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Acute spinal subdural haematoma complicating a posterior spinal instrumented fusion for congenital scoliosis:A case report

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World Journal of Clinical Cases 2023年第20期11卷 4890-4896页

作者： Godefroy Michon du Marais Anne Tabard-Fougère romain dayer Division of Paediatric Orthopaedics and Traumatology Unit Geneva University Hospitals and Geneva UniversityGeneva 1205Switzerland Division of Paediatric Orthopaedics Geneva University Hospitals and Geneva UniversityGeneva 1205Switzerland

BACKGROUND Acute spinal subdural haematoma(ASSH)is a rare and potentially devastating condition with a variable *** described subdural haematomas were thought to have occurred spontaneously or be related to major or minor iatrogenic or traumatic injuries caused by surgery,spinal puncture or epidural *** contributing pathologies have been described,such as intradural tumours or spinal arteriovenous *** has also been associated with anticoagulation therapy,haemostatic abnormalities and risk factors such as *** the best of our knowledge,this case study described the first reported occurrence of an ASSH during spinal surgery in a paediatric *** patient was not known to have any coagulopathies,and no obvious vascular lesions were *** surgical procedure did not directly involve the dura mater,and no evident intraoperative dural tears were *** SUMMARY We reported and discussed a case of ASSH complicating a posterior spinal instrumented fusion during surgery for paediatric congenital *** condition has not been previously *** made recommendations for facing such an occurrence,explored its aetiology in the context of malformation and discussed the benefits of neuromonitoring during scoliosis correction and the management *** conducted a PubMed literature review for cases of paediatric ASSH and other closely related *** reviewed recommendations regarding neuromonitoring and treatment management in such *** ASSH is a rare complication of posterior spinal instrumented *** cases are more often associated with anticoagulation therapy or *** is strongly recommended to detect and assess neurological status,thus enabling rapid diagnosis and treatment and facilitating early spinal decompression and a return to a normal neurological status.

关键词： Acute spinal subdural haematoma Congenital malformation Paediatric Posterior spinal instrumented fusion Scoliosis Somatosensory evoked potential Case report

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Subacute osteomyelitis due to Staphylococcus caprae in a teenager:A case report and review of the literature

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World Journal of Clinical Cases 2023年第20期11卷 4897-4902页

作者： Oscar Vazquez Giacomo De Marco Nathaly Gavira Celine Habre Marcia Bartucz Christina N Steiger romain dayer Dimitri Ceroni Paediatric Orthopaedics Unit Geneva Children’s HospitalGeneva University HospitalsGeneva 1211Switzerland Paediatric Radiology Unit Geneva Children’s HospitalGeneva University HospitalsGeneva 1211Switzerland

BACKGROUND Staphylococcus caprae(***)is a human commensal bacterium which can be detected in the nose,nails,and *** can be responsible for heterogeneous infections such as bacteremia,endocarditis,pneumonia,acute otitis externa,peritonitis,and urinary tract *** and joint infections due to *** have also been reported,but most of them resulted from the infection of orthopedic devices,especially joint prostheses and internal osteosynthesis *** cases of primary osteoarticular infections caused by *** have been described,including osteitis,arthritis,or *** SUMMARY We report an unusual case of subacute osteomyelitis in a toe phalanx caused by *** in a 14.5-year-old *** Subacute *** osteomyelitis is a little-known and probably underestimated community-acquired infectious *** microorganism’s pathogenicity should be seen as more than a classic nosocomial orthopedic device infection.

关键词： Subacute Osteomyelitis Staphylococcus caprae Teenagers Case report

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