Natural history of progressive adult scoliosis.

By London Spine

Natural history of progressive adult scoliosis.

Spine (Phila Pa 1976). 2007 May 15;32(11):1227-34; discussion 1235

Authors: Marty-Poumarat C, Scattin L, Marpeau M, Garreau de Loubresse C, Aegerter P

A retrospective analysis of the progression of adult scoliosis.

PMID: 17495780 [PubMed – indexed for MEDLINE]

Cervical Ligamentum Flavum Hematoma: A Case Report.

By London Spine
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Cervical Ligamentum Flavum Hematoma: A Case Report.

Global Spine J. 2016 Feb;6(1):e30-4

Authors: Haghnegahdar A, Sedighi M, Rahmanian A, Baghban F

Abstract
Study Design Case report. Objective To report the first case of ligamentum flavum hematoma after cervical spine instrumentation 11 years after the index surgery. Methods After performing bilateral C3 and C4 laminectomy, we observed a dark greenish discoloration over the ligamentum flavum, which was opened. We evacuated 15 mL of subacute hematoma. Results The first ligamentum flavum hematoma of the cervical spine that occurred after spinal instrumentation with sublaminar hooks. Conclusion Ligamentum flavum hematoma might happen even after a long delay (in our case, 11 years) from spinal instrumentation (sublaminar hooks). In symptomatic patients, evacuation is the treatment of choice. In cases of instrument adhesion to the surrounding intracanal tissues, removal should be done meticulously after performing a complete release.

PMID: 26835213 [PubMed]

Variations in patient satisfaction with care for breast, lung, head and neck and prostate cancers in different cancer care settings.

By London Spine
Related Articles

Variations in patient satisfaction with care for breast, lung, head and neck and prostate cancers in different cancer care settings.

Eur J Oncol Nurs. 2013 Feb 27;

Authors: Charalambous A

Abstract
PURPOSE OF THE RESEARCH: To assess cancer patients’ satisfaction and the extent to which it varies between cancer care centres. METHODS AND SAMPLE: This is a multi-site descriptive study reporting on the satisfaction of patients with breast, prostate, head and neck and lung cancers in Cyprus. The sample consisted of 272 patients randomly selected. Data were retrieved with the Patient satisfaction Scale additionally to 7 single questions reflecting 7-care dimensions namely “access to care”, “explanation at first visit”, “understanding of diagnosis and treatment”, “first treatment: respect communication and involvement”, “first treatment: pain and discomfort”, “first treatment: hospital management” and “discharged co-ordination”. RESULTS: Participants were overall satisfied by the nursing care (mean 3.5) however, dissatisfaction was expressed in relation to the 7-care dimensions (p < 0.001). Variations in satisfaction were found across the oncology settings as well as across cancer types. The variables gender, age, marital status, level of education, length of stay in the department, previous hospitalization, tumour type and treatment type had an influence on patients’ perceived satisfaction (p < 0.001). CONCLUSIONS: Seemingly identical nursing care can be measurably different between cancer care centres. Based on the findings the satisfaction variations can be attributed to factors personally experienced by the patients as well as to systemic hospital-level factors. The notion of patient satisfaction is important to clinical practice as a tool to assess and plan the nursing care and managers should bear in mind that patient satisfaction is sensitive to person specific variables as well as to many extraneous variables.

PMID: 23453567 [PubMed – as supplied by publisher]

Electronic monitoring improves brace-wearing compliance in patients with adolescent idiopathic scoliosis: a randomized clinical trial.

By London Spine

Related Articles Electronic monitoring improves brace-wearing compliance in patients with adolescent idiopathic scoliosis: a randomized clinical trial. Spine (Phila Pa 1976). 2012 Apr 20;37(9):717-21 Authors: Miller DJ, Franzone JM, Matsumoto H, Gomez JA, AvendaÃ?±o J, Hyman JE, Roye DP, Vitale MG Abstract STUDY DESIGN: Randomized controlled trial. OBJECTIVE: To assess whether monitoring increases brace-wearing compliance…

Effectiveness of percutaneous vertebroplasty in cases of vertebral metastases.

