Long Posterior Fixation with Short Fusion for the Treatment of TB Spondylitis of the Thoracic and Lumbar Spine with or without Neurologic Deficit
|
|
- Noreen Burns
- 5 years ago
- Views:
Transcription
1 Long Posterior Fixation with Short Fusion for the Treatment of TB Spondylitis of the Thoracic and Lumbar Spine with or without Neurologic Deficit Shih-Tien Wang MD, Chien-Lin Liu MD 王世典劉建麟 School of Medicine, National Yang Ming University, Taipei, Taiwan Department of Orthopedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan 台北榮民總醫院骨科部脊椎外科
2 Introduction Treatment of TB spine: Conservative treatment with antituberculous chemotherapy with or without external immobilization: good to excellent clinical outcome in most of the patients although significant residual kyphosis. Surgical treatment is indicated: marked neurologic deficits J Bone Joint Surg [Br] 1998;80-B: large abscesses in whom respiratory obstruction has developed worsen neurologic deficits despite adequate chemotherapy continuing progression of kyphosis or instability despite adequate chemotherapy J Bone Joint Surg [Am] 1996; 78-A:
3 Surgical treatment for TB spine Anterior procedure only: Anterior radical debridement with reconstruction of the vertebral column: Hong-Kong procedure Anterior debridement with autogenous bone graft with our without instrumentation Combined anterior and posterior procedures with instrumentation posteriorly Posterior procedure only: Posterior instrumentation with transpedicle debridement with or without anterior bone graft and posterior fixation with instrumentation Posterior only procedure with posterior instrumentation and fusion with or without debridement of the abscess and infected tissue
4 Materials and methods A retrospective study From January, 2001 through November, patients: M : F = 31 : 20; T : L= 37 : 14 Age: year-old (range, 39 to 86 year-old) Mean duration of symptoms and signs: 9.2 months(1-36 months) Surgery: Long posterior instrumentation and fusion with pedicle screws and hooks Posterior decompression if epidural abscess compress dura or spinal cord noted on MRI No anterior debridement of the infected tissue Posterior fusion or posterolateral fusion
5 Comorbidities Disease No. of patients Diabetes 12 Pulmonary TB 14 Diabetes and pulmonary TB 4 Pulmonary TB and TB meningitis 1 Hepatitis with cirrhosis of liver 1 Total 32
6 Materials and methods Pre-operative workups Plain x-ray MRI Biopsy CT guided biopsy Open biopsy Post-op management: Anti-TB chemotherapy: 12 months Bracing: 3-6 months. Ambulation: 3-4 days after operation Outcome measurements Kyphotic angle Improvement of kyphotic angle Loss of kyphotic angle Neurologic status: Frankel grading Follow-up: at least 24 months.
7 Results No. of patients 51 Follow-up time (months) (range) 68.8±31.9 (30 to 144) Mean preoperative kyphotic angle ( )(range) 26.1±20.5 (-18 to 62) Mean postoperative kyphotic angle ( )(range) 15.2±18.2 (-25 to 51) Mean final kyphotic angle ( )(range) 16.9±18.3 (-22 to 54) Mean loss correction angle ( )(range) 1.6±2.1 (0 to 10) Mean improved angle after operation ( )(range) 10.8±6.9 (0 to 26) Mean corrected angle ( )(range) 10.7±7.0 (0-26) Operative time (min)(range) 252.8±57(150 to 370) Estimated blood loss (ml)(range) 705±317(200 to 1500) TB proved by CT guided biopsy 14(27%) TB proved by open biopsy 37(73%) Positive rate for TB Culture or smear 8 (16%) Complications 4 Screw back out 3 Drug induced hepatitis 1
8 Neurologic status
9 A 44 y/o male, TB spine at T6-7-8 with cord compression, Frankel B with BU incontinence. Post-op 3 yr.: Frankel E, no BU incontinence Pre-op Post-op Final FU MRI Pre-op Final FU
10 Discussion Anterior strut graft + posterior instrumentation, one stage or two stage Good result but One day surgery long operative time Technique demanding Two stage another risk of anesthesia and operation Patient s general condition Higher complication rate of anterior approach (22%, Korjususz, Word J Surg,1997) Higher cost & longer hospitalization Posterior instrumentation only Simplicity and Shorter op time and less blood loss Low complication rate Do not influence infection control Good correction & few correction angle lost Immediate relief of pain & early mobilization Güven O, et al (Spine. 1994, Turkey)
11 Conclusions Posterior instrumentation only without anterior debridement of infected tissue: Good clinical outcome Rigid fixation & no loss reduction (Multiple hook fixation) Instrumentation do not interfere infection control Anterior procedure can be reserved if failure of posterior procedure
