Outcomes of Research or Clinical Trials Activity Levels Acute Flaccid Paralysis Ageing Anaerobic Threshold Anaesthesia Assistive Technology Brain Cardiorespiratory Cardiovascular Clinical Evaluation Cold Intolerance Complementary Therapies Continence Coping Styles and Strategies Cultural Context Diagnosis and Management Differential Diagnosis Drugs Dysphagia Dysphonia Epidemiology Exercise Falls Fatigue Fractures Gender Differences Immune Response Inflammation Late Effects of Polio Muscle Strength Muscular Atrophy Orthoses Pain Polio Immunisation Post-Polio Motor Unit Psychology Quality of Life Renal Complications Respiratory Complications and Management Restless Legs Syndrome Sleep Analaysis Surgery Vitality Vocational Implications

Title order Author order Journal order Date order
Category: Anaesthesia

Title: Anesthetic considerations for patients with postpolio syndrome: a case report.
Author: Wheeler D
Affiliation: Little Rock Anesthesia Services, Little Rock, Arkansas, USA
Journal: NEW - PUT DETAILS IN CITATION FIELD
Citation: AANA J. 2011 Oct;79(5):408-10.
Publication Year and Month: 2011 10

Abstract: Postpolio syndrome is a disorder related to the recurrence of neuromuscular symptoms in survivors of paralytic poliomyelitis. A comprehensive understanding of the pathophysiology is necessary for the anesthesia provider to develop a safe anesthetic plan. This case report discusses the anesthetic challenges and considerations in patients with postpolio syndrome, focusing on the importance of careful pharmacologic dosing of opioids, and neuromuscular agents as well as perioperative and postoperative issues related to aspiration risks, cold intolerance, and positioning.

Conclusions:

Outcome of Research: More research required

Availability of Paper:

Comments (if any):

Link to Paper (if available): Click here to view Abstract


Category: Anaesthesia, Surgery

Title: Outcome of femoral fractures in poliomyelitis patients
Author: Yechiel N. Gellman, Amal Khoury, Meir Liebergall, Rami Mosheiff, Yoram A. Weil
Affiliation: Orthopedic Trauma ServiceHadassah Hebrew University HospitalJerusalemIsrael
Department of OrthopedicsHadassah Medical CenterJerusalemIsrael
Journal: NEW - PUT DETAILS IN CITATION FIELD
Citation: International Orthopaedics (SICOT) (2019)
Publication Year and Month: 2019

Abstract: Background and purpose
As patients who were afflicted with poliomyelitis during the outbreaks in the past are aging, lower extremity osteoporotic fractures are becoming more frequent. Fixation in deformed, porotic bone, coupled with muscle weakness and imbalance creates a unique challenge when treating these fractures as does their reduced rehabilitation potential. The aim of this study was to investigate the outcome of femoral fractures in surviving poliomyelitis patients.

Patients and methods
Sixty-five patients with 74 femoral fractures were treated between 1990 and 2014. Clinical outcome was assessed using the Parkland and Palmer mobility score, and quality-of-life was assessed using the SF-12® score.

Results
Some 84% of the fractures were a result of low-energy mechanisms and occurred in the polio-affected limbs, but nonaffected limbs were also injured owing to low-energy mechanisms in all cases. Fifty-seven fractures were treated operatively. There were nine re-operations (16%), including implant removals, nonunion, peri-implant fractures, and malunion. Some 60% of the patients did not regain their previous ambulatory capacity. Post-operative weight-bearing status did not correlate with the final functional outcome.

Conclusions: Conclusions
Polio patients with femoral fractures have a guarded prognosis for regaining their pre-injury ambulatory capacity. A higher re-operation rate than that with “normal” osteoporotic fractures is expected.

