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  1 / 9927 MEDLINE  
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[PMID]:28459281
[Au] Autor:Hides JA; Walsh JC; Smith MMF; Mendis MD
[Ad] Endereço:Centre for Musculoskeletal Research, Mary MacKillop Institute for Health Research, Australian Catholic University, Brisbane, Australia.
[Ti] Título:Self-Managed Exercises, Fitness and Strength Training, and Multifidus Muscle Size in Elite Footballers.
[So] Source:J Athl Train;52(7):649-655, 2017 Jul.
[Is] ISSN:1938-162X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:CONTEXT: Low back pain (LBP) and lower limb injuries are common among Australian Football League (AFL) players. Smaller size of 1 key trunk muscle, the lumbar multifidus (MF), has been associated with LBP and injuries in footballers. The size of the MF muscle has been shown to be modifiable with supervised motor-control training programs. Among AFL players, supervised motor-control training has also been shown to reduce the incidence of lower limb injuries and was associated with increased player availability for games. However, the effectiveness of a self-managed MF exercise program is unknown. OBJECTIVE: To investigate the effect of self-managed exercises and fitness and strength training on MF muscle size in AFL players with or without current LBP. DESIGN: Cross-sectional study. SETTING: Professional AFL context. PATIENTS OR OTHER PARTICIPANTS: Complete data were available for 242 players from 6 elite AFL clubs. INTERVENTION(S): Information related to the presence of LBP and history of injury was collected at the start of the preseason. At the end of the preseason, data were collected regarding performance of MF exercises as well as fitness and strength training. Ultrasound imaging of the MF muscle was conducted at the start and end of the preseason. MAIN OUTCOME MEASURE(S): Size of the MF muscles. RESULTS: An interaction effect was found between performance of MF exercises and time (F = 13.89, P ≤ .001). Retention of MF muscle size was greatest in players who practiced the MF exercises during the preseason (F = 4.77, P = .03). Increased adherence to fitness and strength training was associated with retained MF muscle size over the preseason (F = 5.35, P = .02). CONCLUSIONS: Increased adherence to a self-administered MF exercise program and to fitness and strength training was effective in maintaining the size of the MF muscle in the preseason.
[Mh] Termos MeSH primário: Traumatismos em Atletas/prevenção & controle
Terapia por Exercício/métodos
Futebol Americano/fisiologia
Região Lombossacral/fisiologia
Músculos Paraespinais/fisiologia
Treinamento de Resistência/métodos
[Mh] Termos MeSH secundário: Adulto
Austrália
Estudos Transversais
Feminino
Futebol Americano/lesões
Seres Humanos
Dor Lombar/prevenção & controle
Masculino
Ultrassonografia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.4085/1062-6050-52.3.13


  2 / 9927 MEDLINE  
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[PMID]:29465567
[Au] Autor:Zhao X; Zhao J; Guan J; Zeng J; Han C; He Y; Zhou T; Chen C; Xie Y
[Ad] Endereço:Shanghai Key Laboratory of Orthopedic Implant, Department of Orthopaedic Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, PR of China.
[Ti] Título:Measurement of the nerve root of the lower lumbar region using digital images.
[So] Source:Medicine (Baltimore);97(8):e9848, 2018 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The purpose of this study was to evaluate the relationship between the nerve root of lower lumbar and the surrounding structures using three-dimensional computed tomography (3D CT).Twenty-three consecutive patients with thoracolumbar fractures without obvious radiological degeneration were retrospectively studied at the spinal surgery department of the hospital. The parameters of the relationship between the nerve root of the lower lumbar and the surrounding structures were measured using 3D CT in the work station of the picture archiving and communication system.The size of the dorsal root ganglion (DRG) of the L4 was 5.5 ±â€Š0.4 mm on the right side and 5.8 ±â€Š0.3 mm on the left side. The size of the DRG of the L5 was 6.1 ±â€Š0.5 mm on the right side and 5.7 ±â€Š0.4 mm on the left side. The value of the preganglionic nerve root of the L4 was 11.2 ±â€Š0.6 mm on the right side and 12.3 ±â€Š0.8 mm on the left side, and the value of the preganglionic nerve root of the L5 was 15.1 ±â€Š1.1 mm on the right side and 14.9 ±â€Š0.9 mm on the left side.Using 3D CT imaging constructed in the picture archiving and communication system is a practical and convenient method for evaluating the relationship between the nerve root and the surrounding structures in the routine clinical work of a spinal surgeon. The data obtained through 3D CT imaging will be helpful for surgeons, allowing them to become more familiar with correlating anatomical knowledge of individual patient.
