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.

737 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

141. Low back pain and radicular pain: development of a clinical pathway

BSS Belgian Spine Society BUO-UBO Belgische Unie van Osteopaten – Union Belge des Ostéopathes BVAS – ABSYM Belgische Vereniging van Artsensyndicaten - Association Belge des Syndicats Médicaux BVBO-UPOB Beroepsvereniging van de Belgische Osteopaten – Union Professionnelle des Ostéopathes de Belgique BVOG – UPMO Beroepsvereniging Voor Osteopathische Geneeskunde – Union Professionnelle de Médecine Ostéopathique BVC – UBC Belgische Vereniging van Chiropractors – Union Belge des Chiropractors BVOT (...) and Disability Insurance 10 Low back pain and radicular pain: development of a clinical pathway KCE Report 295 RMDQ Roland Morris disability questionnaire RZ Regional Hospital (Regionaal Ziekenhuis) SORBCOT Société Royale Belge de Chirurgie orthopédique et Traumatologique SPF – FOD – FPS Service Public Fédéral - Federale Overheidsdienst – Federal Public Service SSBe Spine Society of Belgium SSMG Société Scientifique de Médecine Générale SSST Société Scientifique de Santé au Travail TENS Transcutaneous

2017 Belgian Health Care Knowledge Centre

142. Standards for obstetrical ultrasound assessments

**Choroid Plexus Cisterna magna **Cerebral lateral ventricles Cavum septi pellucidi FACE and NECK Orbits **Nuchal thickness (fold) or Nuchal Index Lips CHEST Heart–axis and position Cardiac outflow tracts (LVOT, RVOT) and/or Short Axis **Heart – 4 chamber view 4.0 Minimum Required Content, cont’d9 Standards for Obstetrical Ultrasound Assessments ABDOMEN Stomach Abdominal umbilical cord insertion Bladder **Bowel Abdominal wall **Number of umbilical cord vessels **Kidneys SPINE Cervical, thoracic, lumbar (...) and sacral spine EXTREMITIES Presence/absence of 4 limbs (each with 3 segments) Presence/absence of hands and feet GENITALIA^^ Genitalia NOTES: ? ? **Fetal soft markers may be assessed during imaging of this part of the anatomy? Fetal soft markers can be assessed during the 18wks 0d – 22wks 6d ultrasound? Appendix 11 ? ? ^^A reasonable attempt will be made to assess fetal genitalia as part of the fetal anatomy assessment, but the exam time should not be extended for the sole purpose of determining fetal

2016 CPG Infobase

144. Clinical practice guidelines for the care of girls and women with Turner syndrome: proceedings from the 2016 Cincinnati International Turner Syndrome Meeting

for motherhood such as adoption or using a gestational carrier should be mentioned during preconception counseling (⨁◯◯◯). R 3.7. We suggest that all women with TS should be counseled about the increased cardiovascular risk of pregnancy (⨁◯◯◯). R 3.8. We recommend imaging of the thoracic aorta and heart with a transthoracic echocardiography (TTE) and CT/cardiac magnetic resonance scan (CMR) within 2 years before planned pregnancy or assisted reproductive therapy (ART) in all women with TS (⨁◯◯◯). R 3.9. We (...) suspected or has been confirmed prenatally, a fetal echocardiogram should be performed (⨁⨁◯◯). R 4.11. We recommend that diagnosis of a bicuspid aortic valve or a left-sided obstructive lesion in a female fetus or child should prompt a genetic evaluation for TS (⨁⨁◯◯). R 4.12. We recommend referral to a pediatric cardiologist when congenital heart disease is detected prenatally in a fetus with TS to provide counseling regarding the anatomy and physiology of the specific defect, recommended site and mode

Full Text available with Trip Pro

2016 European Society of Human Reproduction and Embryology

145. CRACKCast 107 – Peripheral Nerve Disorders

= Central Nervous System + Peripheral Nervous System PNS divided into 12 cranial nerves (Remember episode 105?) 31 spinal nerves (8 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 1 coccygeal). Almost all of these nerves have Sensory, Motor and autonomic function Anatomically / functionally speaking the autonomic nervous system is divided into: Sympathetic (thoracolumbar) component Parasympathetic (craniosacral) component. Note: Autonomic dysfunction may cause systemic abnormalities (e.g., Orthostasis (...) ), or a local issue, e.g., atrophic, dry skin. Refer to figure 97.2 in Rosen’s 9 th Edition for schematic representation of the anatomy of the peripheral nervous system and its interface with the central nervous system When something goes wrong with the PNS, 1 of 3 issues may develop: Myelinopathies , in which the primary site of involvement is limited to the myelin sheath surrounding the axon; Axonopathies , in which the primary site of involvement is the axon, with or without secondary demyelination

