Aims. Symptomatic
Aims. 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
Aims.
Aims.
Aims. The escalating demand for medical resources to address spinal diseases as society ages is an issue that requires careful evaluation. However, few studies have examined trends in
Aims. Children with
This review provides a concise outline of the advances made in the care of patients and to the quality of life after a traumatic
Aims. Patients with differentiated thyroid carcinomas (DTCs) have a favourable long-term survival.
Initial treatment of traumatic
Aims. The aim of this study was to report the long-term prognosis of patients with multiple Langerhans cell histiocytosis (LCH) involving the spine, and to analyze the risk factors for progression-free survival (PFS). Methods. We included 28 patients with multiple LCH involving the spine treated between January 2009 and August 2021. Kaplan-Meier methods were applied to estimate overall survival (OS) and PFS. Univariate Cox regression analysis was used to identify variables associated with PFS. Results. Patients with multiple LCH involving the spine accounted for 15.4% (28/182 cases) of all cases of
Aims. Radiotherapy is a well-known local treatment for
Aims. The British Spine Registry (BSR) was introduced in May 2012 to be used as a web-based database for
Aims. Postoperative complication rates remain relatively high after adult
Aims. To benchmark the radiation dose to patients during the course of treatment for a
Aims. The aim of this study was to determine whether early surgical treatment results in better neurological recovery 12 months after injury than late surgical treatment in patients with acute traumatic
Our aim was to perform a systematic review of the literature
to assess the incidence of post-operative epidural haematomas and
wound infections after one-, or two-level, non-complex, lumbar surgery
for degenerative disease in patients with, or without post-operative
wound drainage. Studies were identified from PubMed and EMBASE, up to and including
27 August 2015, for papers describing one- or two-level lumbar discectomy
and/or laminectomy for degenerative disease in adults which reported
any form of subcutaneous or subfascial drainage.Aims
Patients and Methods
In recent years, machine learning (ML) and artificial neural networks (ANNs), a particular subset of ML, have been adopted by various areas of healthcare. A number of diagnostic and prognostic algorithms have been designed and implemented across a range of orthopaedic sub-specialties to date, with many positive results. However, the methodology of many of these studies is flawed, and few compare the use of ML with the current approach in clinical practice.
Aims. To report the outcome of
Aims. To evaluate the perioperative complications associated with total en bloc spondylectomy (TES) in patients with
Aims. To determine the major risk factors for unplanned reoperations (UROs) following corrective surgery for adult
Aims. Severe
Aims. The aim of this study was to identify the risk factors for adverse events following the surgical correction of cervical
Aims. The aim of this study was to determine the differences in
Aims. With recent progress in cancer treatment, the number of advanced-age patients with
We present a case of delayed presentation of a subdural haematoma causing cauda equina syndrome which occurred 96 hours after a
Aims. This study aimed to evaluate the incidence and prognosis of patients with
Aims. The aim of this study is to define a core outcome set (COS) to allow consistency in outcome reporting amongst studies investigating the management of orthopaedic treatment in children with
Aims. The current pandemic caused by COVID-19 is the biggest challenge for national health systems for a century. While most medical resources are allocated to treat COVID-19 patients, several non-COVID-19 medical emergencies still need to be treated, including vertebral fractures and spinal cord compression. The aim of this paper is to report the early experience and an organizational protocol for emergency
Informed consent is a very important part of surgical treatment. In this paper, we report a number of legal judgements in
Aims. To evaluate the histopathological examination of peri-implant tissue samples as a technique in the diagnosis of postoperative
Aims. This multicentre, retrospective study aimed to improve our knowledge
of primary pyogenic
During the pandemic of COVID-19, some patients with COVID-19 may need emergency surgeries. As spine surgeons, it is our responsibility to ensure appropriate treatment to the patients with COVID-19 and spinal diseases. A protocol for
The widespread use of MRI has revolutionised
the diagnostic process for
With the identification of literature shortfalls on the techniques employed in intraoperative navigated (ION)
Aims. The routine use of dual-mobility (DM) acetabular components in total hip arthroplasty (THA) may not be cost-effective, but an increasing number of patients undergoing THA have a coexisting
Aims. The aim of this study was to investigate the impact of maturity status at the time of surgery on final
The COVID-19 pandemic creates unique challenges in the practice of
Cervical
Few studies have examined the order in which
a
Aims. The aim of this study was to assess the reliability of using MRI scans to calculate the
Aims. To study the associations of lumbar developmental
The management of
Aims. The aim of this study was to determine the influence of developmental
The integrity of the
Aims. Psychoeducative prehabilitation to optimize surgical outcomes is relatively novel in spinal fusion surgery and, like most rehabilitation treatments, they are rarely well specified. Spinal fusion patients experience anxieties perioperatively about pain and immobility, which might prolong hospital length of stay (LOS). The aim of this prospective cohort study was to determine if a Preoperative
Aims. Non-coding microRNA (miRNA) in extracellular vesicles (EVs) derived from mesenchymal stem cells (MSCs) may promote neuronal repair after
There is currently no consensus about the mean
volume of blood lost during
Minimal clinically important differences (MCID)
in the scores of patient-reported outcome measures allow clinicians to
assess the outcome of intervention from the perspective of the patient.
