Revista española de cirugía ortopédica y traumatología
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Rev Esp Cir Ortop Traumatol · May 2014
Case Reports[Severe haemorrhage secondary to an osteoporotic pelvic fracture: presentation of a case].
Low-energy osteoporotic pelvic fractures in the elderly are a very common problem. They are usually stable fractures, non-life threatening and only require conservative treatment. ⋯ The case is presented of an 87 year-old woman, who, after a casual fall, was diagnosed with an osteoporotic fracture of the left pubic rami associated to a lesion of the Corona Mortis, which led to a severe picture of haemodynamic instability. After angiography with supra-selective embolisation of the lesioned vessel, and the transfusion of several haemoderivatives, the patient progressed satisfactorily, and was discharged after a few days.
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Rev Esp Cir Ortop Traumatol · May 2014
Review Meta Analysis[Application of vancomycin powder into the wound during spine surgery: systematic review and meta-analysis].
To determine the effects of applying vancomycin powder within the surgical wound on the risk of surgical infections, pseudo-arthrosis and adverse events, in patients undergoing spinal surgery. ⋯ Application of vancomycin powder into the wound was associated with a significantly reduced risk of surgical site infections, without increasing pseudo-arthrosis or adverse events. However, randomized controlled trials are needed, in order to confirm the present results and make recommendations with more certainty.