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Thoracolumbar Trauma

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181. The impact of magnetic resonance imaging in the diagnostic and classification process of osteoporotic vertebral fractures. (PubMed)

on early diagnosis and classification, compared to standard radiographs alone.A total of 173 patients were enrolled in this study. All participants were 55 years of age or older (60 years for men) and complained acute back pain with suspected thoracolumbar OVFs without history of high-energy trauma. Diagnosis of OVF was initially performed on standard radiographs obtained in the emergency room. Then, all the patients underwent MRI scan with short-tau inversion recovery (STIR) sequencing within 7 days (...) . We compared the level and number of fractures identified on standard radiographs with the MRI scan results. The discordance between radiographic and MRI diagnosis was quantified. Fractures were classified according to AO Spine Classification.Mean age of the study participant was 74.2 years (range 55-92). They were 100 males and 73 females. MRI modified initial diagnosis in 52% (90/173) of our patients: in 43.9% of patients MRI identified one or more new thoracolumbar fracture. In 14 cases (8.1

2018 Injury

182. Is Focused MRI Adequate for Treatment Decision-Making in Acute Traumatic Thoracic and Lumbar Spine Fractures seen on Whole spine CT? (PubMed)

on MRI (ligamentous disruption, epidural hematoma, and cord contusion), outside of the focused zone, an alteration in patient management, including surgical and nonsurgical, as a result of the identified pathology outside the focused zone.Records were reviewed for all adult trauma patients who presented to the emergency department between 2008 and 2016 with one or more fracture(s) of the thoracic and/or lumbar spine identified on computed tomography (CT) and who underwent MRI of the entire thoracic (...) , with a median age of 49 years. There were 81 males (64%). Sixty-two (49%) patients had isolated thoracolumbar junction injuries and 36 (29%) had injuries limited to a single fractured level. Forty-seven (37%) patients were managed operatively. PLC injury was identified by both readers in 36 (29%) patients with a percent agreement of 96% and κ coefficient of 0.91 (95% CI 0.87-0.95). Both readers independently agreed that there was no pathology identified on the complete thoracic and lumbar spine MRIs outside

2018 The Spine Journal

183. Blunt multifocal aortic injury with abdominal aortic intimointimal intussusception (PubMed)

Blunt multifocal aortic injury with abdominal aortic intimointimal intussusception Blunt abdominal aortic injury is an infrequent occurrence after blunt trauma. The majority of these injuries result from deceleration forces sustained in motor vehicle collisions. Effects of these forces on the thoracic aorta are well described, but associated spinal compression or distraction can also lead to injury of the affixed abdominal aorta. We present a case of multifocal blunt thoracic and abdominal (...) aortic injury with circumferential abdominal aortic dissection, resulting in aortoaortic intussusception associated with a thoracolumbar spinal injury. The unique diagnostic challenge and subsequent successful endovascular management of a rare nonocclusive abdominal aortic intussusception are herein discussed.

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2018 Journal of Vascular Surgery Cases and Innovative Techniques

184. Functional Recovery Following Early Kyphoplasty Versus Conservative Management in Stable Thoracuolumbar Fractures in Parachute Jumpers: A Randomized Clinical Trial. (PubMed)

data are not available for supporting each.We included 70 paratroopers with stable thoracolumbar fractures (A1 and A2 classification according to AOSpine thoracolumbar spine injury classification system) presenting <60 days after trauma and hyperintensity in T2-weighted magnetic resonance imaging. Old fractures and those requiring fixation were excluded. Patients were randomly assigned to 2 study groups to undergo percutaneous balloon kyphoplasty (n=34) or conservative care (n=36) by applying (...) Functional Recovery Following Early Kyphoplasty Versus Conservative Management in Stable Thoracuolumbar Fractures in Parachute Jumpers: A Randomized Clinical Trial. A randomized clinical trial.To compare the functional recovery between early kyphoplasty and conservative care in paratroopers with stable thoracolumbar fractures.Treatment of traumatic stable thoracolumbar fractures in young individuals is still a debate. Conservative management and kyphoplasty are options of therapy. But enough

2018 Clinical spine surgery Controlled trial quality: uncertain

185. Spontaneous subdural hematoma of the thoracolumbar region with massive recurrent bleed (PubMed)

Spontaneous subdural hematoma of the thoracolumbar region with massive recurrent bleed Spinal subdural hematoma is a rare disorder and can be caused by abnormalities of coagulation, blood dyscrasias, lumbar puncture, trauma, underlying neoplasm, and arteriovenous malformation. We discuss an unusual case of an elderly woman who presented with spontaneous spinal subdural hematoma and developed massive rebleeding on the third day following initial evacuation of hematoma. This case illustrates