12 Thank you! 謝謝! None of the authors has any potential conflict of interest.
factor for identifying unstable thoracolumbar fractures. There are clinical and radiological criteria
NMJ-Vol :2/ Issue:1/ Jan June 2013 Case Report Medical Sciences Progressive subluxation of thoracic wedge compression fracture with unidentified PLC injury Dr.Thalluri.Gopala krishnaiah* Dr.Voleti.Surya
More informationAng Deng, Hong-Qi Zhang, Ming-Xing Tang, Shao-Hua Liu, Qi-Le Gao, Yu-Xiang Wang, Chao-Feng Guo, Xi-Yang Wang
Int J Clin Exp Med 2016;9(2):3953-3959 www.ijcem.com /ISSN:1940-5901/IJCEM0016644 Original Article One-stage combined posterior and anterior approaches for active tuberculosis of the subaxial cervical
More informationSurgical treatment of tuberculous spondylodiscitis
European Review for Medical and Pharmacological Sciences 2012; 1(Suppl 2): 79-85 Surgical treatment of tuberculous spondylodiscitis E. POLA, B. ROSSI, L.A. NASTO, D. COLANGELO, C.A. LOGROSCINO Division
More informationSurgical Treatment of Thoracic and Lumbar Tuberculosis by Anterior Interbody Fusion and Posterior Instrumentation
Original Paper Med Princ Pract 2003;12:92 96 DOI: 10.1159/000069113 Received: April 21, 2002 Revised: August 3, 2002 Surgical Treatment of Thoracic and Lumbar Tuberculosis by Anterior Interbody Fusion
More informationCervical Curvature Became More Lordotic in Flexion Post-Operatively Regardless of Type of Surgical Approach in Cervical Spondylotic Myelopathy
Cervical Curvature Became More Lordotic in Flexion Post-Operatively Regardless of Type of Surgical Approach in Cervical Spondylotic Myelopathy Wen-Kai Chou 1, Andy Chien 1, Ya-Wen Kuo 1, Chia-Chin Lin
More informationComparison of clinical, radiological and functional outcome of short segment V/S long segment posterior fixation of tuberculosis of spine
2018; 2(4): 104-108 ISSN (P): 2521-3466 ISSN (E): 2521-3474 Clinical Orthopaedics www.orthoresearchjournal.com 2018; 2(4): 104-108 Received: 20-08-2018 Accepted: 21-09-2018 Dr. Mitul Mistry Assistant Professor,
More informationPrimary Posterior Fixation For Tuberculosis Of The Spine
ISPUB.COM The Internet Journal of Orthopedic Surgery Volume 10 Number 1 B Jadav, M Prabhakar Citation B Jadav, M Prabhakar.. The Internet Journal of Orthopedic Surgery. 2007 Volume 10 Number 1. Abstract
More informationSingle stage posterior instrumentation and anterior interbody fusion for tuberculosis of dorsal and lumbar spines
Original Article interbody fusion for tuberculosis of dorsal Pandey BK 1, Sangondimath GM 2, Chhabra HS 2 1 Department of Orthopaedics, Kathmandu Medical College Teaching Hospital, Sinamangal, Kathmandu,
More informationCurative effect comparison of anterior and posterior approach in debridement combined with bone graft fusion for the treatment of spinal tuberculosis.
Biomedical Research 2017; 28 (11): 4832-4836 ISSN 0970-938X www.biomedres.info Curative effect comparison of anterior and posterior approach in debridement combined with bone graft fusion for the treatment
More informationFUNCTIONAL OUTCOMES OF TRAUMATIC PARAPLEGIA PATIENTS: DOES SURGERY IMPROVE THE QUALITY OF LIFE?
FUNCTIONAL OUTCOMES OF TRAUMATIC PARAPLEGIA PATIENTS: DOES SURGERY IMPROVE THE QUALITY OF LIFE? Original Article Orthopaedics R S Bajoria 1, Mahendra Panwar 2, Anand Rao 3, Sameer Gupta 4 1 - Associate
More informationTo study the outcomes of posterior decompression and fixation of tuberculosis of dorsolumbar spine
2017; 3(3): 691-695 ISSN: 2395-1958 IJOS 2017; 3(3): 691-695 2017 IJOS wwworthopapercom Received: 15-05-2017 Accepted: 16-06-2017 Dr Manish Shah Assistant Professor, Department of Dr Kushal Suthar Dr Ravindra
More informationDepartement of Neurosurgery A.O.R.N A. Cardarelli- Naples.
Percutaneous posterior pedicle screw fixation in the treatment of thoracic, lumbar and thoraco-lumbar junction (T12-L1) traumatic and pathological spine fractures. Report of 45 cases. G. Vitale, A. Punzo,
More informationSURGICAL INDICATIONS AND COMPLICATIONS OF CAPENER TECHNIQUE (COSTO-TRANSVERSECTOMY).