[Mh] Termos MeSH primário: Imagem Tridimensional
Região Lombossacral/diagnóstico por imagem
Raízes Nervosas Espinhais/diagnóstico por imagem
Tomografia Computadorizada por Raios X/métodos
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Região Lombossacral/anatomia & histologia
Masculino
Meia-Idade
Estudos Retrospectivos
Raízes Nervosas Espinhais/anatomia & histologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180222
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009848


  3 / 9927 MEDLINE  
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[PMID]:28466022
[Au] Autor:Wan Q; Wu S; Li X; Lin C; Ke S; Liu C; Xin W; Ma C
[Ad] Endereço:Pain Treatment Centre of Department of Rehabilitation Medicine, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong Province, China.
[Ti] Título:Ultrasonography-Guided Lumbar Periradicular Injections for Unilateral Radicular Pain.
[So] Source:Biomed Res Int;2017:8784149, 2017.
[Is] ISSN:2314-6141
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:. The aim of this study was to compare the accuracy and efficacy of sonographically guided lumbar periradicular injections through in-plane or out-of-plane approach techniques for patients with unilateral lower lumbar radicular pain. The feasibility and accuracy of these techniques were studied by means of computed tomography (CT). . A total of 46 patients with chronic unilateral lumbar radicular pain were recruited and randomly assigned to either the in-plane or out-of-plane injection group. A mixture of 3 mL 1% lidocaine and 7 mg betamethasone was injected. The visual analog scale (VAS) was used to assess pain before and after treatment. . The pain intensity, as measured by VAS, significantly decreased in both in-plane and out-of-plane injection groups. . The sonographically guided periradicular injections are feasible and effective in treating lumbar unilateral radicular pain.
[Mh] Termos MeSH primário: Lidocaína/administração & dosagem
Dor Lombar/tratamento farmacológico
Medição da Dor/métodos
Ultrassonografia de Intervenção/métodos
[Mh] Termos MeSH secundário: Idoso
Feminino
Seres Humanos
Dor Lombar/diagnóstico por imagem
Dor Lombar/patologia
Região Lombossacral/diagnóstico por imagem
Região Lombossacral/patologia
Masculino
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
98PI200987 (Lidocaine)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.1155/2017/8784149


  4 / 9927 MEDLINE  
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[PMID]:29390579
[Au] Autor:Yin XH; Liu ZK; He BR; Hao DJ
[Ad] Endereço:Department of Spine Surgery, Hong Hui Hospital, Xi'an Jiaotong University College of Medicine, Xi'an, China.
[Ti] Título:Single posterior surgical management for lumbosacral tuberculosis: titanium mesh versus iliac bone graft: A retrospective case-control study.
[So] Source:Medicine (Baltimore);96(51):e9449, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Recently, the one-stage posterior approach for treating spinal tuberculosis (TB) has gained popularity. However, large bony defects after debridement remain a major challenge in posterior surgery. The present retrospective study aims to compare the clinical outcomes of posterior-only surgical management by titanium mesh versus iliac bone grafts for treating lumbosacral TB. This was a retrospective cohort study. From January 2006 to April 2012, 36 patients with lumbosacral TB were treated at our department. The 36 cases were divided into 2 groups: 17 patients in Group A (titanium mesh) underwent one-stage posterior internal fixation, debridement, and titanium mesh bone fusion. The 19 patients in Group B (iliac bone graft) underwent posterior instrumentation, debridement, and iliac bone graft in a single procedure. The clinical and radiographic results for the 2 groups were analyzed and compared. The mean year of patients was 49.9 ±â€Š15.4 months in group A and 55.5 ±â€Š12.6 months in group B. All patients were followed up for an average of 47.3 ±â€Š8.1 months (range 36-60 months). Spinal TB was completely cured and no intraspinal infection and central nervous system complications of TB infection occurred. Bone fusion was achieved 6.4 ±â€Š1.9 months in group A and 7.8 ±â€Š2.1 months in group B. There was no significant statistical difference in bone fusion between the 2 groups (P > .05). The Oswestry Disability Index score (ODI) significantly improved between the preoperative and the last visit in either group. However, no significant difference was observed between the 2 groups at last visit (P > .05). There were significant differences between groups regarding the postoperative lumbosacral angle and angle correction loss at the final follow-up (P < .05). The average operative complication rate of Group A was less than that of Group B. Both iliac bone and titanium mesh can effectively construct anterior column defects in posterior surgery. The titanium mesh has the advantage of minor surgical invasion, effective reconstruction of large defects, and ideal sagittal alignment in lumbosacral TB for patients with osteoporosis and poor iliac bone quality.
