Osteoplasty Research Paper

The subchondral-sparring group were operated during 2010-2013 and consisted of 179 patients. Other than different mean follow-up period, there was no significant difference regarding patient demographics. There were 5 tibia-related complications (3 gross component subsidence and loosening and 2 tibial plateau fracture). All these complications were detected within 6 months after index surgery. One patient with subsidence and 2 patients with fracture required revision to TKA. There were no tibia-related complication in subchondral-sparring group. The incidence of tibia-related complication between the two groups are statistically significant. (Fisher exact test, 5/166 VS 0/179; p=0.025). There was no femur-related complication. Two patients in measure-resection group require revision to TKA due to progression of disease in lateral compartment at 5 and 7 years post-op. Clinical outcomes at 2-year when excluding cases with complications were similar in both

Surgery is generally indicated for patients who have displaced or unstable fractures and patients who will not tolerate cast immobilization. There is currently an increasing trend for immediate surgical fixation for both displaced and undisplaced fractures, mainly due to the short term benefits,

The most recent procedure E.P. received was kyphoplasty of his L1 and L3 vertebrae. Kyphoplasty is a treatment for compression fractures of the vertebrae, a condition commonly caused by osteoporosis. Osteoporosis affects 10 million Americans, and approximately 2,000,000 of these are men. An estimated 750,000 people are affected by compression fracture annually. While most of these are women, compression fracture is also a concern for elderly men. Compression fracture signs and symptoms include kyphosis, or hump-back distortion of the vertebral column, and back pain. (“Compression Fractures”, 2013) Common compression fractures are wedge fractures, which E.P. has in his L1 and L3 vertebrae. These were diagnosed by an 02/06 X-Ray. On 02/19, E.P. had a CT scan without contrast, confirming the X-Ray results. The results of the scan and X-Ray were as follows: “severe wedge compression fracture deformity with near vertebral plana at L3 and a moderate wedge

How a traumatic spondylolisthesis will affect the chiropractic care for the patient will depend on the severity of the fracture, and potential instability of the posterior elements. In the example of a traumatic spondylolisthesis of C2, also known as a Hangman’s fracture, there are C1 fractures involved in 25 % of the cases. So it’s not only about the instability of the fractured segment, but we do also have to consider other injuries that might have occurred. There may or may not be any neurological signs present with this type of injury, so a specific diagnosis will be inaccurate without the use of images. Again, in the case of a Hangman’s fracture, look for extension of the fracture into the transverse foramen. If this is present, care must be taken in regards of potential vertebral artery injuries, and a rotatory break manipulation may not be appropriate. Depending on the severity of the pars-fracture and the structures surrounding the functional spinal unit, there may be some degree of anteriolisthesis present. If so, care should be taken on adjusting that functional unit with a strong P-A vector, and it might be more appropriate to focus

The results of this study show that both treatment interventions are just as effective in pain reduction and increased spinal mobility following a single treatment. A post boc correlation (relationship between variables) analysis was performed in order to explore the relationship between changes in pain and lumbar extension motion. Researchers analyzed the relationship between an increase in motion and decrease in pain for this study.

Once doctors have diagnosed a patient with scoliosis and have determined the severity, they will begin treatment. There are three main categories of treatment: observation, bracing, and surgery (Davis, 2017). Nonstructural scoliosis can be treated with indirect treatment of the spine. An example of this may be putting a wedge in the shoe of a patient in hopes of evening their leg length, thus causing the spine to correct itself. The majority of people with structural scoliosis, which is incurable, will need surgery in order to lessen the curvature of their spine since observation and bracing is usually insufficient (Davis,

Kyphosis is a forward adjusting of the back. Normally has a forward curve of 20 to 40 degrees. Some adjusting is typical, however the expression "kyphosis" for the most part relates to a misrepresented adjusting of the back. While kyphosis can happen at any age, it's most regular in more older women. Age-related kyphosis frequently happens after osteoporosis debilitates spinal issues that remains to be worked out point that they split. Different sorts of kyphosis are found in newborn children or young children because of mutation of the spine or wedging of the spinal bones after some time. A kind of kyphosis that happens in youthful teens is known as Scheuermann’s disease. It is brought on by the wedging together of a few bones of the spine (vertebrae) consecutively. The reason for this condition is still unknown. One specific kind of kyphosis is Scheuermann's kyphosis, otherwise called Scheuermann's ailment. A radiologist initially found Scheuermann's in the mid-1920s, and the condition is named after him. Scheuermann's kyphosis is described by wedge-molded vertebrae that cause the thoracic spine to bend forward excessively.

