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Thoracolumbar Trauma

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101. 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

102. 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

103. ‘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

104. 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

105. The role of emergency radiology in spinal trauma Full Text available with Trip Pro

influence and therefore treatment. Imaging has an important role in the management of spinal trauma. The aim of this paper was to describe: incidence and type of vertebral fracture; imaging indication and guidelines for cervical trauma; imaging indication and guidelines for thoracolumbar trauma; multidetector CT indication for trauma spine; MRI indication and protocol for trauma spine. (...) The role of emergency radiology in spinal trauma Spinal trauma is very frequent injury with different severity and prognosis varying from asymptomatic condition to temporary neurological dysfunction, focal deficit or fatal event. The major causes of spinal trauma are high- and low-energy fall, traffic accident, sport and blunt impact. The radiologist has a role of great responsibility to establish the presence or absence of lesions, to define the characteristics, to assess the prognostic

2016 The British journal of radiology

106. Multi-trauma secondary to hypocalcaemia-induced seizure: A case report Full Text available with Trip Pro

Multi-trauma secondary to hypocalcaemia-induced seizure: A case report Fractures are known sequelae of seizures. We present a young male with bilateral acetabula and surgical neck of humerus (SNOH), right neck of femur (NOF) and thoracolumbar fractures in the context of a hypocalcaemic seizure secondary to severe malnutrition, secondary hyperparathyroidism and vitamin D deficiency. The authors believe that numerous severe injuries in a single patient secondary to seizure are extremely rare

2016 Trauma Case Reports

107. Is Early Appropriate Care of axial and femoral fractures appropriate in multiply-injured elderly trauma patients? Full Text available with Trip Pro

of the pelvis, acetabulum, thoracolumbar spine, and/or proximal or diaphyseal femur fractures were treated at a level I trauma center and were prospectively studied. Patients aged ≤30 years (n = 114), 30 to 60 years (n = 184), and ≥60 years (n = 37) with Injury Severity Scores (ISS) ≥16 and unstable fractures of the pelvis, acetabulum, spine, and/or diaphyseal femur were treated within 36 h, provided they showed evidence of adequate resuscitation. ISS, Glasgow Coma Scale (GCS), and American Society (...) Is Early Appropriate Care of axial and femoral fractures appropriate in multiply-injured elderly trauma patients? Previous work established resuscitation parameters that minimize complications with early fracture management. This Early Appropriate Care (EAC) protocol was applied to patients with advanced age to determine if they require unique parameters to mitigate complications.Between October 2010 and March 2013, 376 consecutive skeletally mature patients with unstable fractures

2016 Journal of orthopaedic surgery and research

108. Role of magnetic resonance imaging in acute spinal trauma: a pictorial review. Full Text available with Trip Pro

describe the normal anatomy of various ligamentous structures. Indications of MRI in spinal trauma as well as the role of MRI in diagnosing spinal cord and soft tissue injuries will then be discussed. Illustrated cases are mainly of cervical spine trauma, but thoracolumbar spine injuries are also included where appropriate in our review. (...) Role of magnetic resonance imaging in acute spinal trauma: a pictorial review. Magnetic resonance imaging (MRI) has been playing an increasingly important role in the spinal trauma patients due to high sensitivity for detection of acute soft tissue and cord injuries. More and more patients are undergoing MRI for spinal trauma in the emergency settings, thus necessitating the interpreting physicians to be familiar with MRI findings in spinal trauma. In this pictorial review, we will first

2016 BMC Musculoskeletal Disorders

109. Retrospective analysis of 616 air-rescue trauma cases related to the practice of extreme sports. (Abstract)

accidents, characterized by a large proportion of severe injuries and axial traumas (spine, thorax, pelvis and proximal femur). We identified a considerable percentage of thoracolumbar vertebral fractures, mainly in the T12-L2 junction. HEMSs dedicated to high-risk ESs implied longer and more complex interventions.Copyright © 2016 Elsevier Ltd. All rights reserved. (...) Retrospective analysis of 616 air-rescue trauma cases related to the practice of extreme sports. Extreme sports (ESs) are increasingly popular, and accidents due to ESs sometimes require helicopter emergency medical services (HEMSs). Little is known about their epidemiology, severity, specific injuries and required rescue operations.Our aims were to perform an epidemiological analysis, to identify specific injuries and to describe the characteristic of prehospital procedures in ES accidents

2016 Injury

110. [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

111. [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

112. Advances made in the treatment of thoracolumbar fractures: current trends and future directions. (Abstract)

Advances made in the treatment of thoracolumbar fractures: current trends and future directions. Thoracolumbar fractures are common injuries after blunt trauma and are accompanied with significant morbidity, including neurologic deficit. Parallel to the evolution of initial management during the past few years, efforts have been concentrated on determining clear indications for surgical treatment, as there is no agreement over superiority of conservative or operative treatment. Various (...) classification systems have been used for identifying those injuries requiring surgical intervention. Moreover, novel trends in surgical techniques, including minimal invasive surgery, implants and rehabilitation protocols have provided new, promising aspects regarding the treatment and outcomes of thoracolumbar fractures. The present review focuses on these recent advances.Copyright © 2012 Elsevier Ltd. All rights reserved.

