Christopher K. Scheer
Spinal injury, involving cracks to the spinal segment and Spinal Rope Injury (SCI), addresses a critical test for patients, clinicians, and medical care frameworks around the world. While the yearly rate of horrible spinal wounds is roughly 45–80 cases for every millions around the world, Low and Center Pay Nations (LMICs) experience up to 130 cases for each million.
Smith Protopsaltis
During the most recent a very long while, picture direction (IG) and automated helped (RA) frameworks have become progressively utilized for the exhibition of protected and powerful spinal medical procedure. Both are related with an underlying venture and expectation to absorb information yet can possibly expand the exactness of instrumentation, potentiate more productive and quicker medical procedure, use less intrusive careful methodologies, and lessening radiation exposure.
Julie Joseph
Cervical spine combination techniques have been profoundly effective in treating spondylitis; nonetheless, up to 25% of patients with great starting outcomes experience further degenerative adjoining section illness (ASD) inside 10 years. Regardless of whether these degenerative changes happen normally or by modified burden move across the adjoining circles is obscure. Albeit the etiology of ASD is no doubt multifactorial, changes in load sharing and segmental movement have been ensnared in its turn of events.
Hazem Ahmed, Frank Gosse`
Iliac screws are a biomechanically sound method for deformity correction and stabilization of a long multi-segment lumbar constructs, which are instrumented down to S1. There is disagreement about complications and the effect on the fusion rate. The aim of the study is to analyse the safety and outcome of iliac screws.
Maleho M. Maku*, Mandela Johnson Motsoari and MV Ngcelwane
DOI: 10.37421/ 2165-7939.22.11.529
Introduction: Venous Thromboembolism (VTE) can result in significant morbidity and mortality. Data indicate no significant change to the overall incidence and mortality from VTE. Incidence of Deep Venous Thrombosis (DVT) varies, it is as high as 80% in patients sustaining lower extremity trauma where prophylaxis is not used. All patients with delayed (>24 hours) presentation of an acute hip or femur fracture undergo preoperative Doppler ultrasound to rule out DVT. Preoperative DVT is shown to occur in as high as 9% to 62% of patients receiving prophylaxis. Despite all the attention given to preventing VTE in hospitalized trauma patients, still there are no strong evidence-based recommendations to guide the treating surgeon. The purpose of the present study was to establish the incidence of DVT in patients with delayed presentation after sustains long bone, pelvic and spine fractures.
Methods: A prospective observational study was performed over an 18-month period between November 2019 to May 2021. Data collected from patient’s hospital records. A chi square test with 4 degrees of freedom with a medium effect 0.30, an error probability α=0.10, and a power of 1- β=0.80, a sample size of 108 was required.
Results: A total of 90 patients were identified. Included in the study were 39 patients on whom Doppler studies were done, of these 22 were females (54%) and 17 were males (46%). Mean age of 76 years (30-90 yrs.). Low energy falls accounted for 30/39 (76.9%) with neck of femur fractures being the most common type at 25/39 (64.1%) followed by intertrochanteric fracture 8 (20.5%), One of the intertrochanteric fractures was a high energy fracture 1/39 (2.6%) and the other high energy fractures included the tibia fractures 4/39 (10.2%). None of these patients had a previous history of DVT. There were 4 patients (9.7%) diagnosed positive with a thrombus of which 2/4 (50%) were pre-operative DVT. Of the 4 positives with thrombus, 3/4 (75%) was in female patients, 1/4 (25%) was in a male patient. Mortality in this study was 2/39 (5.1%).
Conclusion: The incidence of deep venous thrombosis was identified as 10.6% in our population study group. Routine ultrasound screening in patients with delayed presentation to exclude deep venous thrombosis in asymptomatic patients may be deemed necessary.
DOI: 10.37421/2165-7939.2022.11.569
Due to their impact on the quality of life of thousands of patients and their burden on healthcare systems around the world, spine tumors are a significant social and medical issue. Tumors of the spine, which can be caused by a variety of conditions, necessitate prompt multidisciplinary treatment plans. The most common approaches include surgery, chemotherapy and radiotherapy, either alone or in a variety of combinations. Multidrug resistance, tumor recurrence, systemic adverse effects, invasiveness and the formation of large bone defects are just a few of the disadvantages of these conventional strategies, which limit their application and effectiveness. As a result, a lot of recent research has focused on finding better treatments that use cutting-edge technology to get around the problems with traditional treatments. In this context, the purpose of this paper is to describe the various types of spine tumors as well as the most common current treatment options. It will also go over the most recent advancements in anticancer nano formulations, personalized implants and improved surgical techniques.
Torment treatment for low back torment in pregnancy is an exceptionally skin issue. In point of fact, it is necessary to strike a balance between the patient's need to manage pain and the need to avoid harming the foetus during pregnancy. We report an instance of a 37-year-elderly person with low back torment treated with neuro stimulation before pregnancy. She described severe, persistent low back pain that did not respond to medication. After implanting a subcutaneous stimulator and a definitive stimulator, we were able to effectively manage the patient's pain. The woman was able to get pregnant as a result of the improvement in her quality of life. During the patient's pregnancy, we made the decision not to continue neuro stimulation. The patient had no problems during her pregnancy and the baby was born healthy. The pregnant woman only took paracetamol when she needed to. However, this anecdotal, painful symptomatology is not solely attributable to the previous spine issue; rather, it is probably also related to the changes that take place during pregnancy. The patient experienced no pain when the neuro stimulator was reactivated at the end of her pregnancy. This case study provides the first piece of evidence for a possible risk-free treatment for low back pain in pregnant women.
DOI: 10.37421/2165-7939.2022.11.571
DOI: 10.37421/2165-7939.2022.11.572
DOI: 10.37421/2165-7939.2022.11.573
Journal of Spine received 1579 citations as per Google Scholar report
