Journal of Musculoskeletal Research最新文献_第4页

BILATERAL INSUFFICIENCY FRACTURES OF MEDIAL MALLEOLI IN AN ELDERLY PATIENT: A CASE REPORT 老年人双侧内踝功能不全性骨折1例

Journal of Musculoskeletal Research Pub Date : 2023-06-24 DOI: 10.1142/s0218957723720041

Seong-Tae Kim, E. Yoon, Sung-Rak Lee

引用次数: 0

MPFL RECONSTRUCTION, USING FASCIA LATA AS AN AUTOGRAFT, AFTER FAILED PROXIMAL AND DISTAL PATELLOFEMORAL REALIGHMENT PROCEDURES. REPORT OF TWO CASES 在髌股近端和远端重建失败后，用阔筋膜作为自体移植物进行MPFL重建。两例报告

Journal of Musculoskeletal Research Pub Date : 2023-06-24 DOI: 10.1142/s021895772372003x

P. Megremis, O. Megremis

引用次数: 0

Functional Outcome Of Isolated Medial Femoral Condyle Fractures managed with Plate Osteosynthesis- A case series. 钢板内固定治疗孤立性股骨内侧髁骨折的功能结果-一个病例系列。

Journal of Musculoskeletal Research Pub Date : 2023-06-23 DOI: 10.1142/s0218957723500124

Pradeep Choudhary, M. Saxena, H. Jain, Nandlal Bharwani, Mahesh Bhati

引用次数: 0

SHORT- TO MIDTERM RADIOGRAPHIC AND CLINICAL OUTCOMES OF ANTERIOR OPENING OSTEOTOMY WITH LAMINA SPARING IN POST-TRAUMATIC KYPHOSIS: A CASE SERIES 保留椎板的前路切开截骨治疗创伤后后后凸的中短期影像学和临床结果：一系列病例

Journal of Musculoskeletal Research Pub Date : 2023-06-22 DOI: 10.1142/s0218957723400079

Chih-Mai Chang, Kun-Hui Chen, Chien-Chou Pan, Wen-Hsien Lu, Kuo-Chih Su, Cheng-Hung Lee

{"title":"SHORT- TO MIDTERM RADIOGRAPHIC AND CLINICAL OUTCOMES OF ANTERIOR OPENING OSTEOTOMY WITH LAMINA SPARING IN POST-TRAUMATIC KYPHOSIS: A CASE SERIES","authors":"Chih-Mai Chang, Kun-Hui Chen, Chien-Chou Pan, Wen-Hsien Lu, Kuo-Chih Su, Cheng-Hung Lee","doi":"10.1142/s0218957723400079","DOIUrl":"https://doi.org/10.1142/s0218957723400079","url":null,"abstract":"Purpose: Most spinal osteotomy procedures applied for spinal deformity and concomitant malalignment cases are associated with varied complications. This study evaluates the short- to midterm clinical and radiographic efficacy of the transpedicular anterior opening osteotomy technique. Methods: We retrospectively enrolled six patients who underwent transpedicular anterior opening osteotomy due to symptomatic rigid kyphotic deformity from May 2005 to 2016. During surgery, we created a new fracture line at the collapsed anterior vertebral body through bilateral pedicles, filled spaces with compacted bone grafts while preserving posterior elements, including lamina, and secured structure using posterior instrumentation. The kyphotic Cobb angle, Visual Analog Scale (VAS), and Oswestry Disability Index (ODI) before and after surgery were measured and analyzed. Results: The mean preoperative kyphotic Cobb angle was 31.41 ± 4.77[Formula: see text] while the postoperative value was 15.75 ± 1.66[Formula: see text]. The mean correction angle was 15.55 ± 6.66[Formula: see text]. The mean follow-up duration was 50.17 ± 44.16 months. During the final follow-up, the mean kyphotic angle was not statistically different from the postoperative values. All patients with documented VAS Back and ODI had improved values postoperatively. Conclusions: Transpedicular anterior opening osteotomy with posterior element preservation improves clinical outcomes and is safe and effective in correcting regional, fixed kyphotic deformities.","PeriodicalId":55895,"journal":{"name":"Journal of Musculoskeletal Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49009477","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

