Gram-negative infections are associated with comorbid patients, but outcomes are less well understood. This study reviewed diagnosis, management, and treatment for a cohort treated in a tertiary spinal centre. A retrospective review was performed of all gram-negative spinal infections (n = 32; median age 71 years; interquartile range 60 to 78), excluding surgical site infections, at a single centre between 2015 to 2020 with two- to six-year follow-up. Information regarding organism identification, antibiotic regime, and treatment outcomes (including clinical, radiological, and biochemical) were collected from clinical notes.Aims
Methods
Spinal stenosis and disc herniation are the two
most frequent causes of lumbosacral nerve root compression. This
can result in muscle weakness and present with or without pain. The
difficulty when managing patients with these conditions is knowing
when surgery is better than non-operative treatment: the evidence
is controversial. Younger patients with a lesser degree of weakness
for a shorter period of time have been shown to respond better to surgical
treatment than older patients with greater weakness for longer.
However, they also constitute a group that fares better without
surgery. The main indication for surgical treatment in the management
of patients with lumbosacral nerve root compression should be pain
rather than weakness.
There is no consensus among scoliosis surgeons on which surface topography method and parameters may be used as an alternative to serial radiography to monitor scoliosis progression. The aim of this study was to evaluate the inter-correlation among surface rotation (4-D formetric II) with 3-D Quantec scan and 2-D cobb's angle measurements for assessing torso asymmetry in adolescent idiopathic scoliosis (AIS). A prospective cohort of consecutive 24 patients with adolescent idiopathic scoliosis was accrued from the departmental scoliosis surface topography database. This group comprised of conservatively treated, Spinecor brace treated and postoperative patients in order to assess the wider utility and validity of 2 different surface topography methods (Formetric II & Quantec Spinal Imaging System). Parameters assessed were Q-angle, Suzuki hump sum, Posterior Trunk Symmetry Index (POTSI), surface rotation (rms), surface rotation (max) and maximum Cobb's angle on concurrently done scoliograms.Introduction
Materials & Methods