By London Spine
Related Articles

Effectiveness of percutaneous vertebroplasty in cases of vertebral metastases.

Diagn Interv Imaging. 2015 Jun 5;

Authors: Nas OF, Inecikli MF, Kacar E, Buyukkaya R, Ozkaya G, Aydın O, Erdogan C, Hakyemez B

Abstract
PURPOSE AND OBJECTIVES: To assess the effectiveness of percutaneous vertebroplasty (PV) in patients with vertebral collapse due to metastases.
MATERIALS AND METHODS: PV procedures performed on 95 vertebras in 52 patients with primary malignancy were retrospectively evaluated. Vertebral metastases, primary malignancies of the patients, pain before and after PV on a visual analogue scale (VAS), amount of polymethylmethacrylate (PMMA) cement applied to the vertebral body during PV, PMMA cement leakage and vertebral approaches were evaluated.
RESULTS: VAS scores of 43 patients (in total 79 vertebras) were evaluated. Median VAS scores of patients declined from 8 (4-10) before PV to 3 (0-7) within one day after the procedure, to 2 (0-9) one week after the procedure and eventually to 2 (0-9) 3months after the procedure (p<0.001). PMMA amount applied to the vertebral body during PV varied between 1.5-9mL (average±SD 4.91±1.61). There was no significant statistical correlation between PMMA amounts and VAS scores within one day after, 1week after and 3months after the PV procedure (p>0.05).
CONCLUSION: PV is a simple, effective, reliable, easy to perform and minimally invasive procedure in patients with painful vertebral metastases.

PMID: 26054244 [PubMed – as supplied by publisher]

Vertebroplasty for treatment of osteolytic metastases at c2 using an anterolateral approach.

By London Spine

Vertebroplasty for treatment of osteolytic metastases at c2 using an anterolateral approach.

Pain Physician. 2013 Jul-Aug;16(4):E427-34

Authors: Sun G, Wang LJ, Jin P, Liu XW, Li M

Abstract
BACKGROUND: The clinical management of osteolytic metastases involving C2 is unique, because it is challenging to approach these lesions. Symptoms may vary from local pain to progressive neurological deficit. Surgery or radiotherapy have been the treatments of choice for several years; however, surgery may not bean option for patients with multiple metastases and poor general medical status, and radiotherapy carries the risk of vertebral collapse and consequent neural compression due to delayed bone reconstruction. Through different approaches, vertebroplasty has been introduced into clinical practice as an alternative to traditional surgical and radiotherapy treatments of osteolytic metastases at C2.
OBJECTIVE: This study aimed to evaluate the safety and efficacy of vertebroplasty with an anterolateral approach for osteolytic metastases at C2 under fluoroscopic guidance.
STUDY DESIGN: Vertebroplasty in 13 patients with osteolytic metastases at C2 and its clinical effects were evaluated.
SETTING: This study was conducted in an interventional therapy group at a medical center in a major Chinese city.
METHODS: Thirteen consecutive patients were treated with vertebroplasty via an anterolateral approach. The researchers followed up with the patients for 3 to 12 months, with an average of 9.2 months. The clinical effects were evaluated with the visual analog scale (VAS) pre-operatively and at 3 days, one month, 3 months, 6 months, and 12 months post-operatively.
RESULTS: Thirteen consecutive patients were successfully treated with a satisfying resolution of painful symptoms. Extraosseous cement leakages were found in 5 cases without any clinical complications. VAS scores decreased from 7.6 ± 0.9 pre-operatively to 2.1 ± 1.9 by the 3-day post-operative time point, and were 1.8 ± 1.7 at one month, 1.7 ± 1.8 at 3 months, 0.9 ± 0.8 at 6 months, and 0.6 ± 0.5 at 12 months after the procedure. There was a significant difference between the mean pre-operative baseline score and the mean score at all of the post-operative follow-up points (P < 0.001).
LIMITATIONS: This was an observational study with a relatively small sample size.
CONCLUSIONS: Vertebroplasty via an anterolateral approach is an effective technique to treat osteolytic metastases involving C2. It is a valuable, minimally invasive, and efficient method that allows quick and lasting resolution of painful symptoms.

PMID: 23877467 [PubMed – in process]