Hadas Tavil, Ariel D. Levine, Ronen Tuchfeld, B. Sekeles, Ronen Mendi, Y. Gidron
Background: Research in the past 30 years has shown the importance of the vagal nerve in predicting reduced risk and possible therapeutic effects on fatal diseases (e.g., heart disease, cancer) and chronic pain. Vagal nerve activity is indexed by heart-rate variability (HRV). Objective: This study compared the effects of a unique chiropractic 3D surface on HRV, distress, and discomfort with two control conditions. Methods: Thirty-s i x participants were recruited (mean age 51.6 years; 52.8% women), who were randomly assigned to rest for 10 minutes either in supine position on a standard mattress (control 1), rest in prone position on a standard mattress (control 2), or to rest in prone position on a chiropractic surface (experimental group). We measured HRV, blood pressure, heart rate (HR), distress, and discomfort, before, immediately after the 10min rest, and 5min later. Results: For participants in control 1, SDNN and PNN50 increased significantly from 1st to 3rd measures only. For participants in control 2, HRV did not change significantly. In the experimental condition, SDNN, RMSSD, and PNN50 increased significantly from 1st to 2nd measure, and SDNN increased significantly from 1st to 3rd measure. Increases in PNN50 were more prominent in the experimental group than in both controls combined . Conclusions: This study showed that a chiropractic surface significantly increased multiple HRV parameters, more than two control conditions. Suppose the results are reproducible in clinical situations involving the vagal nerve (e.g., diabetes); such a chiropractic surface may be a novel treatment for chronic health conditions associated with reduced HRV.
{"title":"Effects of a chiropractic three-dimensional surface on vagal nerve activity and distress: An experimental study","authors":"Hadas Tavil, Ariel D. Levine, Ronen Tuchfeld, B. Sekeles, Ronen Mendi, Y. Gidron","doi":"10.26502/fjsrs0062","DOIUrl":"https://doi.org/10.26502/fjsrs0062","url":null,"abstract":"Background: Research in the past 30 years has shown the importance of the vagal nerve in predicting reduced risk and possible therapeutic effects on fatal diseases (e.g., heart disease, cancer) and chronic pain. Vagal nerve activity is indexed by heart-rate variability (HRV). Objective: This study compared the effects of a unique chiropractic 3D surface on HRV, distress, and discomfort with two control conditions. Methods: Thirty-s i x participants were recruited (mean age 51.6 years; 52.8% women), who were randomly assigned to rest for 10 minutes either in supine position on a standard mattress (control 1), rest in prone position on a standard mattress (control 2), or to rest in prone position on a chiropractic surface (experimental group). We measured HRV, blood pressure, heart rate (HR), distress, and discomfort, before, immediately after the 10min rest, and 5min later. Results: For participants in control 1, SDNN and PNN50 increased significantly from 1st to 3rd measures only. For participants in control 2, HRV did not change significantly. In the experimental condition, SDNN, RMSSD, and PNN50 increased significantly from 1st to 2nd measure, and SDNN increased significantly from 1st to 3rd measure. Increases in PNN50 were more prominent in the experimental group than in both controls combined . Conclusions: This study showed that a chiropractic surface significantly increased multiple HRV parameters, more than two control conditions. Suppose the results are reproducible in clinical situations involving the vagal nerve (e.g., diabetes); such a chiropractic surface may be a novel treatment for chronic health conditions associated with reduced HRV.","PeriodicalId":73951,"journal":{"name":"Journal of spine research and surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69348259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Md. Majidur Rahman, Md.Zahid Hasan, A. Islam, S. Afridi, Mayesa Nujhat
Background: Spondylolisthesis refers to the anterior slippage of one vertebra upon another. Objectives: To assist physiotherapists in decision-making during intervention for patients with spondylolisthesis grades I and II. Methodology: Evidence-based physiotherapy treatment protocol for spondylolisthesis. RCT study was used to develop this evidence. Results: This study was found evidence-based physiotherapy treatment on spondylolisthesis. There are very few RCT studies is found during searching. This study found that lumbar flexion exercise, as well as stretching of hip flexors, hamstring, piriformis, thoracic mobilization