Outcome of Research: More research required

Availability of Paper:

Comments (if any):

Link to Paper (if available): Click here for preview


Category: Anaesthesia, Surgery

Title: Percutaneous Tracheostomy
Author: Al-Shathri Z, Susanto I
Affiliation: Division of Pulmonary, Critical Care Medicine, Allergy and Clinical Immunology, David Geffen School of Medicine at UCLA, Los Angeles, California.
Journal: NEW - PUT DETAILS IN CITATION FIELD
Citation: Seminars in Respiratory and Critical Care Medicine. 2018 Dec;39(6):720-730
Publication Year and Month: 2018

Abstract: Tracheostomy is a commonly performed surgical procedure in intensive care units (ICUs). Over the past three decades, there has been a substantial body of evidence to suggest percutaneous tracheostomy (PT) is at least as safe as surgical tracheostomy (ST) in the hands of trained clinicians. In most institutions, PT is more readily performed at bedside than ST in the ICU; hence, PT is an attractive alternative to ST in the ICU. Bedside PT generates significant cost savings by eliminating operating room and anesthesia charges. Bronchoscopy is commonly used as a visual aid during PT. Ultrasound (US)-guided PT is gaining popularity. It can be used as an adjunct or alternative to bronchoscopic-guided PT, especially in hospitals where access to bronchoscopy remains fairly limited and US is more widely available. There are many benefits in converting translaryngeal intubation to tracheostomy. It is widely accepted that tracheostomy is preferred if there is an anticipation of prolonged need for an artificial airway. The timing of this conversion from translaryngeal intubation to tracheostomy remains a subject of controversy. Limited data are available regarding the safety of PT on patients who are on dual antiplatelet therapy or active anticoagulation. Given the heterogeneity of PT techniques, adequate training and experience with the technique, coupled with careful planning are essential in minimizing any potential complication.

Conclusions:

Outcome of Research: More research required

Availability of Paper:

Comments (if any):

Link to Paper (if available): Click here for preview


Category: Anaesthesia, Surgery

Title: Radiographic and Clinical Outcomes of Surgical Correction of Poliomyelitis-Related Spinal Deformities: A Comparison Among Three Types of Pelvic Instrumentations
Author: Jie Li, Zongshan Hu, Changchun Tseng, Zhihui Zhao, Yiwen Yuan,Zezhang Zhu, Yong Qiu, Zhen Liu
Affiliation: Department of Spine Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China

Department of Orthopaedics and Traumatology, Chinese University of Hong Kong, Hong Kong, China

Department of Spine Surgery, Drum Tower Hospital Clinical College of Nanjing Medical University, Nanjing, China
Journal: NEW - PUT DETAILS IN CITATION FIELD
Citation: World Neurosurgery
Volume 122, February 2019, Pages e1111-e1119
Publication Year and Month: 2019 02

Abstract: Background
We compared the clinical and radiographic outcomes of corrective surgery in patients with poliomyelitis-related spinal deformity (PSD) using 3 types of pelvic fixation and investigated the incidence and risk factors for complications.

Methods
We reviewed the data from 42 patients with PSD who had undergone spinopelvic reconstruction at a single institution from 2000 to 2016. Of the 42 patients, 15 had been treated with the Galveston technique, 13 with iliac screw fixation, and 14 with S2-alar-iliac (S2AI) screw fixation. Demographic data, radiographic parameters, and complications were analyzed. Health-related quality of life was determined using Scoliosis Research Society (SRS) 22-item questionnaires and the Oswestry Disability Index scores.

Results
After surgery, the correction rate of the main curve was 51.7%, 57.8%, and 52.1% in the 3 groups, with significant improvement in regional kyphosis, coronal balance, and pelvic obliquity (PO) (P < 0.05). The correction of PO was similar among the 3 types of pelvic fixation; however, the patients treated with S2AI fixation required significantly less operative time (P < 0.05) and blood loss (P < 0.006). The overall complication rate was 40.5%, with a major complication rate of 23.8%. Age at surgery (P = 0.006) and grade >2 SRS-Schwab osteotomy (P = 0.036) were significant risk factors for complications. Significant improvement was found in the SRS-22 and Oswestry Disability Index scores at the final follow-up examination in the 3 groups.

