Disc displacement patterns in lumbar anterior spondylolisthesis: contribution of foraminal stenosis

2009 ◽  
Vol 33 (5) ◽  
pp. 414
Author(s):  
P.J. MacMahon ◽  
D.H. Taylor ◽  
D. Duke ◽  
D.D. Brennan ◽  
S.J. Eustace
2009 ◽  
Vol 70 (1) ◽  
pp. 149-154 ◽  
Author(s):  
P.J. MacMahon ◽  
D.H. Taylor ◽  
D. Duke ◽  
D.D. Brennan ◽  
S.J. Eustace

2019 ◽  
Vol 31 (6) ◽  
pp. 831-834 ◽  
Author(s):  
Anand H. Segar ◽  
Alexander Riccio ◽  
Michael Smith ◽  
Themistocles S. Protopsaltis

Total uncinate process resection or uncinectomy is often required in the setting of severe foraminal stenosis or cervical kyphosis correction. The proximity of the uncus to the vertebral artery, nerve root, and spinal cord makes this a challenging undertaking. Use of a high-speed burr or ultrasonic bone dissector can be associated with direct injury to the vertebral artery and thermal injury to the surrounding structures. The use of an osteotome is a safe and efficient method of uncinectomy. Here the authors describe their technique, which is illustrated with an intraoperative video.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Kamontip Sujaritwanid ◽  
Boonsiva Suzuki ◽  
Eduardo Yugo Suzuki

Abstract Background The purpose of this study was to compare the stress distribution and displacement patterns of the one versus two maxillary molars distalization with iPanda and to evaluate the biomechanical effect of distalization on the iPanda using the finite element method. Methods The finite element models of a maxillary arch with complete dentition, periodontal ligament, palatal and alveolar bone, and an iPanda connected to a pair of midpalatal miniscrews were created. Two models were created to simulate maxillary molar distalization. In the first model, the iPanda was connected to the second molar to simulate a single molar distalization. In the second model, the iPanda was connected to the first molar to simulate “en-masse” first and second molar distalization. A varying force from 50 to 200 g was applied. The stress distribution and displacement patterns were analyzed. Results For one molar, the stress was concentrated at the furcation and along the distal surface in all roots with a large amount of distalization and distobuccal crown tipping. For two molars, the stress in the first molar was 10 times higher than in the second molar with a great tendency for buccal tipping and a minimal amount of distalization. Moreover, the stress concentration on the distal miniscrew was six times higher than in the mesial miniscrew with an extrusive and intrusive vector, respectively. Conclusions Individual molar distalization provides the most effective stress distribution and displacement patterns with reduced force levels. In contrast, the en-masse distalization of two molars results in increased force levels with undesirable effects in the transverse and vertical direction.


Diagnostics ◽  
2020 ◽  
Vol 11 (1) ◽  
pp. 46
Author(s):  
Mattias Ulmner ◽  
Rachael Sugars ◽  
Aron Naimi-Akbar ◽  
Nikolce Tudzarovski ◽  
Carina Kruger-Weiner ◽  
...  

Our knowledge of synovial tissues in patients that are scheduled for surgery as a result of temporomandibular joint (TMJ) disorders is limited. Characterising the protein profile, as well as mapping clinical preoperative variables, might increase our understanding of pathogenesis and forecast surgical outcome. A cohort of 100 patients with either disc displacement, osteoarthritis, or chronic inflammatory arthritis (CIA) was prospectively investigated for a set of preoperative clinical variables. During surgery, a synovial tissue biopsy was sampled and analysed via multi-analytic profiling. The surgical outcome was classified according to a predefined set of outcome criteria six months postoperatively. Higher concentrations of interleukin 8 (p = 0.049), matrix metalloproteinase 7 (p = 0.038), lumican (p = 0.037), and tissue inhibitor of metalloproteinase 2 (p = 0.015) were significantly related to an inferior surgical outcome. Several other proteins, which were not described earlier in the TMJ synovia, were detected but not related to surgical outcome. Bilateral masticatory muscle palpation pain had strong association to a poor outcome that was related to the diagnoses disc displacement and osteoarthritis. CIA and the patient-reported variable TMJ disability might be related to an unfavourable outcome according to the multivariate model. These findings of surgical predictors show potential in aiding clinical decision-making and they might enhance the understanding of aetiopathogenesis in TMJ disorders.