{"title":"Rehabilitation Protocol for spondylolisthesis Patients: A Treatment Protocol","authors":"Md. Majidur Rahman, Md.Zahid Hasan, A. Islam, S. Afridi, Mayesa Nujhat","doi":"10.26502/fjsrs0055","DOIUrl":"https://doi.org/10.26502/fjsrs0055","url":null,"abstract":"Background: Spondylolisthesis refers to the anterior slippage of one vertebra upon another. Objectives: To assist physiotherapists in decision-making during intervention for patients with spondylolisthesis grades I and II. Methodology: Evidence-based physiotherapy treatment protocol for spondylolisthesis. RCT study was used to develop this evidence. Results: This study was found evidence-based physiotherapy treatment on spondylolisthesis. There are very few RCT studies is found during searching. This study found that lumbar flexion exercise, as well as stretching of hip flexors, hamstring, piriformis, thoracic mobilization","PeriodicalId":73951,"journal":{"name":"Journal of spine research and surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69348190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vishnu Vikraman Nair, Vishal G. Kundnani, Mukul Jain, Sunil Shamjibhai Chodavadiya, A. Shetty, Jenil R. Patel, Nikhil Dewnany
Background and Aim: The objective of this study is to examine the short and long term impact of subsidence after anterior cervical discectomy and fusion for compressive cervical disc disease, utilizing solely non-locking stand-alone titanium cage and to analyze the fusion rates. Methods: The single-center retrospective study included one and two-level Anterior cervical discectomy and fusion (ACDF) cases from July 2014 to June 2019. Minimum 2-year follow-up was included and titanium cage with autologous bone graft was used. Interbody height (IBH), subsidence and fusion rates were analysed at follow up. Clinically, VAS score for neck and arm, mJOA score for myelopathy, C2-C7 cobb angle for lordosis improvement were analyzed. Results: A sample of 118 patients, was subjected to analysis. The fusion rate was observed to be 96.6%. Eleven instances of subsidence were observed at the 3-month follow-up (p= 0.89). All 11 patients with subsidence had excellent/good functional outcomes on analyzing Odom’s criteria. The study observed a noteworthy enhancement in the (VAS) for neck and arm pain, as well as in the (mJOA) score among patients with myelopathy, with a statistical significance of p<0.05. There was significant reduction in IBH in the subsidence group in comparison to non-subsidence group. Segmental kyphosis angles were also seen to be higher in the subsidence group(p<0.05) Conclusion: According to our study, the subsidence observed did not have a significant clinical impact on outcome scores or patient satisfaction. The utilisation of a stand-alone cage devoid of screw or plate instrumentation
{"title":"Analysing the clinical relevance and impact of subsidence seen with standalone cages for cervical disc surgeries – A study of fusion rates in 118 patients","authors":"Vishnu Vikraman Nair, Vishal G. Kundnani, Mukul Jain, Sunil Shamjibhai Chodavadiya, A. Shetty, Jenil R. Patel, Nikhil Dewnany","doi":"10.26502/fjsrs0058","DOIUrl":"https://doi.org/10.26502/fjsrs0058","url":null,"abstract":"Background and Aim: The objective of this study is to examine the short and long term impact of subsidence after anterior cervical discectomy and fusion for compressive cervical disc disease, utilizing solely non-locking stand-alone titanium cage and to analyze the fusion rates. Methods: The single-center retrospective study included one and two-level Anterior cervical discectomy and fusion (ACDF) cases from July 2014 to June 2019. Minimum 2-year follow-up was included and titanium cage with autologous bone graft was used. Interbody height (IBH), subsidence and fusion rates were analysed at follow up. Clinically, VAS score for neck and arm, mJOA score for myelopathy, C2-C7 cobb angle for lordosis improvement were analyzed. Results: A sample of 118 patients, was subjected to analysis. The fusion rate was observed to be 96.6%. Eleven instances of subsidence were observed at the 3-month follow-up (p= 0.89). All 11 patients with subsidence had excellent/good functional outcomes on analyzing Odom’s criteria. The study observed a noteworthy enhancement in the (VAS) for neck and arm pain, as well as in the (mJOA) score among patients with myelopathy, with a statistical significance of p<0.05. There was significant reduction in IBH in the subsidence group in comparison to non-subsidence group. Segmental kyphosis angles were also seen to be higher in the subsidence group(p<0.05) Conclusion: According to our study, the subsidence observed did not have a significant clinical impact on outcome scores or patient satisfaction. The utilisation of a stand-alone cage devoid of screw or plate instrumentation","PeriodicalId":73951,"journal":{"name":"Journal of spine research and surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69348239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Osteosarcoma, a prevalent primary malignant bone tumor, presents a pressing challenge in terms of improving patient prognosis effectively. Extracellular vesicles, encompassing vesicular structure with a bilayered biomembrane released by cells, have been shown to play a significant role in the pathogenesis and progression of osteosarcoma. This mini-review provides an overview of the fundamental biological characteristics of extracellular vesicles and their therapeutic implications in osteosarcoma. Furthermore, it presents an outlook on the current limitations of extracellular vesicles and their potential future applications.