Conclusions: Conclusions
The present study showed satisfactory correction of spinopelvic deformity for 42 patients with PSD. Compared with the Galveston technique and iliac screw fixation, the use of S2AI significantly decrease the operative time and estimated blood loss and obtained similar correction of PO. Patient age at surgery and grade >2 SRS-Schwab osteotomy were significant risk factors for complications.

Outcome of Research: More research required

Availability of Paper:

Comments (if any):

Link to Paper (if available): Click here to view full text or to download


There are currently 4 papers in this category.

Category: Anaesthesia, Surgery

Title: Percutaneous Tracheostomy
Author: Al-Shathri Z, Susanto I
Affiliation: Division of Pulmonary, Critical Care Medicine, Allergy and Clinical Immunology, David Geffen School of Medicine at UCLA, Los Angeles, California.
Journal: NEW - PUT DETAILS IN CITATION FIELD
Citation: Seminars in Respiratory and Critical Care Medicine. 2018 Dec;39(6):720-730
Publication Year and Month: 2018

Abstract: Tracheostomy is a commonly performed surgical procedure in intensive care units (ICUs). Over the past three decades, there has been a substantial body of evidence to suggest percutaneous tracheostomy (PT) is at least as safe as surgical tracheostomy (ST) in the hands of trained clinicians. In most institutions, PT is more readily performed at bedside than ST in the ICU; hence, PT is an attractive alternative to ST in the ICU. Bedside PT generates significant cost savings by eliminating operating room and anesthesia charges. Bronchoscopy is commonly used as a visual aid during PT. Ultrasound (US)-guided PT is gaining popularity. It can be used as an adjunct or alternative to bronchoscopic-guided PT, especially in hospitals where access to bronchoscopy remains fairly limited and US is more widely available. There are many benefits in converting translaryngeal intubation to tracheostomy. It is widely accepted that tracheostomy is preferred if there is an anticipation of prolonged need for an artificial airway. The timing of this conversion from translaryngeal intubation to tracheostomy remains a subject of controversy. Limited data are available regarding the safety of PT on patients who are on dual antiplatelet therapy or active anticoagulation. Given the heterogeneity of PT techniques, adequate training and experience with the technique, coupled with careful planning are essential in minimizing any potential complication.

Conclusions:

Outcome of Research: More research required

Availability of Paper:

Comments (if any):

Link to Paper (if available): Click here for preview


Category: Anaesthesia, Surgery

Title: Radiographic and Clinical Outcomes of Surgical Correction of Poliomyelitis-Related Spinal Deformities: A Comparison Among Three Types of Pelvic Instrumentations
Author: Jie Li, Zongshan Hu, Changchun Tseng, Zhihui Zhao, Yiwen Yuan,Zezhang Zhu, Yong Qiu, Zhen Liu
Affiliation: Department of Spine Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China

Department of Orthopaedics and Traumatology, Chinese University of Hong Kong, Hong Kong, China

Department of Spine Surgery, Drum Tower Hospital Clinical College of Nanjing Medical University, Nanjing, China
Journal: NEW - PUT DETAILS IN CITATION FIELD
Citation: World Neurosurgery
Volume 122, February 2019, Pages e1111-e1119
Publication Year and Month: 2019 02

Abstract: Background
We compared the clinical and radiographic outcomes of corrective surgery in patients with poliomyelitis-related spinal deformity (PSD) using 3 types of pelvic fixation and investigated the incidence and risk factors for complications.

Methods
We reviewed the data from 42 patients with PSD who had undergone spinopelvic reconstruction at a single institution from 2000 to 2016. Of the 42 patients, 15 had been treated with the Galveston technique, 13 with iliac screw fixation, and 14 with S2-alar-iliac (S2AI) screw fixation. Demographic data, radiographic parameters, and complications were analyzed. Health-related quality of life was determined using Scoliosis Research Society (SRS) 22-item questionnaires and the Oswestry Disability Index scores.

