Post-Procedure CT Follow-up after Percutaneous Automated Lumbar Nucleotomy

1996 ◽  
Vol 2 (4) ◽  
pp. 283-286 ◽  
Author(s):  
R. Dullerud ◽  
J.G. Johansen
Keyword(s):  
Cohort Study ◽  
Clinical Symptoms ◽  
Subcutaneous Fat ◽  
Psoas Muscle ◽  
Ct Scans ◽  
Complication Rates ◽  
Post Procedure ◽  
Tissue Changes ◽  
Soft Tissue Changes

In order to evaluate the incidence of soft tissue changes after automated lumbar nucleotomy, a prospective cohort study was performed with follow-up CT within four to six hours after treatment of 97 discs in 88 patients. The CT scans were normal at 47 levels and abnormal at 50. At 11 levels traces of blood were seen along the trajectory, of which nine were located in the subcutaneous fat, one in the extensor and one in the psoas muscle. Small gas collections were observed at 42 levels. Twenty-one of them were located in the extensor and two in the psoas muscle, seven in the subcutaneous fat, two in the epidural space and ten in multiple locations. The abnormal scans were not associated with clinical symptoms different from those with normal scans. The results support previous reports indicating that this procedure is associated with low morbidity and complication rates.

scholarly journals Garre’s Osteomyelitis

2019 ◽  
Vol 4 (1) ◽  
Keyword(s):  
Facial Asymmetry ◽  
Periosteal Reaction ◽  
Normal Limits ◽  
Cortical Irregularity ◽  
Bone Biopsies ◽  
The Face ◽  
Tissue Changes ◽  
Soft Tissue Changes ◽  
The Right

Our case involved an 8 year girl who presented with a painful swelling Right lower jaw, with difficulty in deglutition, there was no fever. Earlier treatment by Dentists & ENT Specialists had provided no relief. Relevant investigations were within normal limits. The OPG was normal. MDCT scan of the face/orbit showed cortical irregularity and erosions in the Right hemi-mandible with a significant periosteal reaction & multiple irregular lytic areas in the marrow along with soft tissue changes suggestive of osteomyelitis. The significant periosteal reaction combined with osteomyelitis was suggestive of Garre’s osteomyelitis. No bone biopsies were considered due to the typical clinical & radiological features. With 4 weeks of antibiotic treatment the patient was completely relieved of her symptoms, with a major correction in the facial asymmetry. Regular follow up demonstrated a remodeling of the mandible with normal results on bone scanning

scholarly journals Association between biochemical cartilage markers and clinical symptoms in patients with hip osteoarthritis: cohort study with 2-year follow-up

2015 ◽  
Vol 23 (1) ◽  
pp. 57-62 ◽  
Author(s):  
D.M.J. Dorleijn ◽  
P.A.J. Luijsterburg ◽  
A.C. Bay-Jensen ◽  
A.S. Siebuhr ◽  
M.A. Karsdal ◽  
...  
Keyword(s):  
Cohort Study ◽  
Clinical Symptoms ◽  
Hip Osteoarthritis

Soft Tissue Changes Around Immediately Placed Implants: A Systematic Review and Meta-Analyses With at Least 12 Months of Follow-Up After Functional Loading

2017 ◽  
Vol 88 (9) ◽  
pp. 876-886 ◽  
Author(s):  
Bassam M. Kinaia ◽  
Filip Ambrosio ◽  
Monica Lamble ◽  
Kristyn Hope ◽  
Maanas Shah ◽  
...  
Keyword(s):  
Systematic Review ◽  
Soft Tissue ◽  
Tissue Changes ◽  
Soft Tissue Changes ◽  
Meta Analyses ◽  
Functional Loading

scholarly journals Keyhole versus Sugarbaker techniques in parastomal hernia repair following ileal conduit urinary diversion: a retrospective nationwide cohort study

