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Introduction: Prone positioning with head rotation can influence cerebral haemodynamics, potentially affecting cerebral perfusion and oxygenation. Elderly patients with impaired brain perfusion and oxygenation are at an increased risk of developing postoperative delirium (POD). Despite this, few studies have explored whether head orientation during prone positioning contributes to POD in older adults, an aspect often overlooked by clinicians.

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Traumatic lumbosacral instability (TLSI) generally refers to a traumatic disruption of the lumbopelvic junction. The ambiguous use of this term has contributed to confusion and limited understanding of injuries that can impact lumbosacral stability. As of now, TLSI lacks a clear definition, and the underlying injury patterns remain inadequately characterized.

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Neuralgic amyotrophy with hourglass-like constrictions: A case report.

World J Clin Cases

December 2024

Department of Physical Medicine and Rehabilitation, Dongnam Institute of Radiological and Medical Sciences, Busan 46033, South Korea.

Article Synopsis
  • - Neuralgic amyotrophy (NA) is a rare condition characterized by sudden shoulder pain followed by weakness in the arm, primarily affecting the upper brachial plexus, and can often mimic cervical radiculopathy due to its similar symptoms.
  • - A 76-year-old male developed NA after hip surgery, experiencing shoulder pain and arm weakness; diagnostic imaging confirmed brachial plexopathy and unique signs of NA including a focal constriction at the suprascapular nerve.
  • - Treatment for NA involved corticosteroids and physical therapy, leading to significant recovery in shoulder muscle strength within a month, highlighting the importance of recognizing NA's distinct features for accurate diagnosis.
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  • The study investigates the occurrence and causes of hyper-postoperative delirium in elderly patients undergoing spinal surgery for lumbar degenerative diseases over an 11-year period, as severe delirium can lead to serious complications.
  • It includes a retrospective review of 7,250 patients from 2011 to 2021, diagnosing cases of delirium using recognized assessment methods and categorizing the incidence trends into three distinct periods.
  • The overall incidence of hyper-postoperative delirium was found to be 1.79%, with a patient average age of 54.5 years, and the study aims to determine factors influencing these trends through statistical analyses.
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  • The study investigates how volumetric bone mineral density (vBMD) varies at specific sites in vertebrae among postmenopausal women with and without type 2 diabetes mellitus (T2DM) using quantitative computed tomography (QCT).
  • Results show that women with T2DM generally had higher global and zonal vBMD compared to those without T2DM, particularly in the 50-59 age group, with differences decreasing with age in certain areas of the L1 vertebra.
  • The research suggests that the risk of vertebral compression fractures in T2DM patients may be linked to varying loss rates of vBMD rather than just the vBMD levels,
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