Search results for " spinal surgery"

showing 5 items of 5 documents

Vancomycin resistant Enterococcus faecium (VRE) vertebral osteomyelitis after uneventful spinal surgery: A case report and literature review

2017

Abstract Objective Case report and literature review. Background Enterococcus faecium is an emerging pathogen responsible for post procedural infections in patients who have undergone spinal decompression surgery. In this case report, the authors discuss and review recent literature on approaches to post-operative spinal infection. Case report We herein report the case of a 55-year-old HIV-negative Caucasian Italian woman who showed vertebral osteomyelitis with abscesses around the interbody cage caused by an Enterococcus faecium vancomycin resistant gen-Van A, following a Transforaminal Lumbar Interbody Fusion (TLIF). The same strain was detected in disc biopsy, urine culture and rectal sw…

0301 basic medicinemedicine.medical_specialtySettore MED/07 - Microbiologia E Microbiologia ClinicaEnterococcus faecium; Spinal surgery; Transforaminal Lumbar Interbody Fusion (TLIF); Vertebral osteomyelitis; Surgery; Neurology (clinical)Settore MED/17 - Malattie Infettive030106 microbiologyEnterococcus faeciumlcsh:Surgerylcsh:RC346-42903 medical and health sciencesEmerging pathogen0302 clinical medicineAntibiotic resistanceVertebral osteomyelitisBiopsymedicineVertebral osteomyelitislcsh:Neurology. Diseases of the nervous systemVancomycin resistant Enterococcus faeciumTransforaminal Lumbar Interbody Fusion (TLIF)medicine.diagnostic_testbiologybusiness.industrySettore MED/27 - Neurochirurgialcsh:RD1-811biology.organism_classificationmedicine.diseaseSpinal surgerySurgerySurgeryImplantSpinal surgeryNeurology (clinical)Vertebral osteomyelitibusiness030217 neurology & neurosurgeryEnterococcus faeciumInterdisciplinary Neurosurgery
researchProduct

EMG-guided percutaneous placement of cement-augmented pedicle screws for osteoporotic thoracolumbar burst fractures

2017

Background: Percutaneous techniques have increasingly gained popularity in recent years. The application of technological innovation, including neuromonitoring techniques, has the potential to increase the safety and efficacy of these procedures. Methods: Thirty patients suffering from osteoporotic dorsolumbar burst fracture were prospectively enrolled in this study. The patients underwent percutaneous fenestrated pedicle screw fixation augmented with polymethylmethacrylate (PMMA) injection. A novel surgeon-dedicated neuromonitoring device was used in order to increase the safety and the accuracy of the screw insertion. A second group of 30 patients who did not undergo neuromonitoring durin…

MalePercutaneousPercutaneous techniquesPercutaneous pedicle screw fixationNeuromonitoringFracture Fixation Internal0302 clinical medicinePedicle ScrewsFracture FixationProspective StudiesPedicle screwTomographyMinimally invasive spinal surgery030222 orthopedicsCementoplastyLumbar VertebraeSettore MED/27 - NeurochirurgiaSpinal FractureBone CementsMiddle AgedX-Ray Computedmedicine.anatomical_structuresurgical procedures operativeBurst fractureSpinal FracturesFemaleHumanmusculoskeletal diseasesmedicine.medical_specialtyOsteoporotic FractureLumbar vertebraeCement augmentationThoracic VertebraePedicle Screw03 medical and health sciencesBone CementBurst fracturemedicineHumansMinimally Invasive Surgical ProceduresPolymethyl MethacrylateAgedCementbusiness.industryElectromyographyMinimally Invasive Surgical Proceduremedicine.diseaseequipment and suppliesInternalSurgeryProspective StudieThoracic vertebraeSurgeryCementoplastyNeurology (clinical)businessTomography X-Ray Computed030217 neurology & neurosurgeryOsteoporotic Fractures
researchProduct

