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Fate Of Kyphosis In Tuberculosis Of Subaxial Cervical Spine Treated Non-Operatively / Aditya AGGARWAL in Acta Orthopaedica Belgica, Vol 80/4 (Décembre 2014)
[article]
Titre : Fate Of Kyphosis In Tuberculosis Of Subaxial Cervical Spine Treated Non-Operatively Type de document : texte imprimé Auteurs : Aditya AGGARWAL, Auteur Année de publication : 2014 Article en page(s) : p.451-456 Langues : Anglais (eng) Mots-clés : cervical spine tuberculosis kyphotic deformity non operative treatment Résumé : Study design : Retrospective study Objective : Observation of post treatment kyphotic angle in patient of cervical spine tuberculosis managed non operatively Background : The incidence of tuberculosis of cervical spine is about 6-9%. The most dreaded complications of spinal tuberculosis are neural involvement and spinal deformity. Due to destruction of the vertebra tuberculosis of spine usually leads to variable amount of kyphotic deformity. Methods : We retrospectively reviewed 13 patients with clinico-radiological diagnosis of cervical spine tuberculosis managed in our centre between 2004 to 2011. The patients were started on antitubercular therapy. Crutchfield tongs traction was applied 8 to 12 weeks followed by mobilization with four post collar. The kyphotic angles were measured by radiograph at presentation and last available follow up radiograph. Observations : The mean age of the patients was 20 years. C3-C4 vertebra was the most commonly involved area. One patient had single vertebra involvement, five patients had two vertebrae involvement, five patients had three vertebrae involvement and two patients had four vertebrae involvement. The average number of vertebrae involved was 2.6 vertebrae. 9 out of 13 patients had neural deficit at the time of initial presentation. The mean follow up was 21.23 months (12 to 42 months). All patients responded favorably and had neural recovery. At final follow up, 10 out of 13 patients had improvement in kyphotic angle, two patients had deterioration of kyphotic angle and one patient had no change in kyphotic angle. Only one patient had significant deterioration in kyphotic angle. Conclusion : Non operative treatment of cervical spine tuberculosis by initial traction and antitubercular therapy improves the pretreatment deformity irrespective of the number of vertebra involved. Permalink : ./index.php?lvl=notice_display&id=34663
in Acta Orthopaedica Belgica > Vol 80/4 (Décembre 2014) . - p.451-456[article] Fate Of Kyphosis In Tuberculosis Of Subaxial Cervical Spine Treated Non-Operatively [texte imprimé] / Aditya AGGARWAL, Auteur . - 2014 . - p.451-456.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol 80/4 (Décembre 2014) . - p.451-456
Mots-clés : cervical spine tuberculosis kyphotic deformity non operative treatment Résumé : Study design : Retrospective study Objective : Observation of post treatment kyphotic angle in patient of cervical spine tuberculosis managed non operatively Background : The incidence of tuberculosis of cervical spine is about 6-9%. The most dreaded complications of spinal tuberculosis are neural involvement and spinal deformity. Due to destruction of the vertebra tuberculosis of spine usually leads to variable amount of kyphotic deformity. Methods : We retrospectively reviewed 13 patients with clinico-radiological diagnosis of cervical spine tuberculosis managed in our centre between 2004 to 2011. The patients were started on antitubercular therapy. Crutchfield tongs traction was applied 8 to 12 weeks followed by mobilization with four post collar. The kyphotic angles were measured by radiograph at presentation and last available follow up radiograph. Observations : The mean age of the patients was 20 years. C3-C4 vertebra was the most commonly involved area. One patient had single vertebra involvement, five patients had two vertebrae involvement, five patients had three vertebrae involvement and two patients had four vertebrae involvement. The average number of vertebrae involved was 2.6 vertebrae. 9 out of 13 patients had neural deficit at the time of initial presentation. The mean follow up was 21.23 months (12 to 42 months). All patients responded favorably and had neural recovery. At final follow up, 10 out of 13 patients had improvement in kyphotic angle, two patients had deterioration of kyphotic angle and one patient had no change in kyphotic angle. Only one patient had significant deterioration in kyphotic angle. Conclusion : Non operative treatment of cervical spine tuberculosis by initial traction and antitubercular therapy improves the pretreatment deformity irrespective of the number of vertebra involved. Permalink : ./index.php?lvl=notice_display&id=34663 Exemplaires (1)
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Exclu du prêtIs the AO spine thoracolumbar injury classification system reliable and practical? a systematic review / Zion Hwang in Acta Orthopaedica Belgica, Vol.87/1 (Mars 2021)
[article]
