scholarly journals Placement of Unilateral Cortical Bone Trajectory Screws in Previously Instrumented Pedicle without Removal of Existing Hardware for Adjacent Segment Disease

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Rojeh Melikian ◽  
Sofia Yeremian
Keyword(s):  
United States ◽  
Case Report ◽  
Lumbar Spine ◽  
Posterior Instrumentation ◽  
Treatment Options ◽  
Pedicle Screws ◽  
The United States ◽  
Infection Risk ◽  
Adjacent Segment Disease ◽  
Adjacent Segment

Adjacent segment disease (ASD) in the lumbar spine is a possible consequence in segments adjacent to a fusion. As the number of lumbar fusions in the United States increases, the rates of ASD will continue to climb. There are several treatment options for ASD with open decompression and extension of the fusion being common. However, need for exposure and removal of existing instrumentation can lead to increased operative times resulting in increasing blood loss and infection risk. The purpose of this paper is to describe a case report for unilateral cortical trajectory screw instrumentation, allowing for posterior instrumentation without having to remove the existing pedicle screws in the setting of ASD. Our technique can be done with standard c-arm fluoroscopy without the need for navigation.

scholarly journals Adjacent segment disease in degenerative pathologies with posterior instrumentation

2015 ◽  
Vol 14 (1) ◽  
pp. 23-26 ◽  
Author(s):  
Ana Guadalupe Ramírez Olvera ◽  
Manuel Villarreal Arroyo ◽  
Luis Mario Hinojosa Martínez ◽  
Enrique Méndez Pérez ◽  
Luis Romeo Ramos Hinojosa
Keyword(s):  
Lumbar Spine ◽  
Posterior Instrumentation ◽  
Degenerative Spondylolisthesis ◽  
Case Series ◽  
Adjacent Segment Disease ◽  
Diagnosis And Treatment ◽  
Adjacent Segment ◽  
Degenerative Scoliosis ◽  
Radiographic Findings ◽  
Case Series Study

OBJECTIVE: To establish the real incidence of adjacent segment disease after fusion, and to identify the levels and predisposing factors for the pathology, as well as the functional results. METHODS: a retrospective case series study with level of evidence IIB, in a sample of 179 patients diagnosed with stenosis of the lumbar spine, spondylolisthesis and degenerative scoliosis, submitted to surgery in the period 2005 to December 2013, with posterior instrumentation and posterolateral fusion, with follow-up from 2007 until May 2014, in which the symptomology and radiographic findings were evaluated, to establish the diagnosis and treatment. RESULTS: the study included 179 patients diagnosed with stenosis of the lumbar spine (n=116), isthmic and degenerative spondylolisthesis (n=50) and degenerative scoliosis (n=13); during the study, 20 cases of adjacent level segment were identified, 80% of which were treated surgically with extension of the instrumentation, while 20% were treated conservatively with NSAIDs and therapeutic blocks. CONCLUSION: An incidence of 11% was found, with an average of 3.25 years in diagnosis and treatment, a prevalence of females and diagnosis of stenosis of the lumbar canal on posterior instrumentation, a predominance of levels L4-L5; 80% were treated with extension of the instrumentation. The complications were persistent radiculopathy, infection of the surgical wound, and one death due to causes not related to the lumbar pathology.

Mesotherapy-Induced Panniculitis Treated with Dapsone: Case Report and Review of Reported Adverse Effects of Mesotherapy

2006 ◽  
Vol 10 (2) ◽  
pp. 92-95 ◽  
Author(s):  
Jennifer Tan ◽  
Babar Rao
Keyword(s):  
United States ◽  
Adverse Reaction ◽  
Case Report ◽  
Adverse Effects ◽  
Subcutaneous Tissue ◽  
Treatment Options ◽  
Injection Pressure ◽  
The United States ◽  
Allergic Reactions ◽  
Local Trauma

Background: Mesotherapy is a procedure involving the injection of substances into the dermis and subcutaneous tissue. Used in Europe for decades in the treatment of various medical conditions and cosmetic fat dissolution, the technique only recently became widely available in the United States. Mesotherapy has been surrounded by controversy pertaining to efficacy and has been associated with localized complications, including allergic reactions, necrosis, and infections. Panniculitis is a rare adverse reaction to mesotherapy that may result from injection pressure, local trauma, or the type of injected substances. Objective: Treatment options for complications are limited. We report a case of mesotherapy-induced panniculitis successfully treated with dapsone. Conclusion: This case illustrates one of the potential adverse effects of mesotherapy and suggests that dapsone may be effective in the treatment of panniculitis resulting from such injections. Reported adverse effects associated with mesotherapy are also reviewed.