Results
After surgery, the correction rate of the main curve was 51.7%, 57.8%, and 52.1% in the 3 groups, with significant improvement in regional kyphosis, coronal balance, and pelvic obliquity (PO) (P < 0.05). The correction of PO was similar among the 3 types of pelvic fixation; however, the patients treated with S2AI fixation required significantly less operative time (P < 0.05) and blood loss (P < 0.006). The overall complication rate was 40.5%, with a major complication rate of 23.8%. Age at surgery (P = 0.006) and grade >2 SRS-Schwab osteotomy (P = 0.036) were significant risk factors for complications. Significant improvement was found in the SRS-22 and Oswestry Disability Index scores at the final follow-up examination in the 3 groups.

Conclusions: Conclusions
The present study showed satisfactory correction of spinopelvic deformity for 42 patients with PSD. Compared with the Galveston technique and iliac screw fixation, the use of S2AI significantly decrease the operative time and estimated blood loss and obtained similar correction of PO. Patient age at surgery and grade >2 SRS-Schwab osteotomy were significant risk factors for complications.

Outcome of Research: More research required

Availability of Paper:

Comments (if any):

Link to Paper (if available): Click here to view full text or to download


Category: Anaesthesia

Title: Anesthetic considerations for patients with postpolio syndrome: a case report.
Author: Wheeler D
Affiliation: Little Rock Anesthesia Services, Little Rock, Arkansas, USA
Journal: NEW - PUT DETAILS IN CITATION FIELD
Citation: AANA J. 2011 Oct;79(5):408-10.
Publication Year and Month: 2011 10

Abstract: Postpolio syndrome is a disorder related to the recurrence of neuromuscular symptoms in survivors of paralytic poliomyelitis. A comprehensive understanding of the pathophysiology is necessary for the anesthesia provider to develop a safe anesthetic plan. This case report discusses the anesthetic challenges and considerations in patients with postpolio syndrome, focusing on the importance of careful pharmacologic dosing of opioids, and neuromuscular agents as well as perioperative and postoperative issues related to aspiration risks, cold intolerance, and positioning.

Conclusions:

Outcome of Research: More research required

Availability of Paper:

Comments (if any):

Link to Paper (if available): Click here to view Abstract


Category: Anaesthesia, Surgery

Title: Outcome of femoral fractures in poliomyelitis patients
Author: Yechiel N. Gellman, Amal Khoury, Meir Liebergall, Rami Mosheiff, Yoram A. Weil
Affiliation: Orthopedic Trauma ServiceHadassah Hebrew University HospitalJerusalemIsrael
Department of OrthopedicsHadassah Medical CenterJerusalemIsrael
Journal: NEW - PUT DETAILS IN CITATION FIELD
Citation: International Orthopaedics (SICOT) (2019)
Publication Year and Month: 2019

Abstract: Background and purpose
As patients who were afflicted with poliomyelitis during the outbreaks in the past are aging, lower extremity osteoporotic fractures are becoming more frequent. Fixation in deformed, porotic bone, coupled with muscle weakness and imbalance creates a unique challenge when treating these fractures as does their reduced rehabilitation potential. The aim of this study was to investigate the outcome of femoral fractures in surviving poliomyelitis patients.

Patients and methods
Sixty-five patients with 74 femoral fractures were treated between 1990 and 2014. Clinical outcome was assessed using the Parkland and Palmer mobility score, and quality-of-life was assessed using the SF-12® score.

Results
Some 84% of the fractures were a result of low-energy mechanisms and occurred in the polio-affected limbs, but nonaffected limbs were also injured owing to low-energy mechanisms in all cases. Fifty-seven fractures were treated operatively. There were nine re-operations (16%), including implant removals, nonunion, peri-implant fractures, and malunion. Some 60% of the patients did not regain their previous ambulatory capacity. Post-operative weight-bearing status did not correlate with the final functional outcome.

Conclusions: Conclusions
Polio patients with femoral fractures have a guarded prognosis for regaining their pre-injury ambulatory capacity. A higher re-operation rate than that with “normal” osteoporotic fractures is expected.

Outcome of Research: More research required

Availability of Paper:

Comments (if any):

Link to Paper (if available): Click here for preview


There are currently 4 papers in this category.