SURGICAL INDICATIONS AND COMPLICATIONS OF CAPENER TECHNIQUE (COSTO-TRANSVERSECTOMY). TRANSVERSECTOMY). Patricia Álvarez González, Javier Pizones Arce, Felisa SánchezS nchez-mariscal, Lorenzo ZúñZ úñiga
More informationPostero-lateral approach with open view vertebroplasty - eggshell technique
Romanian Neurosurgery (2013) XX 4: 357-368 357 Postero-lateral approach with open view vertebroplasty - eggshell technique E.Fl. Exergian 1, I.Fl. Luca-Husti 2, D. Şerban 1 1 Spine Surgery Department,
More informationScoliosis is considered to be the most common skeletal
clinical article J Neurosurg Pediatr 19:96 101, 2017 Posterior-only surgical correction of dystrophic scoliosis in 31 patients with neurofibromatosis Type 1 using the multiple anchor point method Ang Deng,
More informationSurgical Management for Thoracic Spinal Tuberculosis Posterior Only versus Anterior Video-Assisted Thoracoscopic Surgery
RESEARCH ARTICLE Surgical Management for Thoracic Spinal Tuberculosis Posterior Only versus Anterior Video-Assisted Thoracoscopic Surgery Weiye Zhong 1, Guangzhong Xiong 2, Bing Wang 1, Chang Lu 1 *, Zhihui
More informationMetastatic Spinal Disease
Metastatic Spinal Disease Mr Neil Chiverton Consultant Spinal Surgeon, Sheffield Objectives The scale and nature of the problem NICE recommendations Surgical decision making Case illustrations Incidence
More informationAsymmetric T5 Pedicle Subtraction Osteotomy (PSO) for complex posttraumatic deformity
Eur Spine J (2013) 22:2130 2135 DOI 10.1007/s00586-013-2942-y OPEN OPERATING THEATRE (OOT) Asymmetric T5 Pedicle Subtraction Osteotomy (PSO) for complex posttraumatic deformity Ibrahim Obeid Fethi Laouissat
More informationSurgical Treatment of Lower Cervical Tuberculosis With Kyphosis Deformity. Department of Spine, General Hospital of Lanzhou Command, Gansu, China
Int Surg 2017;102:171 177 DOI: 10.9738/INTSURG-D-15-00051.1 Surgical Treatment of Lower Cervical Tuberculosis With Kyphosis Deformity Xu Lan, Jian-Zhong Xu, Xue-Mei Liu, Bao-Feng Ge Department of Spine,
More informationOriginal Date: October 2015 LUMBAR SPINAL FUSION FOR
National Imaging Associates, Inc. Clinical guidelines Original Date: October 2015 LUMBAR SPINAL FUSION FOR Page 1 of 9 INSTABILITY AND DEGENERATIVE DISC CONDITIONS FOR CMS (MEDICARE) MEMBERS ONLY CPT4
More informationPATIENT: DOB: TODAY S DATE:
1. I have been strongly advised to carefully read and consider this operative permit. I realize that it is important that I understand this material. I also understand that if certain sections are not
More informationInt J Clin Exp Med 2018;11(2): /ISSN: /IJCEM Yi Yang, Hao Liu, Yueming Song, Tao Li
Int J Clin Exp Med 2018;11(2):1278-1284 www.ijcem.com /ISSN:1940-5901/IJCEM0063093 Case Report Dislocation and screws pull-out after application of an Isobar TTL dynamic stabilisation system at L2/3 in
More informationTreatment of thoracolumbar burst fractures by vertebral shortening
Eur Spine J (2002) 11 :8 12 DOI 10.1007/s005860000214 TECHNICAL INNOVATION Alejandro Reyes-Sanchez Luis M. Rosales Victor P. Miramontes Dario E. Garin Treatment of thoracolumbar burst fractures by vertebral
More informationYongchun Zhou 1, Weiwei Li 1*, Jun Liu 1, Liqun Gong 1 and Jing Luo 2*
Zhou et al. BMC Surgery (2018) 18:71 https://doi.org/10.1186/s12893-018-0405-4 RESEARCH ARTICLE Open Access Comparison of single posterior debridement, bone grafting and instrumentation with single-stage
More informationUniversity of Groningen. Thoracolumbar spinal fractures Leferink, Vincentius Johannes Maria
University of Groningen Thoracolumbar spinal fractures Leferink, Vincentius Johannes Maria IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from
More informationSHORT SEGMENT FIXATION THORACOLUMBAR UNSTABLE BURST FRACTURES USING DC PLATES & PEDICLE SCREWS
STUDY SHORT SEGMENT FIXATION THORACOLUMBAR UNSTABLE BURST FRACTURES USING DC PLATES & PEDICLE SCREWS *Hashem, N.; **A Subai, N. *Faculty of Medicine, Ains Shams University, Egypt ^Department of Orthopedics,
More informationTreatment of Spinal Tuberculosis by Debridement, Interbody Fusion and Internal Fixation via Posterior Approach Only
89 2016 THE AUTHORS PUBLISHED BY JOHN WILEY &SONS AUSTRALIA, LTD. VIDEO OF ORTHOPAEDIC TECHNIQUE Treatment of Spinal Tuberculosis by Debridement, Interbody Fusion and Internal Fixation via Posterior Approach
More informationDelayed surgery in neurologically intact patients affected by thoraco-lumbar junction burst fractures: to reduce pain and improve quality of life
Original Study Delayed surgery in neurologically intact patients affected by thoraco-lumbar junction burst fractures: to reduce pain and improve quality of life Lorenzo Nigro 1, Roberto Tarantino 1, Pasquale
More informationObjectives. Comprehension of the common spine disorder
Objectives Comprehension of the common spine disorder Disc degeneration/hernia Spinal stenosis Common spinal deformity (Spondylolisthesis, Scoliosis) Osteoporotic fracture Destructive spinal lesions Anatomy
More informationFocal Correction of Severe Fixed Kyphosis with Single Level Posterior Ponte Osteotomy and Interbody Fusion
Open Access Case Report DOI: 10.7759/cureus.653 Focal Correction of Severe Fixed Kyphosis with Single Level Posterior Ponte Osteotomy and Interbody Fusion Seth S. Molloy 1, Faiz U. Ahmad 2, Griffin R.