2017 CandiEM

146. CRACKCast E106 – Spinal Cord

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 (...) , spondylolysis, DDD, herpes zoster myelitis, radiation or iatrogenic spinal injury ● Post-op hypotension in aortic surgery (injury to vertebral art) ● Infection, MI, vasospasm ● Herniated bone frag/discs ● Bilateral MOTOR paresis ● Upper > lower extremities ● Distal muscle groups > proximal (anatomy!) ● Sensory burning dysesthesias UE ● +/- bladder dysfunction ● Ipsilateral motor loss (CS) ● Ipsilateral vib/proprioception loss (PC) ● CONtralateral sensation of pain and temperature (ST) ● MOST pts do not have

2017 CandiEM

147. Point prevalence survey of healthcare-associated infections and antimicrobial use in European acute care hospitals ? protocol version 5.3

and technical equipment (ICU, haematology, transplantation, cardio-thoracic surgery, neurosurgery). ? Clinical services are highly differentiated by function. ? Specialised imaging units. ? Provides regional services and regularly takes referrals from other (primary and secondary) hospitals. ? Often a university hospital or associated to a university. 4 Specialised hospital ? Single clinical specialty, possibly with sub-specialties. ? Highly specialised staff and technical equipment. ? Specify (e.g

2016 European Centre for Disease Prevention and Control - Technical Guidance

148. Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents

(on a calibrated machine that has been validated for use in the pediatric population) or auscultatory (by using a mercury or aneroid sphygmomanometer , ). (Validation status for oscillometric BP devices, including whether they are validated in the pediatric age group, can be checked at .) BP should be measured in the right arm by using standard measurement practices unless the child has atypical aortic arch anatomy, such as right aortic arch and aortic coarctation or left aortic arch with aberrant right (...) (see and ). FIGURE 2 Determination of proper BP cuff size. A, Marking spine extending from acromion process. B, Correct tape placement for upper arm length. C, Incorrect tape placement for upper arm length. D, Marking upper arm length midpoint. If the initial BP is elevated (≥90th percentile), providers should perform 2 additional oscillometric or auscultatory BP measurements at the same visit and average them. If using auscultation, this averaged measurement is used to determine the child’s BP

2017 American Academy of Pediatrics

149. Imaging Program Guidelines: Pediatric Imaging

Health. All Rights Reserved. 3 Spine Imaging 103 CT Cervical Spine – Pediatrics 103 MRI Cervical Spine – Pediatrics 106 CT Thoracic Spine – Pediatrics 110 MRI Thoracic Spine – Pediatrics 113 CT Lumbar Spine – Pediatrics 117 MRI Lumbar Spine – Pediatrics 120 MRA Spinal Canal – Pediatrics 124 Extremity Imaging 125 CT Upper Extremity – Pediatrics 125 MRI Upper Extremity (Any Joint) – Pediatrics 128 MRI Upper Extremity (Non-Joint) – Pediatrics 132 CTA and MRA Upper Extremity – Pediatrics 135 CT Lower (...) Imaging Program Guidelines: Pediatric Imaging Clinical Appropriateness Guidelines: Advanced Imaging Imaging Program Guidelines: Pediatric Imaging Effective Date: November 20, 2017 Proprietary Guideline Last Revised Last Reviewed Administrative 07-26-2016 07-26-2016 Head and Neck 11-01-2016 11-01-2016 Chest 08-27-2015 07-26-2016 Abdomen and Pelvis 11-01-2016 11-01-2016 Spine 08-27-2015 07-26-2016 Extremity 08-27-2015 07-26-2016 Copyright © 2017. AIM Specialty Health. All Rights Reserved 8600 W

2017 AIM Specialty Health

150. CIRSE Guidelines on Percutaneous Vertebral Augmentation

- up. In case of worsening of the compression fracture, PVP should be considered to arrest the height lost, particularly in thoracic spine and thoracolumbar junction, and avoid hyperkyphosis. In cases of chronic ([4 months old) osteoporotic VCFs, PVP can be proposed if there is imaging evidence of osteonecrosis or incomplete healing (persistence of bone oedema on MR or bone scintigraphy) [35–40]. Imaging Preoperative imaging is needed to identify the fracture (or fractures), estimate its age, de?ne (...) fracture anatomy, assess posterior vertebral body wall integrity [1] and exclude other causes of back pain (i.e. facet arthropathy, spinal canal stenosis and disc herniation) [2]. Radiographs of the spine give an overview of the number of levels involved by the disease process, help assess the extent of vertebral collapse (grading of fracture) and guide further imaging investigation. MRI is a must in all patients considered for PVP as it provides information regarding the age and healing status

2017 Cardiovascular and Interventional Radiological Society of Europe

151. Diagnosis and Management of Noncardiac Complications in Adults With Congenital Heart Disease: A Scientific Statement From the American Heart Association

