Post-laminectomy deformities

Objective: To present the deformities and evaluate the results of their treatment. Methods: Retrospective study of patients with deformity following surgical access to the spinal canal. Fifteen patients who met the inclusion criteria were included. Patients without complete data in medical records were excluded. Results: Fourteen patients underwent surgical treatment and one patient received conservative treatment with vest type TLSO. The average angle of kyphosis correction was 87° preoperatively to 38° postoperatively, while the associated scoliosis correction was 69° preoperatively to 23° postoperatively. Conclusions: The prevention of deformity should be emphasized to avoid laminectomy alone, while laminoplasty should be the procedure of choice for canal access in surgeries where there is no need for resection of the posterior elements.

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Prevalence of Dermatological Presentations of Canine Leishmaniasis in a Nonendemic Area: A Retrospective Study of 100 Dogs

Veterinary Medicine International ◽

10.1155/2014/374613 ◽

2014 ◽

Vol 2014 ◽

pp. 1-5 ◽

Cited By ~ 2

Author(s):

Roberta Perego ◽

Daniela Proverbio ◽

Giada Bagnagatti De Giorgi ◽

Eva Spada

Keyword(s):

Immune System ◽

Retrospective Study ◽

Medical Records ◽

Canine Leishmaniasis ◽

Inclusion Criteria ◽

Continuous Stimulation ◽

Exfoliative Dermatitis ◽

The Mean ◽

Endemic Areas ◽

Stimulation Of

This retrospective study determined the prevalence of dermatological lesions associated with canine leishmaniasis (CanL) in a nonendemic area in Italy. The medical records of 131 dogs with CanL were reviewed and, of these, 115/131 dogs (88%) had dermatological manifestations of which 100/131 dogs (76%) met the inclusion criteria. Sixty-two percent of dogs were male and 38% were female and the mean age was 6.4 years. Thirty-two percent of dogs were mixed breeds; the remainder represented a variety of pure breeds. In 79% of dogs dermatological signs occurred in association with systemic signs of CanL, whilst 21% of dogs had only dermatological manifestations. The most common dermatological manifestation was exfoliative dermatitis (74%), followed by ulcerative (18%) and nodular (11%) lesions. In 51% of dogs the lesions were localized mainly on the pinnae, head, and pressure points; in the remaining 49% lesions were generalized. The only statistically significant association was between Retriever breed and animals with only dermatological signs (P=0.0034, OD 5.97, CI 0.996–37.933). In this study dermatological manifestations of CanL were very commonly reported, and their prevalence is similar to previous studies in endemic areas despite the fact that dogs living in nonendemic areas are not exposed to repeated infectious bites and continuous stimulation of the dermal immune system.

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Factors Associated With the Presence of Tuberculous Empyema in Children With Pleural Tuberculosis

Frontiers in Pediatrics ◽

10.3389/fped.2021.751386 ◽

2021 ◽

Vol 9 ◽

Author(s):

Yan-Hua Wu ◽

Jun-Li Wang ◽

Mao-Shui Wang

Keyword(s):

