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Search Results: 1 - 10 of 5443 matches for " lumbosacral region "
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Eventra??es lombares: revis?o tardia de 20 pacientes
Pitrez, Fernando A. B.;Pioner, Sergio R.;Lemchen, Helio Fernando;Rech, Daniel;Menegotto, Lucas B.;
Revista do Colégio Brasileiro de Cirurgi?es , 2006, DOI: 10.1590/S0100-69912006000100002
Abstract: background: an incisional lumbar hernia after a flank incision is a problem in hernia surgery. in recent decades preperitoneal prosthetic herniorrhaphy became a widely accepted procedure for abdominal wall hernias, but there are no reports with more than 6 cases. to evaluate outcome and technique of repair the flank hernias we reviewed our data on every patient who underwent this type of repair. methods: we identified 20 patients who underwent hernia repair after incisional or traumatic hernia of the flank within the last 10 years. all the patients were followed in the general surgery service of de iscmpa/ fffcmpa. results: using information from the database, we analyze 20 cases of lumbar hérnia. the majority (19 cases) were incisional hernias, only one was traumatic. the right side was affected in 14 cases and the left in 6 cases. the median followup was 60 months (5-72), although 7 cases have no follow-up. there was no failure during a follow-up 6 months to 8 years. however, one patient remained with weakness on flank, two presented seroma and that varied betwwen one presented wound infection. conclusion: we authors recommend the conventional intervention instead of a laparoscopic one, in which a primary repair was used in cases of diameters up to 5 cm. in case of wider diameters it becomes mandatory to approach borders without tension, otherwise prosthetic material should be adopted.
Lordose lombar: estudo dos valores angulares e da participa??o dos corpos vertebrais e discos intervertebrais
Damasceno, Luiz Henrique Fonseca;Catarin, Silvio Ricardo Guarnieri;Campos, Ant?nio Dorival;Defino, Helton Luis Aparecido;
Acta Ortopédica Brasileira , 2006, DOI: 10.1590/S1413-78522006000400003
Abstract: the angular value of lumbar lordosis and the role of vertebral bodies and intervertebral discs in its constitution were studied in normal individuals. x-ray images of lumbar spine were studied in 350 normal and asymptomatic individuals, ages ranging from 18 to 50 years old (average 29.0 years old ± 8.24), being 143 males and 207 females. the lumbosacral (l1s1) and the lumbolumbar (l1l5) curves were measured. measurements for lumbar curves and their components presented a large variation. average values of -61o were seen for lumbosacral curve and of -45o for lumbolumbar curve. vertebral bodies measurements presented kyphotic values for l1, neutral for l2, and progressively lordotic for l3 - l5. intervertebral discs presented a progressive lordotic angulation from l1-l2. caudal elements of curvature, intervertebral discs l4-l5 and l5-s1 and the vertebral body l5 accounted for nearly 60% of the angular measurement of lumbosacral curvature. a significant difference was seen between males and females for lumbar curvature measurements, and for vertebral bodies l2 and l4, with females presenting higher values. age-related differences were found in lumbar curvature and vertebral bodies measurements.
Tratamento da instabilidade lombar com parafusos pediculares
Avanzi, Osmar;Lin, Yu Chih;Meves, Robert;Silber, Maria Fernanda;
Acta Ortopédica Brasileira , 2005, DOI: 10.1590/S1413-78522005000100001
Abstract: the lumbar instability is a common desease in clinical practice. several authors recommend the use of pedicular screws as a fixation system for posterior arthodesis since they provide better results compared to in situ stabilization. objective: to evaluate the functional and radiographic results in patients assisted by the spine group of the medical sciences school of santa casa of s?o paulo, presenting lumbar instability and who underwent posterior vertebral arthrodesis treatment by using melttalic fixation with pedicular screws. methods: data from medical records of the service of medical files (s.a.m.e) of the irmandade da santa casa de misericórdia de s?o paulo and evaluation through single radiographs (front, lateral, and oblique sections) for image studies besides a pre- and postoperative functional evaluation, with minimal follow-up of two years. results: from november 1995 to june 2000 ten patients with degenerative lumbar unstableness (48%), five patients with isthmic spondylolisthesis (23%) and six with degenerative lumbar stenosis (29%) were evaluated. as for functional evaluation, excellent and good results were obtained in 76%. complications included superficial infection, pseudoarthrosis, and inappropriate positioning of screws (19%). conclusions: the authors conclude that this fixation method is effective with arthrodesis fusion seen in 95% of patients.
Pseudomama en región dorso-lumbar en hombre. Presentación de un caso: dos flagelos del subdesarrollo. A propósito de un caso atendido en Timor Leste
Torres Aja,Lidia; Viera Llanéz,Julián; Caballero Aja,Neylín;
MediSur , 2010,
Abstract: supernumerary breasts are different forms of presentation according to the histological components that they pose. they are located mainly in axillary region, epigastric supraumbilical and other areas of the anterior chest wall, where the old lines of milk were. a case of a male patient, aged 39, was admitted to the provincial consultation each breast, presenting an increase in volume of a marble, from its birth on her back. on physical examination is evidence of the presence of a small breast in the patient's right dorsal region, it is a pseudomama, variety in the breast tissue is replaced by fat and to a location in the lumbar region, after checking preoperative into the operating room so it is necessary to perform the excision of the rudimentary breast. reviewed the literature on the subject is not found similar evidence reported, so this case is considered as of great scientific interest.
