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Massimo Balsano - One of the best experts on this subject based on the ideXlab platform.

  • traumatic enucleation of the body of the Sixth Cervical Vertebra without neurologic sequelae
    2002
    Co-Authors: Raffaele Scapinelli, Massimo Balsano
    Abstract:

    Study Design.Case report of an adult man with traumatic enucleation of the body of the Sixth Cervical Vertebra with initial minimal neurologic damage and without vascular injury, which was successfully treated with surgery.Objectives.To describe the traumatic mechanism, diagnostic procedures, operat

  • traumatic enucleation of the body of the Sixth Cervical Vertebra without neurologic sequelae a case report
    2002
    Co-Authors: Raffaele Scapinelli, Massimo Balsano
    Abstract:

    STUDY DESIGN Case report of an adult man with traumatic enucleation of the body of the Sixth Cervical Vertebra with initial minimal neurologic damage and without vascular injury, which was successfully treated with surgery. OBJECTIVES To describe the traumatic mechanism, diagnostic procedures, operative findings, and adopted management. SUMMARY AND BACKGROUND DATA Literature review suggests that the observed case is exceptional. Similar Vertebral injuries are usually associated with severe neurologic and vascular damages. METHODS A 38-year-old farmer with enucleation of the body of the Sixth Cervical Vertebra was admitted to the Orthopedic Clinic of Padua University. The patient initially was treated with halo traction. Two days later, he underwent anterior open reduction and internal fixation with plate. He was discharged 2 months later with a halo vest. RESULTS Two years after surgery, the pedicles' fracture had healed solidly with normal interVertebral alignment and a slight loss of the height of the C6-C7 interVertebral space (fibrous union). He is asymptomatic and has totally resumed his habitual work. CONCLUSION Traumatic enucleation of the body of a lower Cervical Vertebra is a rare injury. The case presented here demonstrates that such a lesion can be less severe than a complete dislocation or a burst fracture. The good outcome of surgery suggests that the treatment adopted was effective, although an interbody fusion would have been more adherent to conventional surgical principles.

Raffaele Scapinelli - One of the best experts on this subject based on the ideXlab platform.

  • traumatic enucleation of the body of the Sixth Cervical Vertebra without neurologic sequelae
    2002
    Co-Authors: Raffaele Scapinelli, Massimo Balsano
    Abstract:

    Study Design.Case report of an adult man with traumatic enucleation of the body of the Sixth Cervical Vertebra with initial minimal neurologic damage and without vascular injury, which was successfully treated with surgery.Objectives.To describe the traumatic mechanism, diagnostic procedures, operat

  • traumatic enucleation of the body of the Sixth Cervical Vertebra without neurologic sequelae a case report
    2002
    Co-Authors: Raffaele Scapinelli, Massimo Balsano
    Abstract:

    STUDY DESIGN Case report of an adult man with traumatic enucleation of the body of the Sixth Cervical Vertebra with initial minimal neurologic damage and without vascular injury, which was successfully treated with surgery. OBJECTIVES To describe the traumatic mechanism, diagnostic procedures, operative findings, and adopted management. SUMMARY AND BACKGROUND DATA Literature review suggests that the observed case is exceptional. Similar Vertebral injuries are usually associated with severe neurologic and vascular damages. METHODS A 38-year-old farmer with enucleation of the body of the Sixth Cervical Vertebra was admitted to the Orthopedic Clinic of Padua University. The patient initially was treated with halo traction. Two days later, he underwent anterior open reduction and internal fixation with plate. He was discharged 2 months later with a halo vest. RESULTS Two years after surgery, the pedicles' fracture had healed solidly with normal interVertebral alignment and a slight loss of the height of the C6-C7 interVertebral space (fibrous union). He is asymptomatic and has totally resumed his habitual work. CONCLUSION Traumatic enucleation of the body of a lower Cervical Vertebra is a rare injury. The case presented here demonstrates that such a lesion can be less severe than a complete dislocation or a burst fracture. The good outcome of surgery suggests that the treatment adopted was effective, although an interbody fusion would have been more adherent to conventional surgical principles.

Caroline Wilkinson - One of the best experts on this subject based on the ideXlab platform.

