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Thoracolumbar Trauma

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81. Assessment of variability in Turkish spine surgeons' trauma practices (PubMed)

Assessment of variability in Turkish spine surgeons' trauma practices The aim of this study was to analyse the variability among Turkish spinal surgeons in the management of thoracolumbar fractures by carrying out a web survey.An invitation text and web-link of the survey were sent to the members of the Turkish Spine Society mail group. A fictitious spine trauma vignette, a 23 year-old male with a L1 burst fracture, was presented and 25 questions were asked to participants. Variability (...) (IQV ≥ 0.80), 5 had high variability (0.58-0.75) and 2 had low variability (IQV≤0.20). The question with the highest variability was related to the use of brace after surgery (IQV = 0.93). Following one was about the selection of fixation levels (IQV = 0.91). Neurosurgeons were more likely to use brace postoperatively and professors were less likely to perform decompression.This survey shows that thoracolumbar spine trauma practice significantly varies among Turkish spine surgeons. Surgeons

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2017 Acta orthopaedica et traumatologica turcica

82. Paravertebral calcification as a potential indicator for nonaccidental trauma (PubMed)

Paravertebral calcification as a potential indicator for nonaccidental trauma We report a case of nonaccidental trauma (NAT) involving a 23-month-old boy who presented with seizures, acute subarachnoid hemorrhage, and acute subdural hemorrhage. Ophthalmologic examination showed bilateral intraretinal hemorrhages. Further evaluation revealed that he had bilateral thoracolumbar paravertebral calcifications. The Children's Protective Services agency was involved in the case. The child

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2017 Journal of Radiology Case Reports

83. ‘Bottom-hung window’ trauma in cats: neurological evaluation and outcome in 71 cats with bilateral hindlimb injury (PubMed)

‘Bottom-hung window’ trauma in cats: neurological evaluation and outcome in 71 cats with bilateral hindlimb injury Influence of neurological status on the mortality rate of paraparetic/paralysed cats presenting after entrapment in a bottom-hung window was evaluated. It was hypothesised that (1) loss of deep pain sensation at admission would not be a negative prognostic factor for regaining motor function and that (2) mortality rate would be influenced by the severity of neurological grade (...) upon admission.Clinical and pathological data of affected cats that presented at our institution between 2001 and 2012 for this specific trauma were collected retrospectively: breed, age, sex, last contact with owner (<3 hours and >3 hours), whether the cat was suffering from monoparesis or paraparesis/paraplegia, duration of hospitalisation, rectal temperature, surface temperature of the skin of the hindlimbs, femoral pulse and tone of the pelvic musculature. Neurological status was categorised

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2017 Veterinary record open

84. Blunt Chest Trauma

for imaging the symptomatic levels of the spine and spinal cord with MRI”; however, “screening the thoracolumbar spine with MRI for detecting ligamentous disruption is not indicated when the CT is normal.” Nuclear Medicine Currently, nuclear medicine studies (including positron emission tomography using fluorine-18-2-fluoro-2-deoxy- D-glucose) do not have any well-established uses in the setting of blunt thoracic trauma. However, there may be some use in specific cases, such as in the setting of blunt (...) Blunt Chest Trauma Date of origin: 2013 ACR Appropriateness Criteria ® 1 Blunt Chest Trauma American College of Radiology ACR Appropriateness Criteria ® Clinical Condition: Blunt Chest Trauma Variant 1: First-line evaluation. High-energy mechanism. Radiologic Procedure Rating Comments RRL* X-ray chest 9 Chest x-ray and CT/CTA are complementary examinations. ? CT chest with IV contrast 9 Ideally, this procedure should be performed with CTA. Chest x-ray and CT/CTA are complementary examinations

2013 American College of Radiology

85. Prehospital Cervical Spinal Immobilization After Trauma

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

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2013 Congress of Neurological Surgeons

86. The reliability of nonreconstructed computerized tomographic scans of the abdomen and pelvis in detecting thoracolumbar spine injuries in blunt trauma patients with altered mental status (PubMed)

The reliability of nonreconstructed computerized tomographic scans of the abdomen and pelvis in detecting thoracolumbar spine injuries in blunt trauma patients with altered mental status Computerized tomography, traditionally utilized to evaluate and detect visceral abdominal and pelvic injuries in multiply injured patients with altered mental status, also has been useful for detecting thoracolumbar spine fractures and dislocations. The purpose of the present study was to test the reliability (...) of nonreconstructed computerized tomography of the abdomen and pelvis as a screening tool for thoracolumbar spine injuries in blunt trauma patients with altered mental status.The study consisted of fifty-nine consecutive patients with altered mental status who were admitted to a Level-II trauma center. Each patient had a nonreconstructed computerized tomographic scan of the abdomen and pelvis (5-mm slices), and of the chest when indicated, as well as anteroposterior and lateral radiographs of the thoracolumbar

