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Scoliosis Systems Highlights Research Showing Elastic Tension Bracing is as Effective as Hard Bracing

Scoliosis Systems Highlights Research Showing Elastic Tension Bracing is as Effective as Hard Bracing | Colonne  vertébrale | Scoop.it
Less Intrusive, More Comfortable Treatment Also Proves to be more Effective at Correcting Spine Curvature Long-term.
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Paul Allen backs research project to restore hand, arm movement ...

Paul Allen backs research project to restore hand, arm movement ... | Colonne  vertébrale | Scoop.it
... grant to researchers at the University of Washington to continue work on a system that uses neural signaling and other technologies to restore hand and arm movements for those who've suffered from spinal cord injuries.
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Surgical management of prostate cancer metastatic to the spine - May 2009

OBJECT

Significant improvements in neurological function and pain relief are the benefits of aggressive surgical management of spinal metastatic disease. However, there is limited literature regarding the management of tumors with specific histological features. In this study, a series of patients undergoing spinal surgery for metastatic prostate cancer were reviewed to identify predictors of survival and functional outcome.

METHODS

The authors retrospectively reviewed the records of all patients who were treated with surgery for prostate cancer metastases to the spine between 1993 and 2005 at a single institution. Particular attention was given to initial presentation, operative management, clinical and neurological outcomes, and factors associated with complications and overall survival.

RESULTS

Forty-four patients underwent a total of 47 procedures. The median age at spinal metastasis was 66 years (range 50–84 years). Twenty-four patients had received previous external-beam radiation to the site of spinal involvement, with a median dose of 70 Gy (range 30–74 Gy). Frankel scores on discharge were significantly improved when compared with preoperative scores (p = 0.001). Preoperatively, 32 patients (73%) were walking and 33 (75%) were continent. On discharge, 36 (86%) of 42 patients were walking, and 37 (88%) of 42 were continent. Preoperatively, 40 patients (91%) were taking narcotics, with a median morphine equivalent dose of 21.5 mg/day, and 28 patients (64%) were taking steroids, with a median dose of 16 mg/day. At discharge, the median postoperative morphine equivalent dose was 12 mg/day, and the median steroid dose was 0 mg/day (p < 0.001). Complications occurred in 15 (32%) of 47 procedures, with 9 (19%) considered major, and there were 4 deaths within 30 days of surgery. The median overall survival was 5.4 months. Gleason score (p = 0.002), total number of metastases (p = 0.001), and the degree of spinal canal compression (p = 0.001) were independent predictors of survival. Age ≥ 65 years at the time of surgery was an independent predictor of a postoperative complication (p = 0.005).

CONCLUSIONS

In selected patients with prostate cancer metastases to the spine, aggressive surgical decompression and spinal reconstruction is a useful treatment option. The results show that on average, neurological outcome is improved and use of analgesics is reduced. Gleason score, metastatic burden, and degree of spinal canal compression may be associated with survival following surgery, and thus should be considered carefully prior to opting for surgical management.

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Choose bracing over wait-and-see with scoliosis - ModernMedicine

Choose bracing over wait-and-see with scoliosis ModernMedicine If you are wondering whether bracing really makes a difference over observation in adolescents with idiopathic scoliosis, a recent 25-center study finds that it does, and so much so...
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Surgery Versus Nonsurgical Treatment o... [Spine (Phila Pa 1976). 2013] - PubMed - NCBI

PubMed comprises more than 23 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.
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Posterior lumbar interbody fusion for aged patients with degenerative spondylolisthesis: is intentional surgical reduction essential?

The Spine Journal, Volume null, Issue null, Pages null, null, Authors:Xiao-Feng Lian, MD; Tie-Sheng Hou, MD; Jian-Guang Xu, MD; Bing-Fang Zeng, MD; Jie Zhao, MD; Xiao-Kang Liu, MD; Cheng Zhao, MD; Hao Li, MD (Posterior lumbar interbody fusion for...
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Unplanned Return to the Operating Room in Patients With Adol... : Spine

Unplanned Return to the Operating Room in Patients With Adol... : Spine | Colonne  vertébrale | Scoop.it
Study Design. Prospective, longitudinal cohort.
Objective.
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Incident mars Motley Crue concert in Estevan - Estevan Mercury

Incident mars Motley Crue concert in Estevan - Estevan Mercury | Colonne  vertébrale | Scoop.it
Incident mars Motley Crue concert in Estevan
Estevan Mercury
The assault was particularly alarming as Mars suffers from a chronic medical condition called ankylosing spondylitis, which limits his mobility and causes him chronic pain.
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Providence Rock 'n' Roll Half Marathon draws inspiration entry - The Providence Journal

Providence Rock 'n' Roll Half Marathon draws inspiration entry - The Providence Journal | Colonne  vertébrale | Scoop.it
Providence Rock 'n' Roll Half Marathon draws inspiration entry The Providence Journal Deloria was rushed to the hospital and underwent a nine-hour surgery, which revealed that she had two previously undiagnosed birth defects called spina bifada...
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