The purpose of this study was to observe the differences between various types of cervical corpectomies (CE) in order to address biomechanical variations for those who undergo such surgeries due to cervical myelopathy, involving removal of parts of the cervical spine as well as implantation of screws and a mesh-cage with various levels, ranging from 1 to 3 in which a Titanium Mesh-Cage (TMC) of various sizes was inserted and was assessed with the aid of a spine simulator in which a three dimensional motion analysis system was used to obtain changes in ROM, as well as flexibility in order to address biomechanical differentiation between each level in regards to flexion and extension (FE), lateral bending (LB), and axial rotation (AR). CE was performed on twelve cadavers cervical spines where tests conducted were obtained for anterior-only instrumentation, as well as

Due to revolution in diagnostic and therapeutic modalities limb salvage became the mainstay of treatment of bone tumors rather than amputation [1].Modular endoprosthesis have been the most accepted option for reconstruction of bone defects after tumour resection as a result of their functional and emotional acceptance [2].The Drawbacks of these types of reconstruction are their survival that is not coinciding with the higher survival rates of bone malignant tumor patients [3, 4]. Most important factors leading to decrease prosthesis survival is loosening and failure of fixation mechanism [5].Novel fixation mechanism is combination of increasing compressive force on the diaphysial cut ends to promote osseointegration and bone hypertrophy to

According to (Katzman W.2010)there is shortage of medical intervention for patients with thoracic kyphosis,while other sources claims that surgery is necessary when subject is having uncontrolled neurological pain,cardiac or lungs problem.

Introduction I. What is idiopathic scoliosis? II. Idiopathic scoliosis is the most common type of spinal deformity confronting orthopedic surgeons. III.

Because patient selection for surgery can be quite challenging and narcotic intake is at its high, interventional pain management is a great alternative for pain relief. With the use of fluoroscopic guidance, a physician can diagnose and treat a problem that a patient may be having. Determining whether the patient’s pain is radicular or somatic is the first key to creating an appropriate treatment plan as shown in figure 1 (J. Iannucccili, E. Prince, & G. Soares, 2013, p. 308). The treatment plan must consider the procedure needed, the techniques used per procedure, and the efficacy of each procedure. This article will review each topic for the most common back pain

Any type of bone fracture, whether it is serious or not so serious, needs proper and immediate medical attention. The moment you experience recurring back pain, consulting your doctor is also essential to accurately and immediately determine the cause and identify proper treatment/s. If you have experienced back pain which runs down the legs, which also comes along with numbness and tingling sensations, might as well consult your doctor. These are just a few of the common flags of possibly more serious conditions or

The human spine is a medical marvel of sorts, which is not only responsible for helping us to move or lift things, but to bare our body weight, and preserve a normal body alignment. It’s impossible to exist without a spine. Scoliosis is defined as the curvature of the spine and although it isn’t specifically considered a disease, it is very serious complication resulting from a multitude of different symptoms with no definite known cause. Fortunately, with the passing of time, and development of new technologies doctors are now treating this debilitating condition in numerous ways. We will explore the different technologies caregivers are currently using to fix this malformation using studies and articles written by doctors treating this

SPECIFIC AIMS: This project focuses on the elimination of a revision surgery by aiming at restoration of sagittal balance, appropriate deformity correction and advanced lumbosacral fixation in a patient with scoliosis. Adult scoliosis with intended fusion stopping in the lumbar spine is characterized by increased rigidity and lower rates of spontaneous correction of the unfused fractional curves.[1]. Residual wedging of the lowest instrumented vertebra (LIV) can increase the risk of and accelerate adjacent segment degeneration, adding-on and revision surgery due to mechanical degeneration decompensation of the mobile lumbar segments. Scoliosis surgery stabilizes and corrects only the affected areas of the spine. After surgery and over