Multivariate Analysis ◽

Retrospective Study ◽

Surgical Treatment ◽

Low Temperature ◽

Medical Records ◽

Clinical Laboratory ◽

Factors Associated ◽

Pleural Tuberculosis ◽

Logistic Regressions ◽

Age And Sex

Background: Until now, the factor of tuberculous empyema (TE) in children with pleural tuberculosis (TB) remains unclear. Therefore, a retrospective study was conducted to assess the factors associated with the presence of TE in children.Methods: Between January 2006 and December 2019, consecutive children patients (≤ 15 years old) with suspected pleural TB were selected for further analysis. Empyema was defined as grossly purulent pleural fluid. The demographic, clinical, laboratory, and radiographic features were collected from the electrical medical records retrospectively. Univariate and multivariate logistic regressions were used to explore the factors associated with the presence of TE in children with pleural TB.Results: A total of 154 children with pleural TB (definite, 123 cases; possible, 31 cases) were included in our study and then were classified as TE (n = 27) and Non-TE (n = 127) groups. Multivariate analysis revealed that surgical treatment (age- and sex-adjusted OR = 92.0, 95% CI: 11.7, 721.3), cavity (age- and sex-adjusted OR = 39.2, 95% CI: 3.2, 476.3), pleural LDH (>941 U/L, age- and sex-adjusted OR = 14.8, 95% CI: 2.4, 90.4), and temperature (>37.2°C, age- and sex-adjusted OR = 0.08, 95% CI: 0.01, 0.53) were associated with the presence of TE in children with pleural TB.Conclusion: Early detection of the presence of TE in children remains a challenge and several characteristics, such as surgical treatment, lung cavitation, high pleural LDH level, and low temperature, were identified as factors of the presence of TE in children with pleural TB. These findings may improve the management of childhood TE.

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Treatment of antebrachial and crural septic nonunion fractures in dogs using circular external skeletal fixation: a retrospective study

Veterinary and Comparative Orthopaedics and Traumatology ◽

10.3415/vcot-13-08-0102 ◽

2014 ◽

Vol 27 (04) ◽

pp. 297-305

Author(s):

L. Piras ◽

E. Panichi ◽

A. Ferretti ◽

B. Peirone ◽

F. Cappellari

Keyword(s):

Retrospective Study ◽

Clinical Assessment ◽

Complication Rate ◽

Medical Records ◽

Bone Union ◽

Inclusion Criteria ◽

Midterm Outcome ◽

Major Complications ◽

Study Support ◽

The University

Objective: To evaluate the outcome of treatment of antebrachial and crural septic nonunion fractures in dogs using circular external skeletal fixation (CESF), and to document the type and frequency of complications associated with this technique.Methods: The medical records of all dogs with infected antebrachial and crural nonunion fractures treated using the methods of Ilizarov at the Department of Animal Pathology of the University of Turin between 2006 and 2011 were retrospectively reviewed. Only dogs in which radiographic and clinical assessment were available at the time of CESF removal were included in the study.Results: Twenty-three dogs met the inclusion criteria. Twenty nonunion fractures treated with CESF healed and three did not. The latter three cases underwent amputation of the affected limb. In the 20 dogs that achieved bone union, six had minor complications and five had major complications. The midterm outcome was judged to be excellent (n = 11), good (n = 6), fair (n = 2), or poor (n = 4).Conclusions: The results of this study support the use of CESF for the management of antebrachial and crural septic nonunion fractures in dogs. Union was achieved in the majority of dogs and the complication rate was acceptable, considering the severity of the nonunion fractures that were managed in this fashion.

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Diagnosis and Treatment of Mechanical Hemolysis after Mitral Repair in Adult

The Heart Surgery Forum ◽

10.1532/hsf.3413 ◽

2021 ◽

Vol 24 (1) ◽

pp. E165-E169

Author(s):

Jing-bin Huang ◽

Zhao-ke Wen ◽

Wei-jun Lu ◽

Chang-chao Lu ◽

Xian-ming Tang

Keyword(s):

Retrospective Study ◽

Treatment Group ◽

Conservative Treatment ◽

Medical Records ◽

Rare Complication ◽

Nyha Class ◽

Diagnosis And Treatment ◽

Mitral Repair ◽

Hospital Deaths

Background: Mitral repair has been widely used in the treatment of secondary mitral lesions in recent years. Hemolytic anemia is known to be a rare complication after mitral repair. This study aimed to investigate the diagnosis and treatment of mechanical hemolysis after mitral repair in adults. Methods: In this retrospective study, we reviewed the medical records of patients undergoing mitral repair complicated with mechanical hemolysis at our institution between August 2006 and May 2020. Results: Twenty-four patients undergoing mitral repair complicated with mechanical hemolysis were included in the study. They were divided into two groups: the reoperation group (patients who underwent reoperation; N = 18) and the conservative treatment group (patients who received symptomatic treatments, including blood transfusion, diuresis, alkalization of urine, liver protection, hemodialysis, and oral metoprolol; N = 6. All patients in the reoperation group underwent mitral valve replacement. There were six hospital deaths, all in the conservative treatment group. Seventeen of eighteen patients (94.4%) completed follow up. Fifteen of seventeen survivors (88.2%) were in NYHA class I and 11.8% (2/17) in NYHA class II at the last time follow up. Conclusions: Hemolysis is a sign of failure of mitral repair. Reoperation is the best choice once the hemolysis has been diagnosed. Reoperation should be carried out as soon as possible.