THREE-COLUMN OSTEOTOMY WITH COMBINATION OF COMPRESSION HOOK AND PEDICLE SCREW FIXATION FOR ADULT SPINAL DEFORMITY IN PATIENTS WITH PARKINSON’S DISEASE 三柱截骨联合加压钩椎弓根螺钉固定治疗帕金森病患者成人脊柱畸形

Journal of Musculoskeletal Research Pub Date : 2023-06-01 DOI: 10.1142/s0218957723400055

H. Kanno, Kokichi Hashimoto, Kohei Takahashi, Kyoichi Handa, T. Aizawa, H. Ozawa

{"title":"THREE-COLUMN OSTEOTOMY WITH COMBINATION OF COMPRESSION HOOK AND PEDICLE SCREW FIXATION FOR ADULT SPINAL DEFORMITY IN PATIENTS WITH PARKINSON’S DISEASE","authors":"H. Kanno, Kokichi Hashimoto, Kohei Takahashi, Kyoichi Handa, T. Aizawa, H. Ozawa","doi":"10.1142/s0218957723400055","DOIUrl":"https://doi.org/10.1142/s0218957723400055","url":null,"abstract":"Purpose: Surgical treatment for adult spinal deformity (ASD) in patients with Parkinson’s disease (PD) is challenging and is associated with a significant risk of postoperative mechanical complications, such as rod breakage, pseudoarthrosis and proximal junctional failure. We herein report the surgical results of three-column osteotomy with pedicle screw fixation combined with compression hook for ASD associated with PD. Methods: We retrospectively investigated four patients with ASD due to PD who underwent three-column osteotomy with posterior instrumentation. The compression hook system placed on the laminae was used for closure of the osteotomy site during surgery and reinforcement of pedicle screw fixation. Surgical outcomes and radiographical parameters were analyzed. Results: Lumbar lordosis was improved from [Formula: see text] preoperatively to [Formula: see text] postoperatively, and [Formula: see text] at the final follow-up examination. The sagittal vertical axis was restored from 297 ± 104 mm preoperatively to 41 ± 13 mm postoperatively, and 72 ± 23 mm at the final follow-up examination. The preoperative VAS (88 ± 14 mm) for low back pain was significantly improved at the final follow-up examination (14 ± 28 mm). Walking disturbance due to low back pain was improved in all patients. No patients had mechanical failure (e.g. rod fracture, pseudarthrosis, or junctional failure) after surgery. Conclusion: The use of compression hooks to supplement pedicle screw fixation is beneficial for performing safe osteotomy closure during surgery and preventing postoperative mechanical failures, and may be a useful option when performing three-column osteotomy for ASD associated with PD.","PeriodicalId":55895,"journal":{"name":"Journal of Musculoskeletal Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43136887","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

EDITORIAL: SURGICAL MANAGEMENT OF KYPHOTIC DEFORMITY OF SPINE 社论：脊柱后凸畸形的外科治疗

Journal of Musculoskeletal Research Pub Date : 2023-06-01 DOI: 10.1142/s021895772303001x

I. Chen, Po‐Quang Chen

引用次数: 0

MINIMALLY INVASIVE SPINE SURGERY FOR POST-TRAUMATIC KYPHOSIS: A SYSTEMIC LITERATURE REVIEW AND RETROSPECTIVE CASE ANALYSIS 微创脊柱手术治疗创伤后脊柱后凸：系统文献综述和回顾性病例分析

Journal of Musculoskeletal Research Pub Date : 2023-06-01 DOI: 10.1142/s0218957723400031

