Columna vertebral y Ortopedia
viernes, 26 de diciembre de 2014
jueves, 25 de diciembre de 2014
La vertebroplastia para fracturas osteoporóticas de la columna / Vertebroplasty for Osteoporotic Spine Fractures Hussien El-Maghraby
The topics and content presented in this video are for informational purposes only.
They are not intended to be a substitute for medical advice and information provided by your referring General Practitioner (GP), Doctor, Surgeon or Physiotherapist.
Any decision you make regarding your health care options should be made after consulting your medical team
Image guided minimal invasive Vertebroplasty for Osteoporotic vertebral fractures
Vertebroplasty is a minimally invasive procedure for the treatment of painful osteoporotic vertebral compression fractures. Typically, vertebroplasty is recommended after conservative treatments, such as bed rest, a back brace or pain medication, have been ineffective.
Vertebroplasty involves injecting a cement mixture into the empty spaces within weakened vertebrae to strengthen them and provide pain relief
A clinical evaluation including diagnostic imaging, blood tests, a physical examination, spine x-rays and a radioisotope bone scan or magnetic resonance (MRI) imaging with special sequences will be done to confirm the presence of a compression fracture that may benefit from treatment with vertebroplasty.
In vertebroplasty, the area of the skin through which the hollow needle will be inserted, will be shaved, sterilized and covered with a surgical drape. A local anaesthetic is then injected into the muscles under the skin, near the fracture.
A very small cut (2 mm) is made in the skin at the site. Using x-ray image guidance, the needle is passed through the spinal muscles until its tip is precisely positioned within the fractured bone and cement is injected. Image guided X-rays will be performed at the end of the procedure to check the distribution of the cement.
The needle is removed and the opening in the skin is covered with a bandage. No sutures are needed. This procedure is usually completed within one hour. It may take longer if more than one vertebral body level is being treated. Pain relief is immediate for some patients. In others, pain is eliminated or reduced within two days. Pain resulting from the procedure will typically diminish within two weeks.
Vertebroplasty is successful at alleviating the pain caused by a vertebral compression fracture; many patients feel significant relief almost immediately.
Many patients become symptom-free which can increase a patient's functional abilities. These procedures usually require - No surgical incision —only a small cut in the skin that does not have to be stitched closed.
Any procedure where the skin is penetrated carries a risk of infection. The chance of infection requiring antibiotic treatment appears to be less than one in 1,000.
Mr Hussien El-Maghraby had been involved in one of the largest series of patients for vertebroplasty. This was presented to both national and international meetings including the World Federation of Neurosurgical Society at Boston, USA, 2009.
Mr Hussien El-Maghraby offers this surgery when indicated.
Neurosurgery -- University Hospital, Coventry, Engalnd
Over 2000 neurosurgical procedures are performed each year. All of our consultants have varying specialist interests and the unit covers all aspects of neurosurgical practice.
Specialty of the month - Neurosurgery
Neurosurgery is based at University Hospital and is led by a team of internationally renowned consultants who have special interests in the following areas:
• Complex spinal surgery for tumours, trauma and degenerative disease
• Pituitary surgery with close cooperation with the Department of Endocrinology
• Neuro-vascular surgery including cerebral aneurysms and arterio-venous malformations
• Trigeminal neuralgia and other facial pain syndromes
• Peripheral nerve conditions
• Neuro-stimulation re spinal cord stimulation for pain
• Neuro-oncology with all types of brain tumours treated
• Neuro-endoscopy
• Head injury and spinal injuries
Música
"Another Day in Paradise" de Richard Clayderman ( • • )
Categoría
Educación
Licencia
Licencia estándar de YouTube
They are not intended to be a substitute for medical advice and information provided by your referring General Practitioner (GP), Doctor, Surgeon or Physiotherapist.
Any decision you make regarding your health care options should be made after consulting your medical team
Image guided minimal invasive Vertebroplasty for Osteoporotic vertebral fractures
Vertebroplasty is a minimally invasive procedure for the treatment of painful osteoporotic vertebral compression fractures. Typically, vertebroplasty is recommended after conservative treatments, such as bed rest, a back brace or pain medication, have been ineffective.
Vertebroplasty involves injecting a cement mixture into the empty spaces within weakened vertebrae to strengthen them and provide pain relief
A clinical evaluation including diagnostic imaging, blood tests, a physical examination, spine x-rays and a radioisotope bone scan or magnetic resonance (MRI) imaging with special sequences will be done to confirm the presence of a compression fracture that may benefit from treatment with vertebroplasty.
In vertebroplasty, the area of the skin through which the hollow needle will be inserted, will be shaved, sterilized and covered with a surgical drape. A local anaesthetic is then injected into the muscles under the skin, near the fracture.
