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At our department, we have completed the diagnosis and proceeded to perform the surgery with which we have the greatest experience. Although slightly at variance with established procedures, the surgery provides a sufficient solution for the patient also in postoperative follow-up.INTRODUCTION Maisonneuve fracture (MF) is a generally known entity in ankle trauma. However, details about this type of injury can be found only rarely in the literature. For these reasons we have decided to perform a study on MF epidemiology and pathoanatomy. METHODS The group comprised 70 patients (47 men, 23 women), with the mean age of 48 years, who sustained an ankle fracture-dislocation involving the proximal quarter of the fibula. Ankle radiographs in three views and lower leg radiographs in two views were performed in all patients. A total of 59 patients underwent CT examination in three views, including 3D CT reconstruction in 49 of these patients. MRI was performed in 4 patients. Operative treatment was used in 67 patients; open reduction of the distal fibula into the fibular notch was opted for in 54 of them. RESULTS The highest MF incidence rate was recorded in the 5th decade in the whole group and in men, while in women the peak incidence was in the 6th decade. After the age of 50, the share of wudes a wide range of injuries both to bone and ligamentous structures of the ankle. Therefore, CT examination is an indispensable part of assessment of this type of fracture.INTRODUCTION The aim of the study was to radiologically analyse the results of expandable implant insertion in one- to two-level cervical spine somatectomy. METHODS A total of 28 patients undergoing one- to two-level somatectomy in cervical spine were postoperatively examined by CT. The following radiological parameters were studied Cobb angle C2-7, segmental Cobb angle, implant subsidence and bone fusion. RESULTS The average Cobb angle of C2-7 in preoperative images was 13.7 degrees, 13.4 degrees in the early postoperative period (p=0.88), and 10.3 degrees (p=0.043) 2 years after the surgery. The average segmental Cobb angle in preoperative images was 4.4 degrees, 5.2 degrees in the early postoperative period (p=0.61), and 0.2 degrees (p=0.01) 2 years after the surgery. Significant implant subsidence was observed in 15 cases (53.6%). Grade I fusion was achieved in 6 cases (21.4%), grade II fusion in 12 cases (42.9%), and stable pseudoarthrosis (grade III) in 9 cases (32.1%). No cases of unstable pseudoarthrosis (grade IV) were detected. CONCLUSION Implantation of an expandable vertebral body implant in one- to two-level cervical spine somatectomy with ventral plate fixation is a fully acceptable way to reconstruct the ventral column of the cervical spine, providing sufficient long-term stability of the cervical spine and instrumentation and an adequate cervical spine curve.ntroduction Unintended perioperative dural tear is a common complication in spine surgery. Methods Retrospective analysis of patients over 60 years of age who underwent surgery for degenerative disease of the lumbar spine at the Department of Neurosurgery (University Hospital in Martin) from January 2016 to December 2017. Incidence of incidental perioperative durotomy was analyzed. We analyzed selected risk factors gender, ASA (American Society of Anesthesiologists), surgical diagnosis, type of surgical performance, range of surgical procedure, revision surgery and comorbidities. The results were statistically evaluated using descriptive statistics and Fisher›s test. Results with p.INTRODUCTION Until recently, there was a lack of information on sagittal axis parameters of the cervical spine, its relationship to the global sagittal axis of the spine, and their possible implications for long-term clinical outcomes in patients following subaxial cervical spine surgery. The aim of the authors is to provide an overview of the issue from available literature. METHODS The authors present a complete overview of local radiological parameters of the sagittal axis of the cervical spine, an overview of radiological parameters of the total sagittal axis of the spine, and also spinopelvic parameters. Normative values of the majority of individual parameters are summarized. The authors discuss several topics such as The possible effects of sagittal axis parameters on the clinical condition of an individual before surgery; furthermore, whether a change in sagittal parameters of the cervical and whole spine after subaxial cervical spine surgery can affect the clinical condition and postoperative patient satisfaction. Finally, the methodology of specific operations is discussed, including their ability to change the parameters of the sagittal axis of the spine. CONCLUSION Short patient monitoring times and the predominant use of retrospective methodology are common drawbacks of most studies. Tanespimycin datasheet Also, there are no clearly determined procedures and specifications for surgical correction of the sagittal axis of the cervical spine. As it turns out, multi-stage procedures are more appropriate to achieve changes of the cervical sagittal axis. It is also gradually becoming apparent that any local change of the cervical spine may affect the sagittal axis of the entire spine.The realization of the full potential of nitrogen-containing solid-state materials is limited by the inert and gaseous nature of N2. In this Communication, we describe the simple synthesis yet complex structure of the new phase Mn39Si9Nx (x = 0.84). The formation of this intermetallic subnitride appears to be facilitated by the high solubility of nitrogen in manganese metal, while its structural features are guided by the complementary internal packing strains of Mn-Si and Mn-N domains, an effect known as epitaxial stabilization. These domains intergrow into a composite structure based on the interpenetration of tetrahedrally close-packed (TCP) and Mackay cluster-like modules. We anticipate that other systems combining nitrogen with the TCP packing of metals will be similarly driven toward intergrowth, opening a path to a broader family of intermetallic nitrides.
Homepage: https://www.selleckchem.com/products/17-AAG(Geldanamycin).html
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