Evaluation of the effectiveness of surgical treatment using
the one-level ACDF method based on changes in the parameters
of the sagittal balance of the cervical spine

Objective. To analyze the results of surgical treatment of chronic infectious cervical spondylitis and literature data.Material and Methods. Design: retrospective monocentric cohort study for 2017–2020. The study included medical history and clinical and instrumental data of 25 patients who underwent 28 reconstructive surgeries on the suboccipital (n1 = 3) and subaxial (n2 = 25) spine. The average follow-up period was 1 year 2 months ± 4 months. Statistical analysis was performed using the Statistical Package for the Social Sciences (SPSS), version 22.0.Results. The effect of the duration of the therapeutic pause (p = 0.043) and the T1 slope (T1S) (p = 0.022) on the intensity of vertebrogenic pain syndrome was established. When assessing the parameters of the sagittal balance a direct relationship between the age of patients and the value of cervical sagittal vertical axis (CSVA) (p = 0.035) was revealed, while CSVA (p = 0.514) and neck tilt angle (NTA) (p = 0.617) did not significantly affect the intensity of vertebral pain syndrome. The extent of vertebral destruction did not affect either the intensity of vertebral pain (p = 0.872) or the indices of the sagittal balance: CSVA (p = 0.116), T1S (p = 0.154), and NTA (p = 0.562). A significant predictor of postoperative complications is the level of comorbidity with an index of 7 or more (p = 0.027) according to the Charlson scale.Conclusion. The leading predictors of complications of surgical treatment of cervical infectious spondylitis are the Charlson comorbidity index (7 points or more) and the variant of anterior reconstruction (the use of a blocked extraspinal plate). The factors influencing the intensity of vertebrogenic pain syndrome in this pathology are the duration of the therapeutic pause and the magnitude of T1S compensation. Anterior reconstruction of the cervical spine in the presence of infectious spondylitis provides a correction of the sagittal balance parameters, with the possibility of long-term maintaining the achieved values.

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Sagittal balance of the cervical spine

Journal of Orthopaedic Surgery ◽

10.1177/23094990211024454 ◽

2021 ◽

Vol 29 (1_suppl) ◽

pp. 230949902110244

Author(s):

Justin K Scheer ◽

Darryl Lau ◽

Christopher P Ames

Keyword(s):

Cervical Spine ◽

Surgical Treatment ◽

Sagittal Balance ◽

Treatment Options ◽

Complication Rates ◽

Rapid Rate ◽

Cervical Deformity ◽

Cervical Sagittal Balance ◽

Surgical Options ◽

Conservative And Surgical Treatment

The treatment of adult cervical deformity continues to be complex with high complication rates. However there are many new advancements and overall patients do well following surgical correction. To date there are now many types of cervical deformity that have been classified and there exists a variety of surgical options. These recent advances have been developed in the last few years and the field continues to grow at a rapid rate. Thus, the goal of this article is to provide an updated review of cervical sagittal balance including; cervical alignment parameters, deformity classification, clinical evaluation, with both conservative and surgical treatment options.

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A new nomenclature system for the surgical treatment of cervical spine deformity, developing, and validation of SOF system

European Spine Journal ◽

10.1007/s00586-021-06751-1 ◽

2021 ◽

Author(s):

Jae Taek Hong ◽

Heiko Koller ◽

Kuniyoshi Abumi ◽

Wen Yuan ◽

Asdrubal Falavigna ◽

...

Keyword(s):

Cervical Spine ◽

Surgical Treatment ◽

Spine Deformity ◽

Nomenclature System

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Lymphoscintigraphy in breast cancer: a short review about the impact on upper limb after surgical treatment

Brazilian Archives of Biology and Technology ◽

10.1590/s1516-89132008000700014 ◽

2008 ◽

Vol 51 (spe) ◽

pp. 83-89

Author(s):

Anke Bergmann ◽

Juliana Miranda Dutra de Resende ◽

Sebastião David Santos-Filho ◽

Marcelo Adeodato Bello ◽

Juliana Flavia de Oliveira ◽

...

