Purpose: This study sought to quantify the frequency of previously unidentified spinal cord anomalies identified by routine preoperative magnetic resonance imaging (MRI), in patients planned for surgical scoliosis correction.
Methods: Our study group comprised 206 patients with idiopathic scoliosis who underwent deformity correction from 1998 to 2008. Clinical records of all the patients were retrospectively reviewed to ascertain the proportion having a neural abnormality on preoperative MRI scan.
Results: Twenty of 206 patients (9.7 %) were diagnosed with an unexpected intraspinal anomaly on routine preoperative MRI. In all cases, a neurosurgical opinion was sought prior to further intervention. Of the 20 patients, 11 underwent a neurosurgical procedure (de-tethering of cord, decompression of Chiari, decompression of syrinx). There was no statistically significant difference between the group of patients who had intrinsic spinal cord anomalies on preoperative MRI and those did not have a cord abnormality with regard to age at presentation, gender, side of dominant curve and degree of curve (p < 0.05).
Conclusion: The high frequency of spinal cord abnormalities unidentified by preoperative neurological examination, and the frequent need for subsequent neurosurgical intervention, suggests that MRI assessment prior to deformity correction is important in the management of idiopathic scoliosis.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3555630 | PMC |
| http://dx.doi.org/10.1007/s00586-012-2538-y | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The Effect of Preoperative Tele-nursing Counseling on Anxiety and Patient Satisfaction in Day Surgery: A Randomized Controlled Trial.
J Perianesth Nurs
December 2024
Istanbul University-Cerrahpasa Florence Nightingale Faculty of Nursing, Sisli, İstanbul, Turkey. Electronic address:
Purpose: This study aimed to investigate the effect of preoperative tele-nursing counseling on anxiety and patient satisfaction in day surgery.
Design: Randomized controlled study design was employed.
Methods: The study was conducted in a city hospital and a university hospital in Istanbul between July 2022 and May 2023 with patients who met the study criteria.
The Surgical Education Checklist as an Adjunct to Training in the Operating Theatre: The Surgeons' Experience.
J Surg Educ
December 2024
University of Dundee, Nethergate, Dundee, Scotland, UK.
Background: An important aspect of surgical training occurs within the operating theatre. However, access to learning opportunities in this environment has been compromised by issues including reduced working hours and the COVID pandemic. Every training opportunity that does exist, therefore, needs to be maximized.
View Article and Find Full Text PDFPrimary care follow-up improves outcomes in older adults following emergency general surgery admission.
J Trauma Acute Care Surg
October 2024
From the Sunnybrook Health Sciences Centre, Division of General Surgery (M.P.G.), Toronto Ontario, Canada; Institute of Health Policy, Management, and Evaluation (M.P.G., B.W.T., A.B.N., S.E.B., B.H.), Department of Surgery (M.P.G., A.B.N., B.H.), and Interdepartmental Division of Critical Care Medicine, Department of Medicine (B.W.T., B.H.), University of Toronto; Sunnybrook Research Institute (A.B.N., S.E.B., L.J., B.H., M.P.G.), Toronto, Ontario, Canada; Trauma Quality Improvement Program, American College of Surgeons (A.B.N.), Chicago, Illinois; and ICES (A.B.N., S.E.B., R.S., L.J., A.H., B.H.), Toronto, Ontario, Canada.
Background: While preoperative optimization improves outcomes for older adults undergoing major elective surgery, no such optimization is possible in the emergent setting. Surgeons must identify postoperative interventions to improve outcomes among older emergency general surgery (EGS) patients. The objective of this cohort study was to examine the association between early follow-up with a primary care physician (PCP) and the risk of nursing home acceptance or death in the year following EGS admission among older adults.
View Article and Find Full Text PDFPredicting lack of clinical improvement following varicose vein ablation using machine learning.
J Vasc Surg Venous Lymphat Disord
December 2024
Department of Surgery, University of Toronto, Canada; Division of Vascular Surgery, St. Michael's Hospital, Unity Health Toronto, Canada; Institute of Medical Science, University of Toronto, Canada; Temerty Centre for Artificial Intelligence Research and Education in Medicine (T-CAIREM), University of Toronto, Canada; Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, Canada; Department of Surgery, King Faisal Specialist Hospital and Research Center, Saudi Arabia. Electronic address:
Objective: Varicose vein ablation is generally indicated in patients with active/healed venous ulcers. However, patient selection for intervention in individuals without venous ulcers is less clear. Tools that predict lack of clinical improvement (LCI) following vein ablation may help guide clinical decision-making but remain limited.
View Article and Find Full Text PDFLimitations of panoramic radiographs in predicting mandibular wisdom tooth extraction and the potential of deep learning models to overcome them.
Sci Rep
December 2024
Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga, 849-8501, Japan.
Surgeons routinely interpret preoperative radiographic images for estimating the shape and position of the tooth prior to performing tooth extraction. In this study, we aimed to predict the difficulty of lower wisdom tooth extraction using only panoramic radiographs. Difficulty was evaluated using the modified Parant score.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!