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.

572 results for

Thoracolumbar Trauma

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

481. Spontaneous Posterior Iliac Crest Regeneration Enabling Second Bone Graft Harvest; A Case Report Full Text available with Trip Pro

Spontaneous Posterior Iliac Crest Regeneration Enabling Second Bone Graft Harvest; A Case Report We present a case of a revision spinal fusion in which successful bone graft reharvesting was performed from the posterior iliac crest 4 years after initial intracortical harvesting. To date, only anterior iliac crest regeneration has been reported in orthopedic trauma patients. A 70-year-old man with a history of two prior instrumented lumbar fusion operations developed thoracolumbar kyphosis (...) junctional to the lumbosacral fusion mass. His first operation was an instrumented posterolateral lumbar fusion L1 to L5, where bone graft was harvested from the right iliac crest using the intracortical harvesting technique. The second procedure was performed 18 months later and consisted of an extension of the fusion to the sacrum due to L5-S1 level derived symptoms. The bone graft for this procedure was taken with the same technique from the left iliac crest. The development of thoracolumbar

2009 HSS Journal

482. Spontaneous subdural hematoma of the thoracolumbar region with massive recurrent bleed Full Text available with Trip Pro

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

2009 Indian journal of orthopaedics

483. Intraoperative neurophysiologic spinal cord monitoring in thoracolumbar burst fractures. (Abstract)

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

484. Is a pelvic fracture a predictor for thoracolumbar spine fractures after blunt trauma? Full Text available with Trip Pro

Is a pelvic fracture a predictor for thoracolumbar spine fractures after blunt trauma? Discussion still remains which polytraumatized patients require radiologic thoracolumbar spine (TL spine) screening. The purpose of this study is to determine whether pelvic fractures are associated with TL spine fractures after a blunt trauma. Additionally, the sensitivity of conventional TL spine radiographs and pelvic radiographs (PXRs) is evaluated.We prospectively studied 721 consecutive patients who had (...) sustained a high-energy blunt trauma. The diagnostic workup in these patients included routine conventional radiographs of the pelvis and TL spine followed by a computed tomography (CT) analysis. All patients with pelvic fractures and TL spine fractures identified on conventional radiographs and CT were analyzed. A relative risk (RR) was calculated for the association between pelvic fractures and TL spine fractures. The sensitivity for conventional TL spine radiographs and PXRs in identifying fractures

2009 Journal of Trauma

485. Surgical treatment of post-traumatic kyphosis in the thoracolumbar spine: indications and technical aspects. Full Text available with Trip Pro

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

2009 European Spine Journal

486. Multiple level injuries in pediatric spinal trauma. Full Text available with Trip Pro

Multiple level injuries in pediatric spinal trauma. The incidence of concomitant, particularly noncontiguous, spine injuries in the pediatric population has not been well described. There is a balance between limiting radiation exposure and not missing concomitant injuries; understanding of this risk of concomitant spine injuries in this population is important. We hypothesize that the rate of concomitant spinal injuries in children is similar to adults.The trauma registry of a pediatric trauma (...) noncontiguous second fractures, which is a rate similar to adults. Imaging studies evaluating patients with spinal injuries should include at least three levels above and below the primary level of injury as well as the entire thoracic spine and thoracolumbar junction.

2009 Journal of Trauma

487. Thoracolumbar junction injuries after rollover crashes: difference between belted and unbelted front seat occupants. Full Text available with Trip Pro

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

2009 European Spine Journal

488. Review article: indications for thoracolumbar imaging in blunt trauma patients: a review of current literature. (Abstract)

Review article: indications for thoracolumbar imaging in blunt trauma patients: a review of current literature. Thoracolumbar spine injury is a common complication of blunt multitrauma and up to one third of fractures are associated with spinal cord dysfunction. Delayed fracture diagnosis increases the risk of neurological complications. While validated screening guidelines exist for traumatic c-spine injury equivalent guidelines for thoracolumbar screening are lacking. We conducted (...) a literature review evaluating studies of thoracolumbar injury in trauma patients to generate indications for thoracolumbar imaging. We performed MEDLINE and Pubmed searches using MeSH terms "Wounds, Nonpenetrating", "Spinal Fractures", "Spinal Injuries" and "Diagnostic Errors", MeSH/subheading terms "Thoracic Vertebrae/injuries" and "Lumbar Vertebrae/injuries" and keyword search terms "thoracolumbar fractures", "thoracolumbar injuries", "thoracolumbar trauma", "missed diagnoses" and "delayed diagnoses