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elisa Mäkäräinen-Uhlbäck ◽  
Jaana Vironen ◽  
Markku Vaarala ◽  
Pia Nordström ◽  
Anu Välikoski ◽  
...  
Keyword(s):  
Cohort Study ◽  
Hernia Repair ◽  
Urinary Diversion ◽  
Complication Rate ◽  
Parastomal Hernia ◽  
Ileal Conduit ◽  
Hernia Recurrence ◽  
Complication Rates ◽  
Parastomal Hernia Repair

Abstract Background Previous research on parastomal hernia repair following ileal conduit urinary diversion is limited. This nationwide cohort study aims to present the results of keyhole and Sugarbaker techniques in parastomal hernia repair in the setting of ileal conduit urinary diversion. Method All patients in this cohort underwent primary elective parastomal hernia repair following ileal conduit urinary diversion in four university hospitals and one central hospital in Finland in 2007–2017. Retrospective clinical data were collected from patient registries to compare keyhole and Sugarbaker parastomal hernia repair techniques. The primary outcome was parastomal hernia recurrence during the follow-up from primary surgery to the last confirmed follow-up date of the patient. The secondary outcomes were reoperations during the follow-up and complication rate at 30 days’ follow-up. Results The results of 28 hernioplasties were evaluated. The overall parastomal hernia recurrence rate was 18%, the re-operation rate was 14%, and the complication rate was 14% during the median follow-up time of 30 (21–64) months. Recurrence rates were 22% (4/18) after keyhole repair and 10% (1/10) after Sugarbaker repair. Re-operation rates referred to keyhole repair were 22% and Sugarbaker repair 0% during follow-up. The majority of reoperations were indicated by recurrence. Complication rates were 17% after keyhole and 10% after Sugarbaker repair during the 30 days’ follow-up. Conclusion The results of parastomal hernia repair in the setting of ileal conduits are below optimal in this nationwide cohort comparing keyhole to Sugarbaker repair in elective parastomal hernia repair. Nonetheless, the Sugarbaker technique should be further studied to confirm the encouraging results of this cohort in terms of recurrence.

scholarly journals Gingival Displacement in the Vertical and Horizontal Dimension under the Condition of Mild Gingivitis—A Randomized Clinical Study

2022 ◽  
Vol 11 (2) ◽  
pp. 437
Author(s):  
Katharina Kuhn ◽  
David Zügel ◽  
Victor-Sebastian A. Korbay ◽  
Thomas Papas ◽  
Sigmar Schnutenhaus ◽  
...  
Keyword(s):  
Clinical Study ◽  
Oral Care ◽  
Vertical Direction ◽  
Computer Assisted ◽  
Randomized Clinical Study ◽  
Tissue Changes ◽  
Similar Range ◽  
Soft Tissue Changes ◽  
Conventional Impression

This randomized clinical study aimed at quantifying the gingival displacement performance in the vertical and horizontal directions of the 3M™ Astringent Retraction Paste (3M Oral Care, Seefeld, Germany) in comparison with the double-cord technique with aluminum chloride as an astringent. Afterward, any soft-tissue changes were assessed for 12 months. After inducing mild gingivitis, 18 probands received the intervention ‘cord’ and 22 probands received the intervention ‘paste’ at the palatal half of upper premolars prior to conventional impression making. The resulting plaster casts were digitized and analyzed for the vertical and horizontal gingival displacement, applying a newly developed computer-assisted methodology. The entire palatal half of the tooth was evaluated instead of only single sites. Under the condition of mild gingivitis, the gingival displacement performance was comparable for both techniques in the horizontal direction (width) and only somewhat better for the cord technique in the vertical direction (depth). The magnitude of displacement was in a similar range in both directions, with somewhat higher values in the vertical direction. The marginal gingiva height changes were of such low extent during the follow-up period of 12 months with only minimally higher values for the paste that they cannot be considered as clinically relevant recessions.

scholarly journals The Correlation between Follow-up MRI Findings and Laboratory Results in Pyogenic Spondylodiscitis