Category: Anaesthesia

Title: Anesthetic considerations for patients with postpolio syndrome: a case report.
Author: Wheeler D
Affiliation: Little Rock Anesthesia Services, Little Rock, Arkansas, USA
Journal: NEW - PUT DETAILS IN CITATION FIELD
Citation: AANA J. 2011 Oct;79(5):408-10.
Publication Year and Month: 2011 10

Abstract: Postpolio syndrome is a disorder related to the recurrence of neuromuscular symptoms in survivors of paralytic poliomyelitis. A comprehensive understanding of the pathophysiology is necessary for the anesthesia provider to develop a safe anesthetic plan. This case report discusses the anesthetic challenges and considerations in patients with postpolio syndrome, focusing on the importance of careful pharmacologic dosing of opioids, and neuromuscular agents as well as perioperative and postoperative issues related to aspiration risks, cold intolerance, and positioning.

Conclusions:

Outcome of Research: More research required

Availability of Paper:

Comments (if any):

Link to Paper (if available): Click here to view Abstract


Category: Anaesthesia, Surgery

Title: Radiographic and Clinical Outcomes of Surgical Correction of Poliomyelitis-Related Spinal Deformities: A Comparison Among Three Types of Pelvic Instrumentations
Author: Jie Li, Zongshan Hu, Changchun Tseng, Zhihui Zhao, Yiwen Yuan,Zezhang Zhu, Yong Qiu, Zhen Liu
Affiliation: Department of Spine Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China

Department of Orthopaedics and Traumatology, Chinese University of Hong Kong, Hong Kong, China

Department of Spine Surgery, Drum Tower Hospital Clinical College of Nanjing Medical University, Nanjing, China
Journal: NEW - PUT DETAILS IN CITATION FIELD
Citation: World Neurosurgery
Volume 122, February 2019, Pages e1111-e1119
Publication Year and Month: 2019 02

Abstract: Background
We compared the clinical and radiographic outcomes of corrective surgery in patients with poliomyelitis-related spinal deformity (PSD) using 3 types of pelvic fixation and investigated the incidence and risk factors for complications.

Methods
We reviewed the data from 42 patients with PSD who had undergone spinopelvic reconstruction at a single institution from 2000 to 2016. Of the 42 patients, 15 had been treated with the Galveston technique, 13 with iliac screw fixation, and 14 with S2-alar-iliac (S2AI) screw fixation. Demographic data, radiographic parameters, and complications were analyzed. Health-related quality of life was determined using Scoliosis Research Society (SRS) 22-item questionnaires and the Oswestry Disability Index scores.

Results
After surgery, the correction rate of the main curve was 51.7%, 57.8%, and 52.1% in the 3 groups, with significant improvement in regional kyphosis, coronal balance, and pelvic obliquity (PO) (P < 0.05). The correction of PO was similar among the 3 types of pelvic fixation; however, the patients treated with S2AI fixation required significantly less operative time (P < 0.05) and blood loss (P < 0.006). The overall complication rate was 40.5%, with a major complication rate of 23.8%. Age at surgery (P = 0.006) and grade >2 SRS-Schwab osteotomy (P = 0.036) were significant risk factors for complications. Significant improvement was found in the SRS-22 and Oswestry Disability Index scores at the final follow-up examination in the 3 groups.

Conclusions: Conclusions
The present study showed satisfactory correction of spinopelvic deformity for 42 patients with PSD. Compared with the Galveston technique and iliac screw fixation, the use of S2AI significantly decrease the operative time and estimated blood loss and obtained similar correction of PO. Patient age at surgery and grade >2 SRS-Schwab osteotomy were significant risk factors for complications.

