Stone Roed (feetlathe8)

The tectorial membrane has a more complex structure than has been described to date in standard anatomical texts. The existence of a layered and banded composition may have implications for understanding its function and for the clinical assessment of this structure. The tectorial membrane has a more complex structure than has been described to date in standard anatomical texts. The existence of a layered and banded composition may have implications for understanding its function and for the clinical assessment of this structure. No consensus about classification, treatment, and clinical relevance of occipital condyle fractures (OCFs) exists. The aim of the study was to determine radiological, clinical, and functional outcome of OCFs and thereby determine its clinical relevance. This was a retrospective analysis of a prospective follow-up study. From May 2005 to May 2008, all OCFs were included from a Level-1 trauma center. Patient files were reviewed for patient and fracture characteristics. Polyinosinic acid-polycytidylic acid Fracture classification was done according to the Anderson criteria. Clinical outcome was assessed by completing two questionnaires, radiological outcome by computed tomography imaging, and functional outcome by measuring active cervical range of motion using a Cybex EDI-320. A Fisher's exact Test was used in categorical variables and a one-sample -test for comparing means of active cervical range of motion in occipital fracture patients with normal values. An independent samples -test was carried out to compare the means of groups with and without accompanying cervical fractures for each motion. Thirty-nine patients were included (4 type I, 16 type II, and 19 type III). Twenty-seven patients completed follow-up, of whom 26 were treated conservatively. Fracture healing was established in 25 of 28 fractures at a median follow-up of 19 months. Eleven patients had none to minimal pain or disability at follow-up, 12 had mild, and two had moderate pain or disability on questionnaires. No statistically significant difference in active cervical range of motion was identified comparing means stratified for accompanying cervical fractures. Conservatively treated patients with an OCF generally show favorable radiological and clinical outcome. Conservatively treated patients with an OCF generally show favorable radiological and clinical outcome. This study aimed to identify complication trends of Chiari Malformation Type 1 patients (CM-1) for certain procedures and concomitant diagnoses on a national level. The Kids' Inpatient Database was queried for diagnoses of operative CM-1 by International Classification of Disease-9 codes (348.4). Differences in preoperative demographics and perioperative complication rates between patient cohorts were assessed using Pearson's Chi-squared test and -test when necessary. Binary logistic regression was utilized to find significant factors associated with complication rate. Certain surgical procedures were analyzed for their relationship with postoperative outcomes. Thirteen thousand eight hundred and twelve CM-1 patients were identified with 8.2% suffering from a complication. From 2003 to 2012, the rate of complications for CM-1 pts decreased significantly (9.6%-5.1%) along with surgical rate (33.3%-28.6%), despite the increase in CM-1 diagnosis (36.3%-42.3%; all < 0.05). CM-1 pts who had a compliche instrumented fusions were performed on >4 levels. 4 levels. Laminoplasty is a method of posterior cervical decompression which indirectly decompresses the spinal column. Unfortunately, many patients undergoing laminoplasty develops postoperative loss of cervical lordosis (LCL) or kyphotic alignment of cervical spine even though they have sufficient preoperative lordosis which results in poor surgical outcome.