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2009 Indian journal of orthopaedics

186. Surgical treatment of post-traumatic kyphosis in the thoracolumbar spine: indications and technical aspects. (PubMed)

Surgical treatment of post-traumatic kyphosis in the thoracolumbar spine: indications and technical aspects. Indications for correction of post-traumatic kyphotic deformity of the spine and technical aspects of the surgical procedure are reviewed. Surgical correction of post-traumatic deformity of the spine should be considered in patients presenting a local excess of kyphosis in the fractured area superior to 20 degrees with poor functional tolerance. Severe pain, explained by objective (...) factors such as canal or neuroforamen compromise with or without peripheral symptoms, angular deformity, non-union, focal instability, adjacent painful compensatory deformity such as lumbar hyper-lordosis or thoracic hypo-kyphosis or lordosis is a further argument for surgery. More advanced age, litigation, work-related trauma are negative factors. Planning of the surgical procedure includes the choice of the approach(es), the corrective means: subtraction osteotomy or vertebral body reconstruction

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2009 European Spine Journal

187. Intraoperative neurophysiologic spinal cord monitoring in thoracolumbar burst fractures. (PubMed)

Intraoperative neurophysiologic spinal cord monitoring in thoracolumbar burst fractures. Clinical prospective cohort study in academic tertiary setting.Evaluate intraoperative neurophysiologic monitoring of the spinal cord in patients with thoracolumbar burst fractures.The majority of clinical studies using intraoperative neurophysiologic monitoring in spinal trauma focus exclusively on somatosensory-evoked potentials (SSEP), and there are no specific article on the use of transcranial motor (...) -evoked potentials (TcMEP), and stimulated electromyography (SEMG) by direct stimulation of the pedicular screws in thoracolumbar burst type fractures. In addition, controversy regarding the relation between spinal cord decompression and improvement in spinal cord function in such patients remains.Eighteen patients with thoracolumbar burst type fractures (<3 weeks) who underwent indirect posterior spinal cord decompression was carried out from 2002 to 2006. Patients were monitored intraoperatively

2009 Spine

188. Thoracolumbar junction injuries after rollover crashes: difference between belted and unbelted front seat occupants. (PubMed)

Thoracolumbar junction injuries after rollover crashes: difference between belted and unbelted front seat occupants. Motor vehicle collision (MVC) is one of the most common causes of thoracolumbar junction (TLJ) injury. Although it is of no doubt that the use of seatbelt reduces the incidence and severity of MVC-induced TLJ injury, how it is protective for front-seat occupants of an automobile after rollover crashes is unclear. Among 200 consecutive patients with a major TLJ (Th11-L2) injury (...) due to high-energy trauma admitted from 2000 to 2004, 22 patients were identified as front-seat occupants of a four-wheel vehicle when a rollover crash occurred. The 22 patients were divided into two groups: 10 who were belted, and 12 who were unbelted. Patients' demographics including the mean Injury Severity Score (ISS), incidence of neurologic deficit, level of TLJ injury, and type of TLJ injury according to the AO fracture classification were compared between the two groups. Neurologic deficit

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2009 European Spine Journal

189. Thromboprophylaxis in spinal trauma surgery: consensus among spine trauma surgeons. (PubMed)

with or without SCI. The use of vena cava filter after SCI was not universally recommended.Postoperative pharmacologic thromboprophylaxis was opined to be unnecessary in patients with cervical spine injuries without SCI, however, it is recommended for cervical spine trauma with SCI or anterior thoracolumbar procedures irrespective of SCI. Pharmacologic thromboprophylaxis was recommended to start preoperatively as soon as possible in SCI cases or in cases with surgical delay. Pharmacologic prophylaxis (...) Thromboprophylaxis in spinal trauma surgery: consensus among spine trauma surgeons. Although there are several studies evaluating the necessity and efficacy of thromboprophylaxis after spinal trauma with or without spinal cord injury (SCI), to date there is no established standard of practice pertaining to this specific patient population with regards to venous thromboembolism (VTE) prophylaxis.To reach a consensus opinion in the administration of thromboprophylaxis in both preoperative

