Coluna/ Columna最新文献_第6页

IMPACT OF THE SITTING POSITION ON LUMBAR LORDOSIS AND ITS CORRELATION WITH PELVIC PARAMETERS 坐姿对腰椎前凸的影响及其与骨盆参数的相关性

Coluna/ Columna Pub Date : 2022-01-01 DOI: 10.1590/s1808-185120222104262613

Roberto Topolniak, N. Astur, William Zarza Santos, R. Mendonça, A. Gotfryd, M. F. Caffaro, R. Meves

{"title":"IMPACT OF THE SITTING POSITION ON LUMBAR LORDOSIS AND ITS CORRELATION WITH PELVIC PARAMETERS","authors":"Roberto Topolniak, N. Astur, William Zarza Santos, R. Mendonça, A. Gotfryd, M. F. Caffaro, R. Meves","doi":"10.1590/s1808-185120222104262613","DOIUrl":"https://doi.org/10.1590/s1808-185120222104262613","url":null,"abstract":"ABSTRACT Objective: To evaluateboth the correlation between lumbar accommodation and pelvic parametersin different types of lordosis and the participation of different lumbar segments in the accommodation of lordosis in the standing and sitting positions. Methods: A retrospective study analyzingpatient images in standing and sitting positions. Correlations were conducted among the measured data: Cobb angle of the lumbar lordosis (LL,type of lordosis, pelvic incidence (PI),sacral slope (SS),pelvic tilt (PT), and the angulation of the L1-L2/L2-L3/L3-L4/L4-L5/L5-S1 segments. Results: Fortypatients were included, 20 men and 20 women. The mean age was 60.8 (±11.5). Of these patients, 10.3% were classified as Roussouly type 2, 35.9% as type 3, 25.6% as type 3A, and 28.2%as type 4.There was a weakcorrelation between LL and PT, however, an inverse correlation between the two (r=-0.183 and p=0.264) was observed. SS hadthe strongest correlation with LL (r> 0.75). Only the correlation between LL and PI was stronger when sitting than standing (p=0.014). The pelvic parameters and angulations of the segments and lumbar discs when standing and sitting were different (p<0.05). In both positions, there was a difference in the contribution of the segments to the LL (p<0.001). On average, the differences in LL between standing and sitting wereequal among theRoussouly classifications (p=0.332). Conclusions: There was a correlation between the LL and the pelvic parameters, being more evident with the SS than with the other parameters. There was no difference in the accommodation of the LL in the different Roussouly types either standing or sitting. Regardless of the position,the L4-S1 segments were predominant in the composition of LL. Level of evidence IV; Retrospective.","PeriodicalId":40025,"journal":{"name":"Coluna/ Columna","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67480232","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

THE INFLUENCE OF THE RIB CAGE ON THE SEVERITY OF THORACIC SPINE BURST FRACTURES 胸腔对胸椎爆裂性骨折严重程度的影响

Coluna/ Columna Pub Date : 2022-01-01 DOI: 10.1590/s1808-185120222101240584

R. Tisot, J. S. Vieira, Diego da Silva Collares, Valci José Dapieve Junior, Leonardo Mota Schneider, Alexander Acauan de Aquino, Ana Victória Coletto Reichert, A. Gelain, Isabelle Ranzolin, Jandáia Bortolini Marcon, Karine Dariva, Lucas Thomazi Ferron, Luiz Casemiro Krzyzaniak Grando, Matheus Henrique Benin Lima, Rodrigo Alberton da Silva

