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L. Rudig - One of the best experts on this subject based on the ideXlab platform.
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ultrasound guided Spinal Fracture repositioning ligamentotaxis and remodeling after thoracolumbar burst Fractures
Spine, 2006Co-Authors: Lutz Arne Mueller, Raimund Forst, J Degreif, Lars P Mueller, Pol Maria Rommens, David Pfander, Rainer Schmidt, L. RudigAbstract:Study Design. Computed tomography aided evaluation of Spinal decompression by ultrasound-guided Spinal Fracture repositioning, ligamentotaxis, and remodeling after thoracolumbar burst Fractures. Objectives. To determine the necessity of Spinal canal widening by ultrasound-guided Fracture repositioning for Fractures with and without neurologic deficit. Summary of Background Data. Ultrasound-guided Spinal Fracture repositioning is an alternative new approach. Reports have varied concerning ligamentotaxis and remodeling. Methods. Computed tomography aided planimetry of the Spinal canal (64 consecutive burst Fractures) and neurologic evaluation by Frankel grades. Results. Ultrasound-guided Spinal Fracture repositioning (n = 37) reduced the stenosis of the Spinal canal area from 45% before surgery to 20% after surgery of the estimated original area. Fifteen patients had a primary neurologic deficit, which improved markedly in 11 cases after treatment. Patients with neurologic symptoms had a greater preoperative Spinal stenosis than those without. No correlation was seen between the degree of pretreatment Spinal stenosis, Fracture type, and severity of the neurologic deficit. Ligamentotaxis (n = 27) reduced the stenosis from 30% before surgery to 18% after surgery and remodeling (n = 11) from 25% after surgery to 13% after metal removal. Conclusion. Ultrasound-guided Fracture repositioning is an efficient method for Spinal canal decompression of burst Fractures with neurologic symptoms. The marked degree of widening of the Spinal canal due to the effects of ligamentotaxis and remodeling may render the reposition of retropulsed fragments unnecessary in cases of Fractures without a neurologic deficit.
J Degreif - One of the best experts on this subject based on the ideXlab platform.
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ultrasound guided Spinal Fracture repositioning ligamentotaxis and remodeling after thoracolumbar burst Fractures
Spine, 2006Co-Authors: Lutz Arne Mueller, Raimund Forst, J Degreif, Lars P Mueller, Pol Maria Rommens, David Pfander, Rainer Schmidt, L. RudigAbstract:Study Design. Computed tomography aided evaluation of Spinal decompression by ultrasound-guided Spinal Fracture repositioning, ligamentotaxis, and remodeling after thoracolumbar burst Fractures. Objectives. To determine the necessity of Spinal canal widening by ultrasound-guided Fracture repositioning for Fractures with and without neurologic deficit. Summary of Background Data. Ultrasound-guided Spinal Fracture repositioning is an alternative new approach. Reports have varied concerning ligamentotaxis and remodeling. Methods. Computed tomography aided planimetry of the Spinal canal (64 consecutive burst Fractures) and neurologic evaluation by Frankel grades. Results. Ultrasound-guided Spinal Fracture repositioning (n = 37) reduced the stenosis of the Spinal canal area from 45% before surgery to 20% after surgery of the estimated original area. Fifteen patients had a primary neurologic deficit, which improved markedly in 11 cases after treatment. Patients with neurologic symptoms had a greater preoperative Spinal stenosis than those without. No correlation was seen between the degree of pretreatment Spinal stenosis, Fracture type, and severity of the neurologic deficit. Ligamentotaxis (n = 27) reduced the stenosis from 30% before surgery to 18% after surgery and remodeling (n = 11) from 25% after surgery to 13% after metal removal. Conclusion. Ultrasound-guided Fracture repositioning is an efficient method for Spinal canal decompression of burst Fractures with neurologic symptoms. The marked degree of widening of the Spinal canal due to the effects of ligamentotaxis and remodeling may render the reposition of retropulsed fragments unnecessary in cases of Fractures without a neurologic deficit.
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Ultrasound-guided Spinal Fracture repositioning.