2009 The Spine Journal

190. Downhill Skiing

Downhill Skiing Downhill Skiing Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Downhill Skiing Downhill Skiing Aka: Downhill Skiing (...) participates in activities (and risks) above their ability Equipment failure (or improper) Failure to acclimitize to altitude Going off trail, to closed areas, or ignoring posted warnings IV. Associated Conditions: Head and Torso Injuries (7-18%) Most common cause of serious injury and death Thoracolumbar spine injury Spinal Compression Spinous process Transverse process V. Associated Conditions: Skiers (lower extremity injuries are more common) See Medial Collateral Ligament Tear or MCL (25%) or ACL (25

2019 FP Notebook

191. Family Practice Notebook Updates 2018

Family Practice Notebook Updates 2018 Family Practice Notebook Updates 2018 Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Family (...) obstruction Distinguishes cardiac standstill, true PEA or , from ineffective contraction and may identify , PE with RV strain, vascular rupture (hemeonc, ) Treat sickle cell vaso-occlusive crisis aggressively with early IV s Have a high index of suspicion for serious in febrile children <5 years old Always consider in " " in is a life threatening complication (Ortho, L-spine, , ) High velocity , e.g. MVA with only, causes flexion and distraction of the thoracolumbar spine Results in unstable, transverse

2019 FP Notebook

192. rTMS and Body Weight-support Treadmill Training After Incomplete Spinal Cord Injury

, 2018 Last Update Posted : January 9, 2018 See Sponsor: Universidade Federal de Pernambuco Information provided by (Responsible Party): Fernanda Natacha Rufino Nogueira, Universidade Federal de Pernambuco Study Details Study Description Go to Brief Summary: The aim of this study is to verify the efficacy of body weight-support treadmill training combined with high-frequency rTMS in improving the sensory-motor function of adult patients with chronic incomplete thoracolumbar spinal cord injury (...) patients with chronic incomplete thoracolumbar spinal cord injury. The sessions will be performed three times a week for a month. Device: High frequency repetitive transcranial magnetic stimulation Gait training with body weight support will be performed through Biodex Rehabilitation treadmill. It will performed for 20 minutes and researchers will assist the patient in placing the foot on the ground, in the extension of the knee and in the alignment of pelvis and trunk. The percentage of body weight

2017 Clinical Trials

193. Fractures in Spinal Ankylosing Disorders: A Narrative Review of Disease and Injury Types, Treatment Techniques, and Outcomes. (PubMed)

follow-up.Twenty-one identified articles were analyzed. Average age was 63.4 years. Most patients were men. Ground level fall or low energy trauma caused most injuries. Diagnosis was delayed in 15%-41% cases. Hyperextension fracture patterns were most common. Cervical spine fractures were more common than thoracolumbar fractures, with the highest prevalence between C5 and C7. Neurologic deficits were encountered in 21%-100% of patients. Operative fixation and fusion were performed in 40%-100 (...) for spinal fractures and ligamentous injuries after even trivial trauma. Spinal injuries in patients with AS are difficult to diagnose on plain radiographs; computed tomography and magnetic resonance imaging are recommended instead. The entire spine should be scanned for multilevel involvement. Although osteoporosis makes fixation of spine implants a significant concern, the literature has reported that most patients with AS treated surgically had good outcomes. Numerous studies have reported risks

2017 Journal of Orthopaedic Trauma

194. Percutaneous pedicle screw placement under single dimensional fluoroscopy with a designed pedicle finder-a technical note and case series. (PubMed)

screws for thoracolumbar degenerative disease or trauma comprised the patient sample.We retrospectively reviewed the charts of consecutive 670 patients who received 4,072 pedicle screws between December 2010 and August 2015. Another case series study was conducted prospectively in three additional hospitals, and 88 consecutive patients with 413 pedicle screws were enrolled from February 2014 to July 2016. The fluoroscopy shot number and radiation dose were recorded. In the prospective study, 78

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2017 The Spine Journal

195. Acute non-traumatic idiopathic spinal subdural hematoma: radiographic findings and surgical results with a literature review. (PubMed)

three cases were idiopathic with no history of disease, no coagulopathy, and no trauma. All had acute onset that brought about paralysis of the lower limbs with severe pain. Early surgery was performed, based on a relatively early diagnosis using thoracolumbar MRI and CT.Since the epidural fat is not affected by bleeding, the normal structure remains and the boundary between hematoma and fat is a significant feature in MRI and CT. Partial Gd enhancement in MRI and ring enhancement in contrast CT

