scholarly journals Transsternal surgery on a patient with a pathological lesion in the thoracic vertebrae and severe destruction of the third thoracic vertebra

2021 ◽  
Vol 43 (3) ◽  
pp. 300-304
Author(s):  
Ramin Rajabi ◽  
Abed Ebrahimi ◽  
Sara Rahimi ◽  
Behzad Gholamveisi
Keyword(s):  
Lower Extremity ◽  
Anterior Approach ◽  
Thoracic Vertebra ◽  
Thoracic Vertebrae ◽  
Pathological Lesion ◽  
The Third ◽  
Pathologic Lesions ◽  
Severe Destruction

Due to the critical and important structures in the thorax, transsternal surgery on thoracic vertebrae is very complex and rarely performed. We report a case of successful transsternal surgery on thoracic vertebrae. In this study, a 27-year-old man presented to the hospital with progressive lower extremity complaints. Pathologic lesions and severe destruction of the T3 vertebra were diagnosed. Considering the location of the lesion, an anterior approach was performed. The results of this operation have been very successful and have some noteworthy points. In this study, transsternal surgery is supported in patients with anterior vertebral conditions.

Combining Values

2002 ◽  
Vol 7 (2) ◽  
pp. 1-4, 12 ◽  
Author(s):  
Christopher R. Brigham
Keyword(s):  
Lower Extremity ◽  
Upper Extremity ◽  
Evaluation Method ◽  
Proximal Phalanx ◽  
Common Error ◽  
The Third ◽  
Whole Person ◽  
Impairment Ratings ◽  
Upper Extremity Impairment ◽  
The Individual

Abstract To account for the effects of multiple impairments, evaluating physicians must provide a summary value that combines multiple impairments so the whole person impairment is equal to or less than the sum of all the individual impairment values. A common error is to add values that should be combined and typically results in an inflated rating. The Combined Values Chart in the AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, includes instructions that guide physicians about combining impairment ratings. For example, impairment values within a region generally are combined and converted to a whole person permanent impairment before combination with the results from other regions (exceptions include certain impairments of the spine and extremities). When they combine three or more values, physicians should select and combine the two lowest values; this value is combined with the third value to yield the total value. Upper extremity impairment ratings are combined based on the principle that a second and each succeeding impairment applies not to the whole unit (eg, whole finger) but only to the part that remains (eg, proximal phalanx). Physicians who combine lower extremity impairments usually use only one evaluation method, but, if more than one method is used, the physician should use the Combined Values Chart.

scholarly journals The descending thoracic aorta morphological characteristics

2016 ◽  
Vol 22 (3) ◽  
pp. 186-191
Author(s):  
S. Malik ◽  
P. Bordei ◽  
A. Rusali ◽  
D. M. Iliescu
Keyword(s):  
Thoracic Aorta ◽  
Vertebral Body ◽  
Vertebral Column ◽  
Morphological Characteristics ◽  
Male Gender ◽  
Thoracic Vertebra ◽  
Thoracic Vertebrae ◽  
Lower Edge ◽  
Descending Thoracic Aorta ◽  
Left Flank

Abstract Our study was conducted by consulting angioCT sites made on a CT GE LightSpeed VCT64 Slice CT and a CT GE LightSpeed 16 Slice CT, following the path and relationships of the descending thoracic aorta against the vertebral column, outside diameters thereof at the thoracic vertebrae T4, T7, T12 and posterior intercostal arteries characteristics. The origin of of the descending thoracic aorta we found most commonly on the left flank of the lower edge of the vertebral body T4, but I have encountered cases where it had come above the lower edge of T4 on level of intervertebral disc T4-T5 or even at the upper edge of T5 vertebral body. At thoracic vertebra T4, on a total of 30 cases, the descending thoracic aorta present a diameter of 20.0 to 32.6 mm, values that correspond to male gender and to females diameter ranging from 25.5 to 27, 4 mm. At level of T7 thoracic vertebra, thoracic aorta present a diameter of 19.6 to 29.5 mm, values found in men, in women the diameter being from 21.9 to 25.2 mm. At thoracic vertebra T12, on a total of 27 cases, the descending thoracic aorta present a diameter of 17.6 to 27.7 mm, in males the diameter was from 17.6 to 27.7 mm and females diameter ranging from 21.1 to 25.2. The length of the descending thoracic aorta was from 18.40 to 19.41 cm.

scholarly journals Functional cervicothoracic boundary modified by anatomical shifts in the neck of giraffes

2016 ◽  
Vol 3 (2) ◽  
pp. 150604 ◽  
Author(s):  
Megu Gunji ◽  
Hideki Endo
Keyword(s):  
Cervical Vertebrae ◽  
Cervical Vertebra ◽  
Thoracic Vertebra ◽  
Large Displacement ◽  
Thoracic Vertebrae ◽  
The Novel ◽  
Neck Movement ◽  
Similar Shape ◽  
Seventh Cervical Vertebra ◽  
Longus Colli