More informationSpondylolysis. Lysis (Greek λύσις, lýsis from lýein "to separate") refers to the breaking down.
Spondylolysis Lysis (Greek λύσις, lýsis from lýein "to separate") refers to the breaking down. Thomas J Kishen Spine Surgeon Sparsh Hospital for Advanced Surgeries Bangalore Spondylolysis Defect in the
More informationPreliminary Study of Tuberculosis of the Spine
Original Articles Preliminary Study of Tuberculosis of the Spine Robert C. Lifeso, MD, FRCS(C)* * Orthopedic Surgeon, Department of Surgery, King Faisal Specialist Hospital and Research Centre ABSTRACT
More informationOriginal Article Clinics in Orthopedic Surgery 2016;8:
Original Article Clinics in Orthopedic Surgery 2016;8:71-77 http://dx.doi.org/10.4055/cios.2016.8.1.71 More than 5-Year Follow-up Results of Two- Level and Three-Level Posterior Fixations of Thoracolumbar
More informationPedicle Subtraction Osteotomy. Case JB. Antonio Castellvi 5/19/2017
Pedicle Subtraction Osteotomy John M. Small MD Florida Orthopedic Institute University South Florida Department Orthopedic Surgery Castellvi Spine May 11, 2017 Case JB 66 y/o male 74 235 lbs Retired police
More informationLigamentous Integrity in Spinal Cord Injury without Radiographic Abnormality. Dr Anria Horn Dr Stewart Dix-Peek
Ligamentous Integrity in Spinal Cord Injury without Radiographic Abnormality Dr Anria Horn Dr Stewart Dix-Peek Introduction Spinal Cord Injury Without Radiographic Abnormality SCIWORA Pang, Wilberger 1982
More informationPrevention of PJF: Surgical Strategies to Reduce PJF. Robert Hart, MD Professor OHSU Orthopaedics Portland OR. Conflicts
Prevention of PJF: Surgical Strategies to Reduce PJF Robert Hart, MD Professor OHSU Orthopaedics Portland OR Conflicts Consultant Depuy Spine, Medtronic Royalties Seaspine, Depuy Research/Fellowship Support
More informationPOSTOPERATIVE COMPLICATIONS IN OPERATED CASES OF PYOGENIC SPONDYLODISCITIS
Original Article Orthopaedics POSTOPERATIVE COMPLICATIONS IN OPERATED CASES OF PYOGENIC SPONDYLODISCITIS Ravikumar T V 1, Shivprasad M S 2, Yashavatha Kumar 1, Vinay Jain K 3, Mahesh 1 1 -Assistant Professor,
More informationTuberculosis Of The Lumbar Spine: Outcomes After Combined Treatment With Short-Course Two-Drug Therapy And Surgery
ISPUB.COM The Internet Journal of Surgery Volume 7 Number 1 Tuberculosis Of The Lumbar Spine: Outcomes After Combined Treatment With Short-Course Two-Drug Therapy And Surgery O Karaeminogullari, U Aydinli,
More information3D titanium interbody fusion cages sharx. White Paper
3D titanium interbody fusion cages sharx (SLM selective laser melted) Goal of the study: Does the sharx intervertebral cage due to innovative material, new design, and lordotic shape solve some problems
More informationClassification? Classification system should be: Comprehensive Usable Accurate Predictable Able to guide intervention
Moderator: Dr. P.S. Chandra Dr. Dr Deepak Gupta Classification? Classification system should be: Comprehensive Usable Accurate Predictable Able to guide intervention A precise, comprehensive, ideal
More informationA CASE OF MISMANAGED CERVICAL FRACTURE IN A PATIENT OF ANKYLOSING SPONDYLITIS
A CASE OF MISMANAGED CERVICAL FRACTURE IN A PATIENT OF ANKYLOSING SPONDYLITIS INTRODUCTION Spine fractures occur with minor trauma in patients with ankylosing Spondylitis. They are highly unstable with
More informationAnterior Surgical Interventions in Spinal Tuberculosis
ORIGINAL ARTICLE Anterior Surgical Interventions in Spinal Tuberculosis Obaid-ur-Rahman, Saleem Ahmad and Tayyab Hussain ABSTRACT Objective: To evaluate and compare the effectiveness of the modified Hong
More informationAdvantages of MISS. Disclosures. Thoracolumbar Trauma: Minimally Invasive Techniques. Minimal Invasive Spine Surgery 11/8/2013.
