between the human and kangaroo were in vertebrae and endplate dimensions (0.951 ≤ Rho ≤ 0.963), pedicles (0.851 ≤ Rho ≤ 0.951), and inter-facet heights (0.891 ≤ Rho ≤ 0.967). The deer displayed the least similar trends across vertebral levels.Similarities in thoracic spine vertebral geometry, particularly of the vertebrae, pedicles and facets may render the kangaroo a more clinically relevant human surrogate

2016 European Spine Journal

43. Ligaments of the Costovertebral Joints including Biomechanics, Innervations, and Clinical Applications: A Comprehensive Review with Application to Approaches to the Thoracic Spine Full Text available with Trip Pro

Ligaments of the Costovertebral Joints including Biomechanics, Innervations, and Clinical Applications: A Comprehensive Review with Application to Approaches to the Thoracic Spine Few studies have examined the costovertebral joint and its ligaments in detail. Therefore, the following review was performed to better elucidate their anatomy, function and involvement in pathology. Standard search engines were used to find studies concerning the costovertebral joints and ligaments. These often (...) -overlooked ligaments of the body serve important functions in maintaining appropriate alignment between the ribs and spine. With an increasing interest in minimally invasive approaches to the thoracic spine and an improved understanding of the function and innervation of these ligaments, surgeons and clinicians should have a good working knowledge of these structures.

2016 Cureus

44. Topographic Anatomy of the Posterior Ramus of Thoracic Spinal Nerve and Surrounding Structures. Full Text available with Trip Pro

Topographic Anatomy of the Posterior Ramus of Thoracic Spinal Nerve and Surrounding Structures. Cadaver dissection.To examine the potential points of spinal nerve entrapment and the articular branches in the thoracic spine.Despite many cadaver studies focused on the cervical and lumbar spinal nerves, detailed anatomy of the thoracic nerve branches is missing from the viewpoint of painful neuropathy on the thoracic region.A total of 120 pairs of thoracic spinal nerves out of 10 donated cadavers (...) were dissected. Detailed anatomy of the posterior ramus and medial/lateral branches and their fine branches in the entire thoracic region was investigated by both macroscopic and stereomicroscopic dissections.The posterior ramus of the thoracic nerve passed through the narrow space between the bony structures and adjacent fibrous tissue. It is sent to the first branch, which is called "the descending branch," before bifurcating into medial and lateral branches. The medial branch runs

2012 Spine

45. Combined Fluoroscopy and CT Guided Radiofrequency Ablation of Thoracic Dorsal Root Ganglia in Severe Thoracic Pain

ablation through the transforaminal route may enhance its efficacy and safety in relieving the intractable pain associated with chest malignancies. The current study aimed to compare the results of thermal radiofrequency ablation (TRFA) of the thoracic DRG under combined CT and fluoroscopy guidance with the classic standard fluoroscopy technique. Condition or disease Intervention/treatment Phase Cancer-related Problem/Condition Procedure: combined CT-fluroscopy Procedure: standard fluroscopy (...) Not Applicable Detailed Description: Thoracic pain represents about 3-5% of pain clinics' visitors worldwide .Post-thoracotomy pain occurs in 30%-50% of patients undergoing thoracotomy .Interventional therapies include epidural or intrathecal drug injection, intercostal nerve block, sympathectomy, rhizotomy, and percutaneous cervical cordotomy. Rhizotomy refers to the selective segmental destruction of the dorsal sensory rootlets to interrupt pain perception by the spinal cord. This could be accomplished

2018 Clinical Trials

46. Movements of the thoracic and lumbar spine when lifting: A chrono-cyclophotographic study Full Text available with Trip Pro

