Publications by authors named "Siddharth Sekhar Sethy"

Orthopedic surgery and traumatology necessitate cost-effective approaches that can be replicated across multiple venues. Finite Element (FE) simulation models have evolved as a solution, allowing for consistent investigations into biomechanical systems. Finite Element Analysis (FEA), which began in the 1950s aviation industry, has since expanded into orthopedics.

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Case: A 47-year-old man presented with neck pain, restricted neck movements, along with involvement of facial and hypoglossal nerve. On the basis of clinico-radiological correlation, the patient was diagnosed with craniovertebral junction tuberculosis and was started on antitubercular therapy (ATT). Failing the conservative trial, the patient was operated and occipitocervical fusion was done with bone grafting.

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Article Synopsis
  • The study investigates the relationship between spinopelvic parameters and functional outcomes in patients with lumbar spine tuberculosis, comparing those who underwent surgical treatment to those who received conservative management.
  • A total of 47 patients were analyzed, with significant improvements in functional measures (Oswestry Disability Index and Visual Analog Scale) noted in both groups after 6 months, although surgical patients showed greater enhancements.
  • The findings suggest that restoring lumbar lordosis (LL) and other spinopelvic parameters positively impacts recovery, highlighting the effectiveness of surgical intervention over conservative methods.
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Objective: Deciding the healing end point in spinal tuberculosis (STB) remains a controversial topic. The current systematic review aims to address the controversy existing in the literature to find a comprehensive method to assess healing in STB.

Methods: A thorough literature search was carried out for studies with the assessment of healing parameters in STB.

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Introduction: There is no distinct classification system to evaluate the bone defect in previously managed acetabular fractures. We propose a new classification system for bone defect evaluation in a previously managed acetabular fracture that will be helpful for total hip arthroplasty (THA).

Materials And Methods: The preoperative pelvis radiographs of 99 THA patients with previous acetabular fractures with at least 2 years of follow-up were evaluated by 10 experienced surgeons (Paprosky and new classification systems).

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Excision of acetabular osteoid osteoma is technically difficult. We report osteoid osteoma of the quadrilateral plate in a 9-year-old girl who presented to us with persistent nocturnal pain, limp and restricted hip joint movement. The child was investigated with CT scan, MRI and triple-phase bone scan.

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Study Design: Systematic Review and Meta-analysis.

Purpose: Three-column injuries making the spine unstable require adequate fixation which can be achieved by anterior alone, posterior alone or combined anterior-posterior approach. There is no general consensus till date on a single best approach in sub-axial cervical spine trauma.

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Case: Primary infection by Actinomyces is uncommon because susceptibility to infection requires breakdown of the normal protective mucosal barrier. Furthermore, involvement of the upper extremity is rare. This case report presents clinical, radiological, and pathological findings in a 26-year-old patient with actinomycosis of the hand that was treated successfully by pharmacotherapy alone without any surgical debridement.

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Article Synopsis
  • This study analyzed the outcomes of 21 patients who underwent anterior cervical discectomy/corpectomy and fusion (ACDF/ACCF) for serious cervical spine injuries from January 2016 to July 2018.
  • The research highlighted the ongoing debate regarding the best treatment for three-column cervical spine injuries, noting that while combined anterior and posterior fixation is commonly preferred, recent findings support the efficacy of the anterior-only approach for achieving decompression and stability.
  • Results showed significant clinical improvements in pain, disability, and spinal independence post-surgery, with an overall positive recovery rate, despite one case needing additional stabilization.
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