Titre : Is the AO spine thoracolumbar injury classification system reliable and practical? a systematic review Type de document : texte imprimé Auteurs : Zion Hwang ; James Houston ; Evangelos M. Fragakis ; Christina Lupu ; Jason Bernard ; Tim Bishop ; Darren F. Lui Année de publication : 2021 Article en page(s) : p. 181-190 Note générale : https://doi.org/10.52628/87.1.23 Langues : Anglais (eng) Mots-clés : AOTLIC ATLICS AO spine thoraco-lumbar injury classification systematic review, reliability Résumé : Controversy surrounding the classification of thoracolumbar injuries has given rise to various classification systems over the years, including the most recent AOSpine Thoracolumbar Injury Classification System (ATLICS). This systematic review aims to provide an up-to-date evaluation of the literature, including assessment of a further three studies not analysed in previous reviews. In doing so, this is the first systematic review to include the reliability among non-spine subspecialty professionals and to document the wide variety between reliability across studies, particularly with regard to sub-type classification. Relevant studies were found via a systematic search of PubMed, EBESCO, Cochrane and Web of Science. Data extraction and quality assessment were conducted in line with Cochrane Collaboration guidelines. Twelve articles assessing the reliability of ATLICS were included in this review. The overall inter-observer reliability varied from fair to substantial, but the three additional studies in this review, compared to previous reviews, presented on average only fair reliability. The greatest variation of results was seen in A1 and B3 subtypes. Least reliably classified on average was A4 subtype. This systematic review concludes that ATLICS is reliable for the majority of injuries, but the variability within subtypes suggests the need for further research in assessing the needs of users in order to increase familiarity with ATLICS or perhaps the necessity to include more subtype-specific criteria into the system. Further research is also recommended on the reliability of modifiers, neurological classification and the application of ATLICS in a paediatric context. Permalink : ./index.php?lvl=notice_display&id=96603
in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 181-190[article] Is the AO spine thoracolumbar injury classification system reliable and practical? a systematic review [texte imprimé] / Zion Hwang ; James Houston ; Evangelos M. Fragakis ; Christina Lupu ; Jason Bernard ; Tim Bishop ; Darren F. Lui . - 2021 . - p. 181-190.
https://doi.org/10.52628/87.1.23
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 181-190
Mots-clés : AOTLIC ATLICS AO spine thoraco-lumbar injury classification systematic review, reliability Résumé : Controversy surrounding the classification of thoracolumbar injuries has given rise to various classification systems over the years, including the most recent AOSpine Thoracolumbar Injury Classification System (ATLICS). This systematic review aims to provide an up-to-date evaluation of the literature, including assessment of a further three studies not analysed in previous reviews. In doing so, this is the first systematic review to include the reliability among non-spine subspecialty professionals and to document the wide variety between reliability across studies, particularly with regard to sub-type classification. Relevant studies were found via a systematic search of PubMed, EBESCO, Cochrane and Web of Science. Data extraction and quality assessment were conducted in line with Cochrane Collaboration guidelines. Twelve articles assessing the reliability of ATLICS were included in this review. The overall inter-observer reliability varied from fair to substantial, but the three additional studies in this review, compared to previous reviews, presented on average only fair reliability. The greatest variation of results was seen in A1 and B3 subtypes. Least reliably classified on average was A4 subtype. This systematic review concludes that ATLICS is reliable for the majority of injuries, but the variability within subtypes suggests the need for further research in assessing the needs of users in order to increase familiarity with ATLICS or perhaps the necessity to include more subtype-specific criteria into the system. Further research is also recommended on the reliability of modifiers, neurological classification and the application of ATLICS in a paediatric context. Permalink : ./index.php?lvl=notice_display&id=96603 Exemplaires (1)
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Exclu du prêtLong-term follow-up of the anterior lumbar interbody fusion procedure / Dimitri Verbruggen in Acta Orthopaedica Belgica, Vol. 81/3 (Septembre 2015)
[article]
Titre : Long-term follow-up of the anterior lumbar interbody fusion procedure Type de document : texte imprimé Auteurs : Dimitri Verbruggen, Auteur ; Thomas TAMPERE, Auteur ; Dirk UYTTENDAELE, Auteur Année de publication : 2015 Article en page(s) : p.546-552 Langues : Anglais (eng) Mots-clés : Spine lumbar spine interbody fusion outcome low back pain Résumé : Purpose: To evaluate the long-term clinical results and the effectiveness of the anterior lumbar interbody fusion procedure.
Methods: Between 1999 and 2005, 60 ALIFs were performed in 59 patients. Mean age was 41.1 years.
Clinically, patients were evaluated at a mean followup of 9.5 years using the Visual Analogue Scale grading scale, the Oswestry Disability score and the SF-36 questionnaire.
Results: Preoperative and postoperative clinical evaluation scores of 38 patients were available. Nineteen patients were lost to follow-up, and 2 patients died during the follow-up. The fusion rate was 84%. Mean preoperative VAS-score for back pain was 6.69 (± 2.15); in the long term, the mean VAS-score was 4.95 (± 2.95), which was a significant improvement. (p < 0.01). The postoperative ODI-score was 36.11 (± 22.32), while the preoperative ODI-score was 59.31 (± 17.16), which demonstrates a significant improvement. According to the SF-36, mild to good results were observed.