[Mh] Termos MeSH primário: Transplante Ósseo/métodos
Ílio/transplante
Região Lombossacral/cirurgia
Telas Cirúrgicas
Tuberculose da Coluna Vertebral/cirurgia
[Mh] Termos MeSH secundário: Transplante Ósseo/instrumentação
Estudos de Casos e Controles
Feminino
Seres Humanos
Vértebras Lombares/microbiologia
Vértebras Lombares/cirurgia
Região Lombossacral/microbiologia
Masculino
Meia-Idade
Estudos Retrospectivos
Sacro/microbiologia
Sacro/cirurgia
Titânio
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
D1JT611TNE (Titanium)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180212
[Lr] Data última revisão:
180212
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009449


  5 / 9927 MEDLINE  
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[PMID]:29074335
[Au] Autor:Jeffery ND; Harcourt-Brown TR; Barker AK; Levine JM
[Ad] Endereço:Department of Small Animal Clinical Sciences, Texas A&M University, 4474 TAMU, College Station, TX 77843, USA. Electronic address: njeffery@cvm.tamu.edu.
[Ti] Título:Choices and Decisions in Decompressive Surgery for Thoracolumbar Intervertebral Disk Herniation.
[So] Source:Vet Clin North Am Small Anim Pract;48(1):169-186, 2018 Jan.
[Is] ISSN:1878-1306
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Once decompressive surgery has been elected, the approach that maximizes the likelihood of gaining access to the herniated material for complete removal should be chosen. In most cases, a procedure that optimizes access to the ventrolateral aspect of the spinal cord will be advantageous but it is important to tailor the details of the surgical procedure to suit individual patients. Decompressive surgery for chronic (type II) herniations will frequently demand a ventral approach with partial corpectomy.
[Mh] Termos MeSH primário: Doenças do Cão/cirurgia
Deslocamento do Disco Intervertebral/veterinária
Laminectomia/veterinária
Região Lombossacral/cirurgia
Compressão da Medula Espinal/veterinária
Medula Espinal/cirurgia
[Mh] Termos MeSH secundário: Animais
Tomada de Decisões
Doenças do Cão/diagnóstico por imagem
Cães
Deslocamento do Disco Intervertebral/diagnóstico por imagem
Deslocamento do Disco Intervertebral/cirurgia
Laminectomia/métodos
Compressão da Medula Espinal/diagnóstico por imagem
Compressão da Medula Espinal/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171222
[Lr] Data última revisão:
171222
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171028
[St] Status:MEDLINE


  6 / 9927 MEDLINE  
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[PMID]:28964545
[Au] Autor:Ruoff CM; Kerwin SC; Taylor AR
[Ad] Endereço:Department of Large Animal Clinical Sciences, College of Veterinary Medicine & Biomedical Sciences, Texas A&M University, College Station, TX 77843-4475, USA.
[Ti] Título:Diagnostic Imaging of Discospondylitis.
[So] Source:Vet Clin North Am Small Anim Pract;48(1):85-94, 2018 Jan.