{"title":"THE INFLUENCE OF THE RIB CAGE ON THE SEVERITY OF THORACIC SPINE BURST FRACTURES","authors":"R. Tisot, J. S. Vieira, Diego da Silva Collares, Valci José Dapieve Junior, Leonardo Mota Schneider, Alexander Acauan de Aquino, Ana Victória Coletto Reichert, A. Gelain, Isabelle Ranzolin, Jandáia Bortolini Marcon, Karine Dariva, Lucas Thomazi Ferron, Luiz Casemiro Krzyzaniak Grando, Matheus Henrique Benin Lima, Rodrigo Alberton da Silva","doi":"10.1590/s1808-185120222101240584","DOIUrl":"https://doi.org/10.1590/s1808-185120222101240584","url":null,"abstract":"ABSTRACT Objective: To analyze the anatomic influence of the ribs related to the severity of thoracic spine burst fractures. Methods: A retrospective review of 28 patients with thoracic spine burst fractures hospitalized by the Spine Group of the Hospital Ortopédico de Passo Fundo between January 2002 and December 2016 was conducted. The kyphosis, vertebral collapse, and narrowing of the vertebral canal measurements were compared between patients who had fractures at the true and false rib levels (T1 to T10) and those with fractures at the floating rib levels (T11 to T12). Results: The kyphosis, vertebral collapse, and narrowing of the vertebral canal values, measured only for vertebrae pertaining to the rib cage, were low. In addition, there were no statistically significant differences between the measurements of the group of patients with fractures at the level of the true and false ribs (T1 to T10) and the group of patients whose fractures were at the level of the floating ribs (T11 and T12). Conclusion: The differences between the traumatic structural changes in the vertebrae with true and false ribs (T1 to T10) and the vertebrae with floating ribs (T11 and T12) were not significant in the present study. Level of Evidence II; Retrospective study.","PeriodicalId":40025,"journal":{"name":"Coluna/ Columna","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67478285","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

CORRELATION OF craniovertebral PARAMETERS WITH THE RETROPHARYNGEAL SPACE IN POSTERIOR C1-C2 ARTHRODESIS C1-C2后关节融合术中颅椎参数与咽后间隙的相关性

Coluna/ Columna Pub Date : 2022-01-01 DOI: 10.1590/s1808-185120222101250508

L. Silva, Alderico Girão Campos de Barros, Fábio Antônio Cabral de Araújo Fagundes, Gamaliel Gonzalez Atencio

{"title":"CORRELATION OF craniovertebral PARAMETERS WITH THE RETROPHARYNGEAL SPACE IN POSTERIOR C1-C2 ARTHRODESIS","authors":"L. Silva, Alderico Girão Campos de Barros, Fábio Antônio Cabral de Araújo Fagundes, Gamaliel Gonzalez Atencio","doi":"10.1590/s1808-185120222101250508","DOIUrl":"https://doi.org/10.1590/s1808-185120222101250508","url":null,"abstract":"ABSTRACT Introduction/Objective: The craniovertebral junction (CVJ) requires a detailed evaluation, as the changes in alignment caused by surgery can affect adjacent structures in a secondary way. Examples of these effects are dyspnea or dysphagia after posterior occipitocervical arthrodesis, due to decreased caliber of the oropharynx. These changes can be identified perioperatively by several radiographic parameters that aim to predict possible postoperative respiratory complications. Such complications appear to be related to the narrowest oropharyngeal airway space (nPAS), and may also occur following atlantoaxial (C1-C2) arthrodesis. This work aims to correlate the variation in CVJ alignment parameters before and after C1-C2 arthrodesis with the variation in nPAS. Methods: Patients who underwent posterior C1-C2 arthrodesis between 2011 and 2019 at the National Institute of Traumatology and Orthopedics (INTO) were included in the study, totaling 26 patients. The parameters evaluated included cervical lordosis, C1-C2 angle, slope of C2, Occipito-C2 angle (O-C2), pharyngeal inlet angle (PIA), pharyngeal tilt angle (PTA), occiput and external acoustic meatus to axis angle (O-EAa), cranial transverse motion against C2 angle (C2TA), axial tilt (AT) and the percentage of change in nPAS (%∆nPAS). Results: A correlation was observed between the change in C1-C2 angle, O-C2, PTA, C2TA and the %∆nPAS. Conclusion: The change in cervical alignment and CVJ parameters is correlated with %∆nPAS and should, therefore, be evaluated before and after atlantoaxial fusion as a means of predicting a possible respiratory complication. Level of Evidence: III; Cross sectional study .","PeriodicalId":40025,"journal":{"name":"Coluna/ Columna","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67478371","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

PAIN INTENSITY AND FUNCTIONAL STATUS 30 DAYS AFTER SURGERY: DIFFERENCE BETWEEN TRANSFORAMINAL AND INTERLAMINAR PERCUTANEOUS ENDOSCOPICLUMBAR DISCECTOMIES 术后30天疼痛强度和功能状态:经椎间孔和经皮内镜下腰椎椎间盘切除术的差异

Coluna/ Columna Pub Date : 2022-01-01 DOI: 10.1590/s1808-185120222101259450

Claudio A. G. Castilho, Rosalino Guareschi Junior, Oliver Damiani Meyer, Sérgio Zylbersztejn, Cesar Dall Bello, N. Rodrigues, Felipe Loss, Y. Kisaki