There has been significant variation in their absolute values in
previous publications and a lack of consistency in their calculation. The purpose of this study was first, to establish whether these
values, following
The interaction between the lumbosacral spine
and the pelvis is dynamically related to positional change, and
may be complicated by co-existing pathology. This review summarises
the current literature examining the effect of sagittal
Segmental vessel ligation during anterior
Metastatic epidural compression of the
The aim of this study was to compare the operating
time, length of stay (LOS), adverse events and rate of re-admission
for elderly patients with a fracture of the hip treated using either
general or
There are many causes of paraspinal muscle weakness which give rise to the dropped-head syndrome. In the upper cervical spine the central portion of the
1. Two types of
In order to identify the risk factors and the incidence of post-operative
A total of 11 patients with combined traumatic injuries of the brachial plexus and
1. A syndrome resulting from congenital lesions affecting the
1. A high incidence of paraplegia following operations for the correction of severe scoliosis in adults led to an investigation of the normal blood supply of the human
Fifty-five patients with severe pain from
Of 232 patients with evidence of lumbar spinal stenosis, 13 had symptoms of meralgia paraesthetica. Myelography demonstrated that in all but one of these 13 cases the L3-4 level was involved by stenosis; in 12 matched control patients with
We determined the frequency, rate and extent
of development of scoliosis (coronal plane deformity) in wheelchair-dependent
patients with Duchenne muscular dystrophy (DMD) who were not receiving
steroid treatment. We also assessed kyphosis and lordosis (sagittal
plane deformity). The extent of scoliosis was assessed on sitting anteroposterior
(AP)
1. A group of children with congenital malformations of the lower back involving the
Twenty-one patients with
Aims. The aim of this study was to investigate the clinical and radiographic
outcomes of microendoscopic laminotomy in patients with lumbar stenosis
and concurrent degenerative spondylolisthesis (DS), and to determine
the effect of this procedure on
Injuries to the
Using the United States Nationwide Inpatient
Sample, we identified national trends in revision
Intramedullary
Four cases are described of solitary
We performed CT myelography in 38 patients with cervical myelopathy before and after laminoplasty to enlarge the canal. The sagittal and transverse diameters, the cross-sectional area, and the central point of the
We used evoked
An electrophysiological system for monitoring the
Since 1981, during operations for
Experimental evidence has accumulated in recent years to suggest that scoliosis can be caused by asymmetrical
A retrospective survey has been made of forty children with
The management of
The
1. The management of severe kyphosis of the lumbar spine in association with myelomeningocele is discussed. 2. Neonatal
Of 55 patients with Duchenne muscular dystrophy offered surgical stabilisation of the spine, 32 accepted and 23 refused. We compared both groups pre-operatively and at six-month intervals in respect of survival, forced vital capacity, peak expiratory flow rate and severity of scoliosis. In the nonoperated patients, the forced vital capacity deteriorated by a mean of 8% per annum; in the operated group it remained static for 36 months and diminished slightly thereafter.
Subluxation of the hip is common in patients with intermediate
Two cases of lateral meningocele and
1. Compression forces are mainly absorbed by the vertebral body. The nucleus pulposus, being liquid, is incompressible. The tense annulus bulges very little. On compression the vertebral end-plate bulges and blood is forced out of the cancellous bone of the vertebral body into the perivertebral sinuses. This appears to be the normal energy-dissipating mechanism on compression. 2. The normal disc is very resistant to compression. The nucleus pulposus does not alter in shape or position on compression or flexion. It plays no active part in producing a disc prolapse. On compression the vertebral body always breaks before the normal disc gives way. The vertebral end-plate bulges and then breaks, leading to a vertical fracture. If the nucleus pulposus has lost its turgor there is abnormal mobility between the vertebral bodies. On very gentle compression or flexion movement the annulus protrudes on the concave aspect–not on the convex side as has been supposed. 3. Disc prolapse consists primarily of annulus; it occurs only if the nucleus pulposus has lost its turgor. It then occurs very easily as the annulus now bulges like a flat tyre. 4. I have never succeeded in producing rupture of normal
We evaluated the efficacy of Escherichia
coli-derived recombinant human bone morphogenetic protein-2
(E-BMP-2) in a mini-pig model of
High-pressure injection injuries occur infrequently but are usually work-related and involve the non-dominant hand. The neck is a very rare site for such an injury. We describe the management of a 36-year-old man with a high-pressure grease-gun injection injury to his neck causing a cervical
The effect of hypobaric
1. The syndrome of
We reviewed 212 consecutive patients with adolescent
idiopathic scoliosis who underwent posterior
Bone-marrow transplantation has increased the survival of patients with mucopolysaccharidosis-I. We describe the
We studied MR images of the spine in a consecutive series of 100 patients with acute compression of the
Diurnal changes in the loads acting on the spine affect the water content and height of the intervertebral discs. We have reviewed the effects of these changes on
Forty-eight patients with achondroplasia and 24 with hypochondroplasia have been reviewed in order to clarify the differences between the two disorders and establish the height, body proportions and other clinical and radiological variations within each group. Some of the "classical" findings in achondroplasia are not always present, and hypochondroplasia at its most severe is indistinguishable from achondroplasia at its least severe. The frequency of
A dural tear is a common but troublesome complication of endoscopic
Teratomas in the
Of a consecutive series of 117 one-year-old infants with 130 established dislocations of the hip, 11% failed to respond to primary surgical treatment. Genetic and iatrogenic factors accounted for half the failures. There were no obvious causes in the remainder, though a few had the superficial stigmata of
The purpose of this study is to investigate the diagnostic value of evoked
Neurogenic claudication is most frequently observed
in patients with degenerative lumbar spinal stenosis. We describe
a patient with lumbar epidural varices secondary to obstruction
of the inferior vena cava by pathological lymph nodes presenting
with this syndrome. Following a diagnosis of follicular lymphoma,
successful chemotherapy led to the resolution of the varices and
the symptoms of neurogenic claudication. The lumbar epidural venous plexus may have an important role
in the pathogenesis of