Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Spinal Injuries”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,027 records · Page 57Linked to original sources
PubMed1998

[Reconstructive hand surgery after cervical spinal injury: a new method increases the possibilities to reconstruct important functions].

The sarcomere is the basic unit of force generation in skeletal muscle. Since muscle force generation is highly dependent on sarcomere length, it is important to know the normal range of sarcomere length if informed decisions are to be made regarding surgical procedures affecting muscle length, such as tendon transfer or lengthening. The article reports intraoperative sarcomere length measurement with a laser diffraction technique. Sarcomere length as a function of joint angle was monitored during various tendon transfers performed to restore lost finger, thumb, wrist, forearm and elbow function in tetraplegics. The intraoperative measurements were essentially the same as those obtained in cadaveric muscle sarcomere models. Muscle fiber length, torque and tendon length are the most important structural determinants of the operating range and torque profile of each motor, while the relation between passive tension and active force is the most critical factor in making surgical decisions.

Arm↗
PubMed1993

Red Cross spinal injury project in Bucharest, Romania.

Inadequate medical facilities with lack of specialised drugs and other essential medical items, scientific isolation of medical staff, unavailability of orthoses and wheelchairs: such were a few of the problems identified in Bucharest in July 1991. The aim of the federation at the start of the project was to launch an action in many directions using two basic principles: using local means including human resources, and improving the existing facilities instead of erecting new buildings. Training of the staff goes side by side with the practice of total initial care. The family is taught to position and turn patients, practice chest physiotherapy and has become a major psychological and emotional support. An orthopaedic workshop has been set up to provide orthoses and to supervise the construction of wheelchairs in a local factory. The social situation of patients is assessed to initiate social integration in the community. Home visits are organised to offer advice for adaptations. The implementation of these actions is difficult in a country which has to solve many economic problems.

Home Care Services↗
PubMed2004

[Shock trauma room management of spinal injuries in the framework of multiple trauma. A systematic review of the literature].

Injuries to the spine are often part of life-threatening multiple trauma. In this review diagnostics and emergency room management were investigated in order to formulate effective recommendations for the emergency strategy. Clinical trials were systematically collected (MEDLINE, Cochrane, and hand searches) and classified into evidence levels (1 to 5 according to the Oxford system). The patient's history and clinical symptoms have low rates for specificity and positive predictive value, whereas their negative predictive value and sensitivity are high between 90 and 100%, respectively. CT imaging reaches higher rates for sensitivity, specificity, and positive and negative predictive values in comparison to conventional radiographic series. The patient's history should be asked and clinical investigation should be done in any case. Imaging diagnostics preferably as multislice spiral CT should be performed after stabilization of the patient's general condition and before admission to the intensive care unit.

Clinical Trials as Topic↗
PubMed1999

Sledging related spinal injuries and fracture patterns: a report on five cases.

The cases are reported of five patients who presented to The Queens Medical Centre, Nottingham after a sledging accident. All five patients presented consecutively during the first weekend in 1997 having sustained the accident in the same public park. The mechanism and subsequent fracture type is described for each. These injuries are preventable, and increasing public awareness of the risk of sledging in public places may reduce the incidence.

Adolescent↗
PubMedDate not supplied

[Treatment of complicated thoracic and lumbar spinal injuries and prevention of the sequelae of laminectomy].

The operation of choice in complicated trauma of the vertebral column with compression of the spinal cord (especially in the thoracic and the thoracicolumbar segments) is laminectomy (as the first stage of the intervention) performed in the earliest period. It is obligatory to conduct extensive inspection of the spinal cord and its roots, perform its anterior and posterior decompression and subsequent reliable stabilization of the spine, which may prevent recurrent compressions of the spinal cord in the residual period.

Adult↗
PubMed1984

Comparison between square-ended distraction rods and standard round-ended distraction rods in the treatment of thoracolumbar spinal injuries. A statistical analysis.

This is a retrospective clinical and roentgenographic study of two different types of instrumentation used in the treatment of thoracic and lumbar spinal fractures. Dual square-ended distraction rods contoured into lordosis produced improved results when compared with round-ended distraction rods in terms of both the degree of reduction obtained on the operating table and preventing recollapse of the fracture in the ensuing month. The importance of restoring lordosis was more apparent in the thoracolumbar junction and lumbar spine than in the thoracic region.

Adolescent↗
PubMed1991

[Cervical spinal injuries in craniocerebral trauma: their x-ray diagnosis on the day of the accident].

To investigate cervical spine injuries and to evaluate cervical radiography 100 patients were reviewed who were referred to computed tomography of the head because of blunt head trauma. 15 sustained cervical injury, 11 were located at the lower level of the cervical spine. Six fractures of the lower cervical spine were detected by additional radiographs. The diagnosis was established by computed tomography in three cases. To rule out cervical injuries in patients with incomplete visualisation of the lower cervical spine, cervical computed tomography should be performed in addition to lateral, anterioposterior, and open-mouth views.

Adult↗
PubMed1992

[Ventral stabilization of thoracic and lumbar spinal injuries].

An isolated ventral approach to the thoracal or lumbar spine seems sufficient in special burst fractures (type A2/3) or older compression fractures. The most effective ventral decompression of the spinal cord is followed by the fusion of the ventral body. Ventral plate instrumentation avoid dislocations of the interposed bone transplants. Our own clinical results are demonstrated.

Bone Plates↗
PubMed1986

Spinal injury and computerized tomography: a review of fracture pathology and a new approach to canal decompression.

The plain X-rays and CT scans of 23 cases of thoracolumbar and 18 cases of lower cervical (below C2) spinal compression fractures were compared. A new picture of the fracture pathology has emerged as several features consistently appeared and are described: a midline or slightly oblique split of the vertebral body; posterolateral fractures of the body in the region of the developmental neurocentral joint; fragments of the body displaced backwards into the canal at the level of the pedicles; oblique laminal fractures; and separation of the zygapophyseal rim in thoracolumbar fractures. With this more complete picture of the bony injury, in particular canal encroachment, a new method of anterolateral canal decompression has been tried and is described.

Adolescent↗
PubMed1998

[An increased risk of spinal injury in high performance gymnasts during pubertal growth?].

Elite womens gymnastics has generally been described to induce vertebral overload injuries, especially in the pubertal growth phase. This paper describes the results of a 4-year prospective longitudinal and transversal investigation of German elite womens gymnasts with respect to the spine. The main results are: 1) Pathological changes are detectable by clinical investigation before X-ray abnormalities can be found. 2) A sensitive test is the spine springing test. 3) Functional abnormalities can be detected especially in the lumbosacral region. 4) There were no spondylolyses. 5) Osteochondrotic lesions are frequent. They are concentrated in the dorsolumbar region.

Adolescent↗