{"title":"Advances in Extracellular Vesicles in the Treatment of Osteosarcoma","authors":"Zhefei Du, Lixin Xie, Daihan Xie, Kesheng Wang, Qiuxia Peng, Chao Fang","doi":"10.26502/fjsrs0064","DOIUrl":"https://doi.org/10.26502/fjsrs0064","url":null,"abstract":"Osteosarcoma, a prevalent primary malignant bone tumor, presents a pressing challenge in terms of improving patient prognosis effectively. Extracellular vesicles, encompassing vesicular structure with a bilayered biomembrane released by cells, have been shown to play a significant role in the pathogenesis and progression of osteosarcoma. This mini-review provides an overview of the fundamental biological characteristics of extracellular vesicles and their therapeutic implications in osteosarcoma. Furthermore, it presents an outlook on the current limitations of extracellular vesicles and their potential future applications.","PeriodicalId":73951,"journal":{"name":"Journal of spine research and surgery","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136258557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Demirel, Renata Terzic, J. Kaspersen, E. Aras, Søren Peter Eiskjær
Introduction: Anterior lumbar interbody fusion (ALIF) is a well-established treatment. Using poly-ether-ether-ketone (PEEK) cages for ALIF procedure take advantage of the relative radiolucency of PEEK cages .The goal of this study was to determine the radiological outcomes and complications after ALIF surgery. Materials & Methods: Retrospective review of patients with ALIF (PEEK cage) surgery. Complications were noted. Bone union determined with Bridwell classification. Pre and post-operative X-rays, X-rays at the last follow-up reviewed. Anterior-posterior disc space height, segmental lordosis at the ALIF levels and global lumbar lordosis were measured. Results: 56 patients (M:25, F:31) and 80 ALIF cages were reviewed. The respective median age of surgery and follow-up duration (months) for the 3 subgroups were as follows: 47(37-54) /14(12-24) (disc degeneration), 45(40-52) /22(14-27) (listhesis), 57(51-62) /17(16-25) (non-union). Number of complications associated with the anterior approach was 9/56 or 16%. Bridwell fusion status was classified as 1 in 72 cages, 2 in 6 cages and 4 in 2 cages. The anterior disc space height and posterior disc space height L3/L4, L4/L5, L5/S1 significantly increased from preoperatively to immediately postoperatively and compared to the distance at last follow up. The anterior disc space height and posterior disc space height L4/L5, L5/S1 decreased significantly from immediately postoperatively to last follow-up. Only for the L5/S1 level did the segmental lordosis increase significantly from preoperatively to immediately postoperatively and compared to the angle at last follow-up. Conclusions: The use of ALIF (PEEK cage) with posterior fixation resulted in very low non-union rate (2.5%). The approach related complications are comparable to the literature.