2009 Emergency medicine Australasia

489. Spinal extradural arachnoid cyst. (Abstract)

Spinal extradural arachnoid cyst. Spinal extradural arachnoid cysts are uncommon expanding lesions. Idiopathic arachnoid cysts are not associated with trauma or other inflammatory insults. If they enlarge, they usually present with progressive signs and symptoms of neural compression.Total removal of the cyst and repair of the dural defect is the primary treatment for large thoracolumbar spinal extradural arachnoid cysts causing neurogenic claudication. Laminoplasty may prevent spinal

2009 The Spine Journal

490. Thromboprophylaxis in spinal trauma surgery: consensus among spine trauma surgeons. (Abstract)

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

491. Avascular necrosis of the spine in solid posterior fusion segments. (Abstract)

Avascular necrosis of the spine in solid posterior fusion segments. Case report.We present a rare case of avascular necrosis of a vertebral body in solid posterior fusion segments without trauma and its possible mechanism.The reported case is that of a 56-year old woman with posterior spinal fusion (T10-L2) for a fracture of T12 presenting with progressive kyphosis, back pain and neurologic deficits developing with no history of trauma. Serial radiographs, computed tomography, and magnetic (...) resonance imaging scans confirmed avascular necrosis of the 11th thoracic vertebral body.This is a retrospective review of a case seen at our hospital.The symptoms were successfully treated by resection of the necrotic vertebral body and correction of the deformity.Despite solid posterior fusion segments, avascular necrosis of a vertebral body developed without trauma. This may be attributed to a wedged vertebra that causes repeated microtrauma and resulting avascular necrosis on the adjacent vertebra

2009 Spine

492. Computed tomographic scanning reduces cost and time of complete spine evaluation

stabilisation procedures. Among 207 patients included in the CIREN database, 55 trauma patients underwent CT scanning of the chest, abdomen and pelvis. Of these, 47 had a spine fracture and 28 had thoracolumbar fractures. Study design This was a diagnostic yield study that was carried out in a single centre. The patients were not followed-up since only the results from their CT scans and radiographs were used in the study. Analysis of effectiveness The outcomes assessed were: the number of plain (...) followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The use of computed tomographic (CT) scanning in the initial assessment of the thoracic, lumbar and sacral spine in blunt trauma patients. Type of intervention Diagnosis. Economic study type Cost-effectiveness analysis. Study population The study population comprised individuals admitted to the trauma burn service after being involved in car crashes, as either passengers or drivers

2004 NHS Economic Evaluation Database.

493. Computed tomographic scanning reduces cost and time of complete spine evaluation. (Abstract)

workup of 50 consecutive trauma patients to determine the time required to complete radiographic spine evaluation.Forty-seven patients had thoracolumbar fractures. Thirteen patients were found to have 33 thoracolumbar spine fractures identified by CT scan but not plain radiography. Fractures were found on initial trauma CT scans of the chest, abdomen, and pelvis obtained to evaluate for visceral injuries. No injuries seen on plain film were missed on CT scan.We recommend using the data acquired from (...) Computed tomographic scanning reduces cost and time of complete spine evaluation. We hypothesize that data collected from computed tomographic (CT) scans obtained for workup of chest or abdominal injuries provide data that are sufficient to screen for spinal fractures and will decrease the cost and time of spine evaluation after trauma.We reviewed plain radiographs from 55 selected trauma patients who also underwent CT scanning of the chest, abdomen, and pelvis. We also timed the radiologic

2004 Journal of Trauma

494. A thoracic and lumbar spine injury severity classification based on neurologic function grade, spinal canal deformity, and spinal biomechanical stability. (Abstract)

and lumbar spine injuries, and examined the following three quantifiable parameters: 1) neurologic function grade; 2) spinal canal deformity; 3) biomechanical stability. These parameters are the primary clinical indications for management decisions.One hundred twenty-six consecutive patients with spinal trauma admitted to a level 1 tertiary trauma center from January 1997 to November 2005 were enrolled in this study.Spine injury severity was independently scored on three parameters: 1) neurologic (...) compromise and biomechanical function status.Injuries were located from T3 to L5, 58% of which were at the thoracolumbar junction (T11-L2). Neurologic impairment occurred in 45% (57/126) of patients, with 19 complete paraplegias (Frankel grade A). The average spinal canal cross-sectional area compromise was 56.1% in neurologically impaired and 14.2% for patients who where neurologically intact. The number of tensile element failure patients in neurologically impaired versus intact are as follow: tri