Movements of the thoracic and lumbar spine when lifting: A chrono-cyclophotographic study 14245340 1996 12 01 2018 12 01 0021-8782 99 1965 Jan Journal of anatomy J. Anat. MOVEMENTS OF THE THORACIC AND LUMBAR SPINE WHEN LIFTING: A CHRONO-CYCLOPHOTOGRAPHIC STUDY. 13-26 DAVIS P R PR TROUP J D JD BURNARD J H JH eng Journal Article England J Anat 0137162 0021-8782 OM Biophysical Phenomena Biophysics Humans Lifting Lumbar Vertebrae Movement Photography Physical Exertion Posture Spine Thoracic (...) Vertebrae BIOPHYSICS EXERTION LUMBAR VERTEBRAE MOVEMENT PHOTOGRAPHY POSTURE SPINE THORACIC VERTEBRAE 1965 1 1 1965 1 1 0 1 1965 1 1 0 0 ppublish 14245340 PMC1261458 J Physiol. 1955 Jul 28;129(1):184-203 13252593 Br Med J. 1959 Jan 10;1(5114):87-9 13608086 Lancet. 1959 Aug 22;2(7095):155-7 13814506 J Anat. 1962 Oct;96(Pt 4):509-20 17105132

1965 Journal of anatomy

47. CRACKCast E106 – Spinal Cord

surgery Coagulopathic Anticoagulated Thrombocytopenia Liver dz or alcoholism Spontaneous Spinal or dural AVM Vertebral hemangioma Almost everyone needs a decompressive laminectomy. [11] List 4 possible investigations for spinal epidural abscess and diskitis. What are the expected findings? MRI with IV contrast: Enhancement CBC: WBC is insensitive and nonspecific. May be elevated @ 13-16000 / uL ESR/CRP : Not specific, but 100% sensitive if elevated. Lumbar spine xray : Destruction of the lumbar disc (...) horn of the spinal cord, and the posterior root contains sensory neurons and fibers that convey sensory inflow.” – Rosen’s 9 th Edition, Chapter 96 Check out: for some awesome anatomy pics all in one spot! [1] Describe the arterial supply of the spinal cord See “The arterial supply of the spinal cord is derived primarily from two sources. The single anterior spinal artery arises from the paired vertebral arteries. This anterior spinal artery runs the entire length of the cord in the midline

2017 CandiEM

48. Appropriate Use Criteria: Imaging of the Chest

/coronary artery CT. Common Diagnostic Indications Indications for chest CT are contained in general chest, pulmonary, mediastinal and hilar, pleural, chest wall and diaphragm. General Chest Broncho-pleural fistula Congenital thoracic anomalies Cough persisting three (3) or more weeks with normal chest X-ray ? Unresponsive to medical treatment and/or after evaluation for other causes (e.g., post-nasal drainage, asthma, gastroesophageal reflux disease and medication effects); OR ? Cough (...) , including effusion, hemothorax, empyema and chylothorax Note: Ultrasound should be considered as the initial imaging modality and prior to a diagnostic or therapeutic pleural tap. Chest wall mass Diaphragmatic hernia Pleural mass Pneumothorax – unexplained or recurrent Thoracic outlet syndrome Unexplained diaphragmatic elevation or immobility References 1. Akira M, Yamamoto S, Inoue Y, Sakatani M. High-resolution CT of asbestosis and idiopathic pulmonary fibrosis. AJR Am J Roentgenol. 2003;181(1):163

2018 AIM Specialty Health

49. Anatomy, Etiology, and Management of Scapular Winging. (Abstract)

Anatomy, Etiology, and Management of Scapular Winging. Scapular winging is a painful and debilitating condition. The composite scapular motion of rotation, abduction, and tilting is necessary for proper shoulder function. Weakness or loss of scapular mechanics can lead to difficulties with elevation of the arm and lifting objects. The most common causes reported in the literature for scapular winging are dysfunction of the serratus anterior from long thoracic nerve injury causing medial winging (...) or dysfunction of the trapezius from spinal accessory nerve injury causing lateral winging. Most reviews and teaching focus on these etiologies. However, acute traumatic tears of the serratus anterior, trapezius, and rhomboids off of the scapula are important and under-recognized causes of scapular winging and dysfunction. This article will review the relevant anatomy, etiology, clinical evaluation, diagnostic testing, and treatment of scapular winging. It will also discuss the differences in diagnosis