. The chest wall is an important component of normal respiratory function, and multiple thoracotomies can lead to a restrictive thoracic cage, which in turn disrupts normal chest wall mechanics and respiratory function. 58 A previous tho- racotomy has been identified as a strong predictor of restrictive lung physiology. 59 Spinal deformities, includ- ing scoliosis and kyphosis, are significantly more com- mon in patients after repair of CHD and may be related to previous thoracotomy or sternotomy. 68 (...) rate rather than tidal volume. 73 Increased dead space ventilation, decreased vital capacity, reduced re- spiratory muscle strength from decreased thoracic or lung compliance, and abnormal gas exchange likely also contribute to decreased exercise tolerance in these pa- tients. 73 Abnormal ventilatory response during exercise has been demonstrated in adults with various CHD di- agnoses. 74 This is particularly true in patients with re- strictive lung physiology and is evidenced by markedly elevated

Full Text available with Trip Pro

2017 American Heart Association

152. Management of Cardiac Involvement Associated With Neuromuscular Diseases: A Scientific Statement From the American Heart Association

in severity but complicates the evaluation and management. Emery-Dreifuss Muscular Dystrophy EDMD is another nondystrophinopathy with associated cardiac involvement characterized by early-onset joint contractures (elbows, ankles, and cervical spine), slowly progressive muscle weakness, and cardiac conduction defects that increase the risk of sudden death. EDMD has significant clinical variability and is caused by mutations in genes that code for nuclear envelope proteins. X-linked EDMD, the prevalence

Full Text available with Trip Pro

2017 American Heart Association

153. 2017 AHA/ACC Key Data Elements and Definitions for Ambulatory Electronic Health Records in Pediatric and Congenital Cardiology: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Data Standards

Hospital Association (www.childrenshospitals.org). †International Society for Nomenclature of Paediatric and Congenital Heart Disease Representative. ‡Child Health Corporation of America Representative. §Association of European Pediatric Cardiologists Representative. ‖The Society of Thoracic Surgeons Representative. ¶ ACC/AHA Task Force on Clinical Data Standards Liaison to the Writing Committee. #Congenital Heart Surgeons’ Society Representative. **National Association of Children’s Hospitals (...) Representative. Child Health Corporation of America Representative. Association of European Pediatric Cardiologists Representative. The Society of Thoracic Surgeons Representative. ACC/AHA Task Force on Clinical Data Standards Liaison to the Writing Committee. Congenital Heart Surgeons’ Society Representative. National Association of Children’s Hospitals and Related Institutions Representative. American Academy of Pediatrics Representative. Congenital Cardiac Anesthesia Society Representative. Task Force

2017 American Heart Association

154. European Society of Endocrinology Clinical practice guidelines for the care of girls and women with Turner syndrome

for motherhood such as adoption or using a gestational carrier should be mentioned during preconception counseling (⨁◯◯◯). R 3.7. We suggest that all women with TS should be counseled about the increased cardiovascular risk of pregnancy (⨁◯◯◯). R 3.8. We recommend imaging of the thoracic aorta and heart with a transthoracic echocardiography (TTE) and CT/cardiac magnetic resonance scan (CMR) within 2 years before planned pregnancy or assisted reproductive therapy (ART) in all women with TS (⨁◯◯◯). R 3.9. We (...) suspected or has been confirmed prenatally, a fetal echocardiogram should be performed (⨁⨁◯◯). R 4.11. We recommend that diagnosis of a bicuspid aortic valve or a left-sided obstructive lesion in a female fetus or child should prompt a genetic evaluation for TS (⨁⨁◯◯). R 4.12. We recommend referral to a pediatric cardiologist when congenital heart disease is detected prenatally in a fetus with TS to provide counseling regarding the anatomy and physiology of the specific defect, recommended site and mode

2017 European Society of Endocrinology

155. Spasticity in adults: management using botulinum toxin - 2nd edition

that: E1 E2 Strong • all remediable aggravating factors have been addressed • an appropriate physical management programme is in place • a suitable programme of ongoing coordinated management is planned. 2.3 BoNT-A must only be injected by clinicians who have: E1 E2 Strong • appropriate understanding of functional anatomy • experience in the assessment and management of spasticity, and the use of BoNT-A in this context • knowledge of appropriate clinical dosing regimens and the ability to manage any

2018 British Society of Rehabilitation Medicine

156. CRACKCast E055 – Pelvic Trauma

-3 in Rosens Avulsion of L5 transverse process Avulsion of ischial spine Avulsion of lower lateral lip of the sacrum Displacement at the site of a pubic ramus fracture Asymmetry or lack of definition of bony cortex at the superior aspect of the sacral foramina 5) What is the management of penetrating pelvic trauma? Complex anatomy, very high likelihood of visceral, vascular, and/or neurologic injury Overall mortality is 6-12% All cases of penetrating pelvic trauma should have emergent surgical (...) large amount of force – look for other injuries Epidemiology: Primarily result from MVCs and ped struck trauma. Less commonly (5-10%) falls from height Mortality is 9-22% – independent predictor of death Anatomy Complex structure, but at the core is a ring protecting visceral components (GI tract, vasculature, nerves) Major components of stability: posterior arch (weight bearing), symphysis pubis anteriorly. Unstable ring fractures mostly due to disruption of ligaments of posterior arch. Vascular