2017 European Spine Journal

196. Wilderness Medicine

Wilderness Medicine Wilderness Medicine Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Wilderness Medicine Wilderness Medicine Aka (...) : Wilderness Medicine , Wilderness Trauma II. Causes Common Wilderness Injury and Illness Athletic injuries (sprains, strains and soft tissue s) Gastrointestinal symptoms ( , , ) Skin Injuries ( s, s, s, , ) Exacerbations of chronic medical conditions (e.g. , ) s or -like illness Serious Wilderness Trauma and serious illness are uncommon s are the most common Severe dehydration is uncommon Environmental injury ( , , , altitude sickness) are surprisingly uncommon III. Management: Trauma Constantly

2019 FP Notebook

197. Comparison of ACAF and ACCF in the Treatment of Cervical OPLL

ligament ossification of the cervical spine; patients with limbs numbness, walking instability, banding and other spinal cord, nerve root compression symptoms, may be associated with urinary dysfunction, conservative treatment is invalid or gradually increased; Exclusion Criteria: Cervical ligamentous ossification, cervical trauma, cervical cancer, cervical tuberculosis and other inflammatory diseases; accompanied by thoracolumbar spine and other spine parts of the disease affect the clinical symptoms

2017 Clinical Trials

198. Epidural Decompression Surgery Within 24 Hours After Acute Spinal Cord Injury Improves Spinal Nerve Function

admission using rectal examination, in accordance with American Spinal Injury Association and International Medical Society of Paraplegia (2000); Final diagnosis by spine CT and/or MRI; Cervical, thoracic and thoracolumbar fracture dislocation or without fracture dislocation but combined with spinal cord injury; No other injury involving life, injury severity score < 16; No anesthesia contraindication; No local skin infection, no severe soft tissue contusion, soft tissue condition of the operation area (...) Posted: April 17, 2017 Last Verified: April 2017 Individual Participant Data (IPD) Sharing Statement: Plan to Share IPD: Undecided Layout table for additional information Studies a U.S. FDA-regulated Drug Product: No Studies a U.S. FDA-regulated Device Product: No Additional relevant MeSH terms: Layout table for MeSH terms Wounds and Injuries Spinal Cord Injuries Spinal Cord Diseases Central Nervous System Diseases Nervous System Diseases Trauma, Nervous System

2017 Clinical Trials

199. Pre-and In-hospital First Aid Programs and Specifications for Spine and Spinal Cord Injury in Beijing of China

); Final diagnosis by spine CT and/or MRI; Cervical, thoracic and thoracolumbar fracture dislocation or without fracture dislocation but combined with spinal cord injury; No other injury involving life, injury severity score < 16; No anesthesia contraindication; No local skin infection, no severe soft tissue contusion, soft tissue condition of the operation area met the operation requirements; Age: 16-85 years old, irrespective of sex. Exclusion Criteria: Active or recent severe infection Severe (...) : April 11, 2017 Last Update Posted: April 17, 2017 Last Verified: April 2017 Individual Participant Data (IPD) Sharing Statement: Plan to Share IPD: Undecided Layout table for additional information Studies a U.S. FDA-regulated Drug Product: No Studies a U.S. FDA-regulated Device Product: No Additional relevant MeSH terms: Layout table for MeSH terms Wounds and Injuries Spinal Cord Injuries Spinal Cord Diseases Central Nervous System Diseases Nervous System Diseases Trauma, Nervous System

2017 Clinical Trials

200. The Confounding Burden of Psychological Impairments in Cervical Spine Surgery

classification: C2-C7 SVA > 8cm, Horizontal Gaze < -10 or > 25, T1S-CL > 20, myelopathy (JOA score <10) or severe adult spinal deformity based on SRS-Schwab classification (PI-LL > 20, PT >30, SVA > 90 mm) Undergoing simultaneous treatment for thoracolumbar spine related diagnoses at the time of enrollment History of any spinal surgery within the last 6 months Patients with neck pain attributable to trauma, idiopathic deformity, neoplasm, osteoporosis, or other medical condition. Unlikely to comply (...) (PI-LL > 20, PT >30, SVA > 90 mm) Undergoing simultaneous treatment for thoracolumbar spine related diagnoses at the time of enrollment History of any spinal surgery within the last 6 months Patients with neck pain attributable to trauma, idiopathic deformity, neoplasm, osteoporosis, or other medical condition. Unlikely to comply with the follow-up evaluation schedule Subject has recent history of chemical substance dependency that may impact the outcome or study participation Subject has

2017 Clinical Trials

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