{"title":"Anterior Lumbar Interbody Fusion (ALIF): Complications and radiological outcomes","authors":"A. Demirel, Renata Terzic, J. Kaspersen, E. Aras, Søren Peter Eiskjær","doi":"10.26502/fjsrs0059","DOIUrl":"https://doi.org/10.26502/fjsrs0059","url":null,"abstract":"Introduction: Anterior lumbar interbody fusion (ALIF) is a well-established treatment. Using poly-ether-ether-ketone (PEEK) cages for ALIF procedure take advantage of the relative radiolucency of PEEK cages .The goal of this study was to determine the radiological outcomes and complications after ALIF surgery. Materials & Methods: Retrospective review of patients with ALIF (PEEK cage) surgery. Complications were noted. Bone union determined with Bridwell classification. Pre and post-operative X-rays, X-rays at the last follow-up reviewed. Anterior-posterior disc space height, segmental lordosis at the ALIF levels and global lumbar lordosis were measured. Results: 56 patients (M:25, F:31) and 80 ALIF cages were reviewed. The respective median age of surgery and follow-up duration (months) for the 3 subgroups were as follows: 47(37-54) /14(12-24) (disc degeneration), 45(40-52) /22(14-27) (listhesis), 57(51-62) /17(16-25) (non-union). Number of complications associated with the anterior approach was 9/56 or 16%. Bridwell fusion status was classified as 1 in 72 cages, 2 in 6 cages and 4 in 2 cages. The anterior disc space height and posterior disc space height L3/L4, L4/L5, L5/S1 significantly increased from preoperatively to immediately postoperatively and compared to the distance at last follow up. The anterior disc space height and posterior disc space height L4/L5, L5/S1 decreased significantly from immediately postoperatively to last follow-up. Only for the L5/S1 level did the segmental lordosis increase significantly from preoperatively to immediately postoperatively and compared to the angle at last follow-up. Conclusions: The use of ALIF (PEEK cage) with posterior fixation resulted in very low non-union rate (2.5%). The approach related complications are comparable to the literature.","PeriodicalId":73951,"journal":{"name":"Journal of spine research and surgery","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69348244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lívio Pereira de Macêdo, MD, João Batista Monte Freire, MD
Traumatic spondylolisthesis of the axis is a recurrent up-per cervical spine injury. Axis spondylolisthesis is a broader term, related to when one vertebra slips forward on another, which may in-clude fractures of other vertebral elements and even dislocations not associated with fractures.
{"title":"Traumatic Spondylolisthesis of the Axis without Fracture: Case Report and Literature Review","authors":"Lívio Pereira de Macêdo, MD, João Batista Monte Freire, MD","doi":"10.26502/fjsrs0063","DOIUrl":"https://doi.org/10.26502/fjsrs0063","url":null,"abstract":"Traumatic spondylolisthesis of the axis is a recurrent up-per cervical spine injury. Axis spondylolisthesis is a broader term, related to when one vertebra slips forward on another, which may in-clude fractures of other vertebral elements and even dislocations not associated with fractures.","PeriodicalId":73951,"journal":{"name":"Journal of spine research and surgery","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135801403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Islam, M. Shahiduzzaman, Ferdous Ara Banu, M. Hasan, Shamiul Alam Siddique, Fatema Sultana Sumi, T. Akhter, Abu Hena Md Atiquzzaman
Professor and Head, Department of Orthopedics and Spine Surgery,Addin womens medical college hospital, Dhaka, Bangladesh Professor and Head, Department of Orthopedics, Dhaka Medical College Hospital, Dhaka, Bangladesh Junior consultant, DGHS, Mohakhali, Deputation in BSMMU, Dhaka, Bangladesh Assistant professor, Department of Orthopedics, Holy Family Red Cresent Medical College Hospital, Dhaka, Bangladesh Assistant Professor, Department of Neurosurgery, Mymensingh Medical College, Dhaka, Bangladesh Medical officer, Department of Orthopedics and Spine Surgery, Addin Medical College Hospital, Dhaka, Bangladesh Medical officer, Department of Orthopedics and Spine Surgery, National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh
{"title":"Outcome of Surgical Management in Lumber Disc Prolapse: A Study in Dhaka Medical College Hospital, Dhaka, Bangladesh","authors":"S. Islam, M. Shahiduzzaman, Ferdous Ara Banu, M. Hasan, Shamiul Alam Siddique, Fatema Sultana Sumi, T. Akhter, Abu Hena Md Atiquzzaman","doi":"10.26502/fjsrs0038","DOIUrl":"https://doi.org/10.26502/fjsrs0038","url":null,"abstract":"Professor and Head, Department of Orthopedics and Spine Surgery,Addin womens medical college hospital, Dhaka, Bangladesh Professor and Head, Department of Orthopedics, Dhaka Medical College Hospital, Dhaka, Bangladesh Junior consultant, DGHS, Mohakhali, Deputation in BSMMU, Dhaka, Bangladesh Assistant professor, Department of Orthopedics, Holy Family Red Cresent Medical College Hospital, Dhaka, Bangladesh Assistant Professor, Department of Neurosurgery, Mymensingh Medical College, Dhaka, Bangladesh Medical officer, Department of Orthopedics and Spine Surgery, Addin Medical College Hospital, Dhaka, Bangladesh Medical officer, Department of Orthopedics and Spine Surgery, National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh","PeriodicalId":73951,"journal":{"name":"Journal of spine research and surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69348075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ronaldo Santiago, J. Ozsarfati, H. Shulman, R. Valenzuela, Michael Zitney
