Journal of spine & neurosurgery最新文献_第9页

Osteopathic Physicians on Editorial Boards of Neurosurgical Journals: A Quantitative Analysis 神经外科期刊编委会的骨科医师:一项定量分析

Journal of spine & neurosurgery Pub Date : 2017-03-13 DOI: 10.4172/2325-9701.1000257

Christopher L. Hoehmann, Young Ct, Fennie Cn, L. Giniyani, Nicholson Cs, Collins Jd, J. Cuoco

{"title":"Osteopathic Physicians on Editorial Boards of Neurosurgical Journals: A Quantitative Analysis","authors":"Christopher L. Hoehmann, Young Ct, Fennie Cn, L. Giniyani, Nicholson Cs, Collins Jd, J. Cuoco","doi":"10.4172/2325-9701.1000257","DOIUrl":"https://doi.org/10.4172/2325-9701.1000257","url":null,"abstract":"Objective: The Accreditation Council for Graduate Medical Education and the American Osteopathic Association reached an agreement to form a single accreditation system for graduate medical education by 2020. As a result of this merger, new criteria may be established for academic endeavors within medical school as well as post-graduate curricula. In the present study, we analyze the number of osteopathic physicians serving on editorial boards of neurosurgical journals. Methods: Editorial members of 50 neurosurgical journals were included in the analyses. The number of allopathic and osteopathic physicians as well as other healthcare professionals serving as editor-in-chief, associate editor, editor emeritus, other editor, and editorial board members were analyzed. Results: Our data showed that of the 2826 editorial positions available, 2645 (93.6%) were held by allopathic physicians, 177 (6.3%) were held by non-physician healthcare professionals, and 4 (0.14%) were held by osteopathic physicians. Statistical significance was observed upon comparing the number of osteopathic physicians against the number of allopathic physicians serving editorial roles (p<0.00001). Osteopathic physicians held 1 (1.7%) of the 59 editor-in-chief positions and 3 (0.11%) of the 2114 editorial board member positions. Conclusion: These data establish a significant disparity in representation of allopathic physicians and osteopathic physicians on editorial boards of neurosurgical journals. Future investigation should identify causative factors for the disparity of osteopathic physicians on these editorial boards.","PeriodicalId":90240,"journal":{"name":"Journal of spine & neurosurgery","volume":" ","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2017-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43212685","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: 3

Structural Effect of Tumor Necrosis Factor Inhibitors on Spine in Spondylarthritis Patients with Hip Involvement 肿瘤坏死因子抑制剂对累及髋关节的脊柱炎患者脊柱的结构影响

Journal of spine & neurosurgery Pub Date : 2017-03-13 DOI: 10.4172/2325-9701.1000252

I. Mahmoud

{"title":"Structural Effect of Tumor Necrosis Factor Inhibitors on Spine in Spondylarthritis Patients with Hip Involvement","authors":"I. Mahmoud","doi":"10.4172/2325-9701.1000252","DOIUrl":"https://doi.org/10.4172/2325-9701.1000252","url":null,"abstract":"Aim: The structural efficacy of TNF alpha in spine in spondylarthrities (SpA) has been reported in several studies with prolonged follow. None of these studies did however assessed their effects in a particulary severe population of SpA with hip disease. Methods: A comparative multicenter cohort study has included two groups of SpA patients with Group 1: Patients under TNF inhibitors and group 2: TNF alpha inhibitors naive patients under conventional treatment. Clinical, biological and radiological (using mSASSS score and BASRI spine) evaluations were performed before applying anti TNF (T0), after 2 years (T2) and after a period of treatment with n ≥3 (Tn) and compared to group 2. Results: Groups 1 and 2 respectively included 24 and 21 patients. The sociodemographic and clinical characteristics of the disease as well as biological and radiological assessments at T0 were comparable between the two groups. Group 1 had however a more active disease and greater functional impairment. Evaluation at T2 showed a greater improvement of clinical and biological parameters of disease in Group 1. The evaluation showed at Tn a maintained clinical and biological effectiveness of TNF inhibitors in group 1. A structural deterioration of the spine was however noted in both groups with a Δ BASRI spine and Δ mSASSS comparable in both groups at T2 and Tn. Conclusion: Anti TNF seem ineffective on the structural progression of the spine particularly severe and advanced spondyloarthrites.","PeriodicalId":90240,"journal":{"name":"Journal of spine & neurosurgery","volume":"2017 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2017-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70254937","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