Keyword(s):

Breast Cancer ◽

Surgical Treatment ◽

Current Trend ◽

Surgical Techniques ◽

Short Review ◽

Lymphatic Drainage ◽

Key Words Breast ◽

Axillary Lymphadenectomy ◽

The One ◽

The Impact

Breast cancer is still associated with high mortality rates and one of the most important factors governing long survival is accurate and early diagnosis. In underdeveloped countries, this disease frequently is only detected in advanced stages; however, through mammography, many women have been diagnosed at early stages. In this context, the sentinel lymph node (SLN) technique is associated with less postoperative morbidity compared to axillary lymphadenectomy. Lymphoscintigraphy has emerged as a method for the evaluation of lymphatic drainage chains in various tumours, being both accurate and non invasive. The aim of this work is to present the main aspects which cause controversy about SLN and lymphoscintigraphy and the impact that these procedures have had on lymphedema after surgical treatment for breast cancer. A short review including papers in English, Spanish and Portuguese, available on Lilacs and Medline database, published between January, 2000 and July, 2008 was performed. The key words breast cancer, lymphoscintigraphy, SLN biopsy, lymphedema were used. Various studies have aimed to compare the incidence and prevalence of lymphedema according to the technique used; however, the population subjected to SLN is different from the one with indication for axillary lymphadenectomy regarding staging. Moreover, little is known about long term morbidity since it is a relatively new technique. In conclusion, the development of surgical techniques has permitted to minimize deformities and the current trend is that these techniques be as conservative as possible. Thus, lymphoscintigraphy plays an important role in the identification of SLN, contributing to the prevention and minimization of postoperative complications.

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Radiographic and Clinical Outcomes of Surgical Treatment of Kümmell’s Disease With Thoracolumbar Kyphosis: A Minimal Two-Year Follow-Up

10.21203/rs.3.rs-273357/v1 ◽

2021 ◽

Author(s):

Hao Cheng ◽

Guo-dong Wang ◽

Tao Li ◽

Xiao-yang Liu ◽

Jian-min Sun

Keyword(s):

Surgical Treatment ◽

Clinical Outcomes ◽

Sagittal Balance ◽

Rating Scale ◽

Clinical Results ◽

Spinal Alignment ◽

Thoracolumbar Kyphosis ◽

Kummell’S Disease ◽

Kümmell’S Disease

Abstract Background: To evaluate the short to mid-term radiographic and clinical outcomes of the restoration of normal spinal alignment and sagittal balance in the treatment of Kümmell’s disease with thoracolumbar kyphosis. Methods: Between February 2016 and May 2018,30 cases of Kümmell’s disease with thoracolumbar kyphosis were divided into two groups (A and B) according to whether the kyphosis was combined with neurological deficits.All of the cases underwent surgical treatment to regain the normal spinal alignment and sagittal balance.And the radiographic outcomes and clinical results of these 30 patients were retrospectively evaluated.The sagittal imaging parameters including sagittal vertebral axis (SVA),thoracic kyphosis (TK),thoracolumbar kyphosis (TLK),lumbar lordosis (LL),pelvic incidence (PI),pelvic tilt (PT),and sacral slope (SS)of the whole spine before operation,immediately after operation,and the last follow-up of each group were measured and evaluated.The clinical results included the Oswestry Disability Index (ODI) and the Numerical Rating Scale (NRS) of the two groups .Results: The average follow-up period of group A and B were 34.2 and 38.7 months respectively.The parameters of both groups such as SVA,TLK,and thoracolumbar Cobb angle after surgery and at the last follow-up were significantly improved compared with those before surgery.The ODI and the NRS of the two groups at the last follow-up were also significantly improved. Conclusion: In the treatment of Kümmell’s disease with thoracolumbar kyphosis,to restore the normal alignment and sagittal balance can obtain a satisfactory radiographic and clinical short and medium-term effects.

