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Adjacent segment degeneration at a minimum 2-year follow-up after posterior lumbar interbody fusion: the impact of sagittal spinal proportion: a retrospective case series.
Asian Spine J
October 2024
Department of Orthopaedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Study Design: A retrospective cohort study.
Purpose: To investigate the sagittal plane configuration of the entire spine and its association with the risk of adjacent segment degeneration (ASD) after posterior lumbar interbody fusion (PLIF).
Overview Of Literature: Although PLIF has demonstrated satisfactory clinical outcomes, it is associated with ASD.
Article Synopsis
- The study investigates the relationship between elevated or fluctuating intraoperative systolic blood pressure (SBP) and the occurrence of postoperative hematoma in facelift surgeries.
- Using data from 118 facelift procedures, the authors performed various statistical analyses to identify predictors of hematoma.
- The findings reveal that while history of hypertension did not significantly predict hematoma, labile intraoperative SBP and high immediate postoperative SBP were significant predictors for developing hematomas post-surgery.
Bilateral ultrasound-guided erector spinae plane block for postoperative pain relief in major traumatic spine surgery: A randomized controlled trial.
Saudi J Anaesth
June 2024
Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
Introduction: Spine fixation surgery for traumatic vertebral fractures is associated with severe pain and is often difficult to control. Traditionally systemic opioids have been the mainstay of analgesia for these procedures, which can lead to hyperalgesia, nausea, ileus, sedation, cognitive impairment, dependence, etc., limiting usage of opioids.
View Article and Find Full Text PDFEfficacy and safety of topical application of tranexamic acid in patients undergoing reconstructive plastic surgery after excision of facial skin cancers: a randomised clinical trial.
Rev Col Bras Cir
July 2024
- Universidade Federal do Rio Grande - Rio Grande - RS - Brasil.
Article Synopsis
- Tranexamic acid (TA) is being explored for its potential benefits in plastic surgery, particularly in reducing blood loss during reconstructive procedures after skin cancer excisions.
- A study involving 54 patients showed that those treated with a 3% TA solution experienced significantly less blood loss and a reduced risk of bruising, compared to a placebo group.
- The use of TA was found to be safe, with no reported adverse events such as infections or thromboembolic complications, indicating its promise as a beneficial adjunct in surgical settings.
Position-Dependent Intrathecal Baclofen System Catheter Failure Resulting in Debilitating Spasticity: A Case Report.
Cureus
February 2024
Physical Medicine and Rehabilitation, Memorial Healthcare System, Hollywood, USA.
An intrathecal baclofen pump (ITB) can provide significant relief from excessive spasticity and pain that is difficult to control. However, it is not without its drawbacks. We present a case of a young quadriplegic male who underwent ITB pump placement, suffering four years of transient episodes of severe spasticity with withdrawal symptoms.
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