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Thoracolumbar Trauma

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81. Cost-Effectiveness of Surgical vs. Conservative Treatment for Thoracolumbar Burst Fractures. Full Text available with Trip Pro

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

82. 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

83. Two different surgery approaches for treatment of thoracolumbar fracture Full Text available with Trip Pro

, 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

2015 International journal of clinical and experimental medicine

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

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

85. Hyperextension injuries of the thoracolumbar spine in diffuse idiopathic skeletal hyperostosis. (Abstract)

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

86. Hollow-organ perforation following thoracolumbar spinal injuries of fall from height Full Text available with Trip Pro

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.

2015 International journal of surgery case reports

87. Improved Monosegment Pedicle Instrumentation for Treatment of Thoracolumbar Incomplete Burst Fractures Full Text available with Trip Pro

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

2015 BioMed research international

88. Assessment of variability in Turkish spine surgeons' trauma practices Full Text available with Trip Pro

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

2017 Acta orthopaedica et traumatologica turcica

89. Spine Trauma-What Are the Current Controversies? (Abstract)

the management of these injuries. At this moment there is persistent controversy within the spinal trauma community, which can be grouped under 6 headings. First of all there is still no unanimity on the role and timing of medical and surgical interventions for patients with associated neurologic injury. The same is also true for type and timing of surgical intervention in multiply injured patients. In some common injury types like odontoid fractures and burst type (A3-A4) fractures in thoracolumbar spine (...) Spine Trauma-What Are the Current Controversies? Although less common than other musculoskeletal injuries, spinal trauma may lead to significantly more disability and costs. During the last 2 decades there was substantial improvement in our understanding of the basic patterns of spinal fractures leading to more reliable classification and injury severity assessment systems but also rapid developments in surgical techniques. Despite these advancements, there remain unresolved issues concerning

2017 Journal of Orthopaedic Trauma

90. ‘Bottom-hung window’ trauma in cats: neurological evaluation and outcome in 71 cats with bilateral hindlimb injury Full Text available with Trip Pro

‘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

2017 Veterinary record open

91. Paravertebral calcification as a potential indicator for nonaccidental trauma Full Text available with Trip Pro

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

2017 Journal of Radiology Case Reports

92. What is the purpose of log roll examination in the unconscious adult trauma patient during trauma reception? (Abstract)

What is the purpose of log roll examination in the unconscious adult trauma patient during trauma reception? During assessment after injury, the log roll examination, in particular palpation of the thoracolumbar spine, has low sensitivity for detecting spinal injury. The manoeuvre itself requires a pause during trauma resuscitation. The aim of this study was to assess the utility of the log roll examination in unconscious trauma patients for the diagnosis of soft tissue and thoracolumbar spine (...) performed.There were a total of 2028 major trauma presentations to the Alfred Hospital Emergency and Trauma Centre during the study period. Excluded cases comprised 147 patients who did not have a documented log roll, and 75 patients who did not have a CT or MRI. Of the 402 cases that met inclusion criteria, 35.3% had a thoracolumbar fracture, and the sensitivity of log roll examination was found to be 27.5%, with a specificity of 91%. The negative likelihood ratio for abnormalities on log roll was low (0.8

2016 Emergency Medicine Journal

93. 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. (Abstract)

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

94. Has the Incidence of Thoracolumbar Spine Injuries Increased in the United States From 1998 to 2011? Full Text available with Trip Pro

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

2014 Clinical Orthopaedics and Related Research

95. 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

96. Posterior short segment pedicle screw fixation and TLIF for the treatment of unstable thoracolumbar/lumbar fracture. Full Text available with Trip Pro

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

2014 BMC Musculoskeletal Disorders

97. [The comparison of computer assisted minimally invasive spine surgery and traditional open treatment for thoracolumbar fractures]. (Abstract)

[The comparison of computer assisted minimally invasive spine surgery and traditional open treatment for thoracolumbar fractures]. To compare the clinical results between computer assisted minimally invasive spine surgery (CAMISS) and traditional open fixation surgery which used in thoracolumbar fractures.A prospective randomized controlled trial of patients who had undergone surgery for thoracolumbar fracture from January 2006 to March 2011 was performed. The patients were randomly divided (...) > 0.05).CAMISS has the characteristics of fewer traumas, less bleeding, faster recovery, high accuracy of pedicle screws. It has comparable vertebral deformity correction and fixation result of the traditional open operation.

2013 Zhonghua wai ke za zhi [Chinese journal of surgery] Controlled trial quality: uncertain

98. [The comparison of computer assisted minimally invasive spine surgery and traditional open treatment for thoracolumbar fractures]. (Abstract)

[The comparison of computer assisted minimally invasive spine surgery and traditional open treatment for thoracolumbar fractures]. To compare the clinical results between computer assisted minimally invasive spine surgery (CAMISS) and traditional open fixation surgery which used in thoracolumbar fractures.A prospective randomized controlled trial of patients who had undergone surgery for thoracolumbar fracture from January 2006 to March 2011 was performed. The patients were randomly divided (...) > 0.05).CAMISS has the characteristics of fewer traumas, less bleeding, faster recovery, high accuracy of pedicle screws. It has comparable vertebral deformity correction and fixation result of the traditional open operation.

2013 Zhonghua wai ke za zhi [Chinese journal of surgery] Controlled trial quality: uncertain

99. The Impact of Local Analgesia for Postoperative Analgesia in Posterior Thoracolumbar Operation

General Hospital of Guangzhou Military Command Information provided by (Responsible Party): bo xu, Guangzhou General Hospital of Guangzhou Military Command Study Details Study Description Go to Brief Summary: Posterior thoracolumbar operation always chooses general anesthesia. Due to surgical trauma and rich periosteum and joint capsule innervation, patients after general anesthesia immediately feel acute pain.The use of appropriate postoperative analgesia in patients with thoracolumbar surgery (...) The Impact of Local Analgesia for Postoperative Analgesia in Posterior Thoracolumbar Operation The Impact of Local Analgesia for Postoperative Analgesia in Posterior Thoracolumbar Operation - 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

2013 Clinical Trials

100. Minimally Invasive Reduction and Fixation of Thoracolumbar Fractures

Minimally Invasive Reduction and Fixation of Thoracolumbar Fractures Minimally Invasive Reduction and Fixation of 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. Minimally Invasive (...) Reduction and Fixation of Thoracolumbar Fractures (FRIFIX) 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. Read our for details. ClinicalTrials.gov Identifier: NCT01810094 Recruitment Status : Completed First Posted : March 13, 2013 Last Update Posted : January 26, 2017 Sponsor: Aesculap AG Information provided by (Responsible Party): Aesculap AG Study

2013 Clinical Trials

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