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Prospective radiographic and clinical outcomes and complications of single solid rod instrumented anterior spinal fusion in adolescent idiopathic scoliosis.

STUDY DESIGN: Prospective clinical cases series. OBJECTIVES: To prospectively evaluate outcomes and critically review radiographic results and complications associated with single solid rod anterior spinal fusions in adolescent idiopathic scoliosis with 2-year minimum follow-up (range, 2-6 years). METHODS: Ninety consecutive patients at a single institution with thoracic (n = 43) or thoracolumbar/lumbar (n = 47) adolescent idiopathic scoliosis were treated by one of two surgeons with a similar anterior surgical technique using rib autograft, intradiscal structural (Harms) cages placed below

The Technique for Performing Posterior Vertebral Column Resection with En-Bloc Fixation/Reduction in Adult Spine Deformity Surgery.

UNLABELLED: Posterior vertebral column resection (pVCR) is a powerful tool for correcting rigid spinal deformity; however, it is a technically demanding procedure and may be associated with a substantial rate of complications1. pVCR is often reserved for appropriately selected patients with severe focal deformity, in whom soft-tissue releases and posterior column osteotomies alone are unlikely to achieve satisfactory correction. Surgeon experience has also been shown to be correlated with outcomes2, placing further emphasis on appropriate training and practice before performing pVCR. DESCRIPT

An externally and internally deformable, programmable lung motion phantom.

PURPOSE: Most clinically deployed strategies for respiratory motion management in lung radiotherapy (e.g., gating and tracking) use external markers that serve as surrogates for tumor motion. However, typical lung phantoms used to validate these strategies are based on a rigid exterior and a rigid or a deformable-interior. Such designs do not adequately represent respiration because the thoracic anatomy deforms internally as well as externally. In order to create a closer approximation of respiratory motion, the authors describe the construction and experimental testing of an externally as wel

Surgical versus nonsurgical interventions for flail chest.

BACKGROUND: Thoracic trauma (TT) is common among people with multiple traumatic injuries. One of the injuries caused by TT is the loss of thoracic stability resulting from multiple fractures of the rib cage, otherwise known as flail chest (FC). A person with FC can be treated conservatively with orotracheal intubation and mechanical ventilation (internal pneumatic stabilization) but may also undergo surgery to fix the costal fractures. OBJECTIVES: To evaluate the effectiveness and safety of surgical stabilization compared with clinical management for people with FC. SEARCH METHODS: We ran th…

Feasibility and safety of outside the cage subcostal robotic anatomical lung resections: results of a phase I clinical trial.

BACKGROUND: The utilization of robotic-assisted thoracic surgery (RATS) for lung resections is increasing worldwide due to its minimally invasive footprint and relative ease compared to other approaches. However, current standard approaches to lobectomy using multiport robotic platforms involve trocar placement through the intercostal space(s), with resulting postoperative pain-related complications and the potential for chronic pain. In order to avoid instrumentation between the ribs and potential damage to the intercostal nerve bundle(s), we developed a non-intercostal, outside the thoracic

Antagonistic role of vertebral translation against vertebral rotation in the spontaneous postoperative modulation of the anterior chest wall contour in thoracic idiopathic scoliosis.

STUDY DESIGN: A computed tomography study. OBJECTIVE: To identify the best scoliotic deformity components that show impact upon the spontaneous postoperative modulation of the deformed anterior chest wall contour in right convex thoracic adolescent idiopathic scoliosis. SUMMARY OF BACKGROUND DATA: Spontaneous postoperative aggravation of the anterior concave costal projection was a common occurrence in adolescent idiopathic scoliosis, yet the risk factors that effectively bridged the gap between what the surgeons did in the interior and how the rib cages reacted on the exterior were still op…

Evaluation of kinematics and injuries to restrained occupants in far-side crashes using full-scale vehicle and human body models.

OBJECTIVE: The objective of the current study was to perform a parametric study with different impact objects, impact locations, and impact … is were measured from the simulations. In addition, injury risk estimations were performed on head, rib cage, lungs, kidneys, liver, spleen, and pelvis. RESULTS: The average CORA rating was 0.7. The shoulder belt slipped in B- and C-pillar impacts but somewhat engaged in the A-pillar case. In the B-pillar case, the head contacted the intruding struck-side …

Extensive Bilateral Pleural Plaques: A Cadaveric Case Study.

