Publications by authors named "L Viezens"
[Conservative treatment of injuries to the cervical spine : Mobilization or immobilization].
Unfallchirurgie (Heidelb)
December 2024
Many injuries to the cervical spine can be treated conservatively. Treatment options include early functional, mobilizing and immobilizing procedures. If a structural injury can be ruled out by morphological imaging, early functional mobilization should be performed in combination with adequate analgesia according to the World Health Organization (WHO) step by step scheme to avoid chronification.
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- Sacral insufficiency fractures primarily affect older women with low bone mineral density, and this study investigates the bone quality in these patients through core biopsies from the sacral region.
- The research compared biopsy samples from patients with bilateral sacral insufficiency fractures to control samples from age- and sex-matched healthy donors, revealing significant loss of trabecular microstructure and signs of chronic microfractures in the fracture cohort.
- Key findings included lower mineral content and higher levels of bone remodeling markers in the fractured samples, suggesting reduced fracture resistance and a unique phenotype in this population compared to healthy individuals.
Article Synopsis
- * By testing ten pairs of human cadaveric feet, researchers found that while both arches affect the collapse of the longitudinal arch and forefoot abduction, the MLA has a stronger influence compared to the TTA.
- * The results highlight that although weakness in the TTA significantly impacts certain aspects of PCFD, it doesn't surpass the influence of the MLA, which may inform better treatment approaches for flatfoot conditions.
A Combined Cyto- and Histopathological Diagnostic Approach Reduces Time to Diagnosis and Time to Therapy in First Manifestation of Metastatic Spinal Disease: A Cohort Study.
Cancers (Basel)
April 2024
Article Synopsis
- Malignant spinal lesions (MSLs) often signal advanced cancer, making quick and effective spinal care vital for patient outcomes.
- The study compared cytopathology (CP) and histopathology (HP) in 61 patients, finding that CP provided a mean time to diagnosis (TTD) of 1.7 days versus 8.4 days for HP, significantly speeding up care.
- Results indicate that CP not only shortens TTD and time to therapy (TTT) but may also improve treatment initiation and overall patient quality of life, suggesting it should be standard practice for MSL evaluation.
Study Design: Retrospective cohort study.
Objective: Cavernous malformations (CMs) and hemangioblastomas (HBs) of the spinal cord exhibit distinct differences in histopathology but similarities in the neurological course. The aim of our study was to analyze the clinical differences between the vascular pathologies and a benign tumor of the spinal cord in a perioperative situation.