3 rd Annual UCSF Techniques in Complex Spine Surgery Program Thoracolumbar Trauma: Minimally Invasive Techniques Research Support: Stryker Disclosures Murat Pekmezci, MD Assistant Clinical Professor UCSF/SFGH
More informationUnanswered Questions. Laminoplasty is best
Laminoplasty is best Wellington K. Hsu, MD Clifford C. Raisbeck Distinguished Professor of Orthopaedic Surgery Director of Research Department of Orthopaedic Surgery Northwestern University Feinberg School
More informationELY ASHKENAZI Israel Spine Center at Assuta Hospital Tel Aviv, Israel
nterior cervical decompression using the Hybrid Decompression Fixation technique, a combination of corpectomies and or discectomies, in the management of multilevel cervical myelopathy J ORTHOP TRUM SURG
More informationManagement of Bone and Spinal Cord in Spinal Surgery.
Management of Bone and Spinal Cord in Spinal Surgery. G. Saló, PhD, MD. Senior Consultant Spine Unit. Hospital del Mar. Barcelona. Ass. Prof. Universitat Autònoma de Barcelona. Introduction The management
More informationClassification of Thoracolumbar Spine Injuries
Classification of Thoracolumbar Spine Injuries Guillem Saló Bru 1 IMAS. Hospitals del Mar i de l Esperança. ICATME. Institut Universitari Dexeus USP. UNIVERSITAT AUTÒNOMA DE BARCELONA Objectives of classification
More informationCommon fracture & dislocation of the cervical spine. Theerachai Apivatthakakul Department of Orthopaedic Chiangmai University
Common fracture & dislocation of the cervical spine Theerachai Apivatthakakul Department of Orthopaedic Chiangmai University Objective Anatomy Mechanism and type of injury PE.and radiographic evaluation
More informationStage Operation for Unstable Lumbar Spine Fracture- Dislocation with Incomplete Paraplegia: A Case Series
C a s e R e p o r t J. of Advanced Spine Surgery Volume 2, Number 2, pp 60~65 Journal of Advanced Spine Surgery JASS Stage Operation for Unstable Lumbar Spine Fracture- Dislocation with Incomplete Paraplegia:
More informationThoracic or lumbar spinal surgery in patients with Parkinson s disease -A two-center experience of 32 cases-
Thoracic or lumbar spinal surgery in patients with Parkinson s disease -A two-center experience of 32 cases- Department of Orthopedic Surgery, Graduate School of Medicine, Kyoto university Hiroaki Kimura,
More informationCLINICAL SCIENCE. Yueju Liu, I,II,# Guangbin Li, III,# Tianhua Dong, I,II Yingze Zhang, I,II Heng Li I,II * & INTRODUCTION
CLINICAL SCIENCE One-stage partial vertebrectomy, titanium mesh implantation and pedicle screw fixation in the treatment of thoracolumbar burst fractures through a posterior approach Yueju Liu, I,II,#
More informationPOTT'S Disease: a review of 58 cases
Original Research Medical Journal of the Islamic Republic of Iran.Vol. 23, No. 4, February, 2010. pp. 200-206 POTT'S Disease: a review of 58 cases Mohammadreza Ehsaei, MD. 1, Fariborz Samini, MD. 2, Gholamreza
More information8/31/2018 IMPORTANT CONSIDERATIONS. Signalment History Symmetry Progression of signs Painful vs non-painful SURGICAL CONSIDERATIONS
IMPORTANT CONSIDERATIONS Signalment History Symmetry Progression of signs Painful vs non-painful SURGICAL CONSIDERATIONS Specific region of TL spine Differences in size and shape of articular processes
More informationA Study of 42 Cases of Pott s Paraplegia with Anterior Spinal Decompression & Stabilisation with Rib Graft Alone
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 15, Issue 7 Ver. VIII (July. 2016), PP 45-49 www.iosrjournals.org A Study of 42 Cases of Pott s Paraplegia
More informationCervical Spine in Baseball
Cervical Spine in Baseball Robert G Watkins, IV, MD Co-Director, Marina Spine Center Marina del Rey, CA Vice Chief of Staff Cedars-Marina del Rey Hospital Disclosures n Pioneer / RTI Consulting, Royalties
More informationVertebral column decancellation for the management of sharp angular spinal deformity
Eur Spine J (2011) 20:1703 1710 DOI 10.1007/s00586-011-1771-0 ORIGINAL ARTICLE Vertebral column decancellation for the management of sharp angular spinal deformity Yan Wang Lawrence G. Lenke Received:
More informationAPSS DHAKA OPERATIVE COURSE 13 th 15 th March 2018
13 th 15 th March 2018 Local Organizing Chairman: Kh Abdul Awal Rizvi Local Organizing Secretary: Md Shah Alam APSS President: K S Sivananthan Venue: National Institute of Traumatology & Orthopaedic Rehabilitation
