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41. Parameters of Neurological Deficit After Thoracolumbar Fractures

neurological deficit in orthopaedics and trauma department of Assiut university hospital from 1st of September 2017 to 31 st of August 2018. Criteria Inclusion Criteria: Any patient with Acute (within one month) thoracolumbar spine fracture above 18 years old with or without neurological deficit In orthopaedics and trauma department of Assiut university hospital from 1st of october 2017 to 30 st of september 2018. Exclusion Criteria: Patients suffering from preoperative neurological diseases. Patients (...) Parameters of Neurological Deficit After Thoracolumbar Fractures Parameters of Neurological Deficit After Thoracolumbar Fractures - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Parameters of Neurological

2017 Clinical Trials

42. ORthosis vs No Orthosis After Surgically Treated Traumatic Thoracolumbar Fractures

ORthosis vs No Orthosis After Surgically Treated Traumatic Thoracolumbar Fractures ORthosis vs No Orthosis After Surgically Treated Traumatic Thoracolumbar Fractures - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before (...) adding more. ORthosis vs No Orthosis After Surgically Treated Traumatic Thoracolumbar Fractures (ORNOT) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03097081 Recruitment Status : Recruiting First Posted : March 31, 2017

2017 Clinical Trials

43. Additional vertebral augmentation with posterior instrumentation for unstable thoracolumbar burst fractures. (Abstract)

Additional vertebral augmentation with posterior instrumentation for unstable thoracolumbar burst fractures. To investigate the role of vertebral augmentation in kyphosis reduction, vertebral fracture union, and correction loss after surgical management of thoracolumbar burst fracture.Retrospective chart and radiographic review.Level 1 trauma center.The analysis included patients treated between April 2007 and June 2015, who received pedicle-screw-rod distraction and reduction within two days (...) following acute traumatic thoracolumbar burst fracture with a load sharing score >6. Medical records were retrospectively reviewed for data regarding operative details, imaging and laboratory findings, neurological function, and functional outcomes.Not applicable.Sagittal index, pain score, loss of correction, and implant failure rate.Nineteen patients were enrolled in this study (mean age, 37.2±13years; age range, 17-62 years; female/male ratio: 10/9). Of the five patients who received only reduction

2017 Injury

44. Clinical case-series report of traumatic cauda equina herniation: A pathological phenomena occurring with thoracolumbar and lumbar burst fractures. Full Text available with Trip Pro

Clinical case-series report of traumatic cauda equina herniation: A pathological phenomena occurring with thoracolumbar and lumbar burst fractures. Burst fractures in thoracolumbar and lumbar spine typically occur from severe trauma, which may result in cauda equina herniation (CEH). In this study, we attempted to document the incidence and evaluate the sequelae of CEH that were found during decompression and fusion surgery for patients with burst fractures.A total of 416 patients were enrolled (...) in this study.The patients had been operated on through an anterior or posterior approach for treatments of thoracolumbar and lumbar burst fractures at our department between June 1, 2008 and June 1, 2011.A retrospective analysis of hospital records and a review on radiographs were performed. Data regarding demographics, injury mechanism, radiographs, surgical procedures, outcomes and follow-ups were collected and analyzed.The CEH was observed in 49 patients (12%), including 40 males and 9 females with a mean

2017 Medicine

45. Possible advantages of early stabilization of spinal fractures in multiply injured patients with leading thoracic trauma - analysis based on the TraumaRegister DGU®. Full Text available with Trip Pro

Possible advantages of early stabilization of spinal fractures in multiply injured patients with leading thoracic trauma - analysis based on the TraumaRegister DGU®. Major trauma often comprises fractures of the thoracolumbar spine and these are often accompanied by relevant thoracic trauma. Major complications can be ascribed to substantial simultaneous trauma to the chest and concomitant immobilization due to spinal instability, pain or neurological dysfunction, impairing the respiratory (...) system individually and together. Thus, we proposed that an early stabilization of thoracolumbar spine fractures will result in significant benefits regarding respiratory organ function, multiple organ failure and length of ICU / hospital stay.Patients documented in the TraumaRegister DGU®, aged ≥16 years, ISS ≥ 16, AISThorax ≥ 3 with a concomitant thoracic and / or lumbar spine injury severity (AISSpine) ≥ 3 were analyzed. Penetrating injuries and severe injuries to head, abdomen or extremities (AIS

2020 Scandinavian journal of trauma, resuscitation and emergency medicine

46. Thoracolumbar Trauma

Thoracolumbar Trauma Thoracolumbar Trauma 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 Thoracolumbar Trauma Thoracolumbar Trauma (...) Aka: Thoracolumbar Trauma , Thoracolumbar Injury , Lumbar Spine Trauma , Lumbar Spine Injury , Thoracic Spine Trauma , Thoracic Spine Injury From Related Chapters II. Precautions Physical Exam is inadequate alone to exclude significant thoracolumbar spine injury III. Exam l tenderness Midline spine deformity correlated to spinal levels and s IV. Associated Conditions l (including ) l dislocation l instability Paraplegia Quadriplegia Nerve root injury V. Imaging Indications Not alert Not able