Pleural plaques are the most common manifestation of asbestos-related pleural disease and function primarily as markers of prior exposure rather than as direct causes of clinically significant symptoms, often appearing several decades after initial contact. They are typically asymptomatic and discovered incidentally on imaging studies or at autopsy, and they initially present as small, well-circumscribed lesions along the parietal pleura, most commonly over the rib surfaces while sparing the intercostal spaces. They may progressively enlarge, coalesce, and undergo calcification over time. Alth

Admission Triage With Pain, Inspiratory Effort, Cough Score can Predict Critical Care Utilization and Length of Stay in Isolated Chest Wall Injury.

INTRODUCTION: Damage to the thoracic cage is common in the injured patient, both when the injuries are confined to this single cavity and as part of the overall injury burden of a polytraumatized patient. In a subset of these patients, the severity of injury to the intrathoracic viscera is either underappreciated at admission or blossom over the following 48-72 h. The ability to promptly identify these patients and abrogate complications therefore requires triage of such at-risk patients to close monitoring in a critical care environment. At our institution, this triage hinges on the Pain, Ins

Upright and supine particle therapy of lung cancer: A 4D dosimetric comparison.

BACKGROUND: A renewed interest in upright particle therapy is currently driven by the availability of upright positioning and imaging system … tion (DIR) between upright and supine CTs was performed on a region of interest (ROI) including the rib cage for target propagation, to avoid failure in DIR caused by thorax anatomical differences. DIR quality was evaluated on lung structures through Dice similarity coefficient (DSC) and average Hausdorff distance (AHD) metrics. Paired 3D plans were optimi …

Robotic-Assisted Single-Position Prone Lateral Lumbar Interbody Fusion: Indications, Techniques, and Outcomes.

BACKGROUND: Lateral lumbar interbody fusion (LLIF) is a widely utilized minimally invasive surgical procedure for anterior fusion of the lum … the femoral nerve and increasing the width of the lateral corridor.A bolster is placed against the rib cage to provide resistance to the laterally directed force when impacting the graft.The cranial and caudal limits of the approach are bounded by the ribcage and iliac crest; thus, surgery at the upper or lower lumbar levels may not be feasible for this a …

Auto-segmentation of thoraco-abdominal organs in pediatric dynamic MRI.

PURPOSE: Analysis of the abnormal motion of thoraco-abdominal organs in respiratory disorders such as the Thoracic Insufficiency Syndrome (TIS) and scoliosis such as adolescent idiopathic scoliosis (AIS) or early onset scoliosis (EOS) can lead to better surgical plans. We can use healthy subjects to find out the normal architecture and motion of a rib cage and associated organs and attempt to modify the patient's deformed anatomy to match to it. Dynamic magnetic resonance imaging (dMRI) is a practical and preferred imaging modality for capturing dynamic images of healthy pediatric subjects. In…

Physical therapies for postural abnormalities in people with cystic fibrosis.

BACKGROUND: Cystic fibrosis (CF) is the most common life-threatening, inherited disease in white populations which causes several dysfunctio … cing an exacerbation (20 days). Both trials compared manual therapy comprising mobilizations to the rib cage and thoracic spine, treatment of specific muscle dysfunction or tight muscle groups; and postural awareness and education versus medical usual care. The age of participants ranged from 17 years to 58 years. Both trials were conducted in the UK. The …

Long-term outcome after surgical treatment of Scheuermann's Kyphosis (SK).

STUDY DESIGN: A retrospective observational cohort study with a minimum follow-up of 10 years of patients who underwent surgery for Scheurmann Kyphosis (SK). OBJECTIVE: Evaluate the long-term clinical and radiological outcome of patients with SK who either underwent combined anterior-posterior surgery or posterior instrumented fusion alone. There is paucity of literature for long-term outcome studies on SK. The current trend is towards only posterior (PSF) surgical correction for SK. The combined strategy of anterior release, fusion and posterior spinal fusion (AF/PSF) for kyphosis correction

Широкие метастазы грудной клетки и стенки грудной клетки в качестве первоначального представления о раке молочной железы: доклад по делу и обзор литературы.

Метастатическое участие костей остается наиболее распространенной формой дальнего метастаза в раке груди, главным образом из-за анатомических и функциональных характеристик грудного позвоночника, ребер и грудины. Эти структуры примечательны высоким содержанием красного костного мозга, богатой сосудистой системы и их связью с венозным сплексом Бэтсона, что способствует их раннему участию в онкологическом распространении. В некоторых случаях многочисленные метастазы в грудном скелете могут представлять собой первое и единственное клиническое проявление недиагностированного злокачественного проце

Совпадение в полном тексте источника
… Medical imaging comprising seven panels showing thoracic spine and rib cage. Panels A and B display sagittal and coronal CT scans of the thoracic spine. Panels C and D show MRI scans of the thoracic spine in sagittal views. … Panels E, F, and G present 3D reconstructions of the rib cage from different angles, highlighting details of the bone structure. …

Adult-onset hypophosphatemic osteomalacia as a cause of widespread musculoskeletal pain: A retrospective case series of single center experience.