Percutaneous Pedicle-Lengthening Osteotomy in Minimal Invasive Spinal Surgery to Treat Degenerative Lumbar Spinal Stenosis: A Single-Center Prelimina…

2018

Background Lumbar spinal stenosis (LSS) is a narrowing of the spinal canal due to spinal degeneration, and its main clinical symptom is neurogenic claudication. Surgical treatment is pursued for patients who do not improve with conservative care. Patients with symptomatic LSS who also have significant medical comorbidities, although clearly in need of intervention, are unattractive candidates for traditional open lumbar decompressive procedures. Thus it is important to explore minimally invasive surgical techniques to treat select patients with LSS. Methods This retrospective case series evaluated the clinical and radiographic outcomes of a new minimally invasive procedure to treat LSS: pe…

Malemedicine.medical_specialtyPercutaneousVisual analogue scaleSpinal stenosismedicine.medical_treatmentPopulationlumbar spinal stenosiNeurogenic claudicationOsteotomylumbar degenerative disease03 medical and health sciencesSpinal Stenosis0302 clinical medicineLumbarRetrospective StudiemedicineHumansMinimally Invasive Surgical ProceduresSpinal canal030212 general & internal medicineeducationpedicle-lengthening osteotomyAgedRetrospective StudiesAged 80 and overeducation.field_of_studyLumbar VertebraeSettore MED/27 - Neurochirurgiabusiness.industryminimal invasive spinal surgeryMinimally Invasive Surgical ProcedureMiddle AgedDecompression Surgicalmedicine.diseaseOsteotomySurgerySpinal StenosiTreatment Outcomemedicine.anatomical_structureFemaleSurgeryNeurology (clinical)medicine.symptombusiness030217 neurology & neurosurgeryHumanJournal of Neurological Surgery Part A: Central European Neurosurgery
researchProduct

Videofluorography and MDCT findings in a case of pharyngeal perforation after anterior cervical spinal surgery with fusion (ACSF)

2010

Purpose Anterior cervical spinal surgery with fusion (ACSF) is the most widely used technique in the management of cervical spondylosis or disc herniation. A case of pharyngeal perforation after ACSF demonstrated by videofluorography and MDCT is described. Methods A 39-year-old man, recently undergone to ACSF for interbody C3-C5 fusion with anterior cervical plate and screws, was submitted to a pharingoesophageal videofluorography and 64 row-MDCT of the neck before and after oral administration of iodine contrast medium for persistent high dysphagia. Results In the plain radiograph a fractured screw was detected, anterolaterally displaced on the right to the cervical spine, outside the phar…

Pharyngeal perforation spinal surgery
researchProduct

Reconstruction of vertebral body after radiofrequency ablation and augmentation in dorsolumbar metastatic vertebral fracture: Analysis of clinical an…

2017

Background: Painful spinal metastases usually occur in malignant neoplastic disease. Treatment for bone metastases has been largely conservative, and it includes the use of high doses of analgesics, radiotherapy, chemotherapy, hormone therapy, and bisphosphonates; however, results are sometimes transient and ineffective. In the presence of neurological involvement a surgical strategy should be considered. Recently, percutaneous procedures such as radiofrequency ablation, vertebroplasty, and kyphoplasty have been introduced as palliative techniques to treat painful vertebral metastases [3, 11, 25]. Methods: In our study we combined the use of radiofrequency ablation with vertebroplasty in th…

medicine.medical_specialtyPercutaneousRadiofrequency ablationmedicine.medical_treatment030218 nuclear medicine & medical imaginglaw.invention03 medical and health sciences0302 clinical medicinelawmedicineMinimally invasive spinal surgeryChemotherapyVertebroplasty.business.industrySettore MED/27 - NeurochirurgiaRadiofrequency ablationSurgeryVertebral bodyRadiation therapy030220 oncology & carcinogenesisRadiological weaponSpinal metastaseRadiologyHormone therapyVertebral fracturebusinessSpinal metastases
researchProduct