2016 FP Notebook

47. Biomechanics of Human Thoracolumbar Spinal Column Trauma from Vertical Impact Loading Full Text available with Trip Pro

Biomechanics of Human Thoracolumbar Spinal Column Trauma from Vertical Impact Loading Recent studies suggest that dorsal spine injuries occur in motor vehicle crashes to restrained occupants. Compression/compression-flexion injuries occur in frontal crashes due to seat pan and vertical loading. While injuries, mechanisms and tolerances for neck injuries have been determined, thoraco-lumbar spine data are very limited. The objective of the study was to determine the biomechanical characteristics

2013 Annals of Advances in Automotive Medicine

48. Cervical Spine Collar Clearance in the Obtunded Adult Blunt Trauma Patient

Cervical Spine Collar Clearance in the Obtunded Adult Blunt Trauma Patient Cervical Spine Collar Clearance in the Obtunded Adult Blunt Trauma Patient - Practice Management Guideline Search » Cervical Spine Collar Clearance in the Obtunded Adult Blunt Trauma Patient Published 2015 Citation: Authors Patel, Mayur B. MD, MPH; Humble, Stephen S.; Cullinane, Daniel C. MD; Day, Matthew A. MD; Jawa, Randeep S. MD; Devin, Clinton J. MD; Delozier, Margaret S.; Smith, Lou M. MD; Smith, Miya A.; Capella (...) , Jeannette M. MD, MEd; Long, Andrea M. MD; Cheng, Joseph S. MD, MS; Leath, Taylor C. BS, MPH; Falck-Ytter, Yngve MD; Haut, Elliott R. MD, PhD; Como, John J. MD, MPH Supplemental Author Material Author Information From the Veterans Affairs (VA) Tennessee Valley Healthcare System (M.B.P.), Nashville VA Medical Center; Division of Trauma and Surgical Critical Care (M.B.P., S.S.H., M.A.S., T.C.L.), Department of Surgery, and Department of Neurosurgery (M.B.P., J.S.C.), Section of Surgical Sciences

2015 Eastern Association for the Surgery of Trauma

49. Radiological protocol in spinal trauma: literature review and Spinal Cord Society position statement. (Abstract)

the panel members via e-mail. The draft was modified by incorporating relevant suggestions to reach a consensus.For imaging cervical and thoracolumbar spine trauma patients, CT without contrast is generally considered to be the initial line of imaging and radiographs are required if CT is unavailable or unaffordable. CT screening in polytrauma cases is best done with a multidetector CT by utilizing the reformatted images obtained when scanning the chest, abdomen, and pelvis (CT-CAP). MRI is indicated (...) Radiological protocol in spinal trauma: literature review and Spinal Cord Society position statement. The Spinal Cord Society constituted a panel tasked with reviewing the literature on the radiological evaluation of spinal trauma with or without spinal cord injury and recommend a protocol. This position statement provides recommendations for the use of each modality, i.e., radiographs (X-rays), computed tomography (CT), magnetic resonance imaging (MRI), as well as vascular imaging, and makes

2019 European Spine Journal

50. Osteostimulative Bone Graft Substitutes or Demineralized Bone Matrix Preparations for use in Spinal Surgery and Long Bone Trauma Surgery: Clinical Effectiveness and Safety

Osteostimulative Bone Graft Substitutes or Demineralized Bone Matrix Preparations for use in Spinal Surgery and Long Bone Trauma Surgery: Clinical Effectiveness and Safety Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH (...) by the owners’ own terms and conditions. TITLE: Osteostimulative Bone Graft Substitutes or Demineralized Bone Matrix Preparations for use in Spinal Surgery and Long Bone Trauma Surgery: Clinical Effectiveness and Safety DATE: 28 February 2013 RESEARCH QUESTIONS 1. What is the evidence for the clinical effectiveness and safety of osteostimulative bone graft substitutes used in spinal surgery or surgery for long bone trauma? 2. What is the evidence for the clinical effectiveness and safety of demineralized

2013 Canadian Agency for Drugs and Technologies in Health - Rapid Review

51. Bone Morphogenetic Proteins for use in Spinal Surgery and Long Bone Trauma Surgery

Bone Morphogenetic Proteins for use in Spinal Surgery and Long Bone Trauma Surgery Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time allowed. Rapid responses should (...) Surgery and Long Bone Trauma Surgery: A Review of the Clinical Effectiveness and Safety DATE: 08 March 2013 CONTEXT AND POLICY ISSUES Bone morphogenetic proteins (BMPs) are a group of growth factors capable of inducing the formation of bone. In addition to other vital tissue development functions, these proteins signal new bone growth through multiple pathways during the healing of bone. Osteoblasts are one cell type that respond to BMP signaling and are directly responsible for deposition of new bone