[Is] ISSN:1878-1306
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Discospondylitis can affect dogs of any age and breed and may be seen in cats. Although radiography remains the gold standard, advanced imaging, such as CT and MRI, has benefits and likely allows earlier diagnosis and identification of concurrent disease. Because discospondylitis may affect multiple disk spaces, imaging of the entire spine should be considered. There is a lengthening list of causative etiologic agents, and successful treatment hinges on correct identification. Image-guided biopsy should be considered in addition to blood and urine cultures and Brucella canis screening and as an alternative to surgical biopsy in some cases.
[Mh] Termos MeSH primário: Doenças do Cão/diagnóstico por imagem
Espondilite/veterinária
[Mh] Termos MeSH secundário: Animais
Anti-Infecciosos/uso terapêutico
Doenças do Gato
Gatos
Diagnóstico Diferencial
Doenças do Cão/tratamento farmacológico
Doenças do Cão/microbiologia
Cães
Região Lombossacral/diagnóstico por imagem
Osteomielite/veterinária
Fatores de Risco
Espondilite/diagnóstico por imagem
Espondilite/tratamento farmacológico
Espondilite/microbiologia
Vértebras Torácicas/diagnóstico por imagem
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Anti-Infective Agents)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171222
[Lr] Data última revisão:
171222
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171002
[St] Status:MEDLINE


  7 / 9927 MEDLINE  
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[PMID]:29069034
[Au] Autor:Li Y; Wang G; Jiang Z; Cui X; Li T; Liu X; Zhang W; Sun J
[Ad] Endereço:aAnatomical Institute of Minimally Invasive Surgery, Southern Medical University, Guangzhou bDepartment of Spine, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, Shandong Province, China.
[Ti] Título:One-stage posterior excision of lumbosacral hemivertebrae: Retrospective study of case series and literature review.
[So] Source:Medicine (Baltimore);96(43):e8393, 2017 Oct.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Lumbosacral hemivertebrae causes unique problems as early trunk decompensation and long compensatory curve above. There are only a few reports on it. This case series is a fair supplement in the literatures.To evaluate the clinical and radiological outcomes of lumbosacral hemivertebrae resection through 1-stage posterior approach.Between 2005 and 2014, a consecutive series of congenital scoliosis due to lumbosacral hemivertebrae underwent hemivertebrae excision through 1-stage posterior only approach. Demographic, operative, radiological, and quality of life data were reviewed.The mean lumbosacral curve was 29 ±â€Š7° preoperatively, 10 ±â€Š3° postoperatively, and 13 ±â€Š5° at the final follow up. The final correction rate was 55 ±â€Š9%. The gravity trunk shift was 11 ±â€Š3 mm preoperatively, 37 ±â€Š12 mm (range, 6-49 mm) postoperatively, 14 ±â€Š9 mm at final follow up. The rib cage shift was 36 ±â€Š12 mm preoperatively, 19 ±â€Š5 mm postoperatively, and 15 ±â€Š4 mm at the final follow up. The mean blood loss was 527 ±â€Š125 mL and the mean surgery time was 336 ±â€Š98 minutes. The mean follow up period was 41 ±â€Š6 months. Two patients underwent transient neurological complications, 2 had wound bad healing, and 1 got wound infection. No pseudoarthrosis and instrumentation failure was observed.One-stage posterior hemivertebrae excision could gain reasonable outcome. It is crucial to completely resect the hemivertebrae and the Y-shaped disc. Bending the rod to appropriate lordosis is helpful to close the convex side. Early surgical intervene is a preferred choice to restore the trunk balance and avoid extensive fusion. The neurological complication rate is high. Convex radiculopathy is often caused by retraction, it could recover at follow up.
[Mh] Termos MeSH primário: Doenças do Desenvolvimento Ósseo/cirurgia
Discotomia/métodos
Vértebras Lombares/anormalidades
Região Lombossacral/anormalidades
Escoliose/cirurgia
[Mh] Termos MeSH secundário: Doenças do Desenvolvimento Ósseo/congênito
Criança
Pré-Escolar
Feminino
Seguimentos
Seres Humanos
Vértebras Lombares/cirurgia
Região Lombossacral/cirurgia
Masculino
Estudos Retrospectivos
Escoliose/congênito
Resultado do Tratamento
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171123
[Lr] Data última revisão:
171123
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171026
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008393


  8 / 9927 MEDLINE  
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[PMID]:28885083
[Au] Autor:Ravindra VM; Christensen MT; Onwuzulike K; Smith JT; Halvorson K; Brockmeyer DL; Walker ML; Bollo RJ
[Ad] Endereço:Division of Pediatric Neurosurgery, Department of Neurosurgery; and.