2006 The Spine Journal

495. Concomitant fractures of the acetabulum and spine: a retrospective review of over 300 patients. (Abstract)

Concomitant fractures of the acetabulum and spine: a retrospective review of over 300 patients. The incidence and spectrum of concomitant acetabulum and spine trauma has not been clearly defined.We retrospectively reviewed 307 acetabulum fracture patients over 5 years, and evaluated this cohort for concomitant spine injuries. Patient and injury demographics, spine and neurologic injury and delay in diagnosis were examined.Complete data were available for 275 (90%) of the cohort, and 55 spine (...) injuries (54 fractures and 1 traumatic disc herniation) were identified in 34 patients. Thus, the incidence of concomitant acetabulum and spine fractures was approximately 13% (34 of 275). Four percent of the patients sustained significant thoracolumbar fractures (burst, flexion-distraction, or dislocation). An average 8.6-day delay in diagnosis occurred in three spine fracture patients. One suffered progressive neurologic injury.It is essential that the traumatologists have a high index of suspicion

2006 Journal of Trauma

496. Respiratory complications and mortality risk associated with thoracic spine injury. (Abstract)

Respiratory complications and mortality risk associated with thoracic spine injury. Cervical spinal cord injury (SCI) has a well-established association with a high risk of respiratory complications. We sought to determine whether high-thoracic (HT) SCI was associated with a similar increased risk of respiratory complications and death.This was a retrospective cohort study of all adult patients with thoracolumbar injuries entered into the Pennsylvania Trauma System Foundation registry between (...) thoracic SCI or thoracolumbar fractures, patients with HT-SCI have an increased risk of pneumonia and death. Respiratory complications significantly increase the mortality risk in less severely injured patients. The current findings suggest that HT-SCI patients warrant intensive monitoring and aggressive pulmonary care and attention, similar to that given for patients with cervical SCI.

2005 Journal of Trauma

497. Treatment of vertebral osteomyelitis by radical debridement and stabilization using titanium mesh cages. (Abstract)

Treatment of vertebral osteomyelitis by radical debridement and stabilization using titanium mesh cages. A retrospective clinical and radiologic evaluation of patients with vertebral osteomyelitis treated via radical debridement and stabilization using titanium mesh cages.To assess the efficacy of titanium mesh cages in the treatment of active vertebral osteomyelitis.Although titanium mesh cages have proven to be superior in trauma and tumor reconstructions, there are few reports regarding (...) the use of titanium mesh cages in the presence of active pyogenic or tuberculotic vertebral osteomyelitis.A total of 88 cases with vertebral osteomyelitis were operated on between January 2000 and December 2002. There were 2 craniocervical, 13 cervical, 19 thoracic, 11 thoracolumbar, and 43 lumbar infections. The titanium mesh cages replaced 1 disc in 34 cases, 1 vertebral body in 28 cases, 2 vertebral bodies in 23 cases, and 3 vertebral bodies in 3 cases.All patients showed a solid bony fusion

2007 Spine

498. Prevalence and distribution of spinal osteoarthritis in women. (Abstract)

Prevalence and distribution of spinal osteoarthritis in women. Retrospective review of lateral spinal thoracolumbar radiographs, obtained to rule out spinal injury after trauma, were scored for osteoarthritis.The extent, prevalence, and distribution of spinal osteoarthritis in women aged 20-80 years was determined.Radiographic evidence of disc space narrowing and osteophytosis is one method of assessing osteoarthritis, but population-based surveys of osteoarthritis have been limited due

2006 Spine

499. Nonoperative management and treatment of spinal injuries. (Abstract)

thoracolumbar injuries are being treated in a nonsurgical fashion because the outcomes have been shown to be similar or superior.As with all of medicine, the treatment of spine trauma will continue to evolve with time. It is paramount that the physician selects the treatment that will provide the best short-term recovery with the least impact on long-term function. (...) Nonoperative management and treatment of spinal injuries. Review of literature.To delineate and discuss nonoperative treatment and treatment of spinal injuries.Nonoperative methods have been a mainstay of care for spinal injuries since ancient Egypt. The vast majority of all spinal injuries should be treated in the nonoperative fashion. The indications and methods continue to evolve.A PubMed search of the literature returned more than 1000 articles related to spine trauma. A total of 270 were

2006 Spine

500. Functional outcomes after surgery for spinal fractures: return to work and activity. (Abstract)

are difficult to reproduce, treatment is resource-intensive, and functional outcomes are poorly documented. This study reports return to work and functional recovery in a 5-year follow-up of severely injured patients treated with segmental spinal instrumentation.Seventy consecutive patients treated with Cotrel Dubousset instrumentation for unstable thoracic, thoracolumbar, and lumbar spine fractures were followed-up. All had high-energy trauma and were admitted directly to a level 1 university trauma center (...) Functional outcomes after surgery for spinal fractures: return to work and activity. The literature regarding surgical treatment's impact on patient function after spinal fracture is sparse. Some authors have speculated that operative injury--the dissection of paraspinous muscle tissue, damage to spinal motion segments, implantation of spinal devices--may impair functional recovery in spine trauma patients. Nonoperative care has produced satisfactory results in some hands, but results

2004 Spine

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