  • RESEARCH ARTICLE The Oldest Case of Decapitation in the New World (Lapa do Santo, East-Central Brazil)
    2016
    Co-Authors: André Strauss, Rodrigo Elias Oliveira, Danilo V. Bernardo, Domingo C. Salazar, Sahra Talamo, Klervia Jaouen, Mark Hubbe, Sue Black, Caroline Wilkinson, Michael Phillip Richards
    Abstract:

    We present here evidence for an early Holocene case of decapitation in the NewWorld (Burial 26), found in the rock shelter of Lapa do Santo in 2007. Lapa do Santo is an archaeo-logical site located in the Lagoa Santa karst in east-central Brazil with evidence of human occupation dating as far back as 11.7–12.7 cal kyBP (95.4 % interval). An ultra-filtered AMS age determination on a fragment of the sphenoid provided an age range of 9.1–9.4 cal kyBP (95.4 % interval) for Burial 26. The interment was composed of an articulated cranium, mandible and first six Cervical Vertebrae. Cut marks with a v-shaped profile were observed in the mandible and Sixth Cervical Vertebra. The right hand was amputated and laid over the left side of the face with distal phalanges pointing to the chin and the left hand was ampu-tated and laid over the right side of the face with distal phalanges pointing to the forehead

  • the oldest case of decapitation in the new world lapa do santo east central brazil
    2015
    Co-Authors: André Strauss, Rodrigo Elias Oliveira, Danilo V. Bernardo, Sahra Talamo, Klervia Jaouen, Mark Hubbe, Sue Black, Domingo C Salazargarcia, Caroline Wilkinson
    Abstract:

    We present here evidence for an early Holocene case of decapitation in the New World (Burial 26), found in the rock shelter of Lapa do Santo in 2007. Lapa do Santo is an archaeological site located in the Lagoa Santa karst in east-central Brazil with evidence of human occupation dating as far back as 11.7–12.7 cal kyBP (95.4% interval). An ultra-filtered AMS age determination on a fragment of the sphenoid provided an age range of 9.1–9.4 cal kyBP (95.4% interval) for Burial 26. The interment was composed of an articulated cranium, mandible and first six Cervical Vertebrae. Cut marks with a v-shaped profile were observed in the mandible and Sixth Cervical Vertebra. The right hand was amputated and laid over the left side of the face with distal phalanges pointing to the chin and the left hand was amputated and laid over the right side of the face with distal phalanges pointing to the forehead. Strontium analysis comparing Burial 26’s isotopic signature to other specimens from Lapa do Santo suggests this was a local member of the group. Therefore, we suggest a ritualized decapitation instead of trophy-taking, testifying for the sophistication of mortuary rituals among hunter-gatherers in the Americas during the early Archaic period. In the apparent absence of wealth goods or elaborated architecture, Lapa do Santo’s inhabitants seemed to use the human body to express their cosmological principles regarding death.

Mark Hubbe - One of the best experts on this subject based on the ideXlab platform.

  • RESEARCH ARTICLE The Oldest Case of Decapitation in the New World (Lapa do Santo, East-Central Brazil)
    2016
    Co-Authors: André Strauss, Rodrigo Elias Oliveira, Danilo V. Bernardo, Domingo C. Salazar, Sahra Talamo, Klervia Jaouen, Mark Hubbe, Sue Black, Caroline Wilkinson, Michael Phillip Richards
    Abstract:

    We present here evidence for an early Holocene case of decapitation in the NewWorld (Burial 26), found in the rock shelter of Lapa do Santo in 2007. Lapa do Santo is an archaeo-logical site located in the Lagoa Santa karst in east-central Brazil with evidence of human occupation dating as far back as 11.7–12.7 cal kyBP (95.4 % interval). An ultra-filtered AMS age determination on a fragment of the sphenoid provided an age range of 9.1–9.4 cal kyBP (95.4 % interval) for Burial 26. The interment was composed of an articulated cranium, mandible and first six Cervical Vertebrae. Cut marks with a v-shaped profile were observed in the mandible and Sixth Cervical Vertebra. The right hand was amputated and laid over the left side of the face with distal phalanges pointing to the chin and the left hand was ampu-tated and laid over the right side of the face with distal phalanges pointing to the forehead

