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http://dx.doi.org/10.1053/j.jvca.2018.09.011DOI Listing

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Study Design: A systematic review and meta-analysis OBJECTIVE: To determine the global frequency of osteomyelitis in individuals with spinal cord injury who have pressure injuries (SCI-PI).

Methods: A comprehensive search on PubMed, EMBASE, Scopus, and the Web of Science has been conducted until November 2023. The Cochrane Handbook for Systematic Reviews was followed.

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Chronic recurrent multifocal osteomyelitis (CRMO) is a rare, autoinflammatory bone disorder most often seen in children and adolescents characterized by recurrent episodes of sterile osteolytic osseous lesions. Diagnosing CRMO requires the exclusion of other conditions, which is often challenging due to its varied presentations and progression. However, adult-onset CRMO and exclusive spinal cases are extremely rare events, highlighting the importance of this case Our case presents a 38-year-old female with chronic back pain for 6 months of postepidural anesthesia during a C-section.

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This study was conducted to assess the patient characteristics, types of treatment, and outcomes of patients who are surgically treated for vertebral osteomyelitis (VO) in the United States. VO can be treated with or without surgical intervention. Surgically treated cases of VO are associated with significant morbidity and mortality, and incur major healthcare costs.

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Article Synopsis
  • Vertebral osteomyelitis causes damage to the spine's discs and vertebrae, leading to deformities that upset the spine's balance, and brace immobilization is intended to minimize long-term damage.
  • A 10-year study of 31 patients indicated that while vertebral compression was notably higher in thoracic cases at diagnosis, overall brace immobilization showed more significant benefits in the lumbar region, especially for patients weighing up to 70 kg.
  • MRI results before and after immobilization revealed slight changes in segment angles and kyphosis, but 92% of patients maintained stable lumbar lordosis, indicating a potential positive effect of brace treatment in this condition.
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Background: Vertebral osteomyelitis (VO) often necessitates surgical intervention due to bone loss-induced spinal instability. Anterior column reconstruction, utilizing expandable vertebral body replacement (VBR) implants, is a recognized approach to restore stability and prevent neurological compromise. Despite various techniques, clinical evidence regarding the safety and efficacy of these implants in VO remains limited.

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