Publications by authors named "R Espey"

Introduction:  Accurate medical documentation is important in the perioperative period, ensuring the safe transfer of information between teams involved in the surgical patient's care. This has been highlighted by multiple standards of care guidelines within the United Kingdom. The use of standardized pre-templated documents has displayed significant success in minimizing errors during the admission and operative stages.

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Article Synopsis
  • Anterior Cervical Discectomy and Fusion (ACDF) is the primary treatment for cervical spondylosis when medication fails, but there's no consensus on a preferred implant.
  • The study evaluated the radiological outcomes of two types of implants—the stand-alone PEEK cage and the Zero-profile augmented screw implant (Z-P)—in 233 ACDF cases in Northern Ireland.
  • Results showed that the Z-P implant was superior in maintaining disc height and restoring cervical alignment compared to the PEEK cage, suggesting it may be a better choice for surgical procedures.
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Purpose: Distal femoral fractures account for 4-6% of fragility fractures. These may be managed using a combined nail-plate construct (NPC). The use of NPCs is gaining traction.

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A 55-year-old woman with bony metastatic breast cancer was commenced on daily ibandronic acid to prevent skeletal related events (SREs). Four years later, she began to experience new lower limb and groin pain with investigations leading to the suspicion of further metastatic spread to her left femur. While awaiting radiotherapy for this, she unfortunately tripped and fell sustaining a fracture to the proximal third of her left femur.

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Study Design: Retrospective cohort analysis with prospective follow-up.

Objectives: To evaluate neurological and functional recovery following central cord syndrome.

Setting: Northern Ireland, population 1.

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