[Ti] Título:Risk factors for progressive neuromuscular scoliosis requiring posterior spinal fusion after selective dorsal rhizotomy.
[So] Source:J Neurosurg Pediatr;20(5):456-463, 2017 Nov.
[Is] ISSN:1933-0715
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE Selective dorsal rhizotomy (SDR) via limited laminectomy is an effective treatment of lower-extremity spasticity in the pediatric population. Children with spasticity are also at risk for neuromuscular scoliosis; however, specific risk factors for progressive spinal deformity requiring posterior spinal fusion (PSF) after SDR are unknown. The authors' goal was to identify potential risk factors. METHODS The authors performed a retrospective cohort study of patients who underwent SDR via limited laminectomy between 2003 and 2014 and who had at least 1 year of follow-up. They analyzed demographic, clinical, and radiographic variables to elucidate risk factors for progressive neuromuscular scoliosis. The primary outcome was need for PSF. RESULTS One hundred thirty-four patients underwent SDR and had at least 12 months of follow-up (mean 65 months); 48 patients (36%) had detailed pre- and postoperative radiographic data available. The mean age at surgery was 10 years (SD 5.1 years). Eighty-four patients (63%) were ambulatory before SDR, 109 (82%) underwent a single-level laminectomy, and a mean of 53% of the dorsal rootlets from L-1 to S-1 were sectioned. Fifteen patients (11.2%) subsequently required PSF for progressive deformity. Nonambulatory status (p < 0.001) and a preoperative Cobb angle > 30° (p = 0.003) were significantly associated with PSF on univariate analysis, but no statistically significant correlation was found with any clinical or radiographic variable and PSF after SDR on multivariate regression analysis. CONCLUSIONS Patients with preoperative nonambulatory status and Cobb angle > 30° may be at risk for progressive spinal deformity requiring PSF after SDR. These are well-known risk factors for progressive deformity in children with spasticity in general. Although our analysis suggests SDR via limited laminectomy may not significantly accelerate the development of neuromuscular scoliosis, further case-control studies are critical to elucidate the impact of SDR on spinal deformity.
[Mh] Termos MeSH primário: Espasticidade Muscular/cirurgia
Complicações Pós-Operatórias/etiologia
Complicações Pós-Operatórias/cirurgia
Rizotomia
Escoliose/etiologia
Fusão Vertebral
[Mh] Termos MeSH secundário: Criança
Progressão da Doença
Feminino
Seguimentos
Seres Humanos
Laminectomia
Região Lombossacral
Masculino
Análise Multivariada
Complicações Pós-Operatórias/diagnóstico por imagem
Estudos Retrospectivos
Fatores de Risco
Escoliose/diagnóstico por imagem
Escoliose/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170909
[St] Status:MEDLINE
[do] DOI:10.3171/2017.5.PEDS16630


  9 / 9927 MEDLINE  
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[PMID]:28726652
[Au] Autor:Krynytska I; Marushchak M; Zaets T; Savchenko I; Habor H
[Ad] Endereço:I. Horbachevsky Ternopil State Medical University, Ukraine.
[Ti] Título:INVESTIGATION OF BONE MINERALIZATION IN PATIENTS WITH CORONARY HEART DISEASE COMPLICATED BY CHRONIC HEART FAILURE, STAGE II-A.
[So] Source:Georgian Med News;(267):43-48, 2017 Jun.
