Surgical Site Infections after Spinal Surgery in a Tropical Area: A Prospective Monocentric Observational Study.

To date, no study has described the microbiological profile of surgical site infections (SSIs) after spine surgery in a tropical environment. The main objective of this study is to describe the microbiology and the risk factors of SSI after spinal surgery in a tropical climate. Our hypothesis is that the microbiology of SSIs in tropical areas is different to what is mainly described in temperate countries.

Three-Dimensional Navigation (O-arm) for Minimally Invasive Shelf Acetabuloplasty.

Hip dysplasia is an important cause of osteoarthritis in young adults. For these patients, conservative treatment is an interesting alternative to arthroplasty. The current literature suggests better clinical and functional outcomes when shelf acetabuloplasty is performed for a moderate joint pinch (<50%) associated with an important external coverage defect of the acetabular cup (<25°).

The learning curve of transrectal ultrasound-guided prostate biopsies: implications for training programs.

Objective: To assess the quality of specimens obtained from prostate biopsies performed by urology residents and evaluate the number of procedures required to perform high-quality transrectal ultrasound (TRUS)-guided prostate biopsies.

Materials And Methods: Between 2006 and 2009, 770 patients underwent TRUS-guided prostate biopsies in our academic center. During the 6 semesters of this period, 24 residents (4 per semester) performed 1 session of 5.

Isolated lesser trochanter fracture in adults: an early indicator of tumor infiltration.

We report on a case of isolated lesser trochanter fracture, without associated trauma, secondary to pulmonary adenocarcinoma metastasis. Treatment consisted in resection-reconstruction by megaprosthesis. This form of isolated fracture is rare, and results from infiltration of the trochanteric area by a malignant tumoral process, which is usually metastatic.

[The French clinical trials ongoing (GETUG and AFU) on urothelial carcinomas, kidney and prostate cancers].

The collaboration of the Association Française d'Urologie (AFU) and of the Groupe d'Etude des Tumeurs Uro-Genital (GETUG) has lead to increase more and more the credibility of French clinical trials in onco-urology. These trials are on the same level ast North American or European studies. The involvement of urologists is essential.

[Chemotherapy with docetaxel in prostate cancer. A case report].

There is nothing to support Docetaxel as a first line treatment in metastatic prostate cancer. Hormonal treatment is still the gold standard. Chemotherapy should be initiated in symptomatic patients or if patients are at high risk of developing metastasis (PSADT < 3 months).

[How to manage bone metastasis in prostate cancer. A case report].

Androgen deprivation therapy with LHRH agonists is the gold standard in the treatment of metastatic prostate cancer. This treatment leads to decrease the bone mass, thus bone mineral density evaluation is recommended after one year of hormonal treatment to measure bone loss. Bisphosphonate is recommended when metastasis occurred during hormonal resistance phase to reduce bone events.

[Androgen deprivation therapy in locally advanced prostate cancer].

In case of biochemical recurrence after radical prostatectomy, hormonal treatments are equally efficient. Early hormonal treatment after biochemical recurrence reduces specific mortality, local and metastatic progression. In locally advanced prostate cancer, adjuvant radiation therapy after biochemical recurrence reduces local and metastatic recurrence.

[What's new in 2009 in prostate cancer: highlights from ASTRO, EAU, ASCO and AUA meetings].

In 2009, prostate cancer was the subject of a large number of communications in international urologic, oncologic and radiation therapy conferences. The most interesting studies that are likely to modify physician's daily practice were selected. This year the results from the European (ERSPC) and the American (PLCO) mass screening studies.

[Actinomycosis: an unusual cause of spinal cord compression. Case report and review of the literature].

Actinomycosis is an unusual and unrecognized cause of spinal cord compression of infectious origin. We report the case of a 57-year-old immunocompetent woman admitted for sub-acute lower limb ataxia. The diagnosis of spinal cord compression secondary to actinomyces infectious arthritis was established.

[Percutaneous osteosynthesis of lumbar and thoracolumbar spine fractures without neurological deficit: surgical technique and preliminary results].

Purpose Of The Study: The aim of this work was to study the technique of percutaneous osteosynthesis of lumbar and thoracolumbar spine fractures without neurological deficit and to report preliminary results.

Material And Methods: This retrospective study included 15 patients with lumbar or thoracolumbar spine fractures who were treated between January 2004 and January 2006 by percutaneous osteosynthesis. There were seven men and eight women, mean age 36 years (range 16-58 years).

[PSA and follow-up after treatment of prostate cancer].

A first serum total PSA assay is recommended during the first three months after treatment. When PSA is detectable, PSA assay should be repeated three months later to confirm this elevation and to estimate the PSA doubling time (PSADT). In the absence of residual cancer, PSA becomes undetectable by the first month after total prostatectomy: less than 0.

[Molecular forms of PSA].

Molecular forms of serum PSA (prostate specific antigen) have been developped to improve total PSA sensitivity and specificity in prostate cancer diagnosis and staging. Total PSA is measured in bound (complexed PSA) and unbound (free PSA) molecular forms. Their levels in absolute values and in relation to total PSA (f/t PSA and c/t PSA) have been evaluated.

Reliability of 3D reconstruction of the spine of mild scoliotic patients.

Study Design: A reliability study was conducted in quantitative 3-dimensional (3D) measurements for mild scoliosis.

Objective: To evaluate the intrarater and interrater reliability of a computer tool used for 3D reconstruction of the spine.

Summary Of Background Data: No reliability study of spinal in vivo 3D medical imaging measurements has been performed in the literature.