Summary of Background Data. Spine surgery in the obese is challenging and an increasing problem. There are few reported studies that have
assessed the incidence of perioperative complications in obese patients undergoing elective lumbar fusion procedures. To our www.selleckchem.com/products/ulixertinib-bvd-523-vrt752271.html knowledge, the effect of obesity on LI-PLIF and return to work has not been evaluated in the published data.
Methods. We identified 15 patients with BMI >30 who underwent LI-PLIF by reviewing the clinical notes and the preoperative admission sheet between April 2005 and March 2007. Patients who had suffered chronic low back pain for a minimum of 2 years that had proven unresponsive to conservative treatment were included. All patients underwent pre- and postoperative evaluations for Oswestry Disability Index, short-form 36, and visual analogue scores. Minimum follow-up was for 12 months.
Results. Blood loss was dependent on BMI, number of levels, and surgical time. Postoperative complication was 33.3%, which was more in the morbidly obese group than the in the obese ZD1839 clinical trial group. Ten patients (66.6%) returned to their normal preoperative employment within 12 months of the index procedure. There was a significant improvement in the Oswestry Disability Index (14.78 +/- 6.0, P = 0.03), in the visual analogue scores for back pain (3.2
+/- 0.76, P = 0.001). Length of hospital stay was a mean of 3.35 days (range, 1-7).
Conclusion. click here Surgical decision-making in the obese and morbidly obese patient is a challenge for the operating surgeon. Although surgery is technically more demanding, our experience with less invasive posterior interbody fusion has shown less incidence of postoperative complication, less intraoperative blood loss, and short in-patient hospital stay.
Furthermore (66.6%)
returned to their normal preoperative employment within 12 months of the index procedure. We conclude that a high BMI should not be a contraindication to surgery in patients with degenerative low back pain.”
“We describe a 2-year-old patient with an orbital lymphangioma who presented with massive proptosis. We highlight the importance of magnetic resonance imaging in evaluating such patients, because physical examination can be misleading. We also demonstrate the difficulties of managing recurrent hemorrhages when only subtotal excision is possible, as is frequently the case. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109: e82-e85)”
“PP/organoclay nanocomposites were prepared using different processing aids (EMCA and PPG), and their effects on the thermal and mechanical properties were evaluated by WAXD, TEM, SEM, DSC, and mechanical tests. This study helps to clarify the effects of processing aids on the organoclay surface and on the intercalation and exfoliation processes.