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Specialty: Orthopaedics
Condition: Ischemic Stroke

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Total 50 results found since Jan 2013.

The association between cervical artery dissection and spinal manipulation among US adults
ConclusionAmong privately insured US adults, the overall risk of CeAD is very low. Prior receipt of CSM was more likely than E&M among VAD patients as compared to stroke patients. However, for CAD patients as compared to stroke patients, as well as for both VAD and CAD patients in comparison with population controls and in case-crossover analysis, prior receipt of E&M was more likely than CSM.
Source: European Spine Journal - July 8, 2023 Category: Orthopaedics Source Type: research

Missed blunt cerebrovascular injuries using current screening criteria — The time for liberalized screening is now
Blunt cerebrovascular injury (BCVI) has been reported in 1-3% of traumatically injured patients [1] and upwards of 9% of patients with severe head injuries [2]. Although rare, this injury has high morbidity and mortality, mainly due to ischemic stroke, if left untreated. Mortality rates between 20-30% in trauma patients with BCVI have been reported [1] and many survivors sustain permanent neurological deficits. Postulated mechanism of injury include extension, compression, or stretching of vessels within the neck [3].
Source: Injury - February 13, 2023 Category: Orthopaedics Authors: Julia C. Schmidt, Dih-Dih Huang, Andrew M. Fleming, Valerie Brockman, Elizabeth A. Hennessy, Louis J. Magnotti, Thomas Schroeppel, Kim McFann, Landon D. Hamilton, Julie A. Dunn Source Type: research

Missed Blunt Cerebrovascular Injuries Using Current Screening Criteria - The Time for Liberalized Screening is Now
Blunt cerebrovascular injury (BCVI) has been reported in 1-3% of traumatically injured patients [1] and upwards of 9% of patients with severe head injuries. [2] Although rare, this injury has high morbidity and mortality, mainly due to ischemic stroke, if left untreated. Mortality rates between 20-30% in trauma patients with BCVI have been reported [1] and many survivors sustain permanent neurological deficits. Postulated mechanism of injury include extension, compression, or stretching of vessels within the neck.
Source: Injury - February 13, 2023 Category: Orthopaedics Authors: Julia C. Schmidt, Dih-Dih Huang, Andrew M. Fleming, Brockman Valerie, Elizabeth A. Hennessy, Louis J. Magnotti, Schroeppel Thomas, Kim McFann, Landon D. Hamilton, Julie A. Dunn Source Type: research

Natural history and nonoperative management of penetrating cerebrovascular injury
Cerebrovascular injuries from trauma confer an elevated risk of ischemic stroke, with associated morbidity and mortality. These injuries have been studied extensively in the context of blunt trauma such that screening has become standard practice (1, 2), and there are growing data on the natural history of these injuries (3-7). Penetrating cerebrovascular injuries (PCVI) are less common, and there are limited data to guide optimal care. Historically, these have been managed operatively in the setting of penetrating neck wounds, however, there are patients who sustain penetrating trauma but do not have hard signs of injury ...
Source: Injury - November 1, 2022 Category: Orthopaedics Authors: Cordelie E. Witt, Joshua J. Sumislawski, Clay Cothren Burlew Source Type: research

Pharmacological properties and mechanisms of Notoginsenoside R1 in ischemia-reperfusion injury
Chin J Traumatol. 2022 Jul 3:S1008-1275(22)00068-2. doi: 10.1016/j.cjtee.2022.06.008. Online ahead of print.ABSTRACTPanax notoginseng is an ancient Chinese medicinal plant that has great clinical value in regulating cardiovascular disease in China. As a single component of panax notoginosides, notoginsenoside R1 (NGR1) belongs to the panaxatriol group. Many reports have demonstrated that NGR1 exerts multiple pharmacological effects in ischemic stroke, myocardial infarction, acute renal injury, and intestinal injury. Here, we outline the available reports on the pharmacological effects of NGR1 in ischemia-reperfusion (I/R) ...
Source: Chinese Journal of Traumatology - August 3, 2022 Category: Orthopaedics Authors: Ting Zhu Qi Wan Source Type: research

Perioperative stroke in patients undergoing spinal surgery: a retrospective cohort study
The incidence of perioperative stroke following spinal surgery, including ischemic and hemorrhagic stroke, has not been fully investigated in the Chinese population. Whether specific spinal or emergency/electi...
Source: BMC Musculoskeletal Disorders - July 8, 2022 Category: Orthopaedics Authors: Xin Yan, Ying Pang, Lirong Yan, Zhigang Ma, Ming Jiang, Weiwei Wang, Jie Chen, Yangtong Han, Xiaolei Guo and Hongtao Hu Tags: Research Source Type: research

