Osteoplasty Research Paper

The spine is one of the most important structures in the human body. The spine is located in the dorsal cavity and consists of 24 bones, called vertebrae. These vertebrae play a crucial role in protected the body’s command center, the spinal cord. But what happens when a disorder prevents the spinal column from functioning correctly? Scoliosis is a musculoskeletal disorder that causes abnormal lateral curvature of the spine and it effects millions of people in the US per year. I have chosen this disorder because I am aspiring to become a chiropractor and scoliosis is a typical condition that chiropractors help treat on a daily basis.

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 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.

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

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

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.

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

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

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

Rehabilitative exercises and proper diet are the two thing involved in managing fractures and back pains. Doing some stretching and isometric exercises are also of great help in minimizing, if not totally eliminating, the

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

Depending on the severity of the curvature, different treatment methods are implemented to attack this abnormality of the spine. Although the effectiveness of using plastic back braces to deter the curvature is still to be determined, doctors still generally use this method for smaller curves. In recent years, doctors have been employing a minimally invasive surgical approach for larger curves, one that requires surgeons to only make a few small incisions along the spine, rather than the traditional two-foot incision along the spine. This technique is by far the most radical treatment since the first scoliosis surgery took place in the early 1900s.

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.

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

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