A triple-blinded randomized trial comparing spinal morphine with posterior quadratus lumborum block after cesarean section
Cesarean section (CS) is one of the most common surgical procedures and postoperative pain control is an important aspect of postoperative management.1 Generally, spinal anesthesia is performed for the peri-operative management of CS. Spinal anesthesia with opioids has gained popularity for postoperative pain relief because it reportedly results in improved analgesia, and ultrasound-guided nerve blocks have also been performed as part of multimodal analgesia after CS.2
ConclusionOpen reduction and internal fixation (ORIF) plate and screw combined by tension band wiring (TBW) is the right surgical treatment for patient with closed fracture of right talar body Sneppen 2 with associated medial malleolus fracture. The outcome of the treatment is excellent because the patient presented was able to fully recover to normal activity.
If a fellow graduates with less than ideal numbers for more advanced procedures (spinal cord stimulator trials and placement, pump placements, etc) to be fully comfortable, what can s/he do to build competence? I was planning some of these procedures as an attending
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Conclusion. These findings demonstrate that prosthesis designs that allow primary anchoring without violation of the cortical surface help to reduce the incidence of severe ossification, possibly affecting the functionality and mobility of the artificial disc device over of time. Level of Evidence: 3
Conclusion. Higher pain intensity and disability predicted higher pain-related HCU in the year following a LBP self-management class. The presence of a sleep disorder diagnosis, as recorded in medical records, had a significant independent effect on LBP-related health care visits and costs beyond the influences of pain intensity, disability, and other key demographic and health-related characteristics, but did not moderate these relationships. Level of Evidence: 3
Conclusion. Despite longstanding use and important consequences, degenerative disc disease represents an underdeveloped concept, with greatly varying, disparate definitions documented. Such inconsistencies challenge clear, accurate communication in medicine and science, create confusion and misconceptions among clinicians, patients and others, and hinder the advancement of related knowledge. Level of Evidence: 4
Are PTSD symptoms associated with an increased risk for chronic back pain?Spine
La’Shea Cretain had just finished feeding her 4-month-old daughter when her ex-boyfriend arrived unannounced at the home in Opelousas, La., that she was visiting and shot her in the head before killing himself. Cretain, who was 18 at the time, collapsed at the front door, just feet from her infant daughter and toddler son. Twenty-three years later, Cretain still suffers from chronic pain and back issues from the five bullets stuck in her body, including one lodged in her spine. That’s on top of the emotional trauma she and her children—who grew up knowing their mother was nearly killed in their presence&m...
Authors: Yang S, Wang D, Xu J, Luo F, Wu W, Zhang Z Abstract Objective: To observe the clinical effect of anterior debridement, decompression, bone grafting, and instrumentation for cervical spinal tuberculosis in four hospitals. Materials and Methods: This research retrospectively analyzed 146 patients with cervical spinal tuberculosis who were treated by anterior debridement, decompression, bone grafting, and instrumentation in four institutions between January 2000 and January 2015. There were 68 males and 78 females with an average age of 31.32 ± 11.69 years. All patients received chemotherapy for 18 mon...