Here we examined the kinematic function of the morpho- logically unique first thoracic vertebra in giraffes. The first thoracic vertebra of the giraffe displayed similar shape to the seventh cervical vertebra in general ruminants. The flexion experiment using giraffe carcasses demonstrated that the first thoracic vertebra exhibited a higher dorsoventral mobility than other thoracic vertebrae. Despite the presence of costovertebral joints, restriction in the intervertebral movement imposed by ribs is minimized around the first thoracic vertebra by subtle changes of the articular system between the vertebra and ribs. The attachment area of musculus longus colli , mainly responsible for ventral flexion of the neck, is partly shifted posteriorly in the giraffe so that the force generated by muscles is exerted on the cervical vertebrae and on the first thoracic vertebra. These anatomical modifications allow the first thoracic vertebra to adopt the kinematic function of a cervical vertebra in giraffes. The novel movable articulation in the thorax functions as a fulcrum of neck movement and results in a large displacement of reachable space in the cranial end of the neck. The unique first thoracic vertebra in giraffes provides higher flexibility to the neck and may provide advantages for high browsing and/or male competition behaviours specific to giraffes.

Extraspinal ependymomas

1979 ◽  
Vol 51 (3) ◽  
pp. 383-391 ◽  
Author(s):  
Robert A. Morantz ◽  
John J. Kepes ◽  
Solomon Batnitzky ◽  
Byron J. Masterson
Keyword(s):  
Anterior Approach ◽  
Ependymal Cell ◽  
Review Of The Literature ◽  
Tumor Removal ◽  
Nerve Roots ◽  
Content Type ◽  
The Third ◽  
Complete Tumor Removal ◽  
Pilonidal Cyst ◽  
Complete Tumor

✓ Spinal ependymomas may rarely arise from heterotopic ependymal cell clusters and thus occur in an extraspinal location. Presentation of three cases and a review of the literature reveal that these tumors have characteristic radiographic and clinical features. They occur mainly in patients in the third decade of life, and present either in the soft tissue posterior to the sacrum or in the pelvis. In the case of posterior tumors, the patient exhibits a mass which is usually mistaken for a pilonidal cyst. Patients whose tumor is pelvic in location present with sphincter disturbances or dysfunction of the sacral nerve roots. Conventional and computerized tomographic studies will reveal erosion of the sacrum. Myelography will demonstrate an extradural mass indenting the thecal sac from below. The protein in the cerebrospinal fluid will be normal. A combined posterior and anterior approach with the goal of complete tumor removal is the procedure of choice. If this is not feasible, then radiation therapy should be employed. Because of the increased incidence of systemic metastases, the average postoperative survival is approximately 10 years.

Granular Cell Ameloblastoma of the Mandible with Metastasis to the Third Thoracic Vertebra

1985 ◽  
Vol &NA; (197) ◽  
pp. 171???180
Author(s):  
KAZUHISA TAKAHASHI ◽  
TADAAKI KITAJIMA ◽  
MOTOHIRO LEE ◽  
NOBUYUKI IWASAKJ ◽  
SHUN-ICHI INOUE ◽  
...  
Keyword(s):  
Granular Cell ◽  
Thoracic Vertebra ◽  
The Third

scholarly journals Aberrant course and anatomical variants of the branches of the aortic arch

2020 ◽  
Vol 9 (1) ◽  
pp. 1686-1690
Author(s):  
S.E.D. Hounton ◽  
C.M. Laleye ◽  
A.C. Agossou ◽  
S. Adjadohoun ◽  
K.W.G. Toni ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Thoracic Aorta ◽  
Thoracic Vertebra ◽  
Vascular Surgeon ◽  
Anatomical Variants ◽  
The Third ◽  
Diagnosis And Therapy

The aortic arch is the segment of the thoracic aorta located between its ascending and descending portions at the level of the 4th thoracic vertebra. Its main collateral branches constitute the supra aortic trunks (SAT). We reported 4 cases of variations of these trunks. The first two cases show 2 supra aortic trunks with a right bicarotido-subclavian trunk; the third, 4 supra aortic trunks with a right vertebral-subclavian trunk and the fourth, an origin’s variant and an aberrant course of the supra aortic trunks. These variants find their explanation in the embryology and are important to be known by the neurologist, the neurosurgeon, the vascular surgeon, the otolaryngologist and the radiologist for an adequate diagnosis and therapy. Keywords: Aortic arch, SAT, Aberrant path.

scholarly journals Anatomo-radiographic description of the axial skeleton of the crab-eating fox (Cerdocyon thous)

