e-neurospine.orgの競合サイトトップ10

ijssurgery.com

BackgroundPatients with obesity undergoing spine surgery are at increased risk for postoperative complications. Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are widely used for diabetes and weight management, but their perioperative impact in spine procedures is not well defined. This study evaluated whether long-term preoperative GLP-1 RA therapy is associated with improved postoperative outcomes after elective laminectomy in overweight adults.MethodsA retrospective cohort study was performed using the TriNetX research network across 72 US health systems. Overweight or obese adults undergoing elective cervical, thoracic, or lumbar laminectomy were divided into GLP-1 RA users (≥6 months of continuous preoperative therapy) and nonusers. Propensity score matching (1:1) was performed across 33 demographic and clinical variables. Outcomes assessed at 90 days and 1 year included sepsis, acute kidney injury, deep vein thrombosis, myocardial infarction, pneumonia, stroke, wound dehiscence, surgical site infection, postlaminectomy syndrome, and all-cause mortality.ResultsMatched cohorts included 5680 patients per group. GLP-1 RA therapy was associated with significantly lower odds of sepsis (OR 0.38 at 90 days; 0.52 at 1 year), deep vein thrombosis (0.26; 0.41), wound dehiscence (0.38; 0.47), surgical site infection (0.37; 0.43), and mortality (0.30; 0.48; all P < 0.001). Acute kidney injury showed a borderline reduction (OR 0.80; P = 0.046). No significant differences were observed for myocardial infarction, pneumonia, or stroke.ConclusionsLong-term preoperative GLP-1 RA therapy was associated with reduced postoperative infectious, thrombotic, and wound-related complications, as well as lower mortality, following elective laminectomy in overweight adults. These findings support the potential role of GLP-1 RA use in preoperative optimization strategies for high-risk surgical populations.Clinical RelevanceIdentifying modifiable risk factors is essential for improvin

jss.amegroups.org

Mid-term follow-up of far lateral microdiscectomy—surgical technique, outcomes and reoperation rates

krspine.org

Journal of Korean Society of Spine Surgery

nesps.org

northeastern society of plastic surgeons: the northeastern society provides a regional forum in which highly-qualified surgeons discuss surgical, educational, ethical, and other professional issues in the forefront of plastic and reconstructive surgery.

ejnpn.springeropen.com

Background Migraine is a common disorder in general population. Presence of white matter hyperintensities (WMHs) in brain MRI of migraine patients was not studied clearly. Detection of the prevalence of white matter hyperintensities in migraine patients determines its correlation with migraine severity, type and duration. Methods Cross sectional analytic study was conducted on migraine patients attending neurology clinic Suez Canal University Hospital. Sixty-five patients with migraine aged from 18 to 50 years were included. We excluded smokers and patients with hypertension, cardiac disease, diabetes mellitus, endocrine dysfunction, oncological and hematological diseases, infectious diseases, demyelinating disorders, and Alzheimer disease. Brain MRI and laboratory investigation was done for all patients. Results White matter hyperintensities were significant more frequent in migraine with aura than those without aura. According to MIGSEV scale, white matter hyperintensities were highly significantly more frequent in grade III severity than grades II and I. The number of white matter hyperintensities increases significantly with increase intensity of pain during attack. The number of white matter hyperintensities increases significantly with increase intensity of nausea, disability, tolerability during attack and age. Resistance to treatment also shows statistically significant difference in increase number of WMHs. Conclusions White matter hyperintensities are present in 43.1% of migraine patients. Age, presence of aura, nausea, disability during attack, resistance to treatment, and severity of headache and duration of migraine are considered a risk factor for development of white matter hyperintensities.

neurospinewi.com

trusted orthopedic spine surgery & pain management & rehabilitation serving the patients of appleton, oshkosh, north fond du lac and bellevue, wi. contact us at 920-882-8200 or visit us at 5320 w. michaels dr., appleton, wi 54913.

drbindu.com.au

Check out Frequently Asked Questions for Dr Bindu's practice.

jucm.com

Urgent Care News Web Exclusive Articles Clinical Articles Practice Management Articles Insights in Images Challenges An 80-Year-Old Man with Rh

polradiol.com

Purpose: Deep vein thrombosis (DVT) is a prevalent vascular condition that can lead to serious complications, including pulmonary embolism and post-thrombotic syndrome. Despite advances in endovascular therapies, the absence of a standardised method for evaluating venous recanalisation...

journals.cambridgemedia.com.au

The World Council of Enterostomal Therapists Journal is published quarterly for members in over 55 countries and is a major component of the WCET mission to ensure evidence-based specialised nursing care is available worldwide for all people with a need for ostomy, wound or continence care.