{"title":"PAIN INTENSITY AND FUNCTIONAL STATUS 30 DAYS AFTER SURGERY: DIFFERENCE BETWEEN TRANSFORAMINAL AND INTERLAMINAR PERCUTANEOUS ENDOSCOPICLUMBAR DISCECTOMIES","authors":"Claudio A. G. Castilho, Rosalino Guareschi Junior, Oliver Damiani Meyer, Sérgio Zylbersztejn, Cesar Dall Bello, N. Rodrigues, Felipe Loss, Y. Kisaki","doi":"10.1590/s1808-185120222101259450","DOIUrl":"https://doi.org/10.1590/s1808-185120222101259450","url":null,"abstract":"ABSTRACT Objective: To compare the differences between transforaminal and interlaminar endoscopic approaches in terms of pain intensity and functionality 30 days after the surgical procedure. Methods: A retrospective cohort study, with patients treated by percutaneous interlaminar or transforaminal endoscopic discectomy at the Spine Service of the ISCMPA, in southern Brazil. Data were collected from the patients’ electronic medical records by two independent physicians. The clinical outcomes of pain intensity and lumbar functionality were evaluated, respectively, using the visual analogue scale and the Oswestry Disability Index. Results: Thirty-six patients were included in the study, with a mean age of 50.8 ± 15.3 years, 19 (52.8%) of whom were males. As for the clinical outcomes for both transforaminal and interlaminar percutaneous endoscopic approaches, we observed a statistically significant reduction in pain intensity (mean difference of 3.5 points, p < 0.001) and a statistically significant improvement in functionality (mean difference of 33.2 points, p < 0.001) when we compared the pre- and 30-day postoperative periods, with no significant differences in terms of approaches. The type of technical approach also differed in relation to the patients’ age, the location, type, and migration of the herniated disc, and the patient’s time in the operating room. Conclusion: There was a similar effect on pain reduction and restoration of lumbar functions, 30 days after percutaneous endoscopic discectomy, in both technical approaches, with no significant differences between them. Level of Evidence III; Retrospective comparative study.","PeriodicalId":40025,"journal":{"name":"Coluna/ Columna","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67478631","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

INFLUENCE OF PHYSICAL ACTIVITY AND TIME IN THE SITTING POSITION ON THE CONDITION OF LOW BACK PAIN AMONG UNIVERSITY STUDENTS 体育活动和坐姿时间对大学生腰痛的影响

Coluna/ Columna Pub Date : 2022-01-01 DOI: 10.1590/s1808-185120222101253794

Douglas Rafael Lopes Eloi, P. Quemelo, M. Sousa

{"title":"INFLUENCE OF PHYSICAL ACTIVITY AND TIME IN THE SITTING POSITION ON THE CONDITION OF LOW BACK PAIN AMONG UNIVERSITY STUDENTS","authors":"Douglas Rafael Lopes Eloi, P. Quemelo, M. Sousa","doi":"10.1590/s1808-185120222101253794","DOIUrl":"https://doi.org/10.1590/s1808-185120222101253794","url":null,"abstract":"ABSTRACT Objective: To verify the influence of sedentary behavior and physical activity on the prevalence and situation of low back pain in medical students at a higher education institution. Methods: Cross-sectional study with a quantitative approach, conducted with 220 students. Data were collected between January and February 2021, using the Roland-Morris Disability Questionnaire. Data were analyzed using the Statistical Package for the Social Sciences Program. Values of p ≤ 0.05 were accepted as statistically significant. Results: Sixty-five percent of the participants were female, the average student age was 24.19 years, and a predominance of students were in the clinical cycle (60.9%). Of the total sample, 75.9% (n=167) stated that they performed physical activities and 28.2% (n=62) responded that they spend between 7-10 hours sitting studying. The prevalence of low back pain was high (84.1%; n=185), however, only 1.5% (n=3) had scores indicative of functional disability. Women (Mean=5.07, SD=0.35) had greater functional disability than men (Mean=3.33, SD=0.35; p=0.008). Sedentary students had greater disability (Mean=5.79, SD=4.55) than active students (Mean=4.04, SD=3.62; p=0.007); individuals who spent more than 7 hours a day sitting also had higher scores (p=0.02). Conclusion: The findings indicated a significant self-reported prevalence of low back pain among medical students, with greater functional disability in females, sedentary individuals, and those who sat for more than 7 hours a day. Level of Evidence II; Cross-sectional study .","PeriodicalId":40025,"journal":{"name":"Coluna/ Columna","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67479047","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

