scholarly journals SAT0462 INTEREST OF FOLLOW-UP IMAGING EXAMINATIONS IN PATIENTS WITH PYOGENIC VERTEBRAL OSTEOMYELITIS: A RETROSPECTIVE STUDY

2019 ◽  
Author(s):  
Sophie Hecquet ◽  
Kevin Bouiller ◽  
Frank Verhoeven ◽  
Clément Prati ◽  
Daniel Wendling ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Vertebral Osteomyelitis ◽  
Pyogenic Vertebral Osteomyelitis

scholarly journals Interest of Follow-Up Radiological Imaging in Patients with Pyogenic Vertebral Osteomyelitis

2021 ◽  
Vol 10 (12) ◽  
pp. 2690
Author(s):  
Sophie Hecquet ◽  
Frank Verhoeven ◽  
Sébastien Aubry ◽  
Clément Prati ◽  
Daniel Wendling ◽  
...  
Keyword(s):  
Cohort Analysis ◽  
Vertebral Osteomyelitis ◽  
Radiological Imaging ◽  
Mean Delay ◽  
Retrospective Cohort Analysis ◽  
New Locations ◽  
Pyogenic Vertebral Osteomyelitis ◽  
The Mean ◽  
Magnetic Resonance Imaging Mri

No recommendations are established for monitoring pyogenic vertebral osteomyelitis (PVO). Thus, the realization of systematic follow-up radiological imaging is controversial. The objective of this study was to evaluate the interest in follow-up radiological imaging in patients with PVO. We conducted a retrospective cohort analysis of patients with PVO who had both baseline and follow-up radiological imaging. We classified the follow-up images into two groups, improvement/stability, and deterioration, compared with the baseline data. For each patient, we compared their radiological imaging follow-up to their clinical-biological condition assessed at the same time. Eighty-six patients were included. The mean age was 68 years (±13). A total of 99 radiological imaging examinations at diagnosis and at follow-up were analyzed, 69 Magnetic Resonance Imaging (MRI), and 30 Computerized Tomography (CT scans). The mean delay between the follow-up radiological imaging and clinical evaluation was 2.8 +/− 2.1 months. Of the 36 patients with clinical and biological recovery, 24 patients (67%) had improved radiological imaging and 12 patients (34%) had radiological worsening (new abscesses (n = 4), extension of soft tissue infiltration (n = 2) and/or epiduritis (n = 2) or appearance of new locations (n = 1)). Among the 50 patients considered as unhealed, on the contrary, radiological imaging showed an improvement in imaging in 39 patients (78%) and a worsening in 11 patients (22%). Our study showed that there was no correlation between the clinical condition of patients and their follow-up radiological imaging in the context of PVO.

scholarly journals Pyogenic Vertebral Osteomyelitis in Adults: Ten-year Experience in Two Italian Hospitals

2019 ◽  
Author(s):  
Fabio Zoboli ◽  
Diego Ripamonti ◽  
Anna Carretta ◽  
Enrico Bombana ◽  
Veronica Ravasio ◽  
...  
Keyword(s):  
Vertebral Osteomyelitis ◽  
Diagnostic Strategy ◽  
Microbiological Diagnosis ◽  
Cure Rate ◽  
Duration Of Treatment ◽  
Open Questions ◽  
Microbiological Criteria ◽  
Pyogenic Vertebral Osteomyelitis ◽  
Probable Diagnosis

Abstract Background: The incidence of pyogenic vertebral osteomyelitis (PVO) is increasing, but optimal diagnostic strategy and medical management remain controversial. Methods: We conducted a retrospective study of PVO in two Italian hospitals, including all the adults admitted from January 2007 to December 2016. PVO was defined probable or definite according to clinical, radiological and microbiological criteria. The main exposures of interest were investigation strategy and antibiotic treatment. The outcome measures were cure rate, mortality during index admission and recurrence rate. Results: Most cases were diagnosed with MRI. Biopsy was performed in 47% of patients and was successful only in 49% of them. The microbiological diagnosis (mostly Gram-positive agents) was obtained in 111 patients (62%). Treatment duration did not differ between patients with definite or probable diagnosis (108 and 112 days, respectively). Among the 100 patients (56%) with at least 1-year follow-up, the cure rate, the failure rate and the mortality were 88%, 12% and 3%, respectively. Relapses were uncommon (4%) among patients who completed the follow-up. Among the patients who recovered completely, 47 (59%) had a microbiological diagnosis. Among the 111 patients with a definite diagnosis and 68 with a probable diagnosis, 42% and 49% achieved a full recovery, respectively. Conclusions: Despite influencing the antibiotic selection, the etiological diagnosis did not impact the cure rate and/or duration of treatment. Some open questions remain with regard to the optimal starting regimen, the duration of treatment and the time to switch to oral therapy.