A very small cut (2 mm) is made in the skin at the site. Using x-ray image guidance, the needle is passed through the spinal muscles until its tip is precisely positioned within the fractured bone and cement is injected. Image guided X-rays will be performed at the end of the procedure to check the distribution of the cement.
The needle is removed and the opening in the skin is covered with a bandage. No sutures are needed. This procedure is usually completed within one hour. It may take longer if more than one vertebral body level is being treated. Pain relief is immediate for some patients. In others, pain is eliminated or reduced within two days. Pain resulting from the procedure will typically diminish within two weeks.
Vertebroplasty is successful at alleviating the pain caused by a vertebral compression fracture; many patients feel significant relief almost immediately.
Many patients become symptom-free which can increase a patient's functional abilities. These procedures usually require - No surgical incision —only a small cut in the skin that does not have to be stitched closed.
Any procedure where the skin is penetrated carries a risk of infection. The chance of infection requiring antibiotic treatment appears to be less than one in 1,000.
Mr Hussien El-Maghraby had been involved in one of the largest series of patients for vertebroplasty. This was presented to both national and international meetings including the World Federation of Neurosurgical Society at Boston, USA, 2009.
Mr Hussien El-Maghraby offers this surgery when indicated.
Neurosurgery -- University Hospital, Coventry, Engalnd
Over 2000 neurosurgical procedures are performed each year. All of our consultants have varying specialist interests and the unit covers all aspects of neurosurgical practice.
Specialty of the month - Neurosurgery
Neurosurgery is based at University Hospital and is led by a team of internationally renowned consultants who have special interests in the following areas:
• Complex spinal surgery for tumours, trauma and degenerative disease
• Pituitary surgery with close cooperation with the Department of Endocrinology
• Neuro-vascular surgery including cerebral aneurysms and arterio-venous malformations
• Trigeminal neuralgia and other facial pain syndromes
• Peripheral nerve conditions
• Neuro-stimulation re spinal cord stimulation for pain
• Neuro-oncology with all types of brain tumours treated
• Neuro-endoscopy
• Head injury and spinal injuries
Música
"Another Day in Paradise" de Richard Clayderman ( • • )
Categoría
Educación
Licencia
Licencia estándar de YouTube
La incidencia de retención urinaria postoperatoria en pacientes sometidos a artroplastia electiva de cadera y rodilla / The incidence of postoperative urinary retention in patients undergoing elective hip and knee arthroplasty
Este artículo es originalmente publicado en:
http://www.ncbi.nlm.nih.gov/pubmed/25198980
De:
http://www.ncbi.nlm.nih.gov/pubmed/25198980
De:
Ann R Coll Surg Engl. 2014 Sep;96(6):462-5. doi: 10.1308/003588414X13946184902523.
The incidence of postoperative urinary retention in patients undergoing elective hip and knee arthroplasty.
Abstract
INTRODUCTION:
Postoperative urinary retention requiring urethral catheterisation increases the risk of joint sepsis following arthroplasty. Spinal anaesthesia with opiate administration is used widely in lower limb arthroplasty. We sought to establish whether the choice of opiate agent had any effect on the incidence of postoperative retention and therefore the risk of joint sepsis.
METHODS:
A total of 445 consecutive patients who underwent primary elective lower limb arthroplasty were reviewed retrospectively. Patients had general anaesthesia and femoral nerve block (GA+FNB), spinal anaesthesia and intrathecal fentanyl (SA+ITF) or spinal anaesthesia and intrathecal morphine (SA+ITM).
RESULTS:
Urinary retention was observed in 14% of male and 2% of female patients with GA+FNB, 9% of male and 3% of female patients with SA+ITF, and 60% of male (p=0.0005) and 5% of female patients with SA+ITM. Men who experienced retention were older (68 vs 64 years, p=0.013) and had longer inpatient stays (6.7 vs 4.6 days, p=0.043). Fewer patients in the SA+ITM group required breakthrough analgesia (28% vs 58%, p=0.004). Concusions: The use of ITM in men significantly increases the incidence of urinary retention requiring urethral catheterisation and subsequently increases the risk of deep joint sepsis. Its use should be rationalised against the intended benefits and alternatives sought where possible.
INTRODUCCIÓN:
La retención urinaria postoperatoria que requiere sondaje uretral aumenta el riesgo de sepsis conjunta tras artroplastia. La anestesia espinal con la administración de opiáceos se utiliza ampliamente en la parte baja artroplastia extremidad. Se pretende establecer si la elección del agente opiáceo tenía algún efecto sobre la incidencia de retención postoperatoria y por lo tanto el riesgo de sepsis conjunta.