2016 CandiEM

157. Peri-Operative Management of Anticoagulation and Antiplatelet Therapy

) anticoagulation may not need to be stopped. Procedures that require anticoagulation to be stopped will vary in their bleeding risk and importantly the consequences of bleeding will depend on the site of surgery and local anatomy. Although some have grouped procedures into lower or higher risk (Baron, et al 2013, Spyropoulos and Douketis 2012) we think the operating surgeon, dentist, or interventional radiologist has to assess the risk of bleeding for the individual patient and discuss this and the plan (...) , K. & Clough, E.R. (2012) 2012 update to the Society of Thoracic Surgeons guideline on use of antiplatelet drugs in patients having cardiac and noncardiac operations. Ann Thorac Surg, 94, 1761-1781. Garcia, D., Alexander, J.H., Wallentin, L., Wojdyla, D.M., Thomas, L., Hanna, M., Al-Khatib, S.M., Dorian, P., Ansell, J., Commerford, P., Flaker, G., Lanas, F., Vinereanu, D., Xavier, D., Hylek, E.M., Held, C., Verheugt, F.W.A., Granger, C.B. & Lopes, R.D. (2014) Management and clinical outcomes

2016 British Committee for Standards in Haematology

158. CRACKCast E044 – Neck Trauma

CRACKCast E044 – Neck Trauma CRACKCast E044 - Neck Trauma - CanadiEM CRACKCast E044 – Neck Trauma In , by Adam Thomas October 10, 2016 This episode of CRACKCast covers Rosen’s Chapter 044, Neck Trauma. Continuing in our trauma series, this episode tackles the challenging issue of neck trauma and injuries, and explores the anatomy and relevant considerations in the diagnosis and management of both blunt and penetrating neck injuries. Shownotes – Rosen’s in Perspective Wide range of complications (...) management Mortality 2-6% – from exsanguination Blunt trauma: From MVCs, clothesline injuries, strangulation, sports injuries Blunt vascular injuries are RARE, but often missed Blunt injuries to the aero digestive & vascular tracts are rare – but present in a delayed way with devastating consequences 1) Describe the landmarks and structures using the Zones of the neck & the Triangles of neck ANATOMY: Densely packed tissues with vital structures: vascular injury can be tamponaded by fascial planes

2016 CandiEM

159. CRACKCast E043 – Spinal Injuries

Trauma to base of neck Pancoast tumor, Thoracic aneurysm Sympathectomy 12) For what C-spine injuries is CT-A indicated to rule out vascular injury C1-C3 # Any vertebral body fracture Transverse foramen fracture Facet sub/dislocation Ligamentous injury This likely varies on a per institution basis 13) Are steroids indicated for C-spine injuries? Highly controversial – Cochrane review says yes, almost all other sources (guidelines and surveys) say no. Talk to your surgeon. Common dose is 30mg/kg IV (...) was a weekend cliff diver, as this fracture is often seen with shallow water dives. Quite literally this is a compression force on c1 which bursts open the arch of the atlas. Diagnosis is oft made on CT but an open mouth view with c1 lateral masses > 7mm from odontoid peg is diagnostic. Extremely unstable 3) List 8 unstable C-spine injuries Jefferson Odontoid fracture Atlanto-occipital dislocation Neural arch (posterior) Wedge fracture Large, facet dislocation Bilateral spinal subluxation Tear drop

2016 CandiEM

160. Vascular Graft Infections, Mycotic Aneurysms, and Endovascular Infections: A Scientific Statement From the American Heart Association

on patients with multiple underlying comorbidities and the increased frequency of emergency procedures have contributed to the changing spectrum of infection. Other factors such as changes in hospital flora, surgery in patients with complicated vascular anatomy, and multiple revisions of previous vascular surgery have resulted in a more diverse microbiological spectrum of infection, which includes multidrug-resistant strains, polymicrobial infection, and Candida species. Gram-positive cocci accounts (...) below. Role of Imaging and Interventional Techniques for the Diagnosis of VGI General Principles The choice of an imaging modality depends in part on the site of infection. For intracavitary VGI, a combination of imaging modalities might be necessary. Computed tomographic angiography (CTA) is most often used for diagnosis and to define anatomy for subsequent revascularization. Sinograms can be useful in highly selected patients, but other imaging modalities have diminished their utility. In addition

Full Text available with Trip Pro

2016 American Heart Association

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