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Orthopaedic Proceedings
Vol. 104-B, Issue SUPP_1 | Pages 5 - 5
1 Jan 2022
RESTORATION OF ELECTIVE SPINE SURGERY DURING RECOVERY PHASE OF COVID-19: A UK-WIDE BASS COLLABORATIVE PROSPECTIVE MULTICENTRIC OBSERVATIONAL STUDY
Mohammed R Shah P Durst A Mathai N Budu A Trivedi R Francis J Woodfield J Statham P Marjoram T Kaleel S Cumming D Sewell M Montgomery A Abdelaal A Jasani V Golash A Buddhiw S Rezajooi K Lee R Afolayan J Shafafy R Shah N Stringfellow T Ali C Oduoza U Balasubramanian S Pannu C Ahuja S
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Abstract

Aim

With resumption of elective spine surgery services following the first wave of COVID-19 pandemic, we conducted a multi-centre BASS collaborative study to examine the clinical outcomes of surgeries.

Methods

Prospective data was collected from eight spinal centres in the first month of operating following restoration of elective spine surgery following the first wave. Primary outcomes measures were the 30-day mortality rate and postoperative Covid-19 infection rate. Secondary outcomes analysed were the surgical, medical adverse events and length of inpatient stay.

Orthopaedic Proceedings
Vol. 103-B, Issue SUPP_11 | Pages 2 - 2
1 Sep 2021
OUTCOME OF PERCUTANEOUS PEDICLE SCREW FIXATION FOR TRAUMATIC THORACOLUMBAR FRACTURES: SIX YEARS' EXPERIENCE
Hashmi SM Hammoud I Kumar P Eccles J Ansar MN Ray A Ghosh K Golash A
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Objectives

This presentation discusses the experience at our Centre with treating traumatic thoracolumbar fractures using percutaneous pedicle screw fixation and also looks at clinical and radiological outcomes as well as complications.

Design

This is a retrospective study reviewing all cases performed between Jan 2013 and June 2019

Orthopaedic Proceedings
Vol. 103-B, Issue SUPP_11 | Pages 14 - 14
1 Sep 2021
HYBRID SINGLE-PHOTON EMISSION CT EFFICIENCY AND ROLE IN MANAGEMENT OF LOW BACK PAIN
Hashmi SM Hammoud I Ansar MN Golash A
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Introduction and Objective

Almost 60% of the population can expect to experience low back pain (LBP) during their life. Several radiological tools are used to investigate LBP. However, adequate evidence is unavailable to support the use of single photon emission computer tomography (SPECT) in patients with LBP. The objective of this study is to assess the role and efficiency of SPECT in evaluation and management of patients with LBP.

Method

Ninety-two patients with LBP were examined and assessed. All the patients received a magnetic resonance imaging (MRI) scan and were referred for a SPECT. We interpreted the modic and degenerative changes found on the MRI and compared it with SPECT tracer uptake. SPECT was used to identify the pain generator and then a surgical plan was made. Data was analyzed for pain improvement in those who underwent surgical treatment to establish the accuracy of CT SPECT in identification of primary pain generator.

Bone & Joint 360
Vol. 8, Issue 1 | Pages 3 - 7
1 Feb 2019
Cauda equina syndrome
Eames N Golash A Birch N
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Orthopaedic Proceedings
Vol. 87-B, Issue SUPP_III | Pages 234 - 234
1 Sep 2005
CERVICAL CSF FLOW IN CERVICAL SPONDYLOTIC MYELOPATHY: A PHASE CONTRAST MRI STUDY
Golash A Embleton K Jackson A
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Study Design: Non-randomised case controlled study.

Objectives: To study the relationship of CSF flow abnormality and severity of cervical spondylotic myelopathy.

Subjects: 45 consecutive patients undergoing MRI examination of the cervical spine. CSF flow measurement in the cervical spinal canal were done with phase contrast MRI in 3 subject groups consisting of 7 patients with clinical myelopathy, 8 patients with subjective myelopathy and 30 control subjects with no myelopathy. Modified JOAS scores and clinical examination findings were used to assess the severity of myelopathy. All subjects were imaged on 1.5 T Philips Magnetic Resonance scanner. A retrospective gated, phase contrast sequence was used to measure flow velocity for 15 time points in the cardiac cycle. Measurements were taken at the level of C2, above and below the levels of spinal stenosis.

Outcome Measures: Mean and Peak CSF flow velocity and caudal CSF flow was recorded at all the three levels. Differences in means were tested with one way ANOVA.

Results: Inter-group comparison showed both mean and peak CSF flow to be significantly lower in the clinical myelopathy group at above and below the stenosis but there was no difference at the level of C2. Patients with subjective myelopathy had lower range of mean and peak flow compared to the control group, but this was only significant for mean flow above the block (p< 0.05). There was significant difference between the caudal CSF flow per cardiac cycle between the groups at all the 3 levels.

Conclusions: The results suggest that a disturbance of pulsatile CSF flow in the cervical canal has high correlation with clinical myelopathy. Further study in a larger patient group would be needed to see the effect in a subjective myelopathy group.