Search results for "sacrum"
showing 10 items of 39 documents
Resección extendida y exenteración pélvica en el cáncer de recto del tercio inferior
2014
Approximately 10% of all low rectal cancer needs surgical resection extended to other pelvic structures. Indication for extended resection should be given according to a precise systemic and local preoperative staging. Magnetic Resonance Imaging is the most important instrument utilized by the Multidisciplinary Team to decide therapeutic strategy according to the surgical risk. The status of the pathological circumferential resection margin is the most important prognostic factor determining local recurrence risk and oncological outcome and for this reason it should be considered pivotal in the decision of the strategy of treatment. When extended resection is performed, the presence of an e…
Navigated percutaneous screw fixation of the pelvis with O-arm 2: two years' experience.
2020
Aim To evaluate the case series of the patients operated with percutaneous fixation by the navigation system based on 3D fluo-roscopic images, to assess the precision of a surgical implant and functional outcome of patients. Methods A retrospective study of pelvic ring fractures in a 2-year period included those treated with the use of the O-Arm 2 in com-bination with the Stealth Station 8. Pelvic fractures were classifi-ed according to the Tile and the Young-Burgess classification. All patients were examined before surgery, with X-rays and CT scans, and three days after surgery with additional CT scan. The positioning of the screws was evaluated according to the Smith score, the outcome wi…
Transsacral Bar Osteosynthesis
2017
Uni- or bilateral sacral ala fractures in elderly persons may cause significant disability and result in non-union, if treated non-surgically. Transsacral positioning bar osteosynthesis provides the advantages of a minimally invasive approach yet reducing the risk of implant loosening. A threaded 6 mm bar is inserted through the posterior part of the ilium and the SI-joint, and advanced through the center of the S1 vertebral body towards the opposite posterior ilium. Washers and nuts are placed and tightened on both ends of the bar providing moderate compression of the vertical fracture planes in the sacrum. The stability of fixation does not depend on the bone mineral density of the sacrum…
Rare sacral space-occupying lesions, their surgical management and reconstructive measures involved
1988
Nine cases of space-occupying lesions of the sacral bone are presented. The problems of the clinical diagnosis, which in many cases comes too late, are discussed together with the indications for surgical treatment in this special group of tumours. The main clues are provided by the changes in the X-rays as well as the more modern imaging techniques (CT and MRI). The surgical technique aims at a most radical tumour removal with preservation of the sacral nerve roots, after which stabilisation of the sometimes weakened pelvic girdle may be necessary. The good prospects of complete removal of these tumours of the sacrum with satisfactory results seem to be very little known and justifies furt…
Transverse fracture-dislocation of the sacrum: a diagnostic pitfall and a surgical challenge.
2002
Transverse fracture-dislocations of the sacrum are rare. Associated lesions of the lumbosacral spine as well as neurological injuries are common. Conventional radiographs of the pelvis often fail to clearly visualize the fracture. Delayed diagnosis increases the risk of progressive neurological disfunction. True lateral sacral views and CT-scans with 3-dimensional reconstructions are very helpful in establishing the full extent of the injury. These examinations should be considered in all patients with a history of high energy trauma and clinical signs indicating lumbosacral injury, such as severe low back pain and neurological disturbances of the lower extremities. The management of transv…
Obraz wspólnoty katolickiej w polskim dyskursie religijnym
2018
The aim of the article is to analyse contemporary patriotic preaching. It proves that the ethnocentrism of the Church in Poland, has an ethnically based definition of sacrum, limiting one's view to the Polish national community. As a consequence 'we'in such discourse is an equivalent of 'we, the Polish people'. Christian (or generally: human, universal) attitude is not evident. In the first part of the article the main elements of religious discourse are presented: type of speaker (hierarchs of the Church - archbishops, bishops), occasions (national and religious celebrations), places (cathedral, basilica, Jasna Góra Monastery). In the second part of the article, its author analyses a sermo…
[S1 Herpes zoster localization: acute urinary retention in woman].
2011
Acute urinary retention in women is rare. The varicella-zoster virus causes inflammatory lesions of the sensory-root ganglions, meninges and, less frequently, spinal cord. Herpes zoster has been reported to affect, although rarely, lower urinary tract innervations, and acute urinary retention can be thought to occur in the presence of sacral dermatome involvement. Usually it is located in S2–4 dermatome and the prognosis for acute urinary retention is benign resolving in about 20 days. We present a case in which the S1 dermatome was interested and acute urinary retention developed. After 10 days of specific therapy and self catheterism the problem resolved.
Biesiada w Soplicowie jako część boskiego ładu istnienia
2019
Bohaterowie Pana Tadeusza bardzo często jedzą na ogromnym stole. Przygotowanie święta, robienie wyszukanych potraw i ich konsumpcja towarzyszą każdemu ważnemu wydarzeniu życiowemu w Soplicowie, a sam proces jedzenia staje się istotnym wydarzeniem. Uczta staropolska otwiera i zamyka fabułę poematu. Epicki poemat Mickiewicza – kompendium szlacheckiego zwyczaju – nie może pominąć nawyków związanych z jedzeniem. Postacie utworu jedzą dobrze, dużo i szybko, a także piją sporo wódki, ponczu oraz win Tokaj i Malaga. Istnieje tu wiele opowieści o kulinarnych upodobaniach bohaterów, których najbardziej znaczącym przykładem pozostaje „uczta zajazdowa” opisana w Księdze IX (w. 250-253), w której rosyj…
Le metamorfosi del corale "Vom Himmel hoch da komm ich her" fra Lutero, Bach e Stravinsky
2020
Il corale matalizio "Vom Himmel hoch da komm ich her" (Dall'alto dei cieli io giungo) è stato realizzato da Martin Lutero sulla base della melodia popolare "Ich komm aus fremden Landen her" e fu pubblicato per la prima volta a Wittenberg nel 1535. Assai diffuso in tutta l'area culturale tedesca, questo brano è stato ripreso, tra gli altri, anche da J.S. Bach, sia nel "Weinachts-Oratorium" BWV 248 che nelle "Canonische Veraenderungen" per organo BWV 796 e 796a. Il saggio ricostruisce il contesto in cui vide la luce la versione originale del canto natalizio e si sofferma sull'interesse di Bach per la numerologia e sulle "citazioni nascoste" in molte sue opere, incluse le "Veraenderungen" sul …
Near-Haploidy in a Malignant Sacrococcygeal Teratoma
1999
Cytogenetic analysis of a malignant sacrococcygeal teratoma in an adult patient revealed near-haploid (77%), near-diploid (19%), and polyploid (4%) cells. The near-haploid cells had a karyotype of 25,XX,der(5)t(5;7)(p15;p13),+7,der(9)t(6;9)(p21;q34),r(17)(p13q25) . In the near-diploid and polyploid cells identical copies of the structural chromosomal changes were found. Although some of the anomalies observed appear unique to this case, a common breakpoint in chromosome 6 was previously reported as specific in a subgroup of extragonadal germ cell tumors of adults.