2018 Journal of Hand Surgery - American

50. Implementation and results of a practical grading system for thoracic blunt aortic injury. (Abstract)

tomography imaging. Primary end points included timing of operation and mortality. Secondary end points included associated injuries, aortic anatomy, and operative details as well as 30-day follow-up.During the study period, 87 patients with BTAI were identified. The majority of patients had a moderate injury occurring just distal to the left subclavian artery (LSA); 59 patients underwent thoracic endovascular aortic repair (TEVAR), whereas none of the patients with minimal injury (n = 24) required (...) Implementation and results of a practical grading system for thoracic blunt aortic injury. We previously proposed a grading system for blunt thoracic aortic injury (BTAI) designed to guide therapy. This study analyzed our outcomes since implementing this system.A single-center, retrospective study was conducted of consecutive patients presenting with BTAI between January 2014 and December 2017. This grading system classified injuries into minimal, moderate, or severe on the basis of computed

2019 Journal of Vascular Surgery

51. Endovascular repair of the thoracic or thoraco-abdominal aorta following the frozen elephant trunk Procedure. (Abstract)

Endovascular repair of the thoracic or thoraco-abdominal aorta following the frozen elephant trunk Procedure. To evaluate the outcomes of endovascular repair of the thoraco-abdominal aorta following the frozen elephant trunk (fET) procedure.Between 10/2014 and 07/2018, 249 patients underwent thoracic or thoraco-abdominal endovascular aortic repair in our institution. Of these, 10 patients (50% male) underwent second-stage ER after previous fET implantation. Feasibility and outcomes were (...) evaluated.The mean interval between fET implantation and second-stage endovascular repair was 136 days (14-282 days). Indications for second-stage endovascular repair were thoraco-abdominal aortic aneurysm Crawford Type I (n=3), thoraco-abdominal aortic aneurysm Crawford Type II (n=4) and complicated residual aortic dissection after fET (n=3). We have implanted four branched custom-made devices and four off-the-shelf thoracic stent-grafts; two patients were treated using the petticoat technique via

2019 Annals of Thoracic Surgery

52. Interventional Spine and Pain Procedures in Patients on Antiplatelet and Anticoagulant Medications

varies based on anatomical level with the posterior epidural space measuring approximately 0.4 mm at C7 to T1, 7.5 mm in the upper thoracic spine, 4.1 mm at the T11 to T12, and 4 to 7 mm in the lumbar regions. The epidural space has extensive thin-walled valveless venous plexi (plexus venous vertebralis interior, anterior, and posterior), which are vulnerable to damage during needle puncture and advancement of spinal cord stimulator leads and epidural and intrathecal catheters. These epidural veins (...) of the respondents (98%) followed ASRA guidelines for anticoagulants but not for antiplatelet agents. Two-thirds of the participants (67%) had separate protocols regarding aspirin [acetylsalicylic acid (ASA)] or nonsteroidal anti-inflammatory drugs (NSAIDs). Moreover, 55% stopped ASA before spinal cord stimulation (SCS) trials and implants, and 32% stopped ASA before epidural steroid injections (ESIs). However, 17% admitted that they used different protocols for cervical spine injections as compared with lumbar

2015 American Society of Regional Anesthesia and Pain Medicine

53. Implementation of augmented reality support in spine surgery. (Abstract)

Implementation of augmented reality support in spine surgery. To implement a straightforward workflow that allows to establish augmented reality (AR) support in spine surgery.Intraoperative computed tomography (iCT) applying a 32-slice movable scanner was used for navigation registration in a series of 10 patients who underwent surgery for extra- or intradural spinal lesions. Preoperative multimodal image data were integrated by nonlinear registration with the iCT images. Automatic segmentation (...) for cervical, 2.16-6.92 mSv for thoracic, and 3.55-4.20 mSv for lumbar surgeries, which is a reduction in the effective radiation dose by 70%. The segmented structures were intuitively visualized in the surgical field using the heads-up display of the operating microscope. In parallel, the microscope video was superimposed with the segmented 3-D structures, which were visualized in a semitransparent manner along with various display modes of the image data.A microscope-based AR environment was successfully