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Surgical Treatment of Persistent Fetal Vasculature and Visual Rehabilitation: One-Year Followup

Case Reports in Medicine ◽

10.1155/2012/687081 ◽

2012 ◽

Vol 2012 ◽

pp. 1-2

Author(s):

N. Kozeis ◽

K. T. Tsaousis ◽

D. Gidaris

Keyword(s):

Visual Acuity ◽

Surgical Treatment ◽

Hand Movement ◽

Good Prognosis ◽

Posterior Chamber ◽

Visual Rehabilitation ◽

Postoperative Course ◽

Persistent Fetal Vasculature ◽

One Year ◽

The One

We present the management and postoperative course of a persistent fetal vasculature (PFV) case. A four-year-old girl visited the Eye Department of Hippokration, General Hospital of Thessaloniki due to reduced visual acuity of her left eye. She was diagnosed with PFV and underwent surgery (lensectomy, capsulorhexis of the posterior capsule, insertion of an intraocular lens in the posterior chamber, and posterior vitrectomy) in order to dissect the PFV. Along with the postoperative medical care, she underwent intensive treatment for amblyopia. The postoperative course was uncomplicated, and the visual acuity of her left eye improved from hand movement to 20/25 with proper correction. Patients with unilateral PFV and gradually deteriorating visual acuity could be good candidates for a combined surgical procedure, as the one described above, with a good prognosis.

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P139. Effects of Bryan's Cervical Disc Prosthesis on Maintaining Sagittal Alignment of the Functional Spinal Unit and Overall Sagittal Balance of the Cervical Spine

The Spine Journal ◽

10.1016/j.spinee.2007.07.348 ◽

2007 ◽

Vol 7 (5) ◽

pp. 146S-147S

Author(s):

Seok Woo Kim ◽

Jae Hyuk Shin ◽

Moon Soo Park ◽

Soon Eok Kwon ◽

Paul C. McAfee

Keyword(s):

Cervical Spine ◽

Sagittal Balance ◽

Sagittal Alignment ◽

Cervical Disc ◽

Disc Prosthesis ◽

Functional Spinal Unit ◽

Cervical Disc Prosthesis

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A CLINICAL CASE OF REMOVING A RESIDUAL FOREIGN BODY FROM THE LEFT SUPRACLAVICULAR REGION

Inter Collegas ◽

10.35339/ic.4.3.120-122 ◽

2017 ◽

Vol 4 (3) ◽

pp. 120-122

Author(s):

V.V. Boyko ◽

V.V. Makarov ◽

A.L. Sochnieva ◽

V.V. Kritsak

Keyword(s):

