PURPOSE To investigate the outcomes of patients with spinal metastases from hepatocellular carcinoma (HCC), who were treated by stereotactic body radiotherapy (SBRT). MATERIALS AND METHODS This retrospective study evaluated 23 patients who underwent SBRT from October 2008 to August 2012 for 36 spinal metastases from HCC. SBRT consisted of approximately 2 fractionation schedules, which were 18...

Objective. To compare the osteoporosis detection rates in postmenopausal women when measuring bone mineral density (BMD) with quantitative computed tomography (QCT) in the spine versus dual X-ray absorptiometry (DXA) in the spine and hip and to investigate the reasons for the discrepancy between the two techniques. Methods. Spinal volumetric BMD was measured with QCT, and areal spinal and hip B...

BACKGROUND AND PURPOSE Percutaneous vertebroplasty can aggravate spinal canal narrowing, especially in patients with preoperative retropulsion. The purpose of this study was to evaluate changes in spinal canal dimension during percutaneous vertebroplasty for osteoporotic fractures with retropulsion. MATERIALS AND METHODS We reviewed all cases of osteoporotic vertebral fractures treated with v...

BACKGROUND Individuals with ankylosing spondylitis are at an increased risk of vertebral fractures. These are often unstable, leading to primary and secondary neurological injury and conferring high levels of morbidity and mortality. Fractures in these patients can occur after minimal trauma and are easily missed, with potentially disastrous consequences. OBJECTIVES To educate health professi...

The role of the orthogeriatrician has grown over the last few years. Orthogeriatrics was primarily involved in the care and management of fragility hip fractures, but has recently been expanded to provide specialist care to patients admitted with other various fractures, the spine, pelvis, appendicular, and those suffered from major trauma. There is also an increasing role for the orthogeriatri...

Fig. 1.-Case 1: Sagittal MR image (700/20; 0.5 T) shows marked atrophy of cord (arrows) extending from C7 to T3. Thoracic spinal cord is normal. No fractures or subluxations are present. Fig. 2.-Case 2: Sagittal magnified MR image (700/20; 1.5 T) shows severe atrophy of cervical spinal cord at T1 and T2. Linear areas of isointense signal intensity in thecal sac (arrows) posterior to region of c...

Background The failure rate for the closed/non-surgical treatment of thoracic and lumbar vertebral body fractures (TLVBF) in trauma patients has not been adequately evaluated utilizing computed tomography (CT) studies. Methods From 2007 to 2008, consecutive trauma patients, who met inclusion criteria, with a CT diagnosis of acute TLVBF undergoing closed treatment were assessed. The failure ra...

Background and aims: One of the most common injuries around the world is the traumatic injury of the spine and spinal cord with unknown worldwide situation of traumatic spinal cord injury (TSCI) affecting on the effectiveness of preventive policy programs. In addition, because of possibility of making paralysis, the potential injury to the spine could be one of the most importa...

The objective of this study was to review the effect of helmet use on the frequency of cervical or thoracic fractures experienced in motorcycle crashes. This prospective cohort study was conducted at one hospital, St. Joseph’s Hospital Medical Center in central Phoenix, Arizona. Cases were 422 motorcycle crash victims treated during the 3 years of the study (July 1, 2002 through June 30, 2005),...