Streptococcus parasanguinis as Cause of Odontogenic Brain Abscess 副血链球菌引起牙源性脑脓肿

Journal of spine & neurosurgery Pub Date : 2017-01-01 DOI: 10.4172/2325-9701.1000288

Aless, R. Frati, R. Pesce, Giada Toccacelib, M. Acqui, R. Caruso, M. Salvati, A. Raco

引用次数: 0

Unruptured Intradiploic Dermoid Cyst with Incomplete Dermal Sinus overlying Torcular Haerophili in an Adult Woman: Uncommon Location for Uncommon Lesion 成年女性未破裂的包囊内皮样囊肿伴不完整的皮窦覆盖环状嗜黑症:罕见病变的罕见部位

Journal of spine & neurosurgery Pub Date : 2017-01-01 DOI: 10.4172/2325-9701.1000289

Aless, R. Frati, R. Pesce, Giada Toccacelib, M. Acqui, R. Caruso, M. Salvati, A. Raco

引用次数: 0

Cranio-Cervical Trauma Eidemiology, Classification, Diagnosis And Management 颅颈外伤流行病学、分类、诊断与处理

Journal of spine & neurosurgery Pub Date : 2017-01-01 DOI: 10.4172/2325-9701.1000284

A. Saxena

{"title":"Cranio-Cervical Trauma Eidemiology, Classification, Diagnosis And Management","authors":"A. Saxena","doi":"10.4172/2325-9701.1000284","DOIUrl":"https://doi.org/10.4172/2325-9701.1000284","url":null,"abstract":"Objective: To provide an overview of current knowledge of the management of Cranio-Cervical (Occipito-cervical) injuries. Method: Literature search for new trends in the management of Cranio-cervical injuries. The article is divided into subheadings of Introduction, Epidemiology, pre-disposing factors and Anatomy of the Cranio-cervical junction including relevant surgical anatomy. NICE guidelines for management of cervical spine injuries and its recommendations are mentioned. This is followed by description of individual fractures, including their classification, clinical presentation and management. Recent advances in the management of individual fractures are mentioned with reference. The fractures covered are Occipital Condylar fractures (including Traumatic Atlanto-Occipital Dislocation), C1 Fractures (including Jefferson Fracture) and Odontoid fractures (including Hangman’s fracture) with brief description of surgical techniques to stabilize these fractures. Results: Cranio-cervical junction is a very tough construct and it requires very strong forces to result in occipito-cervical bony or ligamentous injuries. Cranio-cervical injuries must be suspected in high velocity injuries like RTAs and also in the elderly with neck pain and stiffness following a fall. Since Conventional cervical spine plain films can miss injuries in this region, there is need for a high index of suspicion as elaborated by NICE guidelines. There are new trends in the surgical management of Jefferson’s fractures (Posterior osteosynthesis) and Hangman’s fractures of C2 (Anterior approach better) Conclusion: Cranio-cervical injuries constitute a significant proportion of high velocity trauma and can be missed. There is a need for high index of suspicion in such patients. Recent trends seem to favour surgical management of these injuries even in the elderly. Aim should be early surgical fixation wherever possible even in elderly patients, if there is no significant co-morbidity or contraindication for surgery.","PeriodicalId":90240,"journal":{"name":"Journal of spine & neurosurgery","volume":"2017 1","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70255014","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

Pyramidal Syndrome: Clinical, Radiological and Neurophysiological Correlation 锥体综合征:临床、放射学和神经生理学的相关性

Journal of spine & neurosurgery Pub Date : 2016-12-27 DOI: 10.4172/2325-9701.1000242

Fern, ez Me, Pérez-Moro Os, G. Goyzueta-SanMartan, G. Vázquez-Casares, Alejos-Herera Mv, C. Cruz-Calvente