2020 ◽  
Author(s):  
Kyung-Sik Ahn ◽  
Chang Ho Kang ◽  
Suk-Joo Hong ◽  
Baek Hyun Kim ◽  
Euddeum Shim
Keyword(s):  
Soft Tissue ◽  
Soft Tissues ◽  
Imaging Method ◽  
Mri Findings ◽  
Pyogenic Spondylodiscitis ◽  
Tissue Responses ◽  
Laboratory Results ◽  
Tissue Changes ◽  
Soft Tissue Changes

Abstract Background Although MRI is the gold-standard imaging method in the diagnosis of spondylodiscitis, role of follow-up imaging is debated and there can be discrepancies with regard to the significance of bony or soft tissue responses to treatment. Purpose of our study is to test whether the MRI changes on follow-up imaging correlate with laboratory findings of treatment response. Methods A total of 48 patients with pyogenic spondylodiscitis who underwent baseline and follow-up MRI were retrospectively reviewed. The extent of bone marrow edema, paravertebral soft tissue inflammation, and disc height were compared on baseline and follow-up MRIs with the C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) levels obtained from the medical records at baseline and on follow-up. Relationships between the MRI and laboratory changes were analyzed using the Spearmann correlation test. Results The mean MRI follow-up period was 42.25 days. Based on the CRP (resolved: n=19, resolving: n=19, and aggravated: n=10), there was significant correlation between the laboratory results and the changes in the bone and soft tissues (p < 0.01, both). The correlation was best with soft tissue changes (rho: 0.48) followed by bony changes (rho: 0.41). Based on the ESR (resolved: n=8, resolving: n=22, and worsened: n=18), the correlation was stronger with bone changes (rho: 0.45, p < 0.01) than it was with soft tissue changes (rho: 0.39, p = 0.01). Conclusion Follow-up MRI findings of pyogenic spondylodiscitis show variable tissue responses. CRP was best correlated with soft tissue changes, while ESR showed the best association with bony changes.

scholarly journals Unconventional Implant Strategy for Patients With Limited Interocclusal Space in the Posterior Region: A Clinical Cohort Study With 1-year Follow-Up

2021 ◽  
Author(s):  
Xun Xia ◽  
Zhen-Yu Wei ◽  
Jiang-Qin Huang ◽  
Chang-Qi Hu ◽  
Shui-Gen Guo ◽  
...  
Keyword(s):  
Bone Loss ◽  
Success Rate ◽  
Soft Tissues ◽  
Posterior Region ◽  
Marginal Bone Loss ◽  
Probing Depth ◽  
Tissue Changes ◽  
Implant Restoration ◽  
Soft Tissue Changes

Abstract BackgroundThis study aims to evaluate the clinical outcomes of a new implant restoration strategy for patients with limited interocclusal space in the posterior region.Materials and MethodsA total of 37 patients (19 females and 18 males) were enrolled in this study and received 62 implants. A locking taper implant (Bicon) was used for the first stage procedure, which was placed >2mm under the bone. An extraoral cementation technique was used to cement the crown and abutment. The survival and success rate of the implant restorations were evaluated using the plaque index, modified bleeding index, probing depth, marginal bone loss, and the patient's subjective satisfaction. ResultsThe soft tissues around the implant were healthy and did not show any indications of peri-implantitis. The success rate of the new implant restorations was >96% at the 1-year follow-up. The patients presented satisfactory outcomes at the 1-year follow-up. The marginal bone loss and soft tissue changes were not significantly different at different depths of placement (p>0.05).ConclusionsAccording to the results, the use of a locking taper implant and adoption of appropriate prosthetic strategies might be an effective procedure for the prosthetic rehabilitation of patients with limited interocclusal space and reduced occlusal vertical dimensions.

Interobserver correlation of morphometric data obtained from routine preoperative abdominal CT scans in pancreatic surgery.

