scholarly journals Lumbar Fractures Involving Five Vertebrae: A Case Report

2011 ◽  
Vol 19 (3) ◽  
pp. 389-391 ◽  
Author(s):  
Prithee Jettoo ◽  
Himanshu Sharma ◽  
John R Andrews ◽  
Paul L Sanderson

We report a 20-year-old man who sustained lumbar fractures involving 5 vertebrae following a road traffic accident. He was initially treated non-operatively to allow multiple pedicles to heal. He developed post-traumatic kyphosis for which corrective osteotomy and posterior spinal instrumented fusion was performed. He achieved a good functional outcome. We emphasise the need for careful radiological evaluation in patients with high-energy trauma, and the option of treating such complex injuries by non-operative means. If post-traumatic kyphosis develops, it can be dealt with later and the most mobile segments of the lumbar spine can be preserved.

2019 ◽  
Vol 10 ◽  
Author(s):  
Wubalem Fekadu ◽  
Tesfa Mekonen ◽  
Habte Belete ◽  
Amsalu Belete ◽  
Kalkidan Yohannes

Author(s):  
Alok Sobhan Datta ◽  
S. Velagada ◽  
A. Haque

BACKGROUND: The humerus shaft fracture is the second most common fracture of the upper extremity. The predominant causes of humerus shaft fractures include low energy trauma such as fall from a standing height in older population, while in the younger population it is caused by high energy trauma. Aims and Objectives - To investigate the effectiveness of economical MIPPO technique and to determine the radiological and functional significance of MIPPO technique in the patients undergoing treatment for recent fracture shaft of humerus. MATERIALS AND METHODS: A prospective study had been carried out from December 2012 to August 2014 in the Orthopaedics Department of SSKM Hospital, Kolkata, West Bengal, India. Thirty three patients, who presented with fracture shaft of humerus and underwent fixation of humeral shaft fractures by MIPPO technique were included in this study. Complete history was taken and full clinical examination was carried out. RESULTS: The average age group in our study is 35.3 years. Of them 85% are male and 15% are female. In majority cases, mode of injury was road traffic accident. 85% cases had middle 1/3rd fracture shaft of humerus and the average time interval between the injury and surgery was 8.54 days. CONCLUSION: The results obtained in this study have shown that the MIPPO technique is safe, convenient and effective, since there was minimal soft tissue injury with no major complications. KEYWORDS: Minimally Invasive Percutaneous Plate Osteosynthesis (MIPPO); Road Traffic Accident (RTA).


2010 ◽  
Vol 2 (1) ◽  
pp. 32-42 ◽  
Author(s):  
Andrew R. Thompson ◽  
Eamonn Wilde ◽  
Katherine Boon

AbstractIndividually focused CBT for road traffic accident (RTA)-related post-traumatic stress disorder (PTSD) involving exposure and cognitive restructuring has been shown to be effective. Group CBT interventions provide an opportunity for treatment to be delivered in a cost-effective fashion and may also be ‘normalizing’ for patients, but few evaluations have been published. Many elements of CBT lend themselves well to group presentation, although implementing exposure presents a specific problem. The development and preliminary evaluation of a group (n = 6) targeting RTA-related PTSD is described here. Pre- and post-questionnaire evaluation is accompanied by assessment of patient satisfaction. Four of the group no longer met diagnostic criteria and the remaining two showed clinically significant change in both the number and severity of symptoms. In addition symptoms of depression decreased from the severe to the mild range within the group and there were high levels of participant satisfaction reported. Further research is required to evaluate this and similar packages before group treatment can be advocated as an alternative to individual CBT for PTSD.


2017 ◽  
Vol 99 (4) ◽  
pp. e125-e127 ◽  
Author(s):  
HR Mohammad ◽  
J A’Court ◽  
A Pillai

Extruded talus is a rare serious result from a high-energy injury to a supinated and plantar flexed foot. Treatment remains controversial with a lack of congruent evidence for talar reimplantation. A 34-year-old woman was involved in a road traffic accident at 40 mph. Imaging revealed a left talus extruded anterolaterally with a talar neck fracture. Additional injuries included right acetabular fracture, transverse process fractures and rib fractures, which were treated conservatively. The talus was reimplanted and the talar neck fixed with a cortical screw. A hindfoot nail was used to fuse the calcaneus, talus and tibia. Follow-up at two years showed solid tibiotalocalcaneal fusion, with no evidence of avascular development, and the patient was fully weight bearing without pain. We believe this is the first published case of successful primary tibiotalocalcaneal fusion for extruded talus injuries.


2011 ◽  
Vol 43 (1) ◽  
pp. 471-477 ◽  
Author(s):  
Laetitia Chossegros ◽  
Martine Hours ◽  
Pierrette Charnay ◽  
Marlène Bernard ◽  
Emmanuel Fort ◽  
...  

2010 ◽  
Vol 92 (1) ◽  
pp. e6-e7 ◽  
Author(s):  
G Faulkner ◽  
SH Pettit

Appendicular–cutaneous fistula is an uncommon condition that usually occurs as a complication of appendicitis. We report the case of a 28-year-old woman with a chronic appendicular–cutaneous fistula following a road traffic accident in which she sustained a penetrating injury to the abdomen.


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