Transitional lumbosacral vertebrae and low back pain: diagnostic pitfalls and management of Bertolotti's syndrome
Almeida, Daniel Benzecry de;Mattei, Tobias Alécio;Sória, Marília Grando;Prandini, Mirto Nelso;Leal, André Giacomelli;Milano, Jer?nimo Buzzeti;Ramina, Ricardo;
Arquivos de Neuro-Psiquiatria , 2009, DOI: 10.1590/S0004-282X2009000200018
Abstract: objective: bertolotti's syndrome is a spine disorder characterized by the occurrence of a congenital lumbar transverse mega-apophysis in a transitional vertebral body that usually articulates with the sacrum or the iliac bone. it has been considered a possible cause of low back pain. method: we analyzed the cases of bertolotti's syndrome that failed clinical treatment and reviewed the literature concerning this subject. results: five patients in our series had severe low back pain due to the neo-articulation and two of them were successfully submitted to surgical resection of the transverse mega-apophysis. taking into account the clinical and surgical experience acquired with these cases, we propose a diagnostic-therapeutic algorithm. conclusion: there is still no consensus about the most appropriate therapy for bertolotti's syndrome. in patients in whom the mega-apophysis itself may be the source of back pain, surgical resection may be a safe and effective procedure.
The Effect of Active Knee Extension in Sitting on Lumbopelvic Curvature in Individuals with Clinically Tight Hamstring Muscles: A Cross-Sectional Reliability Study  [PDF]
Musashi Yasuda, Kana Nishimoto, Masataka Hori, Tatsuya Noguchi, Hiroshi Takasaki
Open Journal of Therapy and Rehabilitation (OJTR) , 2017, DOI: 10.4236/ojtr.2017.54012
Abstract: Relative flexibility between the hamstring and lumbar extensor muscles, which can be evaluated using lumbopelvic curvature during active knee extension in sitting, can sometimes be assessed in physical therapy. However, reliability for its quantitative measure has not been established yet and its establishment was the aim of the current study. Twenty-seven individuals with clinically tight hamstring muscles were recruited. On two separate sessions, the lumbopelvic curvature was evaluated in sitting when the right knee was moved from 90° flexion to 10° flexion on 15 occasions using a flexible ruler by two examiners on Day 1 and one on Day 2. Lines drawn tangential to the lumbopelvic curvature were traced at T12 and S2 vertebral levels and the angle between the two vertical lines was calculated. Using Day 1 data, the minimum number of repetitions and inter-examiner reliability were assessed. Inter-session reliability was also examined. As a result, there was no statistical difference (P?> 0.05) in the mean absolute difference between the mean value of N-1 and N repetitions (6 ≤ N ≤ 15) in the lumbopelvic curvature angle, indicating that five was considered the minimum number of repetitions. Intraclass correlation coefficient (ICC)(1, 5)?for the inter-session reliability and ICC(2, 5)?for the inter-examiner reliability was 0.97 and 0.93, respectively, indicating excellent reliability. The measure for the lumbopelvic curvature during active knee extension in sitting, which was established in the current study, will be a foundation for further research regarding the relative flexibility of the lumbar and adjunct regions.
Measurement Reliability for Evaluating Lumbopelvic Curvature during Active Knee Extension in Sitting Using a Flexible Ruler in Individuals with Clinically Tight Hamstring Muscles: A Secondary Analysis  [PDF]
Hiroshi Takasaki, Kazuki Kikkawa, Toby Hall
Open Journal of Therapy and Rehabilitation (OJTR) , 2018, DOI: 10.4236/ojtr.2018.61001
Abstract: In a previous study, we established reliability of a method for determining the angle of lumbopelvic sagittal alignment during active knee extension in sitting (AKEiS) using a flexible ruler and image analysis software (2-point-Method). In addition to this method, a flexible ruler can also be used to measure lumbopelvic sagittal alignment without image analysis software. This study primarily aimed to investigate the minimum number of repetitions, inter-session reliability and inter-examiner reliability of two alternative methods of measurement in a secondary analysis of our previous study. A flexible ruler was used to measure lumbopelvic curvature during AKEiS when the knee reached 10° flexion from 27 individuals with clinically tight hamstring muscles and subsequently analyzed. Lumbopelvic sagittal alignment was evaluated for the region between T12 and S2 using the maximum depth to the curvature (Max-Method) or depth to the curvature at the middle point between T12 and S2 vertebral levels (Mid-Method). It was determined that four repetitions for the Max-Method and 11 repetitions for the Mid-Method were required for the minimum number of repetitions, respectively. Inter-session reliability and inter-examiner reliability were assessed using Intraclass Correlation Coefficients and were 0.91 and 0.91 for the Max-Method and 0.90 and 0.91 for the Mid-Method, respectively. The current study suggests that the Mid-Method would not be recommended for use in the clinical setting as 11 repetitions of data sampling is required. The 2-point-Method or Max-Method may be promising but the ideal measurement method will be identified when the validity of these methods has been established.