2013 Injury

113. 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

114. Thoracolumbar Burst Fracture Treated With Pedicle Screws: Radiographic Outcomes

Accepts Healthy Volunteers: No Sampling Method: Probability Sample Study Population Patients suffered from burst fracture of the thoracolumbar and lumbar spine Criteria Inclusion Criteria: neurologically intact spine with a kyphotic angle more than 20o, decreased vertebral body height more than 50% or a canal compromise more than 50%; incomplete neurological deficit with a canal compromise less than 50%; complete neurological deficit; multilevel spinal injury or multiple trauma. Exclusion Criteria (...) Thoracolumbar Burst Fracture Treated With Pedicle Screws: Radiographic Outcomes Thoracolumbar Burst Fracture Treated With Pedicle Screws: Radiographic Outcomes - 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

2013 Clinical Trials

115. Retrospective evaluation of the validity of the Thoracolumbar Injury Classification System in 458 consecutively treated patients. (Abstract)

Retrospective evaluation of the validity of the Thoracolumbar Injury Classification System in 458 consecutively treated patients. The Thoracolumbar Injury Classification System (TLICS) system has been developed to improve injury classification and guide surgical decision-making, yet validation of this new system remains sparse.This study evaluates the use of the TLICS in a large, consecutive series of patients.This is a retrospective case series.A total of 458 patients treated for thoracic (...) or lumbar spine trauma between 2000 and 2010 at a single, tertiary medical center were included in this study.American Spinal Injury Association (ASIA) status and crossover from conservative to surgical treatment were measured.Clinical and radiological data were evaluated, classifying the injuries by ASIA status, the Magerl/AO classification, and the TLICS system.A total of 310 patients (67.6%) was treated conservatively (group 1) and 148 patients (32.3%) were surgically (group 2) treated. All patients

2013 The Spine Journal

116. AOSpine thoracolumbar spine injury classification system: Fracture description, neurological status and key modifiers. (Abstract)

AOSpine thoracolumbar spine injury classification system: Fracture description, neurological status and key modifiers. Reliability and agreement study, retrospective case series.To develop a widely accepted, comprehensive yet simple classification system with clinically acceptable intra- and interobserver reliability for use in both clinical practice and research.Although the Magerl classification and thoracolumbar injury classification system (TLICS) are both well-known schemes to describe (...) thoracolumbar (TL) fractures, no TL injury classification system has achieved universal international adoption. This lack of consensus limits communication between clinicians and researchers complicating the study of these injuries and the development of treatment algorithms.A simple and reproducible classification system of TL injuries was developed using a structured international consensus process. This classification system consists of a morphologic classification of the fracture, a grading system

2013 Spine

117. 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

118. Early Predictors of Functional Disability Following Spine Trauma: A Level 1 Trauma Center Study: Early Predictors of Functional Disability. (Abstract)

spine trauma predictors of functional disability with statistical significance (P < 0.05). They were (1) hypotension (OR [odds ratio] = 1.98; CI [confidence interval] = 1.13-3.49), (2) hyperglycemia (OR = 1.67; CI = 1.09-2.56), and (3) moderate/severe traumatic brain injury (OR = 5.88; CI = 1.71-20.16). There were 305 patients with subaxial cervical spine injuries and 653 patients with thoracolumbar spine injuries. The subaxial cervical spine injury classification and thoracolumbar injury (...) classification and severity score compliance studies returned agreements of 96.1% and 98.9%, respectively.Early independent spine trauma predictors of functional disability identified in a level 1 trauma center with high compliance to the subaxial cervical spine injury classification and thoracolumbar injury classification and severity score algorithms were hypotension, hyperglycemia, and moderate or severe traumatic brain injury. Spine trauma injury variables alone were shown not to be predictive

2013 Spine

119. Retrospective analysis of whole-body multislice computed tomography findings taken in trauma patients Full Text available with Trip Pro

%) and thoracic (28.6%) regions, respectively. The most common finding in the head and face region was fractures. The most common pathological findings in the thoracic region were pulmonary contusion and rib fractures. A significant relationship was detected between trauma type and spinal MSCT result (p < 0.001). In a large percentage of the patients, MSCT findings were normal in the abdominal region and genitourinary system. Vertebral fractures were most frequently detected in the thoracolumbar region.In our (...) Retrospective analysis of whole-body multislice computed tomography findings taken in trauma patients Using whole-body multislice computed tomography (MSCT) excessively or with irrelevant indications can be seen in many centers. The aim of this study was to analyze retrospectively the MSCT findings in trauma patients admitted to the emergency department.Records of the patients who have applied to the emergency department due to blunt trauma in a 12 month period and whose whole body MSCT images

2015 Turkish journal of emergency medicine

120. Integrity of "damage control" posterior spinal fusion constructs for poly-trauma patients: A biomechanical investigation. (Abstract)

Integrity of "damage control" posterior spinal fusion constructs for poly-trauma patients: A biomechanical investigation. Biomechanical.Evaluate spinal stability achieved with different levels of posterior percutaneous fixation (postPerc) for thoracolumbar fractures in cadavers subjected to ICU activities."Spine damage control" involves postPerc performed within 24 hours of injury and staged, elective, definitive stabilization. Amount of instrumentation needed to initially achieve adequate (...) with intact. During ex situ testing, 2 and 3 levels above/below were similar; 1 level above/below had significantly greater laxity in flexion, extension, and axial rotation.Posterior instrumentation 2 or 3 levels above/below a severe thoracolumbar fracture model can restore spinal stability back to its intact condition. 2 levels of fixation above/below this "worst-case scenario" is minimum fixation sufficient to provide absolute spinal stability in the ICU setting as a "Damage Control" technique

2015 Spine

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