Surgical Treatment ◽

Foreign Body ◽

Soft Tissue ◽

Clinical Case ◽

Foreign Bodies ◽

Soft Tissues ◽

Life Quality ◽

The Other ◽

Practical Case ◽

The One

Boyko V.V., Makarov V.V., Sochnieva A.L., Kritsak V.V.Residual foreign bodies in soft tissues are one of the main causes of chronical infection lesions and decrease in life quality. Surgical treatment is the most common way to relieve the patient from a foreign body. Often there is a question whether to remove a foreign body? On the one hand, all foreign bodies that are in the human body must be removed. On the other hand, in the absence of symptoms, the risk of surgery performed for the purpose of removal exceeds the risk associated with finding the foreign body. We would like to describe a practical case of removing a foreign body (Kirschner`s wires) from the left supraclavicular region. The young patient lived with a fragment of Kirschner's wire left after the osteosynthesis of the fractured clavicle for 5 years. Surgery to remove the residual foreign body was successful. On the 7th postoperative day the patient was discharged from the hospital under the supervision of surgeons at the place of residence.Key words: foreign body in soft tissue, Kirschner`s wire, surgical treatment. КЛІНІЧНИЙ ВИПАДОК ВИДАЛЕННЯ ЗАЛИШКОВ СТОРОННЬОГО ТІЛА З ЛІВОЇ НАДКЛЮЧИЧНОЇ ОБЛАСТІБойко В.В., Макаров В.В., Сочнева А.Л., Крицак В.В.Залишкові чужорідні тіла м'яких тканин залишаються однією з основних причин виникнення вогнища хронічної інфекції та зниження рівня якості життя. Хірургічне лікування основний спосіб позбавити хворого від наявності чужорідного агента. Часто виникає питання чи видаляти чужорідне тіло. З одного боку, усі сторонні тіла, що знаходяться в тілі людини, підлягають видаленню, з іншого боку при відсутності симптомів ризик операції, проводимої з метою видалення, перевищує ризик, пов'язаний з перебуванням чужорідного тіла. Ми хотіли б поділитися випадком видалення залишкового стороннього тіла (спиці Кіршнера) лівої надключичної ділянки із власної практики. Молода пацієнтка прожила з уламком спиці Кіршнера, залишеної після металлоостеосинтезу поламаної ключиці протягом 5 років. Операція з видалення залишкового стороннього тіла пройшла успішно. На 7 післяопераційну добу пацієнтка була виписана зі стаціонару під спостереження хірурги за місцем проживання.Ключові слова: чужорідне тіло м'яких тканин, спиця Кіршнера, хірургічне лікування. кЛИНИЧЕСКИЙ СЛУЧАЙ УДАЛЕНИЯ ОСТАТКОВ ИНОРОДНОГО ТЕЛА ИЗ ЛЕВОЙ ПОДКЛЮЧИЧНОЙ ОБЛАСТИ Бойко В.В., Макаров В.В., Сочнева А.Л., Крицак В.В.Остаточные инородные тела мягких тканей остаются одной из основных причин возникновения очага хронической инфекции и снижения уровня качества жизни. Хирургическое лечение основной способ избавить больного от наличия чужеродного агента. Часто возникает вопрос удалять ли инородное тело? С одной стороны, все инородные тела, находящиеся в теле человека, подлежат удалению, с другой стороны при отсутствии симптомов риск операции, производимой с целью удаления, превышает риск, связанный с нахождением инородного тела. Мы хотели бы поделится случаем удаления остаточного инородного тела (спицы Киршнера) левой надключичной области из собственной практики. Молодая пациентка прожила с обломком спицы Киршнера, оставленной после металлоостеосинтеза поломанной ключицы в течении 5 лет. Операция по удалению остаточного инородного тела прошла успешно. На 7 послеоперационные сутки пациентка была выписана из стационара под наблюдение хирурги по месту жительства.Ключевые слова: инородное тело мягких тканей, спица Киршнера, оперативное лечение.

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APPLICATION OF ASEPTICS IN SURGERY OF THE ABDOMINAL AND PELVIC CAVITY

Journal of obstetrics and women s diseases ◽

10.17816/jowd6297-108 ◽

2020 ◽

Vol 6 (2) ◽

pp. 97-108

Author(s):

D. M. Kireev

Keyword(s):

Surgical Treatment ◽

Mercuric Chloride ◽

General Surgery ◽

Harmful Effect ◽

The Other ◽

Pelvic Cavity ◽

Pelvic Organs ◽

Concentration Of Solutions ◽

Carbolic Acid ◽

The One

The widespread use of the antiseptic or anti-rotting method in the last 20 years, which has yielded brilliant results both in general surgery, and especially in the surgical treatment of diseases of the abdominal and pelvic organs, also has its disadvantages, the main one of which undoubtedly should be considered poisoning when using various anti-rotting medicines. In the literature there is already a rich casuistic material of deadly poisoning when used as an anesthetic, iodoform, carbolic acid, mercuric chloride, etc., etc. antiseptics or antiseptic method of treatment, despite the quick and brilliant success, still left much to be desired and made, during this entire 20-year period, both in laboratory and at the bedside of the patient, to look for means to disinfect the wound, with on the one hand, and not having a harmful effect on patients and those around them, on the other. Carbolic acid was replaced by iodine preparations, iodine preparations with mercuric chloride preparations, mercuric chloride boric acid, copper sulfate, creolin, lysol and many others, some of which have already been abandoned, some are still being tested. The degree of concentration of solutions changed, the time of their contact with the early was limited, and nevertheless, cases of poisoning, which, however, became less common, nevertheless did occur.

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