Calcificación de aorta abdominal de pacientes en hemodiálisis en una unidad renal
Valderrama,Luis A; Guerrero,Luis Fernando; Bolívar,Guillermo;
Acta Medica Colombiana , 2012,
Abstract: objective: to describe the prevalence of abdominal aortic calcifications and risk factors in patients on hemodialysis in the renal unit imbanaco medical center in the city of cali. background: vascular calcification is prevalent in patients with chronic kidney disease. hemodialysis (hd) patients are at increased risk of cardiovascular mortality and factors such as age, associated diseases and some metabolic abnormalities increase the risk of vascular calcification. material and methods: we included 47 hemodialysis patients over 18 years and more than three months in dialysis. the lateral lumbar radiography was used to assess the calcification of the segments l1 to l4 using a score for quantification and a single trained observer. regression analysis was used to determine associations between aac and patient characteristics. results: median age of patients was 60.8 years (range 25-84), 57.4% were female, median duration of hd 44.6 months (range 3-156). we found that in 63.8% of patients had calcifications in any segment of the abdominal aorta. we found that older age (p = 0.0006) and lower diastolic blood pressure (dbp) (p = 0.036) the risk is greater prevalence of calcification. conclusions: abdominal aortic calcification is prevalent in patients with ckd on hemodialysis. factors such as age and decreased dbp were associated with the group of calcifications.the lateral lumbar radiograph is a tool widely available and less expensive than can be taken into account in the assessment of cardiovascular risk in hemodialysis patients and as a predictor of complications. (acta med colom 2012; 37: 14-20).
Avalia??o intra-observador e inter-observadores do Sistema de Classifica??o de Landim para estenose vertebral lombar
Medeiros, Rodrigo Castro de;Cardoso, Igor Machado;Jaccard, Alexandre Phillipe Boss;Landim, Elcio;Pasqualini, Wagner;Veiga, Ivan Guidolin;Risso Neto, Marcelo ítalo;Cavali, Paulo Tadeu Maia;
Coluna/Columna , 2009, DOI: 10.1590/S1808-18512009000100012
Abstract: objective: the classification proposed by landim for lumbar spine stenosis could be a method of diagnostic standardization once, on the literature, there are no studies that standardize the use of a classification which allows the comparison of results. it is necessary the evaluation of intra and interobservers' reproducibility for such system as to validate it for this matter. methods: pre-operative image exam of lumbosacral column of 11 patients diagnosed with symptomatic lumbar stenosis were selected. the criteria for selection were image exams with good quality and diverse etiologies. the age group ranged from 15 to 87 years and included both sexes. the studied samples were followed at the ambulatory of spine column of the department of orthopaedics and traumatology of the hospital das clínicas, universidade de campinas (unicamp), city of campinas, state of s?o paulo, brazil. twelve spine surgeons classified the 11 sample exams according to landim's classification in two different moments with a time interval of 3 weeks. the intra and interobservers' statistical analysis used were the wilcoxon and the alpha of cronbach tests, respectively. significant results were considered as p<0.05. results: the analysis of the addition of the first and second classifications from the 11 cases appraised by 12 spine surgeons with a time interval of 3 weeks, resulted in percentual accordance among intra and interobserver of 65% and 83% for global classification; 80% and 91% for "segment"; 86% and 95% for "type"; 85% and 82% for "area", respectively. the intraobserver reproducibility was 79% and interobserver, 88%. conclusion: the proposed classification of landim has an easy applicability and may become a possible mean to standardize information with good levels of reproducibility and confidence intra and interobservers for more consistent future conclusions related to the pathology of lumbar stenosis.
Estudo prospectivo de avalia??o de dor e incapacidade de pacientes operados de estenose de canal lombar com seguimento mínimo de dois anos
Valesin Filho, Edgar Santiago;Ueno, Fabricio Hidetoshi;Cabral, Luciano Temporal Borges;Yonezaki, Adriano Masayuki;Nicolau, Rodrigo Junqueira;Rodrigues, Luciano Miller Reis;
Coluna/Columna , 2009, DOI: 10.1590/S1808-18512009000400008
Abstract: objective: to perform a prospective analysis of pain and disability in patients operated on lumbar spine stenosis two years after the procedure by means of vas and roland morris scales. methods: thirty-eight patients answered questions before and after the surgery, within one-month, six-month, one-year and two-year analyses; decompression and artrodesis were performed. results: we observed a reduction in the numbers of vas and roland morris scales in the comparisons with the initial values, with a tendency to stabilize with the follow-up. conclusion: the surgical treatment of lumbar spine stenosis when correctly diagnosed (carefully indicated) improve pain and disability after two years of follow-up.
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