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Scedosporium apiospermum infection of the lumbar vertebrae:A case report

World Journal of Clinical Cases 2022年第10期10卷 3251-3260页

作者： Xue-Wen Shi Sheng-Tang Li Jin-Peng Lou Bo Xu Jian Wang Xin Wang Hua Liu Song-Kai Li Ping Zhen Tao Zhang Orