Trending Articles
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Acta neurochirurgica · Oct 2012
Management of C2 fractures using Iso-C(3D) guidance: a single institution's experience.
About 20 % of cervical fractures involve the C2 vertebra. Many surgical techniques have been proposed according to the type of fracture. However, morbidity and mortality of these procedures is often high, which can be attributed to the old age and significant co-morbidities of the affected population and the complex anatomy of C2. To target the latter, several authors have applied iso-C(3D) guidance for most of the common techniques. We here present our experience using a fixed protocol and iso-C(3D) guidance in all cases of traumatic C2 fractures. ⋯ Iso-C(3D) guidance is a safe and straightforward technique for anterior and posterior screw placement in the upper cervical spine.
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Bull Assoc Anat (Nancy) · Sep 1986
Review Case Reports[Isolated azygos continuation of the inferior vena cava. (Absence of the retrohepatic segment of the inferior vena cava)].
The isolated azygos continuation of the inferior vena cave is a very rare variation of this organ. It is accompanied by the absence of the retrohepatic segment of the vena cava with two new observations, the literature is revised and the origin discussed.
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Closing-opening wedge osteotomy (COWO) had been performed by the senior author (K.C.) since 1998. A study had been conducted to evaluate the efficacy of COWO since 2000. ⋯ COWO is a useful procedure for patients with sagittal imbalance requiring more than 35 degrees lordotic correction through the osteotomy site. A worse clinical result is associated with increasing patient comorbidities, pseudarthrosis in lumbosacral fusion, and junctional kyphosis.
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Critical care medicine · Mar 2006
Comparative StudyDihydralazine treatment limits liver injury after hemorrhagic shock in rats.
Impaired hepatic perfusion after hemorrhagic shock frequently results in hepatocellular dysfunction associated with increased mortality. This study characterizes the effect of the vasodilators dihydralazine and urapidil on hepatocellular perfusion and integrity after hemorrhagic shock and resuscitation. ⋯ Dihydralazine increases nutritive portal and hepatic microvascular flow and limits liver injury after hemorrhagic shock. This protective effect appears to be the result of increased cardiac output and increased portal flow. These findings may offer a new strategy for hepatic protection after hemorrhagic shock.
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To study the clinical and radiological response of chronic calcific tendinitis of the shoulder to extracorporeal shock wave treatment (ESWT). ⋯ With its good tolerance, safety, and clinical and radiologic response, ESWT should be considered as an alternative therapy in the treatment of chronic calcific tendinitis of the shoulder refractory to other therapies.