AN ANALYTICAL REVIEW OF CONTRIBUTORY FACTORS IN INTERVERTEBRAL DISC DEGENERATION 椎间盘退变相关因素的分析综述

Coluna/ Columna Pub Date : 2022-01-01 DOI: 10.1590/s1808-185120222102253646

Vishal Kumar, D. Neradi, Shivam Maheshwari, Guisela Quinteros, Ratko Yurac

引用次数: 0

THORACIC HYPERKYPHOSIS DOES NOT INFLUENCE THE BALANCE IN SEDENTARY ELDERLY 胸后凸不影响久坐老年人的平衡

Coluna/ Columna Pub Date : 2022-01-01 DOI: 10.1590/s1808-185120222103265347

Fabíola Júnia Gonçalves, Cíntia Domingues de Freitas, I. B. Masson, Mayara Martins de Sá

{"title":"THORACIC HYPERKYPHOSIS DOES NOT INFLUENCE THE BALANCE IN SEDENTARY ELDERLY","authors":"Fabíola Júnia Gonçalves, Cíntia Domingues de Freitas, I. B. Masson, Mayara Martins de Sá","doi":"10.1590/s1808-185120222103265347","DOIUrl":"https://doi.org/10.1590/s1808-185120222103265347","url":null,"abstract":"ABSTRACT Objective: Evaluate and correlate balance and thoracic hyperkyphosis in sedentary elderly people. Methods: 61 elderly, 14 men and 47 women, mean age of 78.03 ± 9.34, mean weight of 67.80 kg ± 12.82, and mean height of 1.58 m ± 0.09. Balance assessment was performed using the Berg Balance Scale, Romberg Test, and Functional Reach Test, and the Flexicurve method was used to detect thoracic hyperkyphosis. The correlation between the variables was performed using the Bivariate correlation test. Results: The values obtained in the tests were: Flexicurve (65.73º ± 10.57), Berg Balance Scale (44.05 points ± 7.58), Functional Reach Test (16.29 cm ± 6.36), and Romberg Test (89% positive, 11% negative). There was no correlation between the Flexicurve method and the Berg Balance Scale (r = -0.22, p = 0.08); with the Romberg Test (r = -0.08, p = 0.52); and the Functional Range Test (r = 0.13 p = 0.31). Conclusion: Thoracic hyperkyphosis did not influence the balance variables in the elderly sample studied. Level of evidence I; Diagnostic studies - Investigation of a diagnostic test - Test of previously developed diagnostic criteria in consecutive patients (with “gold” reference standard applied).","PeriodicalId":40025,"journal":{"name":"Coluna/ Columna","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67479984","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

IMPACT OF OBESITY ON THE CLINICAL OUTCOMES OF SPINAL SURGERY BY TRANSPSOAS LATERAL FUSION 肥胖对经腰肌外侧融合脊柱手术临床结果的影响

Coluna/ Columna Pub Date : 2022-01-01 DOI: 10.1590/s1808-185120222104253861

Fernando Antonio de Melo Filho, Gabriel Pokorny, R. Moriguchi, R. Amaral, L. Pimenta

引用次数: 0

EFFECT OF SURGICAL TREATMENT OF SCOLIOTIC CURVATURE ON THE SPINE AND UPPER LIMBS 脊柱及上肢侧凸曲度的手术治疗效果

Coluna/ Columna Pub Date : 2022-01-01 DOI: 10.1590/s1808-185120222104262464

Henrique Alexandre Miranda Santos, Carlo Barsotti, Carlos Augusto Belchior B Junior, Rodrigo Mantelatto Andrade, Alexandre Penna Torini, A. Ribeiro