2010 EvidenceUpdates

87. Renal Trauma

pressure <90 mm Hg in the field or during resuscitation), or other associated injuries and microscopic hematuria. 3. Blunt trauma with injuries known to be associated with renal injury such as rapid deceleration, direct contusion to the flank, flank ecchymoses, or fractures of the lower ribs or thoracolumbar spine, regardless of the presence or absence of hematuria. 4. Penetrating trauma to the upper abdomen or lower thorax regardless of the presence or absence of hematuria. Computed Tomography (...) Renal Trauma Date of origin: 1996 Last review date: 2012 ACR Appropriateness Criteria ® 1 RenalTrauma American College of Radiology ACR Appropriateness Criteria ® Clinical Condition: Renal Trauma Variant 1: Blunt abdominal trauma with microscopic hematuria; no suspicion of associated abdominal injury. Radiologic Procedure Rating Comments RRL* CT abdomen and pelvis with IV contrast 5 ??? X-ray abdomen and pelvis 4 ??? CT abdomen and pelvis without IV contrast 4 If patient has contraindication

2012 American College of Radiology

88. Suspected Spine Trauma

and Lumbar Spine Imaging Injuries to the thoracolumbar spine are even more prevalent than cervical spine injury, with an estimated 4% to 7% of patients presenting to the emergency department with blunt trauma sustaining a fracture of the thoracolumbar spine [13,14]. An increasing rate of thoracolumbar spine fractures has been seen in the United States over the past several decades, despite a decline in other motor vehicle–related injuries [15]. While the exact reason for this increase is uncertain (...) examination has a low to very low sensitivity for identifying thoracolumbar spine injuries [16-18]. Therefore, a low threshold should be maintained for screening the thoracolumbar spine with imaging in the setting of blunt trauma, particularly in older patients, who are at increased risk for spine fractures occurring in the setting of low-energy trauma, such as a fall from standing (ie, fragility fractures), which are due to diminished bone mineralization commonly present in older patient populations

2012 American College of Radiology

89. Autologous Mesenchymal Stem Cells Transplantation in Thoracolumbar Chronic and Complete Spinal Cord Injury Spinal Cord Injury

Autologous Mesenchymal Stem Cells Transplantation in Thoracolumbar Chronic and Complete Spinal Cord Injury Spinal Cord Injury Autologous Mesenchymal Stem Cells Transplantation in Thoracolumbar Chronic and Complete Spinal Cord Injury Spinal Cord Injury - 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. Autologous Mesenchymal Stem Cells Transplantation in Thoracolumbar Chronic and Complete Spinal Cord Injury Spinal Cord Injury 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

2015 Clinical Trials

90. Two different surgery approaches for treatment of thoracolumbar fracture (PubMed)

, intraoperative blood loss, postoperative drainage, and postoperative improvement on visual analog scale (VAS) scores at 3 days, 1 month, and 6 months after operation (P<0.05). After 9-24-month follow-up, the number of patients with low back pain in group A was less than that in group B.In the premise of strict controlling surgery indications, pedicle screw fixation via Wiltse paraspinal approach has the advantages of simple operation and less trauma in treatment of single-segment thoracolumbar fracture (...) Two different surgery approaches for treatment of thoracolumbar fracture To evaluate the safety and effectiveness of pedicle screw fixation for treatment of thoracolumbar fracture via Wiltse paraspinal approach.From June 2009 to June 2012, we enrolled into our study 53 cases of thoracolumbar fractures (single segment compressive or burst fractures) without neurologic injury, among whom 28 were treated by mini-open operation via Wiltse approach (group A) and 25 by conventional posterior open

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2015 International journal of clinical and experimental medicine

91. Cost-Effectiveness of Surgical vs. Conservative Treatment for Thoracolumbar Burst Fractures. (PubMed)

Cost-Effectiveness of Surgical vs. Conservative Treatment for Thoracolumbar Burst Fractures. Historical, register-based cohort study following 85 patients in the course of a time frame extending from 2 years before to 2 years after trauma occurrence.To investigate the cost-effectiveness of surgery versus conservative management for thoracolumbar burst fractures.Despite the prevalence of thoracolumbar burst fractures, consensus has still not been reached in terms of their clinical management (...) an additional &OV0556;10,734 (4215; 15,144) as compared with conservative management. The differences on morphine at 527(-3031; 6,016) milligram, narcotic analgesics at -8(-176; 127) DDD, and nonnarcotic analgesics at -3(-72; 58) DDD were all insignificant The probability for surgery being cost-effective did not exceed 50% for any value of willingness to pay for effect.Surgical management does not seem to be a cost-effective strategy as compared with conservative management for traumatic thoracolumbar burst

