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Application of the "Klotski Technique" in Cervical Ossification of the Posterior Longitudinal Ligament With En Bloc Type Dura Ossification.
Neurospine
September 2024
Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Article Synopsis
- The anterior controllable antedisplacement and fusion (ACAF) technique, particularly the "Klotski technique," presents a new approach for treating cervical ossification of the posterior longitudinal ligament (OPLL) while minimizing fused segments.
- A study of 25 patients compared the ACAF Klotski technique with anterior cervical corpectomy and fusion (ACCF), revealing fewer complications and better postoperative outcomes for those treated with the ACAF technique.
- Results showed the ACAF group had a lower rate of neurological deterioration and intraoperative cerebrospinal fluid leakage compared to the ACCF group, making it a favorable option for en bloc type OPLL-DO treatment.
What is the utility of point-of-care ultrasound for suspected pulled elbow? A single-centre case series.
J Paediatr Child Health
November 2024
Paediatric Emergency Department, Sunderland Royal Hospital, Sunderland, United Kingdom.
Article Synopsis
- Radial head subluxation, commonly called pulled elbow, often presents in young children at emergency departments; many cases involve unclear histories or require challenging examinations.
- A study aimed to evaluate the effectiveness of point-of-care ultrasound (POCUS) in identifying suspected pulled elbow cases among children aged 0-5 years.
- Results showed that POCUS accurately identified all cases of pulled elbow, achieving 100% sensitivity and specificity, thus supporting its use as a reliable diagnostic tool in pediatric settings.
I saw the "hook" sign of median arcuate ligament syndrome.
Clin Imaging
September 2024
School of Medicine, University of Missouri, Columbia, MO, United States of America; Department of Radiology, University of Missouri Healthcare, Columbia, MO, United States of America.
The hook sign is a radiologic finding best appreciated on a sagittal view of the celiac artery with computed tomography (CT) that indicates compression of the celiac artery. It refers to the hooked-shape of the proximal celiac artery caused by extrinsic compression by the median arcuate ligament. When seen in a patient with concurrent abdominal symptoms, it suggests median arcuate ligament syndrome (MALS).
View Article and Find Full Text PDFA novel computed tomography scoring system for evaluating the risk of dural defects in anterior surgery for cervical ossification of the posterior longitudinal ligament.
Clin Neurol Neurosurg
July 2024
Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China; Lab of Spinal Cord Injury and Functional Reconstruction, China International Neuroscience Institute, Beijing, China. Electronic address:
Objective: To develop and validate a computed tomography (CT)-based scoring system for evaluating the risk of dural defects (DDs) in anterior surgery for cervical ossification of the posterior longitudinal ligament (OPLL).
Methods: We retrospectively analyzed CT imaging features of 114 OPLL patients in our institute who received anterior decompression surgery. Intraoperative DDs were found in 16 patients.
Surgical explantation for a rapid deployment valve: the 'shave-and-hook technique'.
Interdiscip Cardiovasc Thorac Surg
May 2024
Department of Cardiovascular Surgery, Tenri Hospital, Nara, Japan.
An 80-year-old female patient underwent redo aortic valve replacement for haemolysis caused by moderate paravalvular leakage 1 year after a 21-mm Intuity Elite valve implantation. The elevatorium passed at the segment with paravalvular leakage. The frame was then bent inward using a hook and the peel around the sawing ring was shaved by an elevatorium.
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