2012 ◽  
Vol 32 (suppl 1) ◽  
pp. 01-03 ◽  
Author(s):  
Janaína D. Barisson ◽  
Cristiane H. Louro ◽  
Sheila J.T. Dias ◽  
Flávio S. Jojima ◽  
Murilo S. Ferreira ◽  
...  
Keyword(s):  
Cervical Vertebrae ◽  
Spinous Process ◽  
Lumbar Vertebrae ◽  
Axial Skeleton ◽  
The Other ◽  
Domestic Dog ◽  
Thoracic Vertebrae ◽  
The Third ◽  
Caudal Vertebrae ◽  
Cerdocyon Thous

The aim of this study was to describe the axial skeleton of a wild Brazilian carnivorous, the crab-eating fox (Cerdocyon thous). Five specimens of crab-eating fox were previously unfrozen for radiographic exams and their bones went through dissection and chemical maceration. This animal presents seven cervical vertebrae, and from the third on, they become shorter and wider than the other ones e the spinous process was makeable from the fifth cervical vertebrae on. There are thirteen thoracic vertebrae and the spinous process of the lumbar vertebrae, which are seven, decreases from the fifth on. The sacrum is formed by two vertebrae and there are twenty or twenty one caudal vertebrae. It can be concluded that the crab-eating fox axial skeleton is similar to that of the domestic dog.

Randomized trial comparing the spread of erector spinae block with the combination of erector spinae block and retrolaminar block in soft embalmed Thiel cadavers

2021 ◽  
pp. rapm-2021-102887
Author(s):  
Razan Yousef Sartawi ◽  
Graeme McLeod ◽  
Ayman Mustafa ◽  
Clare Lamb
Keyword(s):  
Randomized Trial ◽  
Primary Objective ◽  
Thoracic Vertebra ◽  
Erector Spinae ◽  
Ultrasound Guided ◽  
Anatomical Structures ◽  
Strain Elastography ◽  
The Third ◽  
End Point

BackgroundErector spinae plane (ESP) and retrolaminar (RL) blocks show unreliable spread. We hypothesize that the combination of ESP and RL blocks provides more extensive and reliable spread of dye than single ESP blocks. Our primary objective was to compare the spread of dye to the paravertebral spaces after the combination block and ESP block in Thiel embalmed cadavers. Spread, the primary end point, was defined as the number of paravertebral spaces colored with dye per injection.Materials and methodsA single anesthetist performed ultrasound-guided ESP (20 mL) and combination of ESP and RL (10 mL each) blocks at the third thoracic vertebra of eight soft embalmed Thiel cadavers. Tissue displacement was visualized on an adjacent strain elastography image. Cadavers were dissected 24 hours later and anatomical structures were inspected for the presence of dye.FindingsDye was visualized in more paravertebral spaces with the combination block (median 3 (IQR 3–5 (range 0–8)) vs 1.5 (IQR 0.25–2.75 (range 0–3) and difference (1.5 (0–4), p=0.04). Six out of seven (86%) combined erector spinae and RL blocks spread to at least three paravertebral spaces compared with two out of eight (25%) ESP blocks (RR 3.4, 95% CI 1.0 to 11.8; p=0.04). Contralateral spread occurred in three combination blocks and in one ESP block (OR 9.0, 95% CI 4.0 to 21.1; p<0.001).ConclusionsIn conclusion, the combination of ESP and RL blocks was more extensive and reliable than ESP block alone.

Return to Play for Exertional Rhabdomyolysis in Korea National Rugby Player

2021 ◽  
pp. 1-5
Author(s):  
Jaehong Kim ◽  
Jeung Yeol Jeong ◽  
Daeho Kim,
Keyword(s):  
Lower Extremity ◽  
Visual Analog Scale ◽  
Serum Analysis ◽  
Rugby Player ◽  
Return To Play ◽  
Analog Scale ◽  
Functional Scale ◽  
Exertional Rhabdomyolysis ◽  
The Third ◽  
Lower Extremity Functional Scale

This case report describes the process of returning to play as a case of exertional rhabdomyolysis caused by excessive training by a national rugby player. The authors reported the serum analysis, urinalysis, visual analog scale for pain, and lower-extremity functional scale. The aspartate aminotransferase, alanine transaminase, and myoglobin levels in the serum analysis decreased normally during the eighth day, and creatine phosphokinase levels decreased to normal levels by the 15th day. The maximal scale of visual analog scale for pain was 10 from the third day to the fifth day, and gradually decreased from the sixth day (scale = 6.6) to the 13th day (scale = 0.9). The lower-extremity functional scale scores after the diagnosis of exertional rhabdomyolysis were 0 at the third day, 47 at the 10th day, and 80 at the 24th day. A moderate increase in water intake could help the player recover faster. To restore overall body condition for rugby performance, specific athletic therapy and training should be provided at a predetermined specific time.

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