scholarly journals Pyogenic Dorsal and Lumbar Spondylodiscitis treated with Minimally Invasive Endoscopic Procedure and Posterior Percutaneous Instrumentation

2021 ◽  
Vol 03 (01) ◽  
Author(s):  
Rita Macedo Sousa ◽  
Carlos Branco ◽  
Diogo Sousa ◽  
João Reis ◽  
André Guimarães ◽  
...  
Neurosurgery ◽  
2016 ◽  
Vol 80 (2) ◽  
pp. 171-179 ◽  
Author(s):  
Jason K. Chu ◽  
Rima S. Rindler ◽  
Gustavo Pradilla ◽  
Gerald E. Rodts ◽  
Faiz U. Ahmad

Abstract BACKGROUND: Flexion-distraction injuries (FDI) represent 5% to 15% of traumatic thoracolumbar fractures. Treatment depends on the extent of ligamentous involvement: osseous/Magerl type B2 injuries can be managed conservatively, while ligamentous/Magerl type B1 injuries undergo stabilization with arthrodesis. Minimally invasive surgery without arthrodesis can achieve similar outcomes to open procedures. This has been studied for burst fractures; however, its role in FDI is unclear. OBJECTIVE: To conduct a systematic review of the literature that examined minimally invasive surgery instrumentation without arthrodesis for traumatic FDI of the thoracolumbar spine. METHODS: Four electronic databases were searched, and articles were screened using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines for patients with traumatic FDI of the thoracolumbar spine treated with percutaneous techniques without arthrodesis and had postoperative follow-up. RESULTS: Seven studies with 44 patients met inclusion criteria. There were 19 patients with osseous FDI and 25 with ligamentous FDI. When reported, patients (n = 39) were neurologically intact preoperatively and at follow-up. Osseous FDI patients underwent instrumentation at 2 levels, while ligamentous injuries at approximately 4 levels. Complication rate was 2.3%. All patients had at least 6 mo of follow-up and demonstrated healing on follow-up imaging. CONCLUSION: Percutaneous instrumentation without arthrodesis represents a low-risk intermediate between conservative management and open instrumented fusion. This “internal bracing” can be used in osseous and ligamentous FDIs. Neurologically intact patients who do not require decompression and those that may not tolerate or fail conservative management may be candidates. The current level of evidence cannot provide official recommendations and future studies are required to investigate long-term safety and efficacy.


2000 ◽  
Vol 15 (1) ◽  
pp. 51-60 ◽  
Author(s):  
Hugo Vanermen ◽  
Fadi Farhat ◽  
Francis Wellens ◽  
Raf Geest ◽  
Ivan Degrieck ◽  
...  

Author(s):  
Mark A. Gromski ◽  
Kai Matthes

A wide array of gastrointestinal (GI) endoscopy procedures are carried out in the GI endoscopy suite. Although the screening colonoscopy is the most one widely performed procedure (greater than 14 million procedures completed per year in the United States alone), other procedures are routinely utilized to diagnose and treat various GI pathologies.1 Procedures range from minimally invasive, such as a routine screening colonoscopy, to much more invasive and complicated, such as endoscopic submucosal dissection (ESD). Sedation and anesthesia are integral parts of each GI endoscopy procedure. Adequate sedation and anesthesia optimize patient comfort and create a favorable environment for the physician to safely and efficiently carry out the necessary procedure. Understandably, levels of sedation and anesthesia vary with the invasiveness of the GI endoscopic procedure and the individual patient. Thus, cogent plans for sedation and anesthesia should be devised for each patient expecting a GI endoscopic procedure. Anesthetic considerations are discussed in detail in Chapter 16.


2016 ◽  
Vol 1 (13) ◽  
pp. 169-176
Author(s):  
Lisa M. Evangelista ◽  
James L. Coyle

Esophageal cancer is the sixth leading cause of death from cancer worldwide. Esophageal resection is the mainstay treatment for cancers of the esophagus. While curative, surgical resection may result in swallowing difficulties that require intervention from speech-language pathologists (SLPs). Minimally invasive surgical procedures for esophageal resection have aimed to reduce morbidity and mortality associated with more invasive techniques. Both intra-operative and post-operative complications, regardless of the surgical approach, can result in dysphagia. This article will review the epidemiological impact of esophageal cancers, operative complications resulting in dysphagia, and clinical assessment and management of dysphagia pertinent to esophageal resection.


Urology ◽  
2020 ◽  
Author(s):  
Alexandre Azevedo Ziomkowski ◽  
João Rafael Silva Simões Estrela ◽  
Nilo Jorge Carvalho Leão Barretto ◽  
Nilo César Leão Barretto

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