More informationPosterior Correction and Fixation Without Anterior Fusion for Pseudoarthrosis With Kyphotic Deformity in Ankylosing Spondylitis
Input-dms SPINE Volume 31, Number 13, pp 000 000 2006, Lippincott Williams & Wilkins, Inc. Posterior Correction and Fixation Without Anterior Fusion for Pseudoarthrosis With Kyphotic Deformity in Ankylosing
More informationCase Conference: SBRT for spinal metastases D A N I E L S I M P S O N M D 3 / 2 7 / 1 2
Case Conference: SBRT for spinal metastases D A N I E L S I M P S O N M D 3 / 2 7 / 1 2 Case 79 yo M with hx of T3N0 colon cancer diagnosed in 2008 metastatic liver disease s/p liver segmentectomy 2009
More informationGet back to: my life. Non-fusion treatment for lumbar spinal stenosis
Get back to: my life Non-fusion treatment for lumbar spinal stenosis Do you have any of these symptoms? numbness, weakness or pain in the lower legs When any of these conditions occur, the spinal nerve,
More informationThoracolumbar Spine Trauma: II. Principles of Management
Thoracolumbar Spine Trauma: II. Principles of Management Jeffrey M. Spivak, MD, Alexander R. Vaccaro, MD, and Jerome M. Cotler, MD Abstract The care of patients with thoracolumbar spine trauma with or
More informationPalliative transpedicular partial corpectomy without anterior vertebral reconstruction in lower thoracic and thoracolumbar junction spinal metastases
Chang et al. Journal of Orthopaedic Surgery and Research (2015) 10:113 DOI 10.1186/s13018-015-0255-z RESEARCH ARTICLE Palliative transpedicular partial corpectomy without anterior vertebral reconstruction
More informationSpinal Deformity Surgery Department, Rizzoli Orthopaedic Institute, Bologna, Italy. European Meeting for VEPTR Users March 18/
The halo traction and anterior arthrodesis are today still indispensable in the treatment of severe scoliosis? There may be any innovative proposal with Magnetic rod? TIZIANA GREGGI Elena Maredi, Francesco
More informationInterspinous Fusion Devices. Midterm results. ROME SPINE 2012, 7th International Meeting Rome, 6-7 December 2012
Interspinous Fusion Devices. Midterm results. ROME SPINE 2012, 7th International Meeting Rome, 6-7 December 2012 Posterior distraction and decompression Secure Fixation and Stabilization Integrated Bone
More informationPott s kyphosis. University Affiliated Sixth People s Hospital, 600 Yishan Road, Shanghai , P.
QJM Advance Access published November 17, 2014 Pott s kyphosis Author Names: Yi Zhang, Yong-Sheng Yu, Zheng-Hao Tang and Guo-Qing Zang Author Affiliations: Department of Infectious Diseases, Shanghai Jiao
More informationBioactive glass S53P4 in spine surgery -results from a prospective 11-year-follow-up
Bioactive glass S53P4 in spine surgery -results from a prospective 11-year-follow-up Janek Frantzén M.D., Neurosurgeon Turku University Hospital, Finland ROME SPINE 2011 7.12.2011 1 Clinical Development
More informationSurgical treatment of preschool childhood spinal thoracic tuberculosis: two case reports and technical note
Romanian Neurosurgery Volume XXXII Number 1 2018 January-March Article Surgical treatment of preschool childhood spinal thoracic tuberculosis: two case reports and technical note Mehmet Nuri Erdem, Anas
More informationSingle-stage approach of posterior debridement, allograft and internal fixation in management of lumbosacral tuberculosis.
Biomedical Research 2017; 28 (3): 1448-1452 Single-stage approach of posterior debridement, allograft and internal fixation in management of lumbosacral tuberculosis. Jiawen Wu 1, Juanjuan Wang 2, Ming
More informationASJ. Study of Vertebral Body Replacement with Reconstruction Spinal Cages in Dorsolumbar Traumatic and Koch s Spine. Asian Spine Journal.
Asian Spine Journal 786 Rohit Anilbhai Clinical Thaker Studyet al. http://dx.doi.org/10.4184/asj.2014.8.6.786 Study of Vertebral Body Replacement with Reconstruction Spinal Cages in Dorsolumbar Traumatic
More informationComprehension of the common spine disorder.
Objectives Comprehension of the common spine disorder. Disc degeneration/hernia. Spinal stenosis. Common spinal deformity (Spondylolisthesis, Scoliosis). Osteoporotic fracture. Anatomy Anatomy Anatomy
More informationPartial vertebrectomy with vertebral shortening for. Key words: thoraco-lumbar fracturedislocation,
Romanian Neurosurgery (2014) XXI 2: 183-187 183 Partial vertebrectomy with vertebral shortening for thoraco-lumbar fracture-dislocation. Case report and technical note Bogdan Costachescu 1,2, Cezar E.
