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Insufficient Labor Epidural Analgesia Due to Asymptomatic Sacral Perineural Cyst: A Case Report.
Cureus
November 2024
Department of Anesthesiology, Adachi Hospital, Kyoto, JPN.
Lumbar epidural anesthesia is widely used for labor epidural analgesia (LEA), but it often results in insufficient analgesia in the sacral region. We report a case where we performed LEA using lumbar epidural anesthesia, and an asymptomatic sacral perineural cyst was considered the potential cause of inadequate analgesia in the sacral region. A 33-year-old primigravida was admitted with premature rupture of membranes.
View Article and Find Full Text PDFCT-3D MERGE fusion imaging improves image quality compared with CT and 3D MERGE in patients with lumbar disc herniation.
Front Neurol
December 2024
Department of Radiology, Qujing Second People's Hospital, Qujing, China.
Background: CT-routine MRI fusion imaging has recently become available to evaluate spinal anatomy before surgery. Due to the 3-5 mm slice thickness and non-isotropic of routine MRI sequence, the CT-routine MRI fusion imaging is not good. The MRI multiple recalled gradient echo (MERGE) sequence is potentially useful in diagnosis of lumbar degeneration disease due to the better nerve roots visualization, 1 mm slice thickness and its isotropy.
View Article and Find Full Text PDFChronic pelvic insufficiency fractures and their treatment.
Arch Orthop Trauma Surg
December 2024
Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Article Synopsis
- Fragility and insufficiency fractures of the pelvis and sacrum are on the rise among the elderly due to weakened bones, leading to persistent pain, reduced mobility, and a risk of loss of independence.
- While conservative treatments are an option, surgery is often preferred for unstable fractures, especially since many patients do not receive adequate preventative care for osteoporosis-related fractures.
- Diagnostic imaging is crucial for identifying these fractures, with CT scans being the gold standard, but MRI offers the highest sensitivity for detecting complex fractures, guiding treatment based on fracture type and stability.
Evaluation of Athletes' Gender-Related Postural Differences.
Percept Mot Skills
December 2024
Institute of Primary Care, University of Zurich, Zurich, Switzerland.
Article Synopsis
- The study compares the static postures of 172 paired female and male athletes across identical sports, focusing on various postural measurements.
- Results indicate that while both genders share similarities in certain postural aspects like sagittal and coronal imbalances, female athletes typically present with a wider sacrum and more pronounced pelvic characteristics.
- Overall, the study concludes that female athletes generally have a more balanced spinal posture compared to their male counterparts.
[Comparative evaluation of trabecular bone density in Hounsfield units in the lumbar native CT cross-section for osteoporosis diagnosis and fracture risk determination by different examiners].
Orthopadie (Heidelb)
December 2024
Institut für Diagnostische und Interventionelle Radiologie/Neuroradiologie, Westküstenklinikum Heide, Akademisches Lehrkrankenhaus der Universitäten Kiel, Lübeck und Hamburg, Heide, Heide, Deutschland.
Background: An increasing loss of bone mineral density (BMD) in the axial skeleton leads to osteoporosis and fractures, with an increase found in the thoracic and thoracolumbar regions.
Research Question: The extent to which an examiner-independent assessment of the extent of osteoporosis and fracture risk determination is possible by determining the trabecular density in Hounsfield units (HU) in the spine should be examined. The next question was whether quantitative BMD values can be calculated from the HU values.
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