[Is] ISSN:1512-0112
[Cp] País de publicação:Georgia (Republic)
[La] Idioma:eng
[Ab] Resumo:The majority of the studies have shown that individuals with cardiovascular diseases have a higher risk of experiencing bone loss and thus greater predisposition to risk of fracture. On the other hand there is growing evidence that individuals with low bone mass have higher mortality for cardiovascular events compared to patients with cardiovascular disease with normal bone mass. This research aims to investigate bone mineralization in patients with coronary heart disease complicated by stage II-A chronic heart failure. The study involved 33 men with coronary heart disease complicated by Stage II-A chronic heart failure. Bone mineral density was measured using dual energy x-ray densitometry of lumbar region of spine. Structural and functional changes of bone tissue of the lumbar spine have been found in 49,2% patients with coronary heart disease complicated by Stage II-A chronic heart failure, in particular, I stage of osteopenia - in 44,6%, II stage of osteopenia - in 27,7%, III stage of osteopenia - in 10,8% and osteoporosis - in 16,9%. It was established the same type of downward trend for BMD decreasing in L1 of patients with different stages of osteopenia, but in case of osteoporosis mineralization decreased equally in all vertebrae.
[Mh] Termos MeSH primário: Calcificação Fisiológica
Doença das Coronárias/fisiopatologia
Insuficiência Cardíaca/fisiopatologia
[Mh] Termos MeSH secundário: Idoso
Densidade Óssea
Estudos de Casos e Controles
Doença Crônica
Doença das Coronárias/complicações
Insuficiência Cardíaca/complicações
Seres Humanos
Região Lombossacral
Masculino
Meia-Idade
Coluna Vertebral/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170919
[Lr] Data última revisão:
170919
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170721
[St] Status:MEDLINE


  10 / 9927 MEDLINE  
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[PMID]:28658103
[Au] Autor:Wang WJ; Chen WK; Yan YG; Yao NZ; Wang C
[Ad] Endereço:Department of Spine Surgery, the First Affiliated Hospital, University of South China, Hengyang, Hunan 421001, China.
[Ti] Título:Application of anterior debridement and reconstruction with anatomical screw-plate fixation for lumbosacral tuberculosis: A 2-year-plus follow-up.
[So] Source:Medicine (Baltimore);96(26):e7103, 2017 Jun.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study aimed to determine the efficacy and safety of anterior debridement and reconstruction with anatomical screw-plate fixation in patients with lumbosacral junction tuberculosis (TB).A total of 48 patients (30 males and 18 females) diagnosed with lumbosacral junction TB were included in this study. All patients underwent surgery in our institution from January 2008 to July 2014, using anterior debridement and reconstruction with anatomical screw-plate. Outcome data were evaluated before and after surgery and included lumbosacral angle, Frankel classification, bone fusion, and visual analog scale (VAS) scores.All patients were then followed up for an average of 49.4 months (range, 24-96 months). The mean lumbosacral angle improved from 8.36°â€Š±â€Š5.92° pre-operation to 22.38°â€Š±â€Š4.52° post-operation and 21.13°â€Š±â€Š3.73° during the final follow-up (both P < .05). Solid vertebral fusion was achieved in all patients after 7.6 months on average (range, 6-12 months). No severe complications appeared during operation and post-operation. Neurological performance and VAS scores were significantly improved compared with pre-operation (P < .05).Following standard anti-TB chemotherapy, anterior debridement and reconstruction with anatomical screw-plate fixation may be a feasible and effective therapeutical option for lumbosacral junction TB. This procedure can result in satisfactory bone fusion and deformity correction, and effectively restore lumbosacral junction stability.
[Mh] Termos MeSH primário: Desbridamento
Fixação Interna de Fraturas
Região Lombossacral/cirurgia
Procedimentos Cirúrgicos Reconstrutivos
Tuberculose da Coluna Vertebral/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Placas Ósseas
Parafusos Ósseos
Desbridamento/métodos
Feminino
Seguimentos
Fixação Interna de Fraturas/instrumentação
Fixação Interna de Fraturas/métodos
Seres Humanos
Região Lombossacral/diagnóstico por imagem
Masculino
Meia-Idade
Procedimentos Cirúrgicos Reconstrutivos/métodos
Estudos Retrospectivos
Índice de Gravidade de Doença
Resultado do Tratamento
Tuberculose da Coluna Vertebral/diagnóstico por imagem
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170718
[Lr] Data última revisão:
170718
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170629
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007103



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