引用次数: 0

Arthroplasty with the Baguera Cervical Disc Prosthesis: A Review of the Scientific Background, Clinical and Radiographic Evidences Baguera颈椎间盘假体置换:科学背景、临床和影像学证据综述

Journal of spine & neurosurgery Pub Date : 2016-12-27 DOI: 10.4172/2325-9701.1000247

P. Fransen, Pointillart

{"title":"Arthroplasty with the Baguera Cervical Disc Prosthesis: A Review of the Scientific Background, Clinical and Radiographic Evidences","authors":"P. Fransen, Pointillart","doi":"10.4172/2325-9701.1000247","DOIUrl":"https://doi.org/10.4172/2325-9701.1000247","url":null,"abstract":"motion and to avoid adjacent level degeneration. Although many implants are used, few presented clinical results. Also, prosthesis being different, the published literature may not be generalized to all devices. The purpose of this review is to evaluate the clinical results of cervical disc replacement with the Baguera®C prosthesis and to compare these to the results of other prosthesis in the literature. Method: We reviewed the peer-reviewed or published literature studying the Baguera®C cervical prosthesis clinical and radiological results. Results: The studies analyzing analysis of the scientific data around the Baguera® C cervical prosthesis showed low complication rates, no recorded device-related adverse events, and demonstrated improvement of the NDI score, particularly for patients under 50, without previous cervical or spinal surgeries, with preoperative NDI greater than 30% and with small (+10%) differences between implant size and preoperative disc height The monitoring of changes of the level cranial to the highest total disc replacement level showed protection against adjacent segment degeneration, with minimal if any influence on the evolution of the adjacent level over the two years observation period.Baguera®C prosthesis could compare favorably to some other types of prostheses by its shape, technique of implantation, and physiological center of rotation allowing a lower rate of HO. Conclusion: Cervical disc replacement with the Baguera®C is a safe and effective procedure. The available data show the absence of increased degeneration of adjacent levels. The level of heterotopic ossification is equivalent or lower than with other similar implants.","PeriodicalId":90240,"journal":{"name":"Journal of spine & neurosurgery","volume":"2016 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2016-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70255062","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: 5

Simple 'Do it Yourself' System for Patients Database 简单的“自己动手”系统为患者数据库

Journal of spine & neurosurgery Pub Date : 2016-12-27 DOI: 10.4172/2325-9701.1000246

M. Sassi, A. Spada, Pascale, W. Pascale, Lavanga, V. Sansone, P. Boria

{"title":"Simple 'Do it Yourself' System for Patients Database","authors":"M. Sassi, A. Spada, Pascale, W. Pascale, Lavanga, V. Sansone, P. Boria","doi":"10.4172/2325-9701.1000246","DOIUrl":"https://doi.org/10.4172/2325-9701.1000246","url":null,"abstract":"Objectives: To Illustrate An EasyToUse Tool For Collection Of Clinical Follow-up Data. To Obtain An Effective And Reliable System For The Collection And Management Of Clinical Records In FollowUp Studies. To Obtain AutomaticallyUpdated, Anonymous Records Charting The Evolution Of Symptoms After Surgery. Methods: We Designed A “Do It Yourself” Web Survey Using Google Forms And Alerted Patients Via SMS (Short Message System) To Complete It. We Developed An EasyToUse System To Investigate Follow-up Results, And Tested It On A Series Of Patients Treated Surgically For Degenerative Lumbar Disc Disease. Our Methodological Approach Is Based On Fast And Do It Yourself (DIY) Web Based Tools. Considering Our Past Experience Of Collecting FollowUp Data With Traditional HardCopy Documents, Our System Proved To Be More Agile And TimeEfficient. Results: Data Collection Lasted 40 Days, Differing In Average Among The Age Groups. Overall Compliance Reached 100% Conclusions: Our method proved to be highly effective, requiring little effort from the investigators. Collected data could be combined to achieve greater sample sizes for longitudinal webbased studies.","PeriodicalId":90240,"journal":{"name":"Journal of spine & neurosurgery","volume":"41 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2016-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70255055","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

Demographic Characteristics of Traumatic Brain Injury in Egypt: Hospital Based Study of 2124 Patients 埃及创伤性脑损伤的人口学特征:2124例医院研究

