Burst fracture of the first lumbar vertebra and conus-cauda syndrome complicating a single convulsive seizure: A challenge of diagnosis in the Emergency Department

2006 ◽  
Vol 31 (4) ◽  
pp. 381-385 ◽  
Author(s):  
Fereydoon Roohi ◽  
Andrew Fox
Keyword(s):  
Emergency Department ◽  
Burst Fracture ◽  
Lumbar Vertebra ◽  
Convulsive Seizure

scholarly journals Stress Analysis of Osteoporotic Lumbar Vertebra Using Finite Element Model with Microscaled Beam-Shell Trabecular-Cortical Structure

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Yoon Hyuk Kim ◽  
Mengying Wu ◽  
Kyungsoo Kim
Keyword(s):  
Finite Element ◽  
Vertebral Body ◽  
Burst Fracture ◽  
Lumbar Vertebra ◽  
Von Mises Stress ◽  
Finite Element Models ◽  
Age Related ◽  
Complex Anatomy ◽  
Von Mises

Osteoporosis is a disease in which low bone mass and microarchitectural deterioration of bone tissue lead to enhanced bone fragility and susceptibility to fracture. Due to the complex anatomy of the vertebral body, the difficulties associated with obtaining bones for in vitro experiments, and the limitations on the control of the experimental parameters, finite element models have been developed to analyze the biomechanical properties of the vertebral body. We developed finite element models of the L2 vertebra, which consisted of the endplates, the trabecular lattice, and the cortical shell, for three age-related grades (young, middle, and old) of osteoporosis. The compressive strength and stiffness results revealed that we had developed a valid model that was consistent with the results of previous experimental and computational studies. The von-Mises stress, which was assumed to predict the risk of a burst fracture, was also determined for the three age groups. The results showed that the von-Mises stress was substantially higher under relatively high levels of compressive loading, which suggests that patients with osteoporosis should be cautious of fracture risk even during daily activities.

scholarly journals Burst fracture of the lumbar vertebra due to a landmine injury: a case report

Cases Journal ◽  
2009 ◽  
Vol 2 (1) ◽  
pp. 6257 ◽  
Author(s):  
Serkan Bilgic ◽  
Volkan Kilincoglu ◽  
Mustafa Kurklu ◽  
Yuksel Yurttas ◽  
Huseyin Ozkan ◽  
...  
Keyword(s):  
Case Report ◽  
Burst Fracture ◽  
Lumbar Vertebra

Muscle Mass Depletion Associated with Poor Outcome of Sepsis in the Emergency Department

2018 ◽  
Vol 72 (4) ◽  
pp. 336-344 ◽  
Author(s):  
YoonJe Lee ◽  
Hyun Kyung Park ◽  
Won Young Kim ◽  
Myung Chun Kim ◽  
Woong Jung ◽  
...  
Keyword(s):  
Emergency Department ◽  
Muscle Mass ◽  
Specific Treatment ◽  
Lumbar Vertebra ◽  
Psoas Muscle ◽  
Cross Sectional ◽  
Poor Outcome ◽  
Logistic Analysis ◽  
Abdomen Ct ◽  
Mass Depletion

Background/Aims: Muscle mass depletion has been suggested to predict morbidity and mortality in various diseases. However, it is not well known whether muscle mass depletion is associated with poor outcome in sepsis. We hypothesized that muscle mass depletion is associated with poor outcome in sepsis. Methods: Retrospective observational study was conducted in an emergency department during a 9-year period. Medical records of 627 patients with sepsis were reviewed. We divided the patients into 2 groups according to 28-day mortality and compared the presence of muscle mass depletion assessed by the cross-sectional area of the psoas muscle at the level of the third lumbar vertebra on abdomen CT scans. Univariate and multivariate logistic regression analyses were conducted to examine the association of scarcopenia on the outcome of sepsis. Results: A total of 274 patients with sepsis were finally included in the study: 45 (16.4%) did not survive on 28 days and 77 patients (28.1%) were identified as having muscle mass depletion. The presence of muscle mass depletion was independently associated with 28-day mortality on multivariate logistic analysis (OR 2.79; 95% CI 1.35–5.74, p = 0.01). Conclusions: Muscle mass depletion evaluated by CT scan was associated with poor outcome of sepsis patients. Further studies on the appropriateness of specific treatment for muscle mass depletion with sepsis are needed.

Extracoelomic Mini Approach for Anterior Reconstructive Surgery of the Thoracolumbar Area

Neurosurgery ◽  
2002 ◽  
Vol 51 (suppl_2) ◽  
pp. S2-118-S2-122 ◽  
Author(s):  
Hesham ElSaghir
Keyword(s):  
Bone Cement ◽  
Pathological Fracture ◽  
Operative Time ◽  
Posterior Instrumentation ◽  
Burst Fracture ◽  
Lumbar Vertebra ◽  
Invasive Technique ◽  
Less Invasive ◽  
The Mean ◽  
Vertebral Replacement

Abstract OBJECTIVE An extracoelomic mini approach is introduced as a less invasive technique for surgery of the thoracolumbar area performed via the anterior approach. METHODS Twenty-one patients with spinal pathological findings at the thoracolumbar junction were assessed. The reasons for surgery were as follows: burst fracture of the first lumbar vertebra (n = 5), degenerative disc at L1–L2 (n = 4), spondylodiscitis at L1–L2 (n = 8) and at T11–L1 (n = 1), pathological fracture of the first lumbar vertebra (n = 2), and pseudarthrosis at T11–L1 after failed reconstruction (n = 1). The anterior surgical procedure was performed via an extracoelomic mini approach. Intersomatic fusion was performed in 13 patients, corpectomy and bone grafting in 4, corpectomy and vertebral replacement with titanium cage packed with bone cement in 3, and removal of a cage in a failed fusion and bridging the defect with a strut bone graft in 1. Posterior instrumentation of the affected segment was performed in the same sitting. RESULTS The mean ± standard deviation of operative time of the anterior procedure was 101.2 ± 36.5 minutes. The mean blood loss during the anterior procedure was 724 ± 483.5 ml. The procedure was safe. No pseudarthrosis was encountered, and the reconstructed bone was stable in the three patients in whom bone cement was used. CONCLUSION The extracoelomic mini approach is less invasive; it results in less incisional morbidity, and it avoids opening the pleural and peritoneal cavities.

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