Outcome of Research: More research required

Availability of Paper:

Comments (if any):

Link to Paper (if available): Click here to view full text or to download


Category: Anaesthesia, Surgery

Title: Outcome of femoral fractures in poliomyelitis patients
Author: Yechiel N. Gellman, Amal Khoury, Meir Liebergall, Rami Mosheiff, Yoram A. Weil
Affiliation: Orthopedic Trauma ServiceHadassah Hebrew University HospitalJerusalemIsrael
Department of OrthopedicsHadassah Medical CenterJerusalemIsrael
Journal: NEW - PUT DETAILS IN CITATION FIELD
Citation: International Orthopaedics (SICOT) (2019)
Publication Year and Month: 2019

Abstract: Background and purpose
As patients who were afflicted with poliomyelitis during the outbreaks in the past are aging, lower extremity osteoporotic fractures are becoming more frequent. Fixation in deformed, porotic bone, coupled with muscle weakness and imbalance creates a unique challenge when treating these fractures as does their reduced rehabilitation potential. The aim of this study was to investigate the outcome of femoral fractures in surviving poliomyelitis patients.

Patients and methods
Sixty-five patients with 74 femoral fractures were treated between 1990 and 2014. Clinical outcome was assessed using the Parkland and Palmer mobility score, and quality-of-life was assessed using the SF-12® score.

Results
Some 84% of the fractures were a result of low-energy mechanisms and occurred in the polio-affected limbs, but nonaffected limbs were also injured owing to low-energy mechanisms in all cases. Fifty-seven fractures were treated operatively. There were nine re-operations (16%), including implant removals, nonunion, peri-implant fractures, and malunion. Some 60% of the patients did not regain their previous ambulatory capacity. Post-operative weight-bearing status did not correlate with the final functional outcome.

Conclusions: Conclusions
Polio patients with femoral fractures have a guarded prognosis for regaining their pre-injury ambulatory capacity. A higher re-operation rate than that with “normal” osteoporotic fractures is expected.

Outcome of Research: More research required

Availability of Paper:

Comments (if any):

Link to Paper (if available): Click here for preview


Category: Anaesthesia, Surgery

Title: Percutaneous Tracheostomy
Author: Al-Shathri Z, Susanto I
Affiliation: Division of Pulmonary, Critical Care Medicine, Allergy and Clinical Immunology, David Geffen School of Medicine at UCLA, Los Angeles, California.
Journal: NEW - PUT DETAILS IN CITATION FIELD
Citation: Seminars in Respiratory and Critical Care Medicine. 2018 Dec;39(6):720-730
Publication Year and Month: 2018

Abstract: Tracheostomy is a commonly performed surgical procedure in intensive care units (ICUs). Over the past three decades, there has been a substantial body of evidence to suggest percutaneous tracheostomy (PT) is at least as safe as surgical tracheostomy (ST) in the hands of trained clinicians. In most institutions, PT is more readily performed at bedside than ST in the ICU; hence, PT is an attractive alternative to ST in the ICU. Bedside PT generates significant cost savings by eliminating operating room and anesthesia charges. Bronchoscopy is commonly used as a visual aid during PT. Ultrasound (US)-guided PT is gaining popularity. It can be used as an adjunct or alternative to bronchoscopic-guided PT, especially in hospitals where access to bronchoscopy remains fairly limited and US is more widely available. There are many benefits in converting translaryngeal intubation to tracheostomy. It is widely accepted that tracheostomy is preferred if there is an anticipation of prolonged need for an artificial airway. The timing of this conversion from translaryngeal intubation to tracheostomy remains a subject of controversy. Limited data are available regarding the safety of PT on patients who are on dual antiplatelet therapy or active anticoagulation. Given the heterogeneity of PT techniques, adequate training and experience with the technique, coupled with careful planning are essential in minimizing any potential complication.

Conclusions:

Outcome of Research: More research required

Availability of Paper:

Comments (if any):

Link to Paper (if available): Click here for preview


There are currently 4 papers in this category.

