Publications by authors named "Barbara Echevarria"

Article Synopsis
  • Lateral lumbar interbody fusion (LLIF) is a surgical technique for treating degenerative spine disorders, traditionally requiring two positions for surgery, which can lead to longer recovery times and higher risks.
  • A study was conducted to compare a new single-position prone (PSP) approach of LLIF to the traditional dual-position method, hypothesizing that PSP would result in shorter operative times and fewer complications.
  • Results showed that the PSP LLIF approach reduced the operative time and hospital stay without significant differences in blood loss, while also better improving lumbar lordosis compared to the dual position approach.
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Background: The prone lateral approach to lumbar spine surgery is known to have a multitude of potential complications, including damage to neurovascular structures, surrounding viscera, and intra-abdominal structures near the surgical site. However, iatrogenic injury to the spleen following prone lateral lumbar discectomy and arthrodesis as a potential complication has not yet been described in the literature.

Observations: The authors present the case of a 71-year-old female with a history of L3-S1 laminectomy and L3-5 arthrodesis who underwent a prone lateral discectomy of L2-3 with arthrodesis of the endplates for chronic lower-back pain.

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Article Synopsis
  • * A systematic review of studies from 2007 to 2022 showed that RA techniques resulted in more accurate screw placements compared to FG methods, with significant findings based on the Gertzbein-Robbins classification.
  • * While RA techniques appeared to reduce radiation dosage per case, they were associated with longer operating times; FG techniques were quicker but resulted in higher radiation exposure.
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Background: The risk factors for recovery from COVID-19 dyspnoea are poorly understood. We investigated determinants of recovery from dyspnoea in adults with COVID-19 and compared these to determinants of recovery from non-COVID-19 dyspnoea.

Methods: We used data from two prospective cohort studies: PHOSP-COVID (patients hospitalised between March 2020 and April 2021 with COVID-19) and COVIDENCE UK (community cohort studied over the same time period).

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Background: Functional capacity is a prognostic factor for coronary patients; accordingly, they are recommended to walk.

Objective: To assess whether an exercise program supervised in primary care increases their functional capacity more than unsupervised walking.

Methods: A randomized clinical trial was carried out at eight primary care centres of the Spanish Health Service and involving 97 incident cases of low-risk acute coronary patients, <80 years old, randomly assigned to either an unsupervised walking program (UW group; n = 51) or a 6-month cycle ergometer exercise program with gradually increasing frequency and workload intensity supervised by primary care nurses (SE group; n = 46).

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