Obstetrical Outcomes in Women With a History of Bladder Augmentation.

Purpose: To evaluate possible problems during pregnancy or delivery in women with pediatric bladder augmentation.

Methods: Eleven of 59 women, who had undergone bladder augmentation in our pediatric hospital during 1990-2019, had given birth in our hospital district afterwards and their obstetrical records were evaluated.

Results: Median age at first delivery was 32 years (range 26-42).

Early versus late stabilization of the spine in the polytrauma patient.

Study Design: Systematic review.

Objective: To determine whether early spinal stabilization in the multiple trauma patient is safe and does not increase morbidity or mortality.

Summary Of Background Data: There is no consensus regarding the timing of surgical stabilization of the injured spine, especially in patients with multiple trauma.

The effect of an anterior cervical operation for cervical radiculopathy or myelopathy on associated headaches.

Background: Headaches related to the cervical spine have been reported by various authors, and modalities of treatment are as varied as their speculated causes. The purpose of this study was to determine if anterior cervical reconstructive surgery (cervical arthrodesis and disc arthroplasty) for the treatment of radiculopathy or myelopathy also helps to alleviate associated headaches.

Methods: We conducted a post hoc analysis of study cohorts combined from prospective studies comparing the results of Prestige and Bryan cervical arthroplasty devices and those of anterior cervical arthrodesis with allograft and anterior instrumentation.

Comparison of single-level cervical fusion and a metal-on-metal cervical disc replacement device.

Cervical fusion is the common treatment for cervical disc disease but can cause secondary disorders. The Prestige ST cervical disc prosthesis (Medtronic Sofamor Danek, Memphis, TN) was designed to preserve spinal motion to potentially limit the secondary disorders. In this article, we report 2-year results from a single-center study comparing use of this device with use of anterior cervical discectomy and fusion (ACDF).

Anatomic consideration for standard and modified techniques of cervical lateral mass screw placement.

Background Context: Posterior screw placement techniques have been previously described. Each technique differs with respect to starting point, lateral angulation and sagittal orientation.

Purpose: To examine the potential for injury to critical anatomic structures, such as nerve roots and vertebral arteries, during posterior cervical screw placement and to determine safe screw placement.

Intraarticular anatomic risks of tibial nailing.

Objective: To identify the risks to intraarticular structures of the knee during tibial portal creation and to identify the safe zone for tibial nail placement.

Study Design: Cadaveric anatomic.

Location: University trauma center.

Morbidity and mortality in elderly trauma patients.

Background: Despite an increasing incidence, relatively few studies have examined the factors that predict morbidity and mortality in older patients and several reports have found standard predictors such as the Injury Severity Score to be less useful in this patient population. Similarly, the effect of skeletal injury has not been examined with regard to complications and mortality. The purpose of this study was to review a large multicenter experience with elderly trauma patients to isolate factors that might predict morbidity and mortality.

Neurologic and vascular structures at risk during anterior-posterior locking of retrograde femoral nails.

Objective: To evaluate the neurovascular structures at risk with the placement of anterior-posterior locking screws in the proximal femur.

Design: Cadaveric study.

Main Outcome Measure: Anatomic relationships.

Spontaneous healing of a massive tibial cortical defect.

This case report describes the spontaneous healing of a 20-cm massive tibial cortical defect. The defect was created during debridement of necrotic bone and soft tissue in a low-velocity gunshot wound of the tibia that became infected in a skeletally mature patient. The patient was treated in an external fixator and had a soleus flap to provide soft-tissue coverage.

Angiographic findings in pelvic fractures.

Pelvic fractures are high energy injuries indicative of significant trauma. Hypotension and significant blood loss is common in skeletally unstable pelvic fractures. Potential sites of intrapelvic bleeding include fractured bone edges, venous injuries and/or arterial vascular injuries.