Surgical endoscopy, 1998Co-Authors: J Degreif, K. WendaAbstract:The management of narrowing Spinal fragments in the operative treatment of Spinal Fractures remains an open question, in particular when the procedure is performed by a posterior approach. This article describes the use of intraoperative ultrasonography during Spinal surgery. From 1990 to 1997, 116 Spinal Fractures were treated operatively at our clinic. Stabilization of the spine was achieved with the AO fixateur interne and the AO USS, respectively (Synthes, D-79224, Umkirch, Germany). For 60 cases who had a Fractured posterior vertebral surface dislocated into the Spinal canal, we used intraoperative ultrasonography to monitor the repositioning of the narrowing fragments. The patients underwent pre- and postoperative computed tomography scans (CT). In six cases, color-coded duplex sonography was performed intraoperatively to view the A. Spinalis anterior. In 58 cases, the Spinal canal and the Fractured posterior surface of the vertebrae were visualized successfully. The sonographic image was inconclusive in two cases with severely damaged fragments. Identical findings were observed on the intraoperative ultrasound image after completion of repositioning and on the postoperative CT scan. In six cases, the A. Spinalis anterior was viewed by color-coded duplex sonography with a different flow before and after Fracture repositioning. Intraoperative ultrasound is a valuable means of monitoring the restoration of the Spinal canal by a posterior approach. The method is easy to perform and can be repeated as often as required. Color-coded duplex sonography allows further visualization of the A. Spinalis anterior.
Raimund Forst - One of the best experts on this subject based on the ideXlab platform.
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negative pressure wound therapy for seroma prevention and surgical incision treatment in Spinal Fracture care
International Wound Journal, 2016Co-Authors: Matthias Nordmeyer, Raimund Forst, Johannes Pauser, Roland Biber, Jonathan Jantsch, Siegfried Lehrl, Carsten Kopschina, Christian Rapke, Hermann Josef Bail, M H BremAbstract:To evaluate the clinical use and economic aspects of negative pressure wound therapy (NPWT) after dorsal stabilisation of Spinal Fractures. This study is a prospective randomised evaluation of NPWT in patients with large surgical wounds after surgical stabilisation of Spinal Fractures by internal fixation. Patients were randomised to either standard wound dressing treatment (group A) or NPWT (group B). The wound area was examined by ultrasound to measure seroma volumes in both groups on the 5th and 10th day after surgery. Furthermore, data on economic aspects such as nursing time for wound care and material used for wound dressing were evaluated. A total of 20 patients (10 in each group) were enrolled. Throughout the whole study, mean seroma volume was significantly higher in group A than that in group B (day 5: 1·9 ml versus 0 ml; P = 0·0007; day 10: 1·6 ml versus 0·5 ml; P <0·024). Furthermore, patients of group A required more wound care time (group A: 31 ± 10 minutes; group B 13·8 ± 6 minutes; P = 0·0005) and more number of compresses (total number; group A 35 ± 15; group B 11 ± 3; P = 0·0376). NPWT reduced the development of postoperative seroma, reduced nursing time and reduced material required for wound care.
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ultrasound guided Spinal Fracture repositioning ligamentotaxis and remodeling after thoracolumbar burst Fractures
Spine, 2006Co-Authors: Lutz Arne Mueller, Raimund Forst, J Degreif, Lars P Mueller, Pol Maria Rommens, David Pfander, Rainer Schmidt, L. RudigAbstract:Study Design. Computed tomography aided evaluation of Spinal decompression by ultrasound-guided Spinal Fracture repositioning, ligamentotaxis, and remodeling after thoracolumbar burst Fractures. Objectives. To determine the necessity of Spinal canal widening by ultrasound-guided Fracture repositioning for Fractures with and without neurologic deficit. Summary of Background Data. Ultrasound-guided Spinal Fracture repositioning is an alternative new approach. Reports have varied concerning ligamentotaxis and remodeling. Methods. Computed tomography aided planimetry of the Spinal canal (64 consecutive burst Fractures) and neurologic evaluation by Frankel grades. Results. Ultrasound-guided Spinal Fracture repositioning (n = 37) reduced the stenosis of the Spinal canal area from 45% before surgery to 20% after surgery of the estimated original area. Fifteen patients had a primary neurologic deficit, which improved markedly in 11 cases after treatment. Patients with neurologic symptoms had a greater preoperative Spinal stenosis than those without. No correlation was seen between the degree of pretreatment Spinal stenosis, Fracture type, and severity of the neurologic deficit. Ligamentotaxis (n = 27) reduced the stenosis from 30% before surgery to 18% after surgery and remodeling (n = 11) from 25% after surgery to 13% after metal removal. Conclusion. Ultrasound-guided Fracture repositioning is an efficient method for Spinal canal decompression of burst Fractures with neurologic symptoms. The marked degree of widening of the Spinal canal due to the effects of ligamentotaxis and remodeling may render the reposition of retropulsed fragments unnecessary in cases of Fractures without a neurologic deficit.
