Journal of Spine

ISSN: 2165-7939

Open Access

Articles in press and Articles in process

    Editorial Pages: 1 - 1

    Spine Trauma in East Africa: Treatment

    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.

    Editorial Pages: 1 - 2

    Image Guidance and Robotics in Spinal Surgery

    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.

    Perspective Pages: 1 - 2

    Human Cadaveric Cervical Spines with Mature Fusion

    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.

      Research Article Pages: 1 - 5

      Spinopelvic fixation using iliac screws for adult spinal deformity: Radiographic and clinical analysis of 100 patients

      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.

        Research Article Pages: 1 - 6

        Delayed Presentation of Patients with Acute Long Bone Fractures, Pelvic and Spinal Fractures in a Tertiary Hospital-Incidence of Deep Venous Thrombosis

        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.

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Citations: 1579

Journal of Spine received 1579 citations as per Google Scholar report

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