2015 Spine

92. Hollow-organ perforation following thoracolumbar spinal injuries of fall from height (PubMed)

Hollow-organ perforation following thoracolumbar spinal injuries of fall from height Spinal trauma is the cause of high mortality and morbidity, the fall from height as mechanism that can cause a wide variety of lesions, associated both with the direct impact on the ground and with the deceleration. In such fall cases greater heights and higher mortality are involved.We report the successful management of life-threatening hollow-organ perforation following thoracolumbar spinal (...) injury.Perforation of the hollow-organ in the setting of thoracolumbar trauma may delay the diagnosis and can have devastating consequences.This case supports the recommendation for neurosurgeon in the setting of thoracolumbar injury that perforation of the hollow-organ can have devastating consequences. It is vital to achieve an early diagnosis to improve survival rate.Copyright © 2015. Published by Elsevier Ltd.

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2015 International journal of surgery case reports

93. Improved Monosegment Pedicle Instrumentation for Treatment of Thoracolumbar Incomplete Burst Fractures (PubMed)

postoperative SI were significantly different (P > 0.05), but there was a significant difference in postoperative ABHC% (P = 0.000). The ABHC% and SI were not significantly different between the two groups at the last followup (P > 0.05). There were no fixation failures or other complications.IMSPI yielded satisfactory results similar to those of SSPI in patients with type A3.1/3.2 thoracolumbar fractures. IMSPI is recommended for minor trauma, reducing one-segment fusion, and maximization of the remaining (...) Improved Monosegment Pedicle Instrumentation for Treatment of Thoracolumbar Incomplete Burst Fractures Comparing the clinical results of improved monosegment pedicle instrumentation (iMSPI) and short-segment pedicle instrumentation (SSPI) retrospectively.63 patients with thoracolumbar incomplete burst fracture were managed with iMSPI or SSPI. 30 patients were managed with iMSPI and fusion. 33 patients were managed with SSPI and fusion. Operative time, blood loss, postoperative drainage

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2015 BioMed research international

94. Reliability analysis of the AOSpine thoracolumbar spine injury classification system by a worldwide group of naïve spinal surgeons. (PubMed)

Reliability analysis of the AOSpine thoracolumbar spine injury classification system by a worldwide group of naïve spinal surgeons. The aims of this study were (1) to demonstrate the AOSpine thoracolumbar spine injury classification system can be reliably applied by an international group of surgeons and (2) to delineate those injury types which are difficult for spine surgeons to classify reliably.A previously described classification system of thoracolumbar injuries which consists (...) A injuries, 0.68 for type B injuries and 0.72 for type C injuries, all representing substantial reliability. The lowest level of agreement for specific subtypes was for fracture subtype A4 (Kappa = 0.19). Intraobserver analysis demonstrated overall average Kappa statistic for subtype grading of 0.68 also representing substantial reproducibility.In a worldwide sample of spinal surgeons without previous exposure to the recently described AOSpine Thoracolumbar Spine Injury Classification System, we

2015 European Spine Journal

95. Hyperextension injuries of the thoracolumbar spine in diffuse idiopathic skeletal hyperostosis. (PubMed)

Hyperextension injuries of the thoracolumbar spine in diffuse idiopathic skeletal hyperostosis. Retrospective study of a consecutive series of patients with thoracolumbar hyperextension injuries (TLHIs) complicated by diffuse idiopathic skeletal hyperostosis (DISH) presenting to a single institution during a 9-year period.Assess epidemiological data, trauma mechanism, injury characteristics in hyperostotic spines, and short-term outcome.An increase in TLHIs complicated by DISH was observed (...) . In current literature, only case reports and small case series touch this topic.All patients with TLHIs in the setting of DISH between January 2002 and December 2010 were reviewed retrospectively. Clinical and radiographical data during hospitalization including computed tomographic scans of all patients were analyzed as to epidemiological issues, trauma characteristics, neurological deficits, and short-term outcomes. Statistical analysis was performed to assess factors related to trauma