Journal of spine & neurosurgery Pub Date : 2016-12-27 DOI: 10.4172/2325-9701.1000240

Taha Mm, Barakat Mi

{"title":"Demographic Characteristics of Traumatic Brain Injury in Egypt: Hospital Based Study of 2124 Patients","authors":"Taha Mm, Barakat Mi","doi":"10.4172/2325-9701.1000240","DOIUrl":"https://doi.org/10.4172/2325-9701.1000240","url":null,"abstract":"Objectives: Traumatic brain injury is one of the leading causes of morbidity and mortality in the world. The aim of this study is to highlight the demographic characteristics of traumatic brain injury in Egypt as one of the common health problem in the country. Patients and Methods: A 2124 patients admitted to our neurosurgical trauma unit with traumatic brain injury were included. Patients underwent complete neurological and radiological evaluation as per trauma protocol. Results: 1756 (82.7%) patients were male; the mean age of the patients was 26.57 ± 18.4 year. Road traffic accident was the commonest cause of trauma in 73.7% of the patients. 62.1% of the patients had mild head injury, 17.5% of the patients had moderate head injury, while the remaining 20.3% had severe head injury. Brain contusions, Brain edema, and epidural hematoma were the commonest traumatic pathology in 39.1%, 36.5%, 17.6% respectively. 63.6% of the patients had associated injuries rather than head injury. Good recovery was reported in 62.7% of the patients, moderate disability in 12.1% of the patients, while the mortality rate was 14.3% of the patients. Age <10 years old, mild head injury, absent or mild associated injuries, patients with no post-traumatic convulsion and patients with direct trauma had better outcome. Conclusion: Traumatic brain injury affects mainly young male Egyptians with road traffic accidents are the commonest cause. Such pathology requires more attention from local researchers and policy makers to decrease the rate of road traffic accidents as the major cause of traumatic brain injury in Egypt.","PeriodicalId":90240,"journal":{"name":"Journal of spine & neurosurgery","volume":"2016 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2016-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70254300","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: 8

Comparison of Classical Laminectomy and Transspinous- Split Laminectomy Techniques 经典椎板切除术与经棘裂椎板切除术的比较

Journal of spine & neurosurgery Pub Date : 2016-12-27 DOI: 10.4172/2325-9701.1000250

S. Kitiş, Seythanoglu Mh, M. G. Papaker, S. Cevk, E. Emel

{"title":"Comparison of Classical Laminectomy and Transspinous- Split Laminectomy Techniques","authors":"S. Kitiş, Seythanoglu Mh, M. G. Papaker, S. Cevk, E. Emel","doi":"10.4172/2325-9701.1000250","DOIUrl":"https://doi.org/10.4172/2325-9701.1000250","url":null,"abstract":"Objective: The purpose of study is to compare clinical and radiological results of classical laminectomy and transspinous-split laminectomy which provides vertebral alignment and eliminates paraspinal muscle damage. Methods: Twenty patients in each group were evaluated (Total 40 patients). We analyzed oswestry scale, visual analog scale, pain score, and narcotic score of the patients. To demonstrate the damage of paraspinal muscles between two procedures, preoperative and postoperative MR images are compared and the ratio of atrophy was measured. Also incision size, volume of hemorrhage, bed time was evaluated. Results: Decrease of these oswestry scale, visual analog scale, pain score, and narcotic score values after transspinous-split laminectomy were found more than the decrease of those after classic laminectomy. Also, when we analyzed the responses of the patients to walking part of oswestry scale, we observed an important difference in favor of transspinous-split laminectomy group. Preoperative and postoperative MR images show that paraspinal muscle atrophy is less in transspinous-split laminectomy procedure. Hence, at these postoperative assessments, a significant difference in favor of transspinous-split laminectomy was determined. Conclusion: This study has showed that, transspinous-split laminectomy is a good alternative to classical laminectomy and minimal invasive technique by decreasing postoperative complications.","PeriodicalId":90240,"journal":{"name":"Journal of spine & neurosurgery","volume":"2016 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2016-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70254628","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