Lutz Arne Mueller - One of the best experts on this subject based on the ideXlab platform.
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ultrasound guided Spinal Fracture repositioning ligamentotaxis and remodeling after thoracolumbar burst Fractures
Spine, 2006Co-Authors: Lutz Arne Mueller, Raimund Forst, J Degreif, Lars P Mueller, Pol Maria Rommens, David Pfander, Rainer Schmidt, L. RudigAbstract:Study Design. Computed tomography aided evaluation of Spinal decompression by ultrasound-guided Spinal Fracture repositioning, ligamentotaxis, and remodeling after thoracolumbar burst Fractures. Objectives. To determine the necessity of Spinal canal widening by ultrasound-guided Fracture repositioning for Fractures with and without neurologic deficit. Summary of Background Data. Ultrasound-guided Spinal Fracture repositioning is an alternative new approach. Reports have varied concerning ligamentotaxis and remodeling. Methods. Computed tomography aided planimetry of the Spinal canal (64 consecutive burst Fractures) and neurologic evaluation by Frankel grades. Results. Ultrasound-guided Spinal Fracture repositioning (n = 37) reduced the stenosis of the Spinal canal area from 45% before surgery to 20% after surgery of the estimated original area. Fifteen patients had a primary neurologic deficit, which improved markedly in 11 cases after treatment. Patients with neurologic symptoms had a greater preoperative Spinal stenosis than those without. No correlation was seen between the degree of pretreatment Spinal stenosis, Fracture type, and severity of the neurologic deficit. Ligamentotaxis (n = 27) reduced the stenosis from 30% before surgery to 18% after surgery and remodeling (n = 11) from 25% after surgery to 13% after metal removal. Conclusion. Ultrasound-guided Fracture repositioning is an efficient method for Spinal canal decompression of burst Fractures with neurologic symptoms. The marked degree of widening of the Spinal canal due to the effects of ligamentotaxis and remodeling may render the reposition of retropulsed fragments unnecessary in cases of Fractures without a neurologic deficit.
K. Wenda - One of the best experts on this subject based on the ideXlab platform.
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Ultrasound-guided Spinal Fracture repositioning.
Surgical endoscopy, 1998Co-Authors: J Degreif, K. WendaAbstract:The management of narrowing Spinal fragments in the operative treatment of Spinal Fractures remains an open question, in particular when the procedure is performed by a posterior approach. This article describes the use of intraoperative ultrasonography during Spinal surgery. From 1990 to 1997, 116 Spinal Fractures were treated operatively at our clinic. Stabilization of the spine was achieved with the AO fixateur interne and the AO USS, respectively (Synthes, D-79224, Umkirch, Germany). For 60 cases who had a Fractured posterior vertebral surface dislocated into the Spinal canal, we used intraoperative ultrasonography to monitor the repositioning of the narrowing fragments. The patients underwent pre- and postoperative computed tomography scans (CT). In six cases, color-coded duplex sonography was performed intraoperatively to view the A. Spinalis anterior. In 58 cases, the Spinal canal and the Fractured posterior surface of the vertebrae were visualized successfully. The sonographic image was inconclusive in two cases with severely damaged fragments. Identical findings were observed on the intraoperative ultrasound image after completion of repositioning and on the postoperative CT scan. In six cases, the A. Spinalis anterior was viewed by color-coded duplex sonography with a different flow before and after Fracture repositioning. Intraoperative ultrasound is a valuable means of monitoring the restoration of the Spinal canal by a posterior approach. The method is easy to perform and can be repeated as often as required. Color-coded duplex sonography allows further visualization of the A. Spinalis anterior.
