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The Utility of Prophylactic Muscle Flaps in Complex Pediatric Spine Surgery.

J Craniofac Surg

November 2024

Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Mississippi Medical Center, Jackson, MS.

Purpose: Complex spinal surgery in the pediatric population can lead to devastating complications and morbidity. Paraspinal muscle flaps are commonly performed after complications to optimize wound closure. However, some advocate for their prophylactic use at the index surgery.

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Pneumococcal infective endocarditis (PIE) is a rare but serious infection often presenting with systemic complications such as septic emboli, myocarditis, and septic arthritis. This case report highlights a 49-year-old male who presented with acute-on-chronic lower back pain and fever, later diagnosed with PIE complicated by septic spinal arthritis, paraspinal myositis, and developing myocarditis. A 49-year-old male presented to the emergency department (ED) with worsening back pain and fever after treatment failure for suspected pyelonephritis.

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Article Synopsis
  • * The case report describes a 68-year-old female with stage IV DLBCL who was treated with glofitamab alongside salvage radiotherapy after failing other treatments, leading to positive outcomes with manageable side effects.
  • * The combination therapy resulted in a complete metabolic response without significant radiation toxicity, suggesting that further research is needed to explore this treatment approach for r/r DLBCL patients.
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Validation of the Root Analysis Score for C5 Viability in Patients With Pan-Brachial Plexus Injury.

J Hand Surg Am

June 2024

Division of Hand and Microvascular Surgery, Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN. Electronic address:

Purpose: Pan-brachial plexus injury patients present a reconstructive challenge. The root analysis score, developed from parsimonious multivariable modeling of 311 pan-brachial plexus injury patients, determines the probability of having a viable C5 nerve based on four categories: positive C5 Tinel test, intact C5 nerve on computed tomography myelogram, lack of hemidiaphragmatic elevation, and absence of midcervical paraspinal fibrillations.

Methods: Root analysis scores were calculated for a separate cohort of patients with pan-brachial plexus injuries.

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