2013 Canadian Agency for Drugs and Technologies in Health - Rapid Review

52. O-Arm Technology in Spinal, Neurological, Orthopedic, or Trauma Surgery Settings

E, Kim Y, Jeon S, et al. Comparison of operator radiation exposure between C-arm and O-arm fluoroscopy for orthopaedic surgery. Radiat Prot Dosimetry. 2012 Mar;148(4):431-8. PubMed: PM21525041 PREPARED BY: Canadian Agency for Drugs and Technologies in Health Tel: 1-866-898-8439 www.cadth.ca O-Arm Technology in Spinal, Neurological, Orthopedic, or Trauma Surgery Settings 5 APPENDIX – FURTHER INFORMATION: Non-Randomized Studies – non-comparative 11. Ammirati M, Salma A. Placement of thoracolumbar (...) O-Arm Technology in Spinal, Neurological, Orthopedic, or Trauma Surgery Settings TITLE: O-Arm Technology in Spinal, Neurological, Orthopedic, or Trauma Surgery Settings: Clinical Effectiveness, and Benefits and Harms DATE: 07 August 2013 RESEARCH QUESTIONS 1. What is the clinical effectiveness of O-arm technology used in spinal, neurological, orthopedic, or trauma surgery settings? 2. What are the benefits and harms associated with O-arm technology in patients undergoing spinal, neurological

2013 Canadian Agency for Drugs and Technologies in Health - Rapid Review

53. Stability of the Subaxial Spine after Penetrating Trauma: Do Classification Systems Apply? Full Text available with Trip Pro

Stability of the Subaxial Spine after Penetrating Trauma: Do Classification Systems Apply? Blunt spinal trauma classification systems are well established and provide reliable treatment algorithms. To date, stability of the spine after civilian gunshot wounds (CGSWS) is poorly understood. Herein, we investigate the validity of trauma classification systems including the Thoracolumbar Injury Classification and Severity Score (TLICS), Subaxial Cervical Spine Injury Classification and Severity (...) Score (SLIC), and Denis' three-column model when applied to spinal penetrating trauma from gunshots, while secondarily evaluating stability of these injuries.Gunshot injuries to the spine were identified from an institutional database from ICD-nine codes. Trauma scorings systems were applied using traditional criteria. Neurologic compromise and spinal stability were evaluated using follow-up clinic notes and radiographs.Thirty-one patients with CSGSW were evaluated. There was an equal distribution

2018 Advances in orthopedics

54. Risk factors for 14-day rehospitalization following trauma with new traumatic spinal cord injury diagnosis: A 10-year nationwide study in Taiwan. Full Text available with Trip Pro

Risk factors for 14-day rehospitalization following trauma with new traumatic spinal cord injury diagnosis: A 10-year nationwide study in Taiwan. Fourteen-day rehospitalization with new traumatic spinal cord injury (tSCI) diagnosis is used as an indicator for the diagnostic quality of the first hospitalization. In this nationwide population-based cohort study, we identified risk factors for this indicator.We conducted a nested case-control study by using the data of patients who received (...) a first hospitalization for trauma between 2001 and 2011. The data were retrieved from Taiwan's National Health Insurance Research Database. Variables including demographic and trauma characteristics were compared between patients diagnosed with tSCI at the first hospitalization and those receiving a 14-day rehospitalization with new tSCI diagnosis.Of the 23 617 tSCI patients, 997 had 14-day rehospitalization with new tSCI diagnosis (incidence rate, 4.22%). The risk of 14-day rehospitalization

2017 PLoS ONE

55. Spine Fractures in Ankylosing Diseases: Recommendations of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU) Full Text available with Trip Pro

Spine Fractures in Ankylosing Diseases: Recommendations of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU) Review of literature and case series.Update and review of current treatment concepts for spine fractures in patients with ankylosing spinal disorders.Case presentation and description of a diagnostic and therapeutic algorithm for unstable spinal injuries with an underlying ankylosing spinal disorder (ASD) of the cervical and thoracolumbar spine.Nondisplaced (...) fractures can be missed easily using conventional X-rays. Thus, computed tomography (CT) scans are recommended for all trauma patients with ASD. In doubt or presence of any neurologic involvement additional magnetic resonance imaging (MRI) scans should be obtained. Spine precautions should be maintained all times and until definitive treatment (<24 h). Nonoperative fracture treatment is not recommended given the mechanical instability of the most commonly seen fracture patterns (AOSpine B- and C-type