More informationMitsuhiro Hashimto 1), Masashi Yamazaki 2), Macondo Mochizuki 3), Masatsune Yamagata 1), Yoshikazu Ikeda 1), Fumitake Nakajima 1)
Long-term results of anterior cervical corpectomy and arthrodesis for cervical degenerative diseases with more than ten years of follow-up Mitsuhiro Hashimto 1), Masashi Yamazaki 2), Macondo Mochizuki
More informationISPUB.COM. T Iizuka, S Yamada INTRODUCTION CASE REPORT
ISPUB.COM The Internet Journal of Spine Surgery Volume 2 Number 1 Management Of Symptomatic De Novo Adult Scoliosis Of The Lumbar Spine Caused By Progressive Hemi-Vertebral Compression Fractures Following
More informationAnterior Corpectomy with Expandable Titanium Cages for Thoraco Lumbar Fractures Audrey Paulzak, MD Pat O'Brien, BS W. George Rusyniak, MD Anthony
Anterior Corpectomy with Expandable Titanium Cages for Thoraco Lumbar Fractures Audrey Paulzak, MD Pat O'Brien, BS W. George Rusyniak, MD Anthony Martino, MD University of South Alabama, Department of
More informationShort Segment Screw Fixation without Fusion for Low Lumbar Burst Fracture: Severe Canal Compromise but Neurologically Intact Cases
CLINICAL ARTICLE Korean J Neurotrauma 2013;9:101-105 pissn 2234-8999 / eissn 2288-2243 http://dx.doi.org/10.13004/kjnt.2013.9.2.101 Short Segment Screw Fixation without Fusion for Low Lumbar Burst Fracture:
More informationPART III IN HOSPITAL ON CALL ANESTHESIA COVERAGE
Anesthesia g) A consultation may not be claimed where the patient is referred to the anesthetist for the sole purpose of providing post-operative Patient Controlled Analgesia. h) Tariff 8406 may not be
More informationHongqi Zhang *, Kefeng Zeng, Xinghua Yin, Jia Huang, Mingxing Tang and Chaofeng Guo
Zhang et al. Journal of Orthopaedic Surgery and Research (2015) 10:150 DOI 10.1186/s13018-015-0292-7 RESEARCH ARTICLE Open Access Debridement, internal fixation, and reconstruction using titanium mesh
More informationBJMHR British Journal of Medical and Health Research Journal home page:
RESEARCH ARTICLE Br J Med Health Res. 2016;3(12) ISSN: 2394-2967 BJMHR British Journal of Medical and Health Research Journal home page: www.bjmhr.com Spinal Stabilization for early mobilization in Pott's
More information1105 two (2) vertebrae... 1, add on per additional vertebra
SPINE STAGE OPERATIONS Staged operations shall be paid at 100% for the first stage and 85% for the second stage. Where the second stage pays a higher fee 100% shall be paid and the first stage shall be
More informationSubaxial Cervical Spine Trauma Dr Hesarikia BUMS
Subaxial Cervical Spine Trauma Dr. Hesarikia BUMS Subaxial Cervical Spine From C3-C7 ROM Majority of cervical flexion Lateral bending Approximately 50% rotation Ligamentous Anatomy Anterior ALL, PLL, intervertebral
More informationA rare case of osteoblastoma combined with severe scoliosis deformity, coronal and sagittal imbalance
Wang et al. BMC Musculoskeletal Disorders (2017) 18:538 DOI 10.1186/s12891-017-1902-9 CASE REPORT Open Access A rare case of osteoblastoma combined with severe scoliosis deformity, coronal and sagittal
More informationCERVICAL SPONDYLOSIS & CERVICAL DISC DISEASE
CERVICAL SPONDYLOSIS & CERVICAL DISC DISEASE Cervical spondylosis l Cervical osteophytosis l Most common progressive disease in the aging cervical spine l Seen in 95% of the people by 65 years Pathophysiology
More informationYongchun Zhou, Zongrang Song, Jing Luo, Jijun Liu, Yunfei Huang, Yibin Meng, Wentao Wang and Dingjun Hao *
Zhou et al. BMC Musculoskeletal Disorders (2016) 17:66 DOI 10.1186/s12891-016-0921-2 RESEARCH ARTICLE Open Access The efficacy of local continuous chemotherapy and postural drainage in combination with
More informationACDF. Anterior Cervical Discectomy and Fusion. An introduction to
An introduction to ACDF Anterior Cervical Discectomy and Fusion This booklet provides general information on ACDF. It is not meant to replace any personal conversations that you might wish to have with
More informationRole of Posterior Fixation Technique in Surgeries for Pathological Fractures of the Dorsal and Lumbar Spine Secondary to Neoplastic Causes
Med. J. Cairo Univ., Vol. 83, No. 1, March: 293-298, 2015 www.medicaljournalofcairouniversity.net Role of Posterior Fixation Technique in Surgeries for Pathological Fractures of the Dorsal and Lumbar Spine
More informationASJ. Evaluation of Outcome of Transpedicular Decompression and Instrumented Fusion in Thoracic and Thoracolumbar Tuberculosis. Asian Spine Journal