scholarly journals Complications of drowning: A case report

2019 ◽  
Vol 59 (5) ◽  
pp. 284-8
Author(s):  
Felicia Anita Wijaya ◽  
I Gde Doddy Kurnia Indrawan
Keyword(s):  
United States ◽  
Case Report ◽  
Brain Damage ◽  
The United States ◽  
Accidental Death ◽  
Common Cause ◽  
Death By Drowning

Unintentional drowning is the sixth most common cause of accidental death, accounting for 4,086 deaths (1.4 per 100,000) in the United States in 2007.1 In children, drowning is the second leading cause of injury-related death, and those aged 1–3 years have the highest rate of drowning.2 More than 1,400 pediatric drownings were reported in the United States in 2008.3 Many drowning deaths are due to lack of supervision in the bathtub, unprotected access to a pool, or lack of swimming skills.3 For every death by drowning, six children are hospitalized for drowning, and up to 10% of survivors experience severe brain damage.2

scholarly journals Autochthonous Furuncular Myiasis in the United States: Case Report and Literature Review

2003 ◽  
Vol 36 (7) ◽  
pp. e73-e80 ◽  
Author(s):  
Nasia Safdar ◽  
Daniel K. Young ◽  
David Andes
Keyword(s):  
United States ◽  
Case Report ◽  
Literature Review ◽  
The United States ◽  
Furuncular Myiasis

scholarly journals The Interspinous Spacer: A New Posterior Dynamic Stabilization Concept for Prevention of Adjacent Segment Disease

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Antoine Nachanakian ◽  
Antonios El Helou ◽  
Moussa Alaywan
Keyword(s):  
Lumbar Spine ◽  
Preventive Measure ◽  
Radicular Pain ◽  
Dynamic Stabilization ◽  
Adjacent Segment Disease ◽  
Neurogenic Claudication ◽  
Adjacent Segment ◽  
Disability Score ◽  
Interspinous Spacer ◽  
Posterior Dynamic Stabilization

Introduction. Posterior Dynamic stabilization using the interspinous spacer device is a known to be used as an alternative to rigid fusion in neurogenic claudication patients in the absence of macro instability. Actually, it plays an important in the management of adjacent segment disease in previously fused lumbar spine.Materials and Method. We report our experience with posterior dynamic stabilization using an interspinous spacer. 134 cases performed in our institution between September 2008 and August 2012 with different lumbar spine pathologies. The ages of our patients were between 40 and 72 years, with a mean age of 57 years. After almost 4 years of follow up in our patient and comparing their outcome to our previous serious we found that in some case the interspinous distracter has an important role not only in the treatment of adjacent segment disease but also in its prevention.Results and Discussion. Clinical improvement was noted in ISD-treated patients, with high satisfaction rate. At first, radicular pain improves with more than 3/10 reduction of the mean score on visual analog scale (VAS). In addition, disability score as well as disc height and lordotic angle showed major improvement at 3 to 6 months post operatively. And, no adjacent segment disease was reported in the patient operated with interspinous spacer.Conclusion. The interspinous spacer is safe and efficient modality to be used not only as a treatment of adjacent segment disease but also as a preventive measure in patients necessitating rigid fusion.

scholarly journals Case Report: A Common Source Outbreak of Anisakidosis in the United States and Postexposure Prophylaxis of Family Collaterals

2018 ◽  
Vol 99 (5) ◽  
pp. 1219-1221 ◽  
Author(s):  
Aaron F. Carlin ◽  
Joseph M. Vinetz ◽  
Shira Abeles ◽  
Grace Y. Lin ◽  
Maile Young ◽  
...  
Keyword(s):  
United States ◽  
Case Report ◽  
The United States ◽  
Common Source ◽  
Postexposure Prophylaxis

Osteopathic considerations in pneumonia

2021 ◽  
pp. 14-20
Author(s):  
Taner B. Celebi ◽  
Jeffrey Muller ◽  
Michael J. Terzella
Keyword(s):  
United States ◽  
Risk Factors ◽  
Treatment Options ◽  
The United States ◽  
Special Consideration ◽  
Associated Risk Factors

Pneumonia contributed to nearly 3 million deaths worldwide in 2016 and 56,000 deaths in the United States alone in 2017, and as such, it is imperative for physicians to understand the causes, subtypes, associated risk factors and treatment options. This article will address each of these, as well as special consideration for the osteopathic approach to care.

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