BACKGROUND: Osteomalacia (OM) is frequently confused with various musculoskeletal or other rheumatic diseases, especially in patients with adult-onset widespread musculoskeletal pain because of its low prevalence and non-specific manifestations. AIM: To facilitate the early diagnosis and etiology-specific treatment of adult-onset hypophosphatemic OM. METHODS: A retrospective review of medical records was performed to screen adult patients who visited a physiatry locomotive medicine clinic (spine and musculoskeletal pain clinic) primarily presenting with widespread musculoskeletal pain at a s

Совпадение в полном тексте источника
… Most patients complain of generalized or localized bone pain, which usually occurs in the axial skeleton, rib cage, shoulder/pelvic girdle, and weight-bearing bones, particularly patients with adult-onset disease. … | Spine | Girdles | Long bone (focal) | Long bone (pseudo-reactivation of the growth plate) | Hand and Foot | Rib cage | Others C | T | L | S | Scapula | Pelvis | Humerus | Femur | Tibia | Patella | Femur | Tibia | Carpals | Calcaneus | Mid tarsals | Meta tarsals | CV/CT JT | CC jnc | Rosary | Arc …

Apical lung mass-A rare presentation of multiple myeloma.

Multiple myeloma is a neoplastic proliferation of immunoglobulin-producing plasma cells with clinical features resulting from infiltration of plasma cells into bones and other organs. Multiple myeloma manifesting as an apical lung mass is less common and very few cases have been reported. We report the case of a 50-year-old female who presented with an apical lung mass which happened to be multiple myeloma arising from the upper ribs into the lung. At the time of diagnosis, patient had axillary lymph node metastasis with extensive bony involvement. This case report and literature review provid

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… CT scan of the chest, abdomen, and pelvis done showed pleural based mass eroding the right second rib, 6 local metastatic lymph nodes (LN) outside right rib cage, lytic skeletal metastasis on right scapula, eighth, ninth ribs, iliac bones, left ischium, sacrum, coccyx, throughout thoracic and lumbar …

Breathing exercises for adults with asthma.

BACKGROUND: Breathing exercises have been widely used worldwide as a non-pharmacological therapy to treat people with asthma. Breathing exercises aim to control the symptoms of asthma and can be performed as the Papworth Method, the Buteyko breathing technique, yogic breathing, deep diaphragmatic breathing or any other similar intervention that manipulates the breathing pattern. The training of breathing usually focuses on tidal and minute volume and encourages relaxation, exercise at home, the modification of breathing pattern, nasal breathing, holding of breath, lower rib cage and abdominal …

Протокол для оценки региональной патологии оптического нерва грызунов с использованием продольных криосекций и поперечной электронной микроскопии.

Визуальная патология была установлена в качестве одной из главных особенностей демиелинизирующих заболеваний, таких, как множественный склероз (MS). Здесь мы представляем протокол для оценки региональной патологии оптического нерва грызунов с использованием продольных криосекций и поперечной электронной микроскопии. Мы описываем шаги для оптического диссекции нерва, постфиксации, обнаружения миелина, сканирования слайда основного белка миелина и анализа демиелинации. Затем мы подробно описываем процедуры пятна антителных флуоресцирующих веществ, анализ микроскопии для передачи электронов (ТЕА)

Совпадение в полном тексте источника
… Cut along each side to completely open the abdominal cavity, revealing the rib cage. c. Lift the xiphoid process of the ribs and carefully cut the connected diaphragm to expose the heart and lungs. d. Cut up the center of the rib cage so that the heart becomes fully accessible. e. … Cut along each side to completely open the abdominal cavity, revealing the rib cage. Lift the xiphoid process of the ribs and carefully cut the connected diaphragm to expose the heart and lungs. Cut up the center of the rib cage so that the heart becomes fully accessible. …

Cost Analysis With Use of Expandable Cage or Cement in Single level Thoracic Vertebrectomy in Metastasis.

STUDY DESIGN: Retrospective case series. OBJECTIVE: Patient with metastatic cancer frequently require spinal operations for neural decompression and stabilization, most commonly thoracic vertebrectomy with reconstruction. Objective of the study was to assess economic aspects associated with use of cement versus expandable cage in patients with single level thoracic metastatic disease. We also looked at the differences in the clinical, radiological, complications and survival differences to assess non-inferiority of PMMA over cages. METHODS: The electronic medical records of patients undergoi