Background: Several studies have detailed the efficacy of Photobiomodulation Therapy (PBMT) as a treatment for concussions [1]. As there are no widely accepted imaging or laboratory modalities that document concussive injuries, monitoring improvement objectively proves difficult. ImPACT® is a computer based neurocognitive assessment tool meant to measure cognitive performance and subjective symptoms for concussion injuries. This study uses ImPACT® as a means to document an improvement in symptomatology for patients with persistent post-concussion symptoms pre and post-treatment with PBMT [2]. Methods: This retrospective study reviews patient performance in the ImPACT® test in a cohort of 35 patients who are diagnosed with mild Traumatic Brain Injuries (mTBI) and experiencing persistent post-concussive symptoms. Patients initially took the Post Injury 1 test then underwent PBMT therapy using the BIOFLEX DUO+ system three times a week for 4 weeks using approved parameters for treatment of the cervical spine soft tissue injuries. Journal Surgery After the 4 week treatment, patients took the Post Injury 2 test and the results were compared. Results: All patients improved clinically after PBMT and their Post injury 2 ImPACT® test results were significantly better compared to their Post injury 1 ImPACT® test results. Conclusion: PBMT may provide neurological rehabilitation in patients with persistent post-concussion symptoms and ImPACT® is an appropriate and objective measure to monitor and assess improvement.
{"title":"ImPACT® Assessment of Photobiomodulation Therapy for Post-Concussion Syndrome","authors":"Ronaldo Santiago, J. Ozsarfati, H. Shulman, R. Valenzuela, Michael Zitney","doi":"10.26502/fjsrs0037","DOIUrl":"https://doi.org/10.26502/fjsrs0037","url":null,"abstract":"Background: Several studies have detailed the efficacy of Photobiomodulation Therapy (PBMT) as a treatment for concussions [1]. As there are no widely accepted imaging or laboratory modalities that document concussive injuries, monitoring improvement objectively proves difficult. ImPACT® is a computer based neurocognitive assessment tool meant to measure cognitive performance and subjective symptoms for concussion injuries. This study uses ImPACT® as a means to document an improvement in symptomatology for patients with persistent post-concussion symptoms pre and post-treatment with PBMT [2]. Methods: This retrospective study reviews patient performance in the ImPACT® test in a cohort of 35 patients who are diagnosed with mild Traumatic Brain Injuries (mTBI) and experiencing persistent post-concussive symptoms. Patients initially took the Post Injury 1 test then underwent PBMT therapy using the BIOFLEX DUO+ system three times a week for 4 weeks using approved parameters for treatment of the cervical spine soft tissue injuries. Journal Surgery After the 4 week treatment, patients took the Post Injury 2 test and the results were compared. Results: All patients improved clinically after PBMT and their Post injury 2 ImPACT® test results were significantly better compared to their Post injury 1 ImPACT® test results. Conclusion: PBMT may provide neurological rehabilitation in patients with persistent post-concussion symptoms and ImPACT® is an appropriate and objective measure to monitor and assess improvement.","PeriodicalId":73951,"journal":{"name":"Journal of spine research and surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69348069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maria Erika Hevia Vaca, M. Frink, Maximilian Schulze, S. Ruchholtz, M. Bäumlein
Background: Yet, we couldn´t find any reported case of a trauma patient, that describes a late onset complete paraplegia of the lower limbs caused by spinal chord ischaemia without a spinal (chord) injury. Leading causes are dissections of the aorta and their reconstructions. Case presentation: Here, we present a case of a 43 year old male patient with traumatic dissection of the external iliac artery and demolition of the iliac vein on the left side . Moreover, he was in hypovolemic shock. Injuries of the spine or the spinal chord were not apparent. He was able to move both legs on demand. After performance of damage control surgery at the day of the accident, the patient presented a complete sensoric and motoric deficit 7 days after surgery, the MRI showed a vascular myelopathy. Conclusion: The myelopathy could be caused by impaired arterial perfusion due to hypovolaemia and disrupted arterial flow on the Adamkiewicz artery. A venious congestion as well as fibrocartilary embolisation are causes that also need to be dicussed.