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. e20714-e20714
Author(s):  
Tiffani Dawn Shelton ◽  
Jan Franko ◽  
Charles David Goldman ◽  
Shawna Grimm
Keyword(s):  
Subcutaneous Fat ◽  
Psoas Muscle ◽  
Rectus Muscle ◽  
Muscle Thickness ◽  
Morphometric Parameters ◽  
Ct Scans ◽  
Morphometric Data ◽  
Abdominal Ct ◽  
Subcutaneous Fat Thickness ◽  
Fat Thickness

e20714 Background: Quantification of frailty is necessary for estimation of therapy tolerance. Sarcopenia is a recognized measure of frailty and predicts long-term survival in both non-surgical and surgical cohorts. Here we set to evaluate interobserver agreement for certain sarcopenia parameters on routine abdominal CT scans among patients undergoing Whipple procedure for suspicion of neoplasm. Methods: Two observers using a standardized protocol for measurements of linear and surface morphometric parameters independently reviewed thirty abdominal CT scans. Results: Mean morphometric data for the entire group were: total psoas area 2237±868 mm2, mean psoas muscle density 46±9 HU, mean psoas antero-posterior diameter 40±8mm, mean psoas latero-lateral diameter 36±8 mm, mean rectus muscle thickness 9.2±2.6 mm, mean distance between anterior vertebral L4 surface and linea alba 115±28 mm (L4-alba distance), mean subcutaneous fat thickness 23.7 ±11.5mm, mean L4 vertebra antero-posterior diameter 37.6±5.2 mm. Excellent inter-observer correlation was observed for total psoas area is R2=0.788, p<0.001. Similarly good correlation was detected between observers for rectus muscle thickness (R2=0.6019, p<0.001), subcutaneous fat thickness (R2=0.731, p<0.001), and L4-alba distance (R2=0.601, p<0.001). Poor correlation was observed for L4 diameter (R2=0.392,p=0.0014). No interobserver correlation was observed for psoas muscle density (R2=0.005, p=0.743). Conclusions: Excellent degree of interobserver correlation was observed for the following morphometric data obtained from abdominal CT scans: Total psoas muscle area, L4-alba distance, rectus muscle and subcutaneous fat thickness. Further studies are needed to evaluate utility of morphometric parameters for prediction of surgical outcomes.

scholarly journals Association between biochemical cartilage markers and clinical symptoms in patients with hip osteoarthritis: cohort study with two-year follow-up

2014 ◽  
Vol 22 ◽  
pp. S75-S76
Author(s):  
D.M. Dorleijn ◽  
P.A. Luijsterburg ◽  
A.C. Bay-Jensen ◽  
A.S. Siebuhr ◽  
M. Karsdal ◽  
...  
Keyword(s):  
Cohort Study ◽  
Clinical Symptoms ◽  
Hip Osteoarthritis

scholarly journals Psoas muscle tuberculosis in Greece: report of two cases

2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Leonidas Grigorakos ◽  
Vassilis Sgountzos ◽  
Sophia Simopoulou ◽  
Daria Lazarescu ◽  
Domenica Mavropanou ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Laboratory Tests ◽  
Clinical Symptoms ◽  
Psoas Abscess ◽  
Psoas Muscle ◽  
X Rays ◽  
Radiological Findings ◽  
Muscular Disease ◽  
High Incidence

Between January 2013 and January 2014, two patients with lower left abdominal pain were admitted to Sotiria Chest Diseases Hospital, Athens, Greece. They were diagnosed with psoas muscle tuberculosis based on the results of clinical evaluation, laboratory tests and radiological findings from chest X-rays and computed tomography. Administration of antitubercular chemotherapy reduced the inflammation, while clinical symptoms significantly improved within the first three weeks. Patients were discharged from the hospital two months later. Their follow-up consists of monthly check-ups, while continuing the anti-tuberculosis treatment successfully. We underline the importance of keeping a high suspicion of muscle tuberculosis in patients with psoas abscess, which, although not a seldom phenomenon, it should be taken into consideration as an etiology of muscular disease not only in regions where tuberculosis is endemic but also in countries with high incidence of immigrants or refugees originating from such areas.

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