2019 European Spine Journal

54. Multiatlas segmentation of thoracic and abdominal anatomy with level set-based local search. Full Text available with Trip Pro

Multiatlas segmentation of thoracic and abdominal anatomy with level set-based local search. Segmentation of organs at risk (OARs) remains one of the most time-consuming tasks in radiotherapy treatment planning. Atlas-based segmentation methods using single templates have emerged as a practical approach to automate the process for brain or head and neck anatomy, but pose significant challenges in regions where large interpatient variations are present. We show that significant changes (...) are needed to autosegment thoracic and abdominal datasets by combining multi-atlas deformable registration with a level set-based local search. Segmentation is hierarchical, with a first stage detecting bulk organ location, and a second step adapting the segmentation to fine details present in the patient scan. The first stage is based on warping multiple presegmented templates to the new patient anatomy using a multimodality deformable registration algorithm able to cope with changes in scanning

2014 Journal of Applied Clinical Medical Physics

55. CRACKCast E088 – Pulmonary Embolism & Deep Venous Thrombosis

of the lung that are ventilated (dead space) not being perfused. Chest pain: thought due to a focal area of lung tissue necrosis (caused by intensive inflammatory processes) Hypotension: impaired LV filling 5) What is Paget-Schroetter Syndrome? “ Effort thrombosis, or Paget-Schroetter Syndrome, refers to axillary-subclavian vein thrombosis associated with strenuous and repetitive activity of the upper extremities. Anatomical abnormalities at the thoracic outlet and repetitive trauma to the endothelium (...) CRACKCast E088 – Pulmonary Embolism & Deep Venous Thrombosis CRACKCast E088 - Pulmonary Embolism & Deep Venous Thrombosis - CanadiEM CRACKCast E088 – Pulmonary Embolism & Deep Venous Thrombosis In , by Adam Thomas June 29, 2017 This episode of CRACKCast covers Rosen’s Chapter 88, DVT and PE. This episode covers the risk factors, diagnostic approach, treatment and management of PEs and DVTs. Shownotes – Rosen’s in Perspective This chapter is all about VTE – venous thromboembolism

2017 CandiEM

56. The Effect of Functional Exercises on Balance With Postural Thoracic Kyphosis

: October 16, 2018 See Sponsor: Istanbul Medipol University Hospital Information provided by (Responsible Party): Istanbul Medipol University Hospital Study Details Study Description Go to Brief Summary: In a normal spine, the sagittal plane has four curvatures that balance each other. The cervical and lumbar spine is lordotic, the thoracic spine and sacral region are kyphotic. In the sagittal plane, there is an average of 40 kyphosis angles between the T1 vertebrae upper end plate and the T12 vertebra (...) weeks. Other Name: The Group II Schroth Exercise Therapy Program Outcome Measures Go to Primary Outcome Measures : Angle of thoracic kyphosis [ Time Frame: Baseline ] Spinal alignment was evaluated using a Spinal Mouse (ValedoShape-Hocoma), a computer-assisted noninvasive device. The method has no medical risk or danger. The spinal processes of the vertebra from C7 to S3 were marked. The Spinal Mouse device was slid along the spine from top to bottom to complete the measurement. The evaluation