{"title":"Late onset posttraumatic vascular myelopathy without spinal chord injury – a case report","authors":"Maria Erika Hevia Vaca, M. Frink, Maximilian Schulze, S. Ruchholtz, M. Bäumlein","doi":"10.26502/fjsrs0049","DOIUrl":"https://doi.org/10.26502/fjsrs0049","url":null,"abstract":"Background: Yet, we couldn´t find any reported case of a trauma patient, that describes a late onset complete paraplegia of the lower limbs caused by spinal chord ischaemia without a spinal (chord) injury. Leading causes are dissections of the aorta and their reconstructions. Case presentation: Here, we present a case of a 43 year old male patient with traumatic dissection of the external iliac artery and demolition of the iliac vein on the left side . Moreover, he was in hypovolemic shock. Injuries of the spine or the spinal chord were not apparent. He was able to move both legs on demand. After performance of damage control surgery at the day of the accident, the patient presented a complete sensoric and motoric deficit 7 days after surgery, the MRI showed a vascular myelopathy. Conclusion: The myelopathy could be caused by impaired arterial perfusion due to hypovolaemia and disrupted arterial flow on the Adamkiewicz artery. A venious congestion as well as fibrocartilary embolisation are causes that also need to be dicussed.","PeriodicalId":73951,"journal":{"name":"Journal of spine research and surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69348149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Guimarães, R. Sousa, S. Neves, P. Gomes, L. Castelo
Solitary Bone Plasmacytoma is a subtype of Solitary Plasmacytoma characterized by a mass of monoclonal plasma cells with involvement of bony structures. This pathology presents a high risk of progression to Multiple Myeloma with systemic involvement. In vertebral involvement it can lead to lytic lesions with progression to vertebral collapse and instability. The clinical case is a female patient with no medical history, with a clinic of low back pain with evolution for more than 1 month, radiography showed wedge of L4 and computed tomography a lytic lesion of that level, was hospitalized for pain control and study. The Magnetic Resonance came to discard the compression of noble parts. She was admitted for surgery due to vertebral instability and minimally invasive L2-L3-L5 posterolateral fixation was performed with transpedicular bars and screws, tissue biopsy and decompression with L4 partial facetectomy laminectomy. Surgery was uneventful and the patient was discharged 3 days after a complementary study of the disease. After 1 month, the patient showed clear improvement in pain and after half a year, the fixation was stable without instability or deformities. The patient was followed up by Orthopedics and Hematology. Plasmacytoma is an uncommon neoplasm and the main symptoms are low back pain, as in the case described. Radiotherapy is the treatment of choice, however surgery has been growing as an adjuvant and clinical improvement. This case demonstrates a unique treatment, not previously described with a percutaneous fixation with good results. plasmacytoma: Case Report.
{"title":"Minimally Invasive Approach of Lumbar Plasmacytoma: Case Report","authors":"A. Guimarães, R. Sousa, S. Neves, P. Gomes, L. Castelo","doi":"10.26502/fjsrs0046","DOIUrl":"https://doi.org/10.26502/fjsrs0046","url":null,"abstract":"Solitary Bone Plasmacytoma is a subtype of Solitary Plasmacytoma characterized by a mass of monoclonal plasma cells with involvement of bony structures. This pathology presents a high risk of progression to Multiple Myeloma with systemic involvement. In vertebral involvement it can lead to lytic lesions with progression to vertebral collapse and instability. The clinical case is a female patient with no medical history, with a clinic of low back pain with evolution for more than 1 month, radiography showed wedge of L4 and computed tomography a lytic lesion of that level, was hospitalized for pain control and study. The Magnetic Resonance came to discard the compression of noble parts. She was admitted for surgery due to vertebral instability and minimally invasive L2-L3-L5 posterolateral fixation was performed with transpedicular bars and screws, tissue biopsy and decompression with L4 partial facetectomy laminectomy. Surgery was uneventful and the patient was discharged 3 days after a complementary study of the disease. After 1 month, the patient showed clear improvement in pain and after half a year, the fixation was stable without instability or deformities. The patient was followed up by Orthopedics and Hematology. Plasmacytoma is an uncommon neoplasm and the main symptoms are low back pain, as in the case described. Radiotherapy is the treatment of choice, however surgery has been growing as an adjuvant and clinical improvement. This case demonstrates a unique treatment, not previously described with a percutaneous fixation with good results. plasmacytoma: Case Report.","PeriodicalId":73951,"journal":{"name":"Journal of spine research and surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69348129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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