  • the oldest case of decapitation in the new world lapa do santo east central brazil
    2015
    Co-Authors: André Strauss, Rodrigo Elias Oliveira, Danilo V. Bernardo, Sahra Talamo, Klervia Jaouen, Mark Hubbe, Sue Black, Domingo C Salazargarcia, Caroline Wilkinson
    Abstract:

    We present here evidence for an early Holocene case of decapitation in the New World (Burial 26), found in the rock shelter of Lapa do Santo in 2007. Lapa do Santo is an archaeological site located in the Lagoa Santa karst in east-central Brazil with evidence of human occupation dating as far back as 11.7–12.7 cal kyBP (95.4% interval). An ultra-filtered AMS age determination on a fragment of the sphenoid provided an age range of 9.1–9.4 cal kyBP (95.4% interval) for Burial 26. The interment was composed of an articulated cranium, mandible and first six Cervical Vertebrae. Cut marks with a v-shaped profile were observed in the mandible and Sixth Cervical Vertebra. The right hand was amputated and laid over the left side of the face with distal phalanges pointing to the chin and the left hand was amputated and laid over the right side of the face with distal phalanges pointing to the forehead. Strontium analysis comparing Burial 26’s isotopic signature to other specimens from Lapa do Santo suggests this was a local member of the group. Therefore, we suggest a ritualized decapitation instead of trophy-taking, testifying for the sophistication of mortuary rituals among hunter-gatherers in the Americas during the early Archaic period. In the apparent absence of wealth goods or elaborated architecture, Lapa do Santo’s inhabitants seemed to use the human body to express their cosmological principles regarding death.

Henry H Bohlman - One of the best experts on this subject based on the ideXlab platform.

  • radiculopathy and myelopathy at segments adjacent to the site of a previous anterior Cervical arthrodesis
    1999
    Co-Authors: Alan S Hilibrand, Gregory D Carlson, Mark A Palumbo, Paul K Jones, Henry H Bohlman
    Abstract:

    Background: We studied the incidence, prevalence, and radiographic progression of symptomatic adjacent-segment disease, which we defined as the development of new radiculopathy or myelopathy referable to a motion segment adjacent to the site of a previous anterior arthrodesis of the Cervical spine. Methods: A consecutive series of 374 patients who had a total of 409 anterior Cervical arthrodeses for the treatment of Cervical spondylosis with radiculopathy or myelopathy, or both, were followed for a maximum of twenty-one years after the operation. The annual incidence of symptomatic adjacent-segment disease was defined as the percentage of patients who had been disease-free at the start of a given year of follow-up in whom new disease developed during that year. The prevalence was defined as the percentage of all patients in whom symptomatic adjacent-segment disease developed within a given period of follow-up. The natural history of the disease was predicted with use of a Kaplan-Meier survivorship analysis. The hypothesis that new disease at an adjacent level is more likely to develop following a multilevel arthrodesis than it is following a single-level arthrodesis was tested with logistic regression. Results: Symptomatic adjacent-segment disease occurred at a relatively constant incidence of 2.9 percent per year (range, 0.0 to 4.8 percent per year) during the ten years after the operation. Survivorship analysis predicted that 25.6 percent of the patients (95 percent confidence interval, 20 to 32 percent) who had an anterior Cervical arthrodesis would have new disease at an adjacent level within ten years after the operation. There were highly significant differences among the motion segments with regard to the likelihood of symptomatic adjacent-segment disease (p < 0.0001); the greatest risk was at the interspaces between the fifth and Sixth and between the Sixth and seventh Cervical Vertebrae. Contrary to our hypothesis, we found that the risk of new disease at an adjacent level was significantly lower following a multilevel arthrodesis than it was following a single-level arthrodesis (p < 0.001). More than two-thirds of all patients in whom the new disease developed had failure of nonoperative management and needed additional operative procedures. Conclusions: Symptomatic adjacent-segment disease may affect more than one-fourth of all patients within ten years after an anterior Cervical arthrodesis. A single-level arthrodesis involving the fifth or Sixth Cervical Vertebra and preexisting radiographic evidence of degeneration at adjacent levels appear to be the greatest risk factors for new disease. Therefore, we believe that all degenerated segments causing radiculopathy or myelopathy should be included in an anterior Cervical arthrodesis. Although our findings suggest that symptomatic adjacent-segment disease is the result of progressive spondylosis, patients should be informed of the substantial possibility that new disease will develop at an adjacent level over the long term.