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Upward fixation of the patella in the horse

Veterinary and Comparative Orthopaedics and Traumatology ◽

10.1160/vcot-06-01-0004 ◽

2007 ◽

Vol 02 (02) ◽

pp. 119-125

Author(s):

F. Pille ◽

P. Desmet ◽

J. Dewulf ◽

M. Steenhaut ◽

F. Gasthuys ◽

...

Keyword(s):

Surgical Treatment ◽

Conservative Treatment ◽

Medical Records ◽

Different Types ◽

Permanent Fixation ◽

Gait Abnormalities ◽

Conservative And Surgical Treatment ◽

Resting Period

SummaryThe objective of the present study was to assess the incidence of upward fixation of the patella (UFP) in different types of patients and to evaluate the outcome of conservative and surgical treatment for correcting this condition. A particular attempt was made to find out whether corrective trimming and/or shoeing (CTS) is efficient in the conservative treatment of UFP, and whether a longer postoperative resting period reduces the risk of complications after medial patellar desmotomy (MPD). Medical records of 78 horses with intermittent or permanent UFP were analyzed retrospectively. Young animals and ponies were mostly affected, mainly during winter (P<0.05). Seventy-six horses with UFP were treated conservatively, with follow-up being possible in 64 of them. This treatment, in which CTS seemed the most important aspect, was fully successful in 51.6% of these patients; 20.3% of them improved partially. In case of no response to conservative treatment, or in case of a permanent fixation, MPD was performed in 20 horses, which corrected UFP completely in 17 of the 18 followed-up patients. However, gait abnormalities were seen in seven of those 17 horses postsurgically, but with the incidence being lower in horses that had rested for at least three months (25%) compared to horses that had only rested for less than one month (66.6%). Results indicate that conservative treatment, with special attention for CTS, is worth trying before performing more radical procedures to correct UFP, and that a longer convalescence period after MPD is desirable.

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Acid base disorders in hospitalized cattle

Brazilian Journal of Veterinary Research and Animal Science ◽

10.11606/issn.1678-4456.bjvras.2020.159837 ◽

2020 ◽

Vol 57 (1) ◽

pp. e159837

Author(s):

Adriana Garzon-Audor ◽

Olimpo Oliver-Espinosa ◽

Rubiela Castañeda-Salazar

Keyword(s):

Retrospective Study ◽

Medical Records ◽

Blood Gases ◽

Weak Acid ◽

Large Animal ◽

Inclusion Criteria ◽

Strong Ion Gap ◽

Acid Base ◽

Blood Electrolytes ◽

Physicochemical Approach

The objectives of this retrospective study were to determine the main acid-base and electrolytes disorders in hospitalized cattle, using both Henderson-Hasselbalch and the physicochemical approach and to compare their diagnostic and therapeutic utility. A total of 31 medical records were reviewed of bovines admitted to the Large Animal Hospital at Universidad Nacional de Colombia, that met the inclusion criteria of the measurement of blood gases, blood electrolytes and plasma protein on admission before providing any treatment. Using the Henderson-Hasselbalch approach, acid base abnormalities were found in 83.3% of the patients, compared to 93.5% using the physicochemical approach. The principal acid-base disorders found were strong ion acidosis (61.29%) and weak acid acidosis (38.7%); strong ion gap (SIG) acidosis was found in 73.68% of cases showing strong ion acidosis. These results highlight the importance of the diagnosis of acid-base disorders in sick cattle for proper recognition of pathophysiological phenomena and its understanding to guide treatment decisions.