Conclusions: The ALIF procedure can offer significant pain relief and improved function if a strict indication policy is followed.Permalink : ./index.php?lvl=notice_display&id=40932
in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.546-552[article] Long-term follow-up of the anterior lumbar interbody fusion procedure [texte imprimé] / Dimitri Verbruggen, Auteur ; Thomas TAMPERE, Auteur ; Dirk UYTTENDAELE, Auteur . - 2015 . - p.546-552.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.546-552
Mots-clés : Spine lumbar spine interbody fusion outcome low back pain Résumé : Purpose: To evaluate the long-term clinical results and the effectiveness of the anterior lumbar interbody fusion procedure.
Methods: Between 1999 and 2005, 60 ALIFs were performed in 59 patients. Mean age was 41.1 years.
Clinically, patients were evaluated at a mean followup of 9.5 years using the Visual Analogue Scale grading scale, the Oswestry Disability score and the SF-36 questionnaire.
Results: Preoperative and postoperative clinical evaluation scores of 38 patients were available. Nineteen patients were lost to follow-up, and 2 patients died during the follow-up. The fusion rate was 84%. Mean preoperative VAS-score for back pain was 6.69 (± 2.15); in the long term, the mean VAS-score was 4.95 (± 2.95), which was a significant improvement. (p < 0.01). The postoperative ODI-score was 36.11 (± 22.32), while the preoperative ODI-score was 59.31 (± 17.16), which demonstrates a significant improvement. According to the SF-36, mild to good results were observed.
Conclusions: The ALIF procedure can offer significant pain relief and improved function if a strict indication policy is followed.Permalink : ./index.php?lvl=notice_display&id=40932 Exemplaires (1)
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Exclu du prêtSpondylodiscite lombaire chez un chat maine coon / Pierre Guigo in Le Point vétérinaire Expert Canin, 404 (Avril 2020)
[article]
Titre : Spondylodiscite lombaire chez un chat maine coon Type de document : texte imprimé Auteurs : Pierre Guigo ; Maureen Lazard ; Marine Lafarge ; Marion Fusellier Année de publication : 2020 Article en page(s) : p. 56-62 Langues : Français (fre) Mots-clés : Spondylodiscitis spine cat ataxia magnetic resonance imaging Résumé : La spondylodiscite, bien connue chez le chien, est rare chez le chat. Ce cas original illustre la prise en charge diagnostique et thérapeutique de cette affection.
Résumé
→ Une chatte maine coon stérilisée, âgée de 10 ans, est présentée pour une ataxie et une faiblesse des membres pelviens qui évoluent depuis trois semaines. Les examens d’imagerie permettent de diagnostiquer une spondylodiscite centrée sur l’espace intervertébral L1-L2. L’agent infectieux en cause n’est pas identifié en raison de l’inaccessibilité des lésions. Un traitement symptomatique et antibiotique probabiliste permet la disparition des signes cliniques. Ce cas est singulier car la spondylodiscite est une affection très rare chez le chat. Seuls quelques cas sont recensés dans les publications. Cet article illustre la prise en charge diagnostique et thérapeutique des spondylodiscites chez les carnivores domestiques, tout en mettant en évidence les particularités de cette affection chez le chat.Permalink : ./index.php?lvl=notice_display&id=86014
in Le Point vétérinaire Expert Canin > 404 (Avril 2020) . - p. 56-62[article] Spondylodiscite lombaire chez un chat maine coon [texte imprimé] / Pierre Guigo ; Maureen Lazard ; Marine Lafarge ; Marion Fusellier . - 2020 . - p. 56-62.
Langues : Français (fre)
in Le Point vétérinaire Expert Canin > 404 (Avril 2020) . - p. 56-62
Mots-clés : Spondylodiscitis spine cat ataxia magnetic resonance imaging Résumé : La spondylodiscite, bien connue chez le chien, est rare chez le chat. Ce cas original illustre la prise en charge diagnostique et thérapeutique de cette affection.
Résumé
→ Une chatte maine coon stérilisée, âgée de 10 ans, est présentée pour une ataxie et une faiblesse des membres pelviens qui évoluent depuis trois semaines. Les examens d’imagerie permettent de diagnostiquer une spondylodiscite centrée sur l’espace intervertébral L1-L2. L’agent infectieux en cause n’est pas identifié en raison de l’inaccessibilité des lésions. Un traitement symptomatique et antibiotique probabiliste permet la disparition des signes cliniques. Ce cas est singulier car la spondylodiscite est une affection très rare chez le chat. Seuls quelques cas sont recensés dans les publications. Cet article illustre la prise en charge diagnostique et thérapeutique des spondylodiscites chez les carnivores domestiques, tout en mettant en évidence les particularités de cette affection chez le chat.Permalink : ./index.php?lvl=notice_display&id=86014 Exemplaires
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