Category: Anaesthesia, Surgery

Title: Radiographic and Clinical Outcomes of Surgical Correction of Poliomyelitis-Related Spinal Deformities: A Comparison Among Three Types of Pelvic Instrumentations
Author: Jie Li, Zongshan Hu, Changchun Tseng, Zhihui Zhao, Yiwen Yuan,Zezhang Zhu, Yong Qiu, Zhen Liu
Affiliation: Department of Spine Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China

Department of Orthopaedics and Traumatology, Chinese University of Hong Kong, Hong Kong, China

Department of Spine Surgery, Drum Tower Hospital Clinical College of Nanjing Medical University, Nanjing, China
Journal: NEW - PUT DETAILS IN CITATION FIELD
Citation: World Neurosurgery
Volume 122, February 2019, Pages e1111-e1119
Publication Year and Month: 2019 02

Abstract: Background
We compared the clinical and radiographic outcomes of corrective surgery in patients with poliomyelitis-related spinal deformity (PSD) using 3 types of pelvic fixation and investigated the incidence and risk factors for complications.

Methods
We reviewed the data from 42 patients with PSD who had undergone spinopelvic reconstruction at a single institution from 2000 to 2016. Of the 42 patients, 15 had been treated with the Galveston technique, 13 with iliac screw fixation, and 14 with S2-alar-iliac (S2AI) screw fixation. Demographic data, radiographic parameters, and complications were analyzed. Health-related quality of life was determined using Scoliosis Research Society (SRS) 22-item questionnaires and the Oswestry Disability Index scores.

Results
After surgery, the correction rate of the main curve was 51.7%, 57.8%, and 52.1% in the 3 groups, with significant improvement in regional kyphosis, coronal balance, and pelvic obliquity (PO) (P < 0.05). The correction of PO was similar among the 3 types of pelvic fixation; however, the patients treated with S2AI fixation required significantly less operative time (P < 0.05) and blood loss (P < 0.006). The overall complication rate was 40.5%, with a major complication rate of 23.8%. Age at surgery (P = 0.006) and grade >2 SRS-Schwab osteotomy (P = 0.036) were significant risk factors for complications. Significant improvement was found in the SRS-22 and Oswestry Disability Index scores at the final follow-up examination in the 3 groups.

Conclusions: Conclusions
The present study showed satisfactory correction of spinopelvic deformity for 42 patients with PSD. Compared with the Galveston technique and iliac screw fixation, the use of S2AI significantly decrease the operative time and estimated blood loss and obtained similar correction of PO. Patient age at surgery and grade >2 SRS-Schwab osteotomy were significant risk factors for complications.

Outcome of Research: More research required

Availability of Paper:

Comments (if any):

Link to Paper (if available): Click here to view full text or to download


Category: Anaesthesia, Surgery

Title: Outcome of femoral fractures in poliomyelitis patients
Author: Yechiel N. Gellman, Amal Khoury, Meir Liebergall, Rami Mosheiff, Yoram A. Weil
Affiliation: Orthopedic Trauma ServiceHadassah Hebrew University HospitalJerusalemIsrael
Department of OrthopedicsHadassah Medical CenterJerusalemIsrael
Journal: NEW - PUT DETAILS IN CITATION FIELD
Citation: International Orthopaedics (SICOT) (2019)
Publication Year and Month: 2019

Abstract: Background and purpose
As patients who were afflicted with poliomyelitis during the outbreaks in the past are aging, lower extremity osteoporotic fractures are becoming more frequent. Fixation in deformed, porotic bone, coupled with muscle weakness and imbalance creates a unique challenge when treating these fractures as does their reduced rehabilitation potential. The aim of this study was to investigate the outcome of femoral fractures in surviving poliomyelitis patients.

Patients and methods
Sixty-five patients with 74 femoral fractures were treated between 1990 and 2014. Clinical outcome was assessed using the Parkland and Palmer mobility score, and quality-of-life was assessed using the SF-12® score.

Results
Some 84% of the fractures were a result of low-energy mechanisms and occurred in the polio-affected limbs, but nonaffected limbs were also injured owing to low-energy mechanisms in all cases. Fifty-seven fractures were treated operatively. There were nine re-operations (16%), including implant removals, nonunion, peri-implant fractures, and malunion. Some 60% of the patients did not regain their previous ambulatory capacity. Post-operative weight-bearing status did not correlate with the final functional outcome.