2018 ◽  
Author(s):  
Nicholas J. Roberts ◽  
Bernhard T. Rabus ◽  
John J. Clague ◽  
Reginald L. Hermanns ◽  
Marco-Antonio Guzmán ◽  
...  

Abstract. We characterize and compare creep preceding and following the 2011 Pampahasi landslide (∼ 40 Mm3 ± 50 %) in the city of La Paz, Bolivia, using spaceborne RADAR interferometry (InSAR) that combines displacement records from both distributed and point scatterers. The failure remobilised deposits of an ancient landslide in weakly cemented, predominantly fine-grained sediments and affected ∼ 1.5 km2 of suburban development. During the 30 months preceding failure, about half of the toe area was creeping at 3–8 cm/a and localized parts of the scarp area showed displacements of up to 14 cm/a. Changes in deformation in the 10 months following the landslide are contrary to the common assumption that stress released during a discrete failure increases stability. During that period, most of the landslide toe and areas near the headscarp accelerated, respectively, to 4–14 and 14 cm/a. The extent of deformation increased to cover most, or probably all, of the 2011 landslide as well as adjacent parts of the slope and plateau above. The InSAR-measured displacement patterns – supplemented by field observations and by optical satellite images – indicate that kinematically complex, steady-state creep along pre-existing sliding surfaces temporarily accelerated in response to heavy rainfall, after which the slope quickly achieved a slightly faster and expanded steadily creeping state. This case study demonstrates that high-quality ground-surface motion fields derived using spaceborne InSAR can help to characterize creep mechanisms, quantify spatial and temporal patterns of slope activity, and identify isolated small-scale instabilities. Characterizing slope instability before, during, and after the 2011 Pampahasi landslide is particularly important for understanding landslide hazard in La Paz, half of which is underlain by similar, large paleolandslides.


2019 ◽  
Vol 45 (4) ◽  
pp. 339-347
Author(s):  
Atsuo Shigi ◽  
Kunihiro Oka ◽  
Kohji Kuriyama ◽  
Hiroyuki Tanaka ◽  
Hideki Yoshikawa ◽  
...  

Understanding the complex fragmentation of intra-articular distal radial fractures contributes to achieving anatomical reduction during surgery. This study aimed to clarify three-dimensional displacement patterns of intra-articular fragmentation in dorsally angulated, intra-articular distal radial fractures. We identified five characteristic intra-articular fragments: a key fragment, dorsal ulnar corner, dorsal wall, radial column and anterior radial column. The key fragment was displaced with radial deviation, pronation and extension and with dorsal, proximal and radial translations. The dorsal ulnar corner displacement resulted in a gap, a step-off and a deepened concavity for the lunate facet and sigmoid notch. The dorsal wall displacement resulted in a deepened concavity, a gap and a step-off of the dorsal scaphoid facet. The displacements of the radial column and anterior radial column caused a step-off between the scaphoid and lunate facets. The five characteristic intra-articular fragments each created a characteristic gap and step-off in the articular surface. Level of evidence: IV


2005 ◽  
Vol 14 (5) ◽  
pp. 1511-1515 ◽  
Author(s):  
CHRISTIAN SCHLOTTERER ◽  
MARTINA REISS ◽  
ANGELIKA SCHNEIDER ◽  
MARIANNE IMHOF

2013 ◽  
Vol 40 (4) ◽  
pp. 239-246 ◽  
Author(s):  
S. Abe ◽  
F. Kawano ◽  
K. Kohge ◽  
T. Kawaoka ◽  
K. Ueda ◽  
...  

1992 ◽  
Vol 50 (8) ◽  
pp. 869-873 ◽  
Author(s):  
Lars Eriksson ◽  
Per-Lennart Westesson ◽  
Donald Macher ◽  
David Hicks ◽  
Ross H. Tallents

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