Clinical Value of Computer-Assisted Taylor Three-dimensional External Fixation in the Treatment of Tibiofibular Fracture (Preprint)

2020 ◽  
Author(s):  
Hongfeng Sheng ◽  
Weixing Xu ◽  
Bin Xu ◽  
Hongpu Song ◽  
Di Lu ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Internal Fixation ◽  
External Fixation ◽  
External Fixator ◽  
Theoretical Basis ◽  
New Technology ◽  
Three Dimensional ◽  
Computer Assisted ◽  
Clinical Value

UNSTRUCTURED The retrospective study of Taylor's three-dimensional external fixator for the treatment of tibiofibular fractures provides a theoretical basis for the application of this technology. The paper collected 28 patients with tibiofibular fractures from the Department of Orthopaedics in our hospital from March 2015 to June 2018. After the treatment, the follow-up evaluation of Taylor's three-dimensional external fixator for the treatment of tibiofibular fractures and concurrency the incidence of the disease, as well as the efficacy and occurrence of the internal fixation of the treatment of tibial fractures in our hospital. The results showed that Taylor's three-dimensional external fixator was superior to orthopaedics in the treatment of tibiofibular fractures in terms of efficacy and complications. To this end, the thesis research can be concluded as follows: Taylor three-dimensional external fixation in the treatment of tibiofibular fractures is more effective, and the incidence of occurrence is low, is a new technology for the treatment of tibiofibular fractures, it is worthy of clinical promotion.

Hand eczema patients’ knowledge of skin protection following a guided talk—A retrospective study with a follow‐up questionnaire

2019 ◽  
Vol 81 (2) ◽  
pp. 117-123 ◽  
Author(s):  
Yasemin Topal ◽  
Tove Agner ◽  
Janique van der Heiden ◽  
Niels E. Ebbehøj ◽  
Kim K. B. Clemmensen
Keyword(s):  
Retrospective Study ◽  
Hand Eczema ◽  
Skin Protection

Skeletal and Dental Correction and Stability Following LeFort I Advancement in Patients With Cleft Lip and Palate With Mild, Moderate, and Severe Maxillary Hypoplasia

2021 ◽  
pp. 105566562199610
Author(s):  
Buddhathida Wangsrimongkol ◽  
Roberto L. Flores ◽  
David A. Staffenberg ◽  
Eduardo D. Rodriguez ◽  
Pradip. R. Shetye
Keyword(s):  
Retrospective Study ◽  
Outcome Measures ◽  
Cleft Lip ◽  
Outcome Measure ◽  
Cleft Lip And Palate ◽  
Inclusion Criteria ◽  
Maxillary Hypoplasia ◽  
Main Outcome Measure ◽  
Lateral Cephalograms

Objective: This study evaluates skeletal and dental outcomes of LeFort I advancement surgery in patients with cleft lip and palate (CLP) with varying degrees of maxillary skeletal hypoplasia. Design: Retrospective study. Method: Lateral cephalograms were digitized at preoperative (T1), immediately postoperative (T2), and 1-year follow-up (T3) and compared to untreated unaffected controls. Based on the severity of cleft maxillary hypoplasia, the sample was divided into 3 groups using Wits analysis: mild: ≤0 to ≥−5 mm; moderate: <−5 to >−10 mm; and severe: ≤−10 mm. Participants: Fifty-one patients with nonsyndromic CLP with hypoplastic maxilla who met inclusion criteria. Intervention: LeFort I advancement. Main Outcome Measure: Skeletal and dental stability post-LeFort I surgery at a 1-year follow-up. Results: At T2, LeFort I surgery produced an average correction of maxillary hypoplasia by 6.4 ± 0.6, 8.1 ± 0.4, and 10.7 ± 0.8 mm in the mild, moderate, and severe groups, respectively. There was a mean relapse of 1 to 1.5 mm observed in all groups. At T3, no statistically significant differences were observed between the surgical groups and controls at angle Sella, Nasion, A point (SNA), A point, Nasion, B point (ANB), and overjet outcome measures. Conclusions: LeFort I advancement produces a stable correction in mild, moderate, and severe skeletal maxillary hypoplasia. Overcorrection is recommended in all patients with CLP to compensate for the expected postsurgical skeletal relapse.

scholarly journals Appendiceal Neuroendocrine Tumours - Experience of One Service

2021 ◽  
Author(s):  
Vítor Devezas ◽  
Laura Elisabete Barbosa
Keyword(s):  
Retrospective Study ◽  
Acute Appendicitis ◽  
Neuroendocrine Tumours ◽  
Adult Population ◽  
Right Hemicolectomy ◽  
Good Prognosis ◽  
Alive Today

AbstractTumours of the appendix are rare and tend to be diagnosed incidentally, in cases of acute appendicitis. For some authors, appendiceal neuroendocrine tumours (ANETs) are the most frequent neoplasm of the appendix, observed in 0.3% to 0.9% of cases acute appendicitis. The present is a unicentric retrospective study conducted between January 2005 and March 2017. Out of a total of 3,007 surgeries for appendiceal pathologies performed in the adult population at the hospital where the present study was conducted, there were 70 (2.33%) malignant cases, 20 (28.6%) of which were ANETs. The patients had a median age of 44 years (range: 18 to 85 years), and were predominantly women (there were 1.9 times more women than men). In 16 cases (80%), a simple appendicectomy was performed (1 patient was submitted to a right hemicolectomy later). The cases of ANETs had a good prognosis in our series: 85% of the patients are either alive today or were alive after 5 years of follow-up. Despite the fact that ANETs are described as the most frequent tumor of the appendix, this was not confirmed in our series, in which they only represented 28.6% of the cases; adenocarcinoma was the most frequent tumor (65.7%) among our sample.

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