MÉTODOS:
Un total de 445 pacientes consecutivos sometidos a artroplastia electiva miembro inferior primario se revisaron retrospectivamente. Los pacientes tenían anestesia general y bloqueo del nervio femoral (GA + FNB), la anestesia espinal y fentanilo intratecal (SA + ITF) o anestesia raquídea y la morfina intratecal (SA + ITM).
RESULTADOS:
La retención urinaria se observó en el 14% de los hombres y 2% de los pacientes femeninos con GA + FNB, 9% de hombres y 3% de los pacientes femeninos con SA + ITF, y 60% de los varones (p = 0,0005) y 5% de las mujeres pacientes con SA + ITM. Los hombres que experimentaron retención eran mayores (68 vs 64 años, p = 0,013) y tuvieron estancias más tiempo de hospitalización (6,7 vs 4,6 días, p = 0,043). Menos pacientes en el grupo SA + ITM analgesia avance requerida (28% vs 58%, p = 0,004). Concusions: El uso de ITM en los hombres aumenta significativamente la incidencia de retención urinaria que requiere el cateterismo uretral y, posteriormente, aumenta el riesgo de sepsis profunda articulación. Su uso debe ser racionalizada con los beneficios previstos y alternativas buscó siempre que sea posible.
La retención urinaria postoperatoria que requiere sondaje uretral aumenta el riesgo de sepsis conjunta tras artroplastia. La anestesia espinal con la administración de opiáceos se utiliza ampliamente en la parte baja artroplastia extremidad. Se pretende establecer si la elección del agente opiáceo tenía algún efecto sobre la incidencia de retención postoperatoria y por lo tanto el riesgo de sepsis conjunta.
MÉTODOS:
Un total de 445 pacientes consecutivos sometidos a artroplastia electiva miembro inferior primario se revisaron retrospectivamente. Los pacientes tenían anestesia general y bloqueo del nervio femoral (GA + FNB), la anestesia espinal y fentanilo intratecal (SA + ITF) o anestesia raquídea y la morfina intratecal (SA + ITM).
RESULTADOS:
La retención urinaria se observó en el 14% de los hombres y 2% de los pacientes femeninos con GA + FNB, 9% de hombres y 3% de los pacientes femeninos con SA + ITF, y 60% de los varones (p = 0,0005) y 5% de las mujeres pacientes con SA + ITM. Los hombres que experimentaron retención eran mayores (68 vs 64 años, p = 0,013) y tuvieron estancias más tiempo de hospitalización (6,7 vs 4,6 días, p = 0,043). Menos pacientes en el grupo SA + ITM analgesia avance requerida (28% vs 58%, p = 0,004). Concusions: El uso de ITM en los hombres aumenta significativamente la incidencia de retención urinaria que requiere el cateterismo uretral y, posteriormente, aumenta el riesgo de sepsis profunda articulación. Su uso debe ser racionalizada con los beneficios previstos y alternativas buscó siempre que sea posible.
- PMID:
- 25198980
- [PubMed - indexed for MEDLINE]
Knee meniscus fixed using revolutionary stem cell procedure
Knee meniscus fixed using revolutionary stem cell procedure
Este artículo es publicado originalmente en:http://www.news.cornell.edu/stories/2014/12/knee-meniscus-fixed-using-revolutionary-stem-cell-procedure
Knee meniscus fixed using revolutionary stem cell procedure http://t.co/vapwYAydAp
— Victor Ravens (@bibliomanazteca) diciembre 25, 2014
miércoles, 24 de diciembre de 2014
Rotura del Tendón de Aquiles. Tratamiento
Este artículo es publicado originalmente en:
http://news.doccheck.com/es/blog/post/1424-rotura-del-tendon-de-aquiles-tratamiento/
http://news.doccheck.com/es/blog/post/1424-rotura-del-tendon-de-aquiles-tratamiento/
Rotura del Tendón de Aquiles. Tratamiento
El tendón de Aquiles puede sufrir una rotura cuando se ejerce demasiada presión sobre este. Esto puede ocurrir al practicar algún deporte o esfuerzo ocasional. También se puede romper si esta previamente debilitado. más...
How Microdiscectomy Can Relieve Pain
Este artículo es originalmente publicado en:
http://www.spine-health.com/blog/how-microdiscectomy-can-relieve-pain
http://www.spine-health.com/blog/how-microdiscectomy-can-relieve-pain
domingo, 21 de diciembre de 2014
Big Belly – Back Pain
Este artículo es originalmente publicado en:
http://www.caringmedical.com/prolotherapy-news/obesity-lumbar-disc-herniation/
http://www.caringmedical.com/prolotherapy-news/obesity-lumbar-disc-herniation/
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