Chun Yeh, Chia-Yu Lin, Hsien-Te Chen

{"title":"MINIMALLY INVASIVE SPINE SURGERY FOR POST-TRAUMATIC KYPHOSIS: A SYSTEMIC LITERATURE REVIEW AND RETROSPECTIVE CASE ANALYSIS","authors":"Chun Yeh, Chia-Yu Lin, Hsien-Te Chen","doi":"10.1142/s0218957723400031","DOIUrl":"https://doi.org/10.1142/s0218957723400031","url":null,"abstract":"Study Design: Retrospective case analysis and systematic literature review. Objective: To comprehensively review minimally invasive surgery (MIS) for post-traumatic kyphosis. Methods: A systematic PubMed search was conducted for MIS and kyphotic deformities were published between 2012 and 2022. Sixteen patients between 2017 and 2021 met the criteria. Demographic data, surgical characteristics, and full-length radiographic parameters were collected pre- and post-operatively, and at final follow-up. Results: Twenty-three articles were included. The mean age was 67 years, and the mean follow-up was 17 months. The mean operative time was 331 min and blood loss was 252 ml. Pre-operative radiographic outcomes were as follows: Lumbar lordosis (LL), [Formula: see text]; pelvic incidence (PI), [Formula: see text]; PI-LL mismatch, [Formula: see text]; pelvic tilt (PT), [Formula: see text]; and sagittal vertical axis (SVA), [Formula: see text] mm. At the final follow-up, LL was [Formula: see text] ([Formula: see text] = 0.51229), PI was [Formula: see text] ([Formula: see text] = 0.61438), PI-LL mismatch was [Formula: see text] ([Formula: see text] = 0.74696), PT was [Formula: see text] ([Formula: see text] = 0.00386), and SVA was [Formula: see text] mm ([Formula: see text] = 0.00465). The mean ODI and VAS scores for back pain at baseline and at 96 months follow-up were 33.2–19.7 and 8.4–2.5, respectively. Conclusion: Age-adjusted MIS provides correction of sagittal alignment for posttraumatic kyphosis that satisfies patient demand.","PeriodicalId":55895,"journal":{"name":"Journal of Musculoskeletal Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42918328","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

ROLES OF SPINAL OSTEOTOMIES ON CORRECTION OF POST-TRAUMATIC THORACOLUMBAR KYPHOSIS 脊柱截骨术在创伤后胸腰椎后凸矫正中的作用

Journal of Musculoskeletal Research Pub Date : 2023-06-01 DOI: 10.1142/s0218957723400067

Jui-Yo Hsu, Chih-Wei Chen, Chuan-Ching Huang, M. Hu, Shu-Hua Yang

{"title":"ROLES OF SPINAL OSTEOTOMIES ON CORRECTION OF POST-TRAUMATIC THORACOLUMBAR KYPHOSIS","authors":"Jui-Yo Hsu, Chih-Wei Chen, Chuan-Ching Huang, M. Hu, Shu-Hua Yang","doi":"10.1142/s0218957723400067","DOIUrl":"https://doi.org/10.1142/s0218957723400067","url":null,"abstract":"Thoracolumbar (T–L) fracture may create focal kyphosis accompanied by altered sagittal alignment, instability and potential neurological deficits. Surgical intervention for post-traumatic T–L kyphosis aims to restore sagittal balance, release compromised neural structures, and to improve the symptoms related to the malalignment. It is best indicated when there is a progression of kyphotic deformity, and/or when there are new or progressive neurological deficits. A kyphotic deformity [Formula: see text] is susceptible to persistent chronic pain in the kyphotic region and surgical correction is often required. Those with posterior ligamentous complex injury may also warrant surgical correction as there is a higher risk of kyphosis progression. A number of surgical procedures could be employed to correct post-traumatic T–L kyphosis. Spinal osteotomies are often needed to improve global, sagittal or coronal balance including in the late and fixed post-traumatic kyphosis. Based on different extent of focal kyphosis and global malalignment, surgical options may include posterior column osteotomy (PCO), pedicle subtraction osteotomy (PSO), disc-bone osteotomy (DBO), vertebral column resection (VCR) or closing opening wedge osteotomy (COWO). The type of spinal osteotomy utilized to correct post-traumatic T–L kyphosis should be chosen based on the severity of the deformity, the alignment of the spine, and the surrounding structures. In the meantime, potential complications should be reduced with novel techniques and proper constructs. When all associated factors are considered, surgical correction composing a suitable spinal osteotomy can be a beneficial and rewarding procedure for patients with post-traumatic T–L kyphosis.","PeriodicalId":55895,"journal":{"name":"Journal of Musculoskeletal Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43752708","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

