A retrospective review of surgically treated lower-extremity long-bone fractures in wheelchair-bound patients was conducted. Between October 2000 and July 2009, eleven lower-extremity fractures in 9 wheelchair-bound patients underwent surgical fixation. The Short Musculoskeletal Function Assessment, Short Form, and Spinal Cord Injury Quality of Life questionnaires were used to assess functional...

RATIONALE Lumbar burst fractures are frequent injury resulting from high-energy trauma, and the patients suffer from pain and the neurologic dysfunction. Although minimally invasive techniques have advanced rapidly, it was the first time to apply transforaminal endoscopic combined with percutaneous pedicle screw fixation to treatment of lumbar burst fractures. PATIENT CONCERNS A 33-year-old m...

Video-assisted thoracoscopic surgery (VATS) has become an alternative treatment tool for a variety of spinal conditions in the last two decades. This endoscopic or "keyhole" approach minimizes the chest wall morbidity related to the traditional thoracotomy. The current indications for VATS are the same as in any open anterior spinal surgery. This article reviews the outcomes of VATS treatments ...

AIM To determine whether the Thoracolumbar Injury Classification and Severity Score (TLICS) and the Arbeitsgemeinschaft für Osteosynthesefragen (AO) Spine Thoracolumbar Injury Classification System have any superiority to each other regarding the reliability of their recommendations in the surgical management of unstable thoracolumbar burst fractures. MATERIAL AND METHODS Fifty-five consecuti...

background & aims: thuracolumbar unstable fractures (t, l.u.f) are common after spine truma. posterior pedicular fixation is a technique that is use for fixation of these fractures. this study evaluates the accuracy of pedicular screw placement in t, luf with the assistance of plain radiography in operation rooms. materials & methods: this study is a case-control and analytical study. 35 patien...

OBJECTIVE To determine bone mineral density (BMD) in patients with mild ankylosing spondylitis (AS), to establish the prevalence of vertebral fractures and fracture risk in these patients, and to determine the relationship between BMD and vertebral fractures. METHODS Sixty-six men with mild AS were studied. BMD of the lumbar spine and femoral neck was measured by dual X-ray absorptiometry (DX...

Ever since Sir Robert Jones demonstrated the utility of radiographs for the diagnosis of fractures,1 the quality and value of diagnostic imaging has steadily increased. The spinal surgeon and the spinal patient have in recent decades benefited from the development of imaging modalities specific for soft or hard tissue. For lateral approach spinal surgery, these modalities are critical for diagn...

The reduction of spinal fractures requires a combination of aith and reason. Faith is needed, as the goal of the 20th cenury orthopaedic surgeon is to restore full integrity to the patient. aith must be combined with reason, to ensure that the reduction rocedure is safe for the spinal cord and nerve roots. Reducion should be followed by stable fixation. When the indications re determined with d...

In 139 patients with burst fractures of the thoracic, thoracolumbar or lumbar spine, the least sagittal diameter of the spinal canal at the level of injury was measured by computerised tomography. By multiple logistic regression we investigated the joint correlation of the level of the burst fracture and the percentage of spinal canal stenosis with the probability of an associated neurological ...

BACKGROUND Serum protein S-100B determinations have been widely proposed in the past as markers of traumatic brain injury and used as a predictor of injury severity and outcome. The purpose of this prospective observational case series was therefore to determine S-100B serum levels in patients with isolated injuries to the back. METHODS Between 1 February and 1 May 2008, serum samples for S-1...