2015 Spine

96. Has the Incidence of Thoracolumbar Spine Injuries Increased in the United States From 1998 to 2011? (PubMed)

databases: the National Trauma Databank® (NTDB®), 2002-2006, National Automotive Sampling System (NASS), 2000-2011, and National Inpatient Sample (NIS), 1998-2007. In each database, the total number of MVC-related injuries and the number of MVC-related thoracolumbar injuries per year were identified using appropriate Abbreviated Injury Scale (AIS) or ICD-9 codes. Sacropelvic injuries also were identified to evaluate their potential as trade-off injuries. Poisson regression models adjusting for age were (...) Has the Incidence of Thoracolumbar Spine Injuries Increased in the United States From 1998 to 2011? While most motor vehicle crash (MVC)-related injuries have been decreasing, one study showed increases in MVC-related spinal fractures from 1994 to 2002 in Wisconsin. To our knowledge, no studies evaluating nationwide trends of MVC-related thoracolumbar spine injuries have been published. Such fractures can cause pain, loss of functionality or even death. If the incidence of such injuries

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2014 Clinical Orthopaedics and Related Research

97. Posterior short segment pedicle screw fixation and TLIF for the treatment of unstable thoracolumbar/lumbar fracture. (PubMed)

Posterior short segment pedicle screw fixation and TLIF for the treatment of unstable thoracolumbar/lumbar fracture. Currently, Posterior Short Segment Pedicle Screw Fixation is a popular procedure for treating unstable thoracolumbar/lumbar burst fracture. But progressive kyphosis and a high rate of hardware failure because of lack of the anterior column support remains a concern. The efficacy of different methods remains debatable and each technique has its advantages and disadvantages.A (...) consecutive series of 20 patients with isolated thoracolumbar/lumbar burst fractures were treated by posterior short segment pedicle screw fixation and transforaminal thoracolumbar/lumbar interbody fusion (TLIF) between January 2005 and December 2007. All patients were followed up for a minimum of 2 years. Demographic data, neurologic status, anterior vertebral body heights, segmental Cobb angle and treatment-related complications were evaluated.The mean operative time was 167 minutes (range, 150-220

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2014 BMC Musculoskeletal Disorders

98. Does an intraoperative finding of an intact dural sac help to prognosticate neurological recovery in cauda equinal and epiconal injuries in thoracolumbar fractures? An analysis of 31 patients. (PubMed)

Does an intraoperative finding of an intact dural sac help to prognosticate neurological recovery in cauda equinal and epiconal injuries in thoracolumbar fractures? An analysis of 31 patients. To evaluate the effect of integrity of dural sac in determining motor neurological recovery in patients with cauda equinal and epiconal injuries in vertebral fractures at thoracolumbar junction.Thirty-one patients with single-level vertebra fracture over T12-L2 with cauda equinal or epiconal injuries (...) of dural breach caused by the trauma. All participants provided basic demographic data, ambulatory status, and current neurology and received neurologic examination at intervals. The differences in neurologic injury sites and functional walkers in patients with different levels of vertebral injury were analyzed. Receiver operating characteristic curve analysis was used to define the cut-off value of lower extremities motor score (LEMS) in functional walkers and non-walkers. All patients were seen

2014 European Spine Journal

99. Operative and nonoperative adverse events in the management of traumatic fractures of the thoracolumbar spine: a systematic review. (PubMed)

Operative and nonoperative adverse events in the management of traumatic fractures of the thoracolumbar spine: a systematic review. Thoracolumbar spine injuries are commonly encountered in patients with trauma, accounting for almost 90% of all spinal fractures. Thoracolumbar burst fractures comprise a high percentage of these traumatic fractures (45%), and approximately half of the patients with this injury pattern are neurologically intact. However, a debate over complication rates associated (...) , randomized studies of operative versus nonoperative management of thoracolumbar and lumbar spine trauma, with standardized definitions of complications and matched patient cohorts, will aid in properly defining the risk-benefit ratio of surgery for thoracolumbar spine fractures.

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2014 Neurosurgical focus

100. Treatment of Thoracolumbar Spine Fractures: Percutaneously Placed Pedicle Screws Versus Open Treatment

to establish data relating to patient occupational data, complications, and need for further surgery (revision/removal of hardware), as well as short-term variables relating to hospital visit (length of stay, estimated blood loss, time under fluoroscopy). Condition or disease Intervention/treatment Phase Thoracolumbar Spine Trauma Procedure: Percutaneous Pedicle Screw Fixation Procedure: Open Treatment Not Applicable Study Design Go to Layout table for study information Study Type : Interventional (...) table for eligibility information Ages Eligible for Study: 18 Years and older (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: All patients from ages 18 and older who present to Allegheny General Hospital with an acute thoracolumbar fracture will be considered eligible for the study (i.e. <3 weeks from trauma date). Minor fractures around the fracture site or compression fractures will be permitted if they do not require treatment

2014 Clinical Trials

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