{"title":"EFFECT OF SURGICAL TREATMENT OF SCOLIOTIC CURVATURE ON THE SPINE AND UPPER LIMBS","authors":"Henrique Alexandre Miranda Santos, Carlo Barsotti, Carlos Augusto Belchior B Junior, Rodrigo Mantelatto Andrade, Alexandre Penna Torini, A. Ribeiro","doi":"10.1590/s1808-185120222104262464","DOIUrl":"https://doi.org/10.1590/s1808-185120222104262464","url":null,"abstract":"ABSTRACT Objectives: Evaluate the surgical treatment of scoliotic curvature effects and sagittal radiographic parameters of the spine and upper limbs after surgical treatment with direct vertebral rotation (DVR) associated with type 1 osteotomy in adolescents with idiopathic scoliosis (AIS). Material and Methods: 41 patients with AIS were evaluated and compared before and after surgery. Scoliosis was confirmed by a radiographic of the spine. The radiographic parameters evaluated were: Cobb angles (proximal and distal thoracic), segmental kyphosis (T5-T12), total kyphosis (T1-T12), cervical lordosis (C2-C7), distance from the center of gravity of the skull to C7 (Cervical VAS), measurement of T1 slope (T1), neck slope, IT slope (AP), angle of the upper chest opening and plumb line C7-S1 (SVA C7-S1). Statistical analysis compared the pre- and post-surgical effects of sagittal cervical and shoulder parameters. Results: After the surgical procedure, significant reductions were observed for the following parameters of spine measurement: proximal and distal thoracic Cobb angle, with a correction of 68% of the main thoracic curve. The measurements of the inclination of the T1 profile and the inclination of the neck also improve after surgery. Regarding the shoulders, there was a reduction in T1 AP slope and intercoracoid angle after surgery. The other radiographic parameters did not show significant differences. Conclusion: Surgical treatment with direct vertebral rotation (DVR) associated with type 1 osteotomy promoted better sagittal radiographic parameters of the thoracic Cobb angles, T1 inclination of the cervical spine, neck inclination, and better shoulder symmetry. Level of Evidence II; Prospective study.","PeriodicalId":40025,"journal":{"name":"Coluna/ Columna","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67480116","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

VERTEBROPLASTY IN BONE FRAGILITY FRACTURES AND TUMOR FRACTURES: RISKS AND BENEFITS 椎体成形术治疗脆性骨折和肿瘤骨折:风险和益处

Coluna/ Columna Pub Date : 2022-01-01 DOI: 10.1590/s1808-185120222104261926

Rafael Barreto Silva, José Carlos Barbe Gonçalves, Rafael Belloni Cabral, Luiz Henrique Mendes dos Santos, E. A. Galdeano, Carlos Andres Amelunge Rodriguez, Gabriela Aiello Fernandes Pantarotto

{"title":"VERTEBROPLASTY IN BONE FRAGILITY FRACTURES AND TUMOR FRACTURES: RISKS AND BENEFITS","authors":"Rafael Barreto Silva, José Carlos Barbe Gonçalves, Rafael Belloni Cabral, Luiz Henrique Mendes dos Santos, E. A. Galdeano, Carlos Andres Amelunge Rodriguez, Gabriela Aiello Fernandes Pantarotto","doi":"10.1590/s1808-185120222104261926","DOIUrl":"https://doi.org/10.1590/s1808-185120222104261926","url":null,"abstract":"ABSTRACT Objective: To evaluate the results of percutaneous vertebroplasty (PV) in spinal fragility fractures (osteoporosis/tumor), analyzing possible complications. Method: We evaluated 33 patients with spinal fractures (FXV) due to osteoporosis or tumor who underwent PV between January and November 2021. A physical examination was performed, obtaining the history and risk factors for bone fragility/tumor and a radiological evaluation of the spine to verify FXV. Genant’s semiquantitative method was used for postoperative classification, the VAS score, and a disability questionnaire (ODI). A radiologist evaluated tomographic control to quantify vertebral filling and extravasation, determining where they occurred. Results: 46 vertebrae of 33 patients were operated on, with a mean age of 71 years, and 11 patients with more than one level of surgery. Of the total, 13 patients had tumor fractures, and 20 had fractures due to insufficiency. PMMA extravasation was observed in 31 vertebrae, most frequently in the External Vertebral Venous Plexus (23), Discal Body (9), Anterior Epidural Recess (4), Pulmonary Vessels (4), Internal Vertebral Venous Plexus (3), Inferior Cava (2), Adipose Plane (2) and Azygos Vein (1). No patient had clinical complications. Furthermore, the mean preoperative VAS was eight, the postoperative one was 3, the mean preoperative ODI was 56, and the postoperative one was 30. Conclusion: PMMA extravasation was frequent in several locations and levels without any clinical complications. VP proved to be effective in improving pain and function. Level III; Longitudinal Retrospective Cohort Study.","PeriodicalId":40025,"journal":{"name":"Coluna/ Columna","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67480214","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: 1