Vertebroplasty for Osteoporotic Spinal Fractures

Author(s):  
Christoph I. Lee

This chapter, found in the back pain section of the book, provides a succinct synopsis of a key study examining the use of vertebroplasty for osteoporotic spinal fractures. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. For patients with pain from fractures of less than 1 year duration, vertebroplasty brings similar symptom and quality of life improvements as a simulated vertebroplasty. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.

Author(s):  
Christoph I. Lee

This chapter, found in the back pain section of the book, provides a succinct synopsis of a key study examining incidental findings on magnetic resonance imaging (MRI) of the lumbar spine in patients without back pain. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. The study showed that many people without back pain have disk bulges or protrusions on imaging of the lumbar spine, but that these findings are frequently coincidental and should not necessarily lead to further tests or interventions. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.


Author(s):  
Christoph I. Lee

This chapter, found in the back pain section of the book, provides a succinct synopsis of a key study examining the use of follow-up magnetic resonance imaging (MRI) for patients with sciatica. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. Researchers concluded that the presence of disk herniation on MRI at 1-year follow-up after treatment for sciatica does not help distinguish between favorable and unfavorable clinical outcomes. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.


Author(s):  
Christoph I. Lee

This chapter, found in the back pain section of the book, provides a succinct synopsis of a key study validating the Canadian C-spine rule for imaging the cervical spine in alert and stable trauma patients. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. The study shows that the Canadian C-Spine Rule may be able to identify a large group of alert and stable adult trauma patients for whom cervical spine imaging is unnecessary. It may also help to standardize the appropriate use of cervical spine imaging in the emergency department. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.


Author(s):  
Michael E. Hochman

This chapter, found in the bone, joint, and extremity pain section of the book, provides a succinct synopsis of a key study examining the use of Doppler ultrasound for diagnosing suspected lower extremity deep venous thrombosis. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. This study demonstrated that 2-point ultrasonography is equivalent to the whole-leg ultrasonography for diagnosing symptomatic deep venous thrombosis. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.


Author(s):  
Christoph I. Lee

This chapter, found in the headache section of the book, provides a succinct synopsis of a key study examining the use of computed tomography (CT) scans for minor head injury using the New Orleans criteria. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. The study showed that head CT scans for patients with minor head injury can be safely limited to those presenting with at least 1 of 7 specific clinical findings. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.


Author(s):  
Christoph I. Lee

This chapter, found in the bone, joint, and extremity pain section of the book, provides a succinct synopsis of a key study examining the use of Doppler ultrasound for diagnosing suspected lower extremity deep venous thrombosis. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. This study demonstrated that 2-point ultrasonography is equivalent to the whole-leg ultrasonography for diagnosing symptomatic deep venous thrombosis. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.


Author(s):  
Christoph I. Lee

This chapter, found in the bone, joint, and extremity pain section of the book, provides a succinct synopsis of a key study examining the use of the Ottawa ankle rules for imaging acute ankle injuries. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. The study showed that the refined and validated Ottawa Ankle Rules have the potential to reduce approximately 30% to 34% of all foot and ankle radiographs for acute injuries, with 100% sensitivity for reliably detecting foot and ankle fractures. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.


Author(s):  
Christoph I. Lee

This chapter, found in the abdominal and pelvic pain section of the book, provides a succinct synopsis of a key study examining the use of ultrasound and computed tomography (CT) among children with suspected appendicitis. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. The study showed that CT with contrast after a negative or indeterminate pelvic ultrasound leads to very high accuracy in diagnosing acute appendicitis in children. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.


Author(s):  
Christoph I. Lee

This chapter, found in the headache section of the book, provides a succinct synopsis of a key study examining the imaging selection and endovascular treatment for ischemic stroke. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. Researchers found that a favorable penumbral pattern by computed tomography or magnetic resonance imaging does not help identify patients who would benefit from endovascular therapy for acute stroke, and that embolectomy is not superior to standard care with regard to clinical and imaging outcomes for acute ischemic stroke. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.


Author(s):  
Christoph I. Lee

This chapter, found in the headache section of the book, provides a succinct synopsis of a key study examining the use of quantitative computed tomography (CT) scores in predicting outcomes of hyperacute stroke. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. The study showed that the ASPECTS CT score may provide an objective, simple method for helping predict which acute stroke patients are unlikely to recover despite immediate thrombolytic therapy. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.


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