Conclusions: Conclusions
Polio patients with femoral fractures have a guarded prognosis for regaining their pre-injury ambulatory capacity. A higher re-operation rate than that with “normal” osteoporotic fractures is expected.

Outcome of Research: More research required

Availability of Paper:

Comments (if any):

Link to Paper (if available): Click here for preview


Category: Anaesthesia, Surgery

Title: Percutaneous Tracheostomy
Author: Al-Shathri Z, Susanto I
Affiliation: Division of Pulmonary, Critical Care Medicine, Allergy and Clinical Immunology, David Geffen School of Medicine at UCLA, Los Angeles, California.
Journal: NEW - PUT DETAILS IN CITATION FIELD
Citation: Seminars in Respiratory and Critical Care Medicine. 2018 Dec;39(6):720-730
Publication Year and Month: 2018

Abstract: Tracheostomy is a commonly performed surgical procedure in intensive care units (ICUs). Over the past three decades, there has been a substantial body of evidence to suggest percutaneous tracheostomy (PT) is at least as safe as surgical tracheostomy (ST) in the hands of trained clinicians. In most institutions, PT is more readily performed at bedside than ST in the ICU; hence, PT is an attractive alternative to ST in the ICU. Bedside PT generates significant cost savings by eliminating operating room and anesthesia charges. Bronchoscopy is commonly used as a visual aid during PT. Ultrasound (US)-guided PT is gaining popularity. It can be used as an adjunct or alternative to bronchoscopic-guided PT, especially in hospitals where access to bronchoscopy remains fairly limited and US is more widely available. There are many benefits in converting translaryngeal intubation to tracheostomy. It is widely accepted that tracheostomy is preferred if there is an anticipation of prolonged need for an artificial airway. The timing of this conversion from translaryngeal intubation to tracheostomy remains a subject of controversy. Limited data are available regarding the safety of PT on patients who are on dual antiplatelet therapy or active anticoagulation. Given the heterogeneity of PT techniques, adequate training and experience with the technique, coupled with careful planning are essential in minimizing any potential complication.

Conclusions:

Outcome of Research: More research required

Availability of Paper:

Comments (if any):

Link to Paper (if available): Click here for preview


Category: Anaesthesia

Title: Anesthetic considerations for patients with postpolio syndrome: a case report.
Author: Wheeler D
Affiliation: Little Rock Anesthesia Services, Little Rock, Arkansas, USA
Journal: NEW - PUT DETAILS IN CITATION FIELD
Citation: AANA J. 2011 Oct;79(5):408-10.
Publication Year and Month: 2011 10

Abstract: Postpolio syndrome is a disorder related to the recurrence of neuromuscular symptoms in survivors of paralytic poliomyelitis. A comprehensive understanding of the pathophysiology is necessary for the anesthesia provider to develop a safe anesthetic plan. This case report discusses the anesthetic challenges and considerations in patients with postpolio syndrome, focusing on the importance of careful pharmacologic dosing of opioids, and neuromuscular agents as well as perioperative and postoperative issues related to aspiration risks, cold intolerance, and positioning.

Conclusions:

Outcome of Research: More research required

Availability of Paper:

Comments (if any):

Link to Paper (if available): Click here to view Abstract


There are currently 4 papers in this category.

Outcomes of Research or Clinical Trials Activity Levels Acute Flaccid Paralysis Ageing Anaerobic Threshold Anaesthesia Assistive Technology Brain Cardiorespiratory Cardiovascular Clinical Evaluation Cold Intolerance Complementary Therapies Continence Coping Styles and Strategies Cultural Context Diagnosis and Management Differential Diagnosis Drugs Dysphagia Dysphonia Epidemiology Exercise Falls Fatigue Fractures Gender Differences Immune Response Inflammation Late Effects of Polio Muscle Strength Muscular Atrophy Orthoses Pain Polio Immunisation Post-Polio Motor Unit Psychology Quality of Life Renal Complications Respiratory Complications and Management Restless Legs Syndrome Sleep Analaysis Surgery Vitality Vocational Implications