2018 Global spine journal

56. Prehospital Cervical Spinal Immobilization After Trauma Full Text available with Trip Pro

Prehospital Cervical Spinal Immobilization After Trauma We use cookies to enhance your experience on our website. By continuing to use our website, you are agreeing to our use of cookies. You can change your cookie settings at any time. Prehospital Cervical Spinal Immobilization After Trauma | Neurosurgery | Oxford Academic Search Account Menu Menu Navbar Search Filter Mobile Microsite Search Term Close search filter search input Article Navigation Close mobile search navigation Article (...) navigation March 2013 Article Contents Article Navigation Prehospital Cervical Spinal Immobilization After Trauma Nicholas Theodore, MD * Division of Neurological Surgery, Barrow Neurological Institute, Phoenix. Arizona Search for other works by this author on: Mark N. Hadley, MD ‡ Division of Neurological Surgery † Correspondence: Mark N. Hadley, MD, FACS, UAB Division of Neurological Surgery, 510 –20th St S, FOT 1030, Birmingham, AL 35294-3410. E-mail: Search for other works by this author on: Bizhan

2013 Congress of Neurological Surgeons

57. Reliability and reproducibility analysis of the AOSpine thoracolumbar spine injury classification system by Chinese spinal surgeons. (Abstract)

Reliability and reproducibility analysis of the AOSpine thoracolumbar spine injury classification system by Chinese spinal surgeons. The objective of this study was to analyze the interobserver reliability and intraobserver reproducibility of the new AOSpine thoracolumbar spine injury classification system in young Chinese orthopedic surgeons with different levels of experience in spinal trauma. Previous reports suggest that the new AOSpine thoracolumbar spine injury classification system (...) demonstrates acceptable interobserver reliability and intraobserver reproducibility. However, there are few studies in Asia, especially in China.The AOSpine thoracolumbar spine injury classification system was applied to 109 patients with acute, traumatic thoracolumbar spinal injuries by two groups of spinal surgeons with different levels of clinical experience. The Kappa coefficient was used to determine interobserver reliability and intraobserver reproducibility.The overall Kappa coefficient for all

2016 European Spine Journal

58. A comparison of three different surgical procedures in the treatment of type A thoracolumbar fractures: a randomized controlled trial. Full Text available with Trip Pro

operation related trauma which is beneficial to post-operative rehabilitation. The efficacy of three-level percutaneous fixation and two-level percutaneous fixation in the treatment of type A thoracolumbar fractures is not significantly different. (...) A comparison of three different surgical procedures in the treatment of type A thoracolumbar fractures: a randomized controlled trial. The aim of the study was to evaluate the efficacy of three different surgical procedures in the treatment of type A thoracolumbar fractures.Between September 2012 and January 2015, a total of 90 patients with type A thoracolumbar fractures were randomly assigned into three groups of 30 each. Patients in group A, B, and C were treated with three-level

2016 International orthopaedics Controlled trial quality: uncertain

59. Patients Immobilized with a Long Spine Board Rarely Have Unstable Thoracolumbar Injuries. (Abstract)

immobilization and were transported to a trauma center. Prehospital and hospital records were linked. Data was reviewed to determine if spine imaging was ordered, whether acute thoracolumbar fractures, dislocations, or subluxations were present. Thoracolumbar injuries were classified as unstable if operative repair was performed. Prehospital spine immobilization was documented on 5,593 unique adult subjects transported to the study hospital. A total of 5,423 (97.0%) prehospital records were successfully (...) linked to hospital records. The subjects were 60.2% male, with a mean age of 40.6 (SD = 17.5) years old. An total of 5,286 (97.4%) subjects had sustained blunt trauma. Hospital providers ordered imaging to rule out spine injury in 2,782 (51.3%) cases. An acute thoracolumbar fracture, dislocation, or subluxation was present in 233 (4.3%) cases. An unstable injury was present in 29 (0.5%) cases. No unstable injuries were found among the 951 subjects who were immobilized following ground level falls

2016 Prehospital emergency care

60. Surgical outcomes of temporary short-segment instrumentation without augmentation for thoracolumbar burst fractures. (Abstract)

Surgical outcomes of temporary short-segment instrumentation without augmentation for thoracolumbar burst fractures. Short-segment posterior spinal instrumentation for thoracolumbar burst fracture provides superior correction of kyphosis by an indirect reduction technique, but it has a high failure rate. We investigated the clinical and radiological results of temporary short-segment pedicle screw fixation without augmentation performed for thoracolumbar burst fractures with the goal (...) of avoiding treatment failure by waiting to see if anterior reconstruction was necessary.We studied 27 consecutive patients with thoracolumbar burst fracture who underwent short-segment posterior instrumentation using ligamentotaxis with Schanz screws and without augmentation. Implants were removed approximately 1 year after surgery. Neurological function, kyphotic deformity, canal compromise, fracture severity, and back pain were evaluated prospectively.After surgery, all patients with neurological

2016 Injury

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