Characteristics and perioperative complications of hip fracture in the elderly with acute ischemic stroke: a cross-sectional study
Patients with acute ischemic stroke (AIS) after hip fracture in the elderly have worse prognosis. We aimed to describe the characteristics and complications of hip fracture with AIS in the elderly.
Source: BMC Musculoskeletal Disorders - July 5, 2022 Category: Orthopaedics Authors: Yaqian Zhang, Mingming Fu, Junfei Guo, Yuqi Zhao, Zhiqian Wang and Zhiyong Hou Tags: Research Source Type: research

Imaging analysis of ischemic strokes due to blunt cerebrovascular injury
CONCLUSION With universal screening, CTA evidence of BCVI is common among blunt trauma patients. Although acute stroke is also relatively common in this population, two thirds of strokes are already evident on admission. One third of BCVI-related strokes occur after admission and often relatively early, necessitating rapid commencement of preventative treatment. Further studies are required to demonstrate the value of antithrombotic administration in preventing stroke in BCVI patients. LEVEL OF EVIDENCE Prognostic and Epidemiologic; Level IV.
Source: The Journal of Trauma: Injury, Infection, and Critical Care - June 1, 2022 Category: Orthopaedics Tags: 2020 AAST QUICK SHOT Source Type: research

Osteoporosis and the long-term risk of peripheral artery disease: a population-based longitudinal follow-up study in Taiwan
ConclusionThis study found an increased long-term risk of PAD in both men and women with osteoporosis.Mini abstractOsteoporosis has been associated with increased risks of atherosclerotic diseases. However, the relationship between osteoporosis and peripheral artery disease remains uncertain. The present population-based longitudinal follow-up study showed that patients with osteoporosis are at an increased risk of developing peripheral artery disease.
Source: Osteoporosis International - January 12, 2022 Category: Orthopaedics Source Type: research

Early and ultra-early surgical decompression for acute spinal cord injury: bracing for the winds of change
ConclusionThis is a call for hospital systems to swiftly restructure spinal services in order to meet the need for early, and possibly ultra-early, spinal decompression in aSCI cases in the near future.
Source: European Spine Journal - October 18, 2021 Category: Orthopaedics Source Type: research

Antithrombotic choice in blunt cerebrovascular injuries: Experience at a tertiary trauma center, systematic review, and meta-analysis
BACKGROUND Blunt cerebrovascular injuries (BCVIs) may occur following trauma and lead to ischemic stroke if untreated. Antithrombotic therapy decreases this risk; however, the optimal agent has yet to be determined in this population. The aim of this study was to compare the risk-benefit profile of antiplatelet (AP) versus anticoagulant (AC) therapy in rates of ischemic stroke and hemorrhagic complications in BCVI patients. METHODS We performed a retrospective review of BCVI patients at our tertiary care Trauma hospital from 2010 to 2015, and a systematic review and meta-analysis of the literature. The OVID Medl...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - June 29, 2021 Category: Orthopaedics Tags: REVIEW ARTICLE Source Type: research

Osteoarthritis and incidence of stroke and transient ischemic attack in 320,136 adults followed in general practices in the United Kingdom
Publication date: Available online 6 November 2020Source: Joint Bone SpineAuthor(s): Louis Jacob, Christian Tanislav, Karel Kostev
Source: Joint Bone Spine - November 8, 2020 Category: Orthopaedics Source Type: research

Risk of Incident Atrial Fibrillation With Zoledronic Acid Versus Denosumab: A Propensity Score –Matched Cohort Study
ABSTRACTZoledronic acid (ZA) is an effective agent in osteoporosis and malignancy ‐related bone disease but may be associated with increased risk of atrial fibrillation (AF), although current studies disagree on this risk. To examine the risk of incident AF among patients receiving ZA compared with denosumab in the first year of treatment, we performed a new‐user, active comp arator cohort study including privately insured Americans between January 1, 2010, and June 30, 2019. Individuals aged ≥50 years without known arrhythmia or advanced kidney disease who initiated ZA were 1:1 propensity score (PS)‐matched to i...
Source: Journal of Bone and Mineral Research - November 2, 2020 Category: Orthopaedics Authors: Kristin M D'Silva, Sara Jane Cromer, Elaine W Yu, Michael Fischer, Seoyoung C Kim Tags: Original Article Source Type: research