Asian Spine Journal Asian Spine Clinical Journal Study Asian Spine J 2017;11(1):31-36 Transpedicular decompression https://doi.org/10.4184/asj.2017.11.1.31 in potts spine Evaluation of Outcome of Transpedicular
More informationZhenchao Xu, Xiyang Wang, Zhengquan Xu, Hao Zeng, Zheng Liu, Yupeng Zhang, Gongzhou Chen
Int J Clin Exp Med 2018;11(6):6037-6045 www.ijcem.com /ISSN:1940-5901/IJCEM0068038 Original Article Posterior-only versus combined posterior-anterior approaches for thoracolumbar spinal tuberculosis with
More informationPreliminary Report of Instrumentation in Tuberculous Lumbosacral Spine
Doi:http://dx.doi.org/10.5704/MOJ.1411.004 Preliminary Report of Instrumentation in Tuberculous Lumbosacral Spine, MRCS Department of Orthopaedic Surgery, Yangon Orthopaedic Hospital, Yangon, Myanmar ABSTRACT
More informationSubaxial Cervical Spine Trauma
Subaxial Cervical Spine Trauma Pooria Salari, MD Assistant Professor Of Orthopaedics Department of Orthopaedic Surgery St. Louis University School of Medicine St. Louis, Missouri, USA Initial Evaluation
More informationCongenital Spine Deformity: Surgical Treatment Options. Spine Masters. Fri May , 4:10-4:25 Paul Sponseller MD
Congenital Spine Deformity: Surgical Treatment Options Spine Masters Fri May19 2017, 4:10-4:25 Paul Sponseller MD Disclosures Medical Education Reviews JBJS Depuy Synthes Spine: Research, royalties Globus:
More informationMAS TLIF MAXIMUM ACCESS SURGERY TRANSFORAMINAL LUMBAR INTERBODY FUSION AN INTRODUCTION TO
AN INTRODUCTION TO MAS TLIF MAXIMUM ACCESS SURGERY TRANSFORAMINAL LUMBAR INTERBODY FUSION This booklet is designed to inform you about the Maximum Access Surgery (MAS ) Transforaminal Lumbar Interbody
More informationJMSCR Vol 05 Issue 03 Page March 2017
www.jmscr.igmpublication.org Impact Factor 5.84 Index Copernicus Value: 83.27 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v5i3.66 Surgical Management for Spinal Tuberculosis:
More informationModule 1: Basic Comprehensive Course
The Hellenic Spine Society organize 5 modules according to the following program, which is based on the Eurospine program Module 1: Basic Comprehensive Course SESSION1: SPINE THE BIGGER PICTURE Evidence
More informationvertebra associated with dura) ectasia in
e287 Case Report Grade 4 spondylolisthesis of the L5 vertebra associated with dura) ectasia in neurofibromatosis Modi H N, Srinivasalu S, Suh S W, Yang J H ABSTRACT Spondylolisthesis associated with neurofibromatosis
More informationBiomedical Research 2017; 28 (20):
Biomedical Research 2017; 28 (20): 9056-9060 ISSN 0970-938X www.biomedres.info Clinical research on the anterior versus posterior surgical approach combined with debridement, bone grafting and instrumentations
More informationName : SK.Maibali Age : 24yrs Sex : Male occupation: labourer Residence : suryapet Date of admission : 8/5/17 IP no :
Name : SK.Maibali Age : 24yrs Sex : Male occupation: labourer Residence : suryapet Date of admission : 8/5/17 IP no : 201715579 CHIEF COMPLAINTS : Complains of pain in the middle &lower 1/3 rd junction
More informationClinical Results and Complications of Surgical Treatment for Thoracic Myelopathy Caused by Ossification of the Posterior Longitudinal Ligament
Clinical Results and Complications of Surgical Treatment for Thoracic Myelopathy Caused by Ossification of the Posterior Longitudinal Ligament - A Multicenter Retrospective Study - Mitsumasa Hayashida,
More informationBehaviour of the kyphotic angle in spinal tuberculosis
International Orthopaedics (SICOT) (2004) 28:110 114 DOI 10.1007/s00264-003-0516-z ORIGINAL PAPER A. K. Jain P. K. Aggarwal A. Arora S. Singh Behaviour of the kyphotic angle in spinal tuberculosis Accepted:
More informationTraumatic thoracic spinal fracture dislocation with minimal or no cord injury
J Neurosurg (Spine 3) 96:333 337, 2002 Traumatic thoracic spinal fracture dislocation with minimal or no cord injury Report of four cases and review of the literature SCOTT SHAPIRO M.D., TODD ABEL, M.D.,
More informationManagement Of Posttraumatic Spinal Instability (Neurosurgical Topics, No 3) READ ONLINE
Management Of Posttraumatic Spinal Instability (Neurosurgical Topics, No 3) READ ONLINE If you are searching for a ebook Management of Posttraumatic Spinal Instability (Neurosurgical Topics, No 3) in pdf
More information