2018 Clinical Trials

57. Esophageal perforation caused by a thoracic pedicle screw. (Abstract)

Esophageal perforation caused by a thoracic pedicle screw. This grand round raises the risk of a rare complication that can be avoided with the knowledge of the particular anatomy of scoliosis vertebra. Transpedicular screws have been reported to enhance the operative correction in scoliosis surgery. The narrow and inconsistent shape of the thoracic pedicles makes the placement of pedicle screws technically challenging. Furthermore, in thoracic curves, the close proximity of the spinal cord (...) spinal surgery, requiring a percutaneous gastrostomy. An intra-esophageal screw was discovered incidentally during an endoscopy. We decided not to remove this screw, because the patient's health status presented a surgical contraindication. The patient showed no apparent discomfort at the 10-year follow-up examination after spinal arthrodesis. Esophageal perforation caused by a posterior pedicle screw is very rare. We highlight the risk of injury to esophagus from pedicle screws in upper thoracic

2018 European Spine Journal

58. Erector Spinae Plane vs. Paravertebral Nerve Block for Thoracic Surgery

such as coagulopathy, use of clopidogrel in the past 48hs, patients on dual antiplatelet therapy, infection at the site of puncture, patient refusal, allergy to local anesthetics. Chronic opiate consumption Patient expected to be on therapeutic anticoagulation post procedure. Pregnancy Comorbid conditions: Any comorbid condition that in the judgment of the anesthesiologist would preclude the patient from any aspect of the study (ex. sepsis, possibly abnormalities of the thoracic spine or paravertebral anatomy (...) nerve blocks as defined by total opioid consumption and pain scores on the numeric pain rating scale. Secondary outcomes include incentive spirometer amounts (baseline vs daily score postoperatively), length of stay, duration of catheter and report of adverse events or complications. Other data points include number of chest tubes and location and level of catheter and nerve block placement as well as number of blocks per case. Condition or disease Intervention/treatment Phase Thoracic Surgical

2018 Clinical Trials

59. Comparative Study of Nonintubated Uniport Thoracoscopic Surgery Using Thoracic Paravertebral Nerve Block Versus Intercostal Nerve Block for Peripheral Solitary Pulmonary Nodule Patients

diseases Exclusion Criteria: refusal or inability to comply with the informed consent the nodule of the nature of the non small cell lung caner is excluded hypovolemia, blood disorders or abnormal clotting mechanism the abnormal cardiopulmonary function(the American Society of Anesthesiologists greater than 3) lower airway infection,more than airway secretion abnormal anatomy of the spine,the history of thoracic back surgery impaired lung function(forced expiratory volume in second 1 less than (...) Comparative Study of Nonintubated Uniport Thoracoscopic Surgery Using Thoracic Paravertebral Nerve Block Versus Intercostal Nerve Block for Peripheral Solitary Pulmonary Nodule Patients Comparative Study of Nonintubated Uniport Thoracoscopic Surgery Using Thoracic Paravertebral Nerve Block Versus Intercostal Nerve Block for Peripheral Solitary Pulmonary Nodule Patients - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration

2017 Clinical Trials

60. The Insertion Technique of Translaminar Screws in the Thoracic Spine: CT and Cadaveric Validation. (Abstract)

as previously described. The 2° screw diameter was downsized if there was not enough space because of the 1° screw. For each vertebra from the 11 separated cadaveric spines, inner or outer cortex breakage was checked visually. For the remaining four nonseparated spines, CT scans were used to find any inner or outer cortex breakage.Thirty-three vertebral levels were abandoned from Group S because of altered anatomy (eg, fusion, fracture during separation, anatomical anomaly of having only 11 thoracic spine (...) The Insertion Technique of Translaminar Screws in the Thoracic Spine: CT and Cadaveric Validation. Translaminar screws can be a good salvage technique in some cases of severe deformities, infection, tumor, osteoporosis, and revision cases with altered anatomy. To our knowledge, the insertion technique for translaminar screws in the thoracic spine has not been studied.To suggest a safe insertion technique of translaminar screws in the thoracic spine.A cadaveric study.Fifteen cadaveric spines

2014 The Spine Journal

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>