Grande Medical Journal最新文献_第3页

Lateral lumbar interbody fusion (LLIF): Technique and outcomes 侧位腰椎椎体间融合术(LLIF):技术和结果

Grande Medical Journal Pub Date : 2019-01-03 DOI: 10.3126/GMJ.V1I1.22399

C. Sutterlin, Jane E. Luscombe, Jerry Day, A. Dubey

{"title":"Lateral lumbar interbody fusion (LLIF): Technique and outcomes","authors":"C. Sutterlin, Jane E. Luscombe, Jerry Day, A. Dubey","doi":"10.3126/GMJ.V1I1.22399","DOIUrl":"https://doi.org/10.3126/GMJ.V1I1.22399","url":null,"abstract":"Introduction: Historically, an interbody device (IBD) has consisted of morselized autograft1, structural autograft, structural allograft, stainless steel ball, threaded titanium cage, polyetheretherketone (PEEK) cage, and more recently 3D printed titanium cage with bioactive surface characteristics and bony ingrowth into IBD interstices. These IBD’s have been inserted through a variety of approaches, both by open technique and by minimally invasive surgical (MIS) technique. Traditionally, the most common procedures have been posterior lumbar interbody fusion (PLIF), transfacetal lumbar interbody fusion (TLIF), and anterior lumbar interbody fusion (ALIF). Obviously, both PLIF and TLIF are posterior approaches, and ALIF is an anterior approach. More recent approaches in the retroperitoneal space anteriorly are oblique lumbar interbody fusion (OLIF) anterior to the psoas muscle, and lateral lumbar interbody fusion (LLIF) which is a transpsoas procedure. LLIF is the subject of this manuscript. The LLIF technique utilizing K2M’s Ravine retractor system and K2M’s lateral IBD’s, Aleutian (PEEK) and Cascadia (3D printed titanium) will be described (K2M, Leesburg, VA USA). Bone graft substitute, iFactor (Cerapedics, Colorado USA), was used in all cases. No autograft was harvested from the iliac crest, but local morselized autograft was utilized if available. The clinical outcomes for LLIF using these implants and instruments will be reported.","PeriodicalId":314361,"journal":{"name":"Grande Medical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117025784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Acquired B antigen in ABO blood group system: Non-secretor group 'A1' subtype, Rh positive with auto antibodies in a patient with urinary tract infection with E. coli ABO血型系统获得性B抗原:非分泌组A1亚型，Rh阳性伴自身抗体尿路感染大肠杆菌1例

Grande Medical Journal Pub Date : 2019-01-03 DOI: 10.3126/GMJ.V1I1.22411

B. Nepal, B. Shrestha, Ravi Mahat, Abish Adhikari

{"title":"Acquired B antigen in ABO blood group system: Non-secretor group 'A1' subtype, Rh positive with auto antibodies in a patient with urinary tract infection with E. coli","authors":"B. Nepal, B. Shrestha, Ravi Mahat, Abish Adhikari","doi":"10.3126/GMJ.V1I1.22411","DOIUrl":"https://doi.org/10.3126/GMJ.V1I1.22411","url":null,"abstract":"This is case report of a female with “A” sub type with acquired B antigen and non-secretor status, first ever reported with this combination in Nepal, during blood grouping of a sample of a patient with urinary tract infection. The patient was referred to our center for blood grouping, cross matching and transfusion due to severe anemia. \u0000During routine blood grouping, the red cells showed mixed field agglutination with anti-A, anti- AB and microscopic agglutination with anti-B. On serum grouping, we detected potent Anti-B and no agglutination with anti-A. There was no reaction with anti-A both at room temperature and at 37°C. Her cells were further tested with A1 Lectin and Anti-H antisera. There was strong reaction with A1 Lectin and 3+ macroscopic reaction with anti-H in addition to a positive auto-control. Her direct antiglobulin test was only +1 positive. For her “B” antigen, we acidified B antisera with HCl, which did not give any macro or microscopic agglutination with patient’s red cells. Her “Rh” status was positive and on examining the saliva, she was found to be non-secretor. \u0000The first choice of blood group for transfusion in this case is the “A1” sub type followed by “O” blood group. As the patient had already received “A” blood group and in the presence of auto antibodies, “A subgroup” blood transfusion should be avoided in her.","PeriodicalId":314361,"journal":{"name":"Grande Medical Journal","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123630318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rudimentary third arm arising from the upper back: A rare case 源自上背部的第三只手臂发育不全:罕见病例

Grande Medical Journal Pub Date : 2019-01-03 DOI: 10.3126/GMJ.V1I1.22405

R. Adhikari, Amit Thapa, C. Pandey

引用次数: 1

Myometrial myxoidosis: A rare case seen in a patient of primary subfertility 子宫肌瘤黏液性病:一例罕见的原发性不孕患者

Grande Medical Journal Pub Date : 2019-01-03 DOI: 10.3126/GMJ.V1I1.22420

Nilam Subedi, P. Pant, A. Ghimire

引用次数: 0

Dacryocele in an adult presenting as facial cellulitis 成人的泪囊肿表现为面部蜂窝组织炎

Grande Medical Journal Pub Date : 2019-01-03 DOI: 10.3126/GMJ.V1I1.22412

P. Kansakar, G. Sundar