CURRENT CONCEPTS IN MANAGEMENT OF ACUTE KYPHOSIS IN SPINAL TUBERCULOSIS – A NARRATIVE REVIEW 脊柱结核急性后凸管理的当前概念-叙述性回顾

Journal of Musculoskeletal Research Pub Date : 2023-06-01 DOI: 10.1142/s0218957723400043

R. Kanna, Prashasth, A. Shetty, S. Rajasekaran

引用次数: 0

THE ASSOCIATION BETWEEN HOUNSFIELD UNIT AND PROXIMAL JUNCTIONAL KYPHOSIS IN ADULT SPINAL DEFORMITY SURGERY: A SYSTEMATIC REVIEW AND META-ANALYSIS 成人脊柱畸形手术中hounsfield单位与近端关节后凸的关系:一项系统综述和荟萃分析

Journal of Musculoskeletal Research Pub Date : 2023-06-01 DOI: 10.1142/s021895772340002x

Chun-Ru Lin, S. H. L. Tsai, Yung-Hsueh Hu, Yu-Cheng Yeh, Tung-Yi Lin, T. Fu, C. Niu

{"title":"THE ASSOCIATION BETWEEN HOUNSFIELD UNIT AND PROXIMAL JUNCTIONAL KYPHOSIS IN ADULT SPINAL DEFORMITY SURGERY: A SYSTEMATIC REVIEW AND META-ANALYSIS","authors":"Chun-Ru Lin, S. H. L. Tsai, Yung-Hsueh Hu, Yu-Cheng Yeh, Tung-Yi Lin, T. Fu, C. Niu","doi":"10.1142/s021895772340002x","DOIUrl":"https://doi.org/10.1142/s021895772340002x","url":null,"abstract":"Objective: This study investigated Hounsfield unit (HU) differences in adult spinal deformity (ASD) surgery patients with and without proximal junctional kyphosis (PJK), a common complication. Summary Background Data: Previous studies have identified osteoporosis as a PJK risk factor, and CT scanning is a valuable tool for detecting osteoporosis through HU measurements. The study aimed to determine the level of HU difference between patients diagnosed with and without PJK. Methods: We conducted a meta-analysis using a random-effects model of randomized controlled trials and cohort studies that assessed HUs for ASD surgery patients who developed PJKs. We searched in PubMed, Embase, Ovid, The Cochrane Library, and Web of Science up to October 2022 and had two authors extract data and evaluate bias. Results: Four cohort studies with 250 patients were included in this study. Measurements of HUs at upper instrumented vertebra (UIV) and UIV+1 showed significant differences between PJKs and non-PJKs. (Mean difference (MD) at UIV: −25.36, 95% CI: −39.16, −11.56, p = 0.0003; MD at UIV+1: −21.06, 95% CI: −38.25, −3.88, p = 0.02). Conclusions: The study found measuring HUs of UIV and UIV+1 can predict the occurrence of PJK in ASD surgery. Further prospective studies are warranted to validate our findings.","PeriodicalId":55895,"journal":{"name":"Journal of Musculoskeletal Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47705982","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