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Results of surgical treatment of fractures of the distal humerus at the Brazzaville university hospital

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20191785 ◽

2019 ◽

Vol 5 (3) ◽

pp. 465

Author(s):

Monka Marius ◽

Ohoya Etsaka Terence Olivier ◽

Massouama Regis ◽

Ngatsé-Oko Albert ◽

Moyikoua Armand

Keyword(s):

Retrospective Study ◽

Surgical Treatment ◽

Functional Results ◽

Distal Humerus ◽

Road Accident ◽

University Hospital ◽

Inclusion Criteria ◽

Ao Classification

Background: The objective of the study was to evaluate the functional and anatomical results of the surgical treatment of fractures of the distal humerus at Brazzaville University Hospital using non-anatomical plates.Methods: This was a retrospective study of patients operated by screwed plates for fracture of the distal humerus at Brazzaville University Hospital between January 2014 and December 2017. The study included 11 patients operated by non-anatomical plates and responding the inclusion criteria. Fractures of the distal humerus were distributed according to the AO classification of Müller and Nazarian. The functional results were evaluated according to the Mayo Clinic score based on 4 criteria: pain, mobility bow, stability and functional capacity.Results: There were 8 men and 3 women. The average age was 35 years (range 23 to 50 years). Causes of the trauma were a road accident in 7 patients and a fall in 4 patients. The site involved in the trauma was lateral right in 7 patients and left in 4 patients. The average time to surgery was 7 days (range 5 to 12 days). All our patients have consolidated in first intention. The average time to consolidation was 3 months (range 3 to 4 months). Results at the average follow-up of 9 months were considered excellent in 3 patients, good in 6 patients and average in 2 patients.Conclusions: Osteosynthesis of fractures of the distal humerus remains a challenge in developing countries. Our experience shows that surgical treatment of fractures of the distal humerus by non-anatomic plates can give good results when bone stabilization is satisfactory and rehabilitation is undertaken early.

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Retrospective analysis of a case series of patients with traumatic injuries to the craniocervical junction

Einstein (São Paulo) ◽

10.1590/s1679-45082016ao3396 ◽

2016 ◽

Vol 14 (4) ◽

pp. 528-533

Author(s):

Luiz Adriano Esteves ◽

◽

Andrei Fernandes Joaquim ◽

Helder Tedeschi ◽

Keyword(s):

Surgical Treatment ◽

Conservative Treatment ◽

Case Series ◽

Craniocervical Junction ◽

Data Sets ◽

Type Ii ◽

Surgical Wound ◽

Traumatic Injuries ◽

Odontoid Fractures ◽

Posterior Elements

ABSTRACT Objective To evaluate the correlation between the treatment, the characteristics of the lesions and the clinical outcome of patients with traumatic injuries to the craniocervical junction. Methods This was a retrospective study of patients treated conservatively or surgically between 2010 and 2013 with complete data sets. Results We analyzed 37 patients, 73% were men with mean age of 41.7 years. Of these, 32% were submitted to initial surgical treatment and 68% received conservative treatment. Seven (29%) underwent surgery subsequently. In the surgical group, there were seven cases of odontoid type II fractures, two cases of fracture of posterior elements of the axis, one case of C1-C2 dislocation with associated fractured C2, one case of occipitocervical dislocation, and one case of combined C1 and C2 fractures, and facet dislocation. Only one patient had neurological déficit that improved after treatment. Two surgical complications were seen: a liquoric fistula and one surgical wound infection (reaproached). In the group treated conservatively, odontoid fractures (eight cases) and fractures of the posterior elements of C2 (five cases) were more frequent. In two cases, in addition to the injuries of the craniocervical junction, there were fractures in other segments of the spine. None of the patients who underwent conservative treatment presented neurological deterioration. Conclusion Although injuries of craniocervical junction are relatively rare, they usually involve fractures of the odontoid and the posterior elements of the axis. Our results recommend early surgical treatment for type II odontoid fractures and ligament injuries, the conservative treatment for other injuries.

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KUMAN DAN UJI KEPEKAAN ANTIBIOTIK DI KAKI DIABETIK

INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY ◽

10.24293/ijcpml.v20i1.443 ◽

2016 ◽

Vol 20 (1) ◽

pp. 20

Author(s):

Ari Sutjahjo

Keyword(s):

Internal Medicine ◽

Diabetes Mellitus ◽

Retrospective Study ◽

Clinical Data ◽

Diabetic Foot ◽

Medical Records ◽

Test Results ◽

Inclusion Criteria ◽

Gram Negative ◽

Diabetic Foot Infections

The purpose of this study was to know the bacterial pattern causing foot infections in diabetes mellitus (DM) patients and the sensitivity test results of the bacteria against various antibiotics that have been set. This research was conducted as a retrospective study using medical records. The study was carried out on diabetic foot patients of all In-patient Wards, Department of Internal Medicine, Dr. Soetomo Hospital, who met the inclusion criteria between January 1, 2003 up to December 31, 2007. The stages were classified according to the Wagner - Merrit criteria. Laboratory and clinical data were taken from the medical records of the patients who were admitted. Infected diabetic foot was found in 30.9% of patients. The causative bacteria consisted of: Pseudomonas (20.3%), Streptococcus (15.25), Klebsiella (13.9%), E.coli (12.6%), Proteus (12.6%), and Staphylococcus (11.3%). The Imipenem antibiotic showed the highest sensitivity (99.2%), followed by Norfloxacin (98.8%), Meropenem (98.2%), Ofloxacin (97.7%) and Cefuroxime (95.3). In this study, it was found that the most resistancy was to Erythromycin (46.3%) followed by Chloramphenicol (44.2%), Ceftazidime (41.1%), Cefotaxime (36.6%) and Ciprofloxacin (33.5%). It can be concluded that most of the bacteria causing the diabetic foot infections were Gram-negative aerobic bacterias and the highest sensitivity was to Imipenem, Norfloxacin, Meropenem as well as Cefuroxime.

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Percutaneous sclerotherapy for spongiform venous malformations – analysis of patient-evaluated outcome and satisfaction

VASA ◽

10.1024/0301-1526/a000650 ◽

2017 ◽

Vol 46 (6) ◽

pp. 477-483

Author(s):

Robert Karl Clemens ◽

Frederic Baumann ◽

Marc Husmann ◽

Thomas Oleg Meier ◽

Christoph Thalhammer ◽

...

Keyword(s):

Retrospective Study ◽

Medical Records ◽

Venous Malformation ◽

Primary Treatment ◽

Venous Malformations ◽

Treated Area ◽

Item Questionnaire ◽

Percutaneous Sclerotherapy ◽

Multiple Treatments ◽

Pain Improvement

Abstract. Background: Congenital venous malformations are frequently treated with sclerotherapy. Primary treatment goal is to control the often size-related symptoms. Functional impairment and aesthetical aspects as well as satisfaction have rarely been evaluated. Patients and methods: Medical records of patients who underwent sclerotherapy of spongiform venous malformations were reviewed and included in this retrospective study. The outcome of sclerotherapy as self-reported by patients was assessed in a 21 item questionnaire. Results: Questionnaires were sent to 166 patients with a total of 327 procedures. Seventy-seven patients (48 %) with a total of 159 procedures (50 %) responded to the survey. Fifty-seven percent of patients were male. The age ranged from 1 to 38.1 years with a median age of 16.4 years. The lower extremities were the most common treated area. Limitations caused by the venous malformation improved in the majority of patients (e.g. pain improvement 87 %, improvement of swelling 83 %) but also worsening of symptoms occurred in a minority of cases. Seventy-seven per cent would undergo sclerotherapy again. Conclusions: Sclerotherapy for treatment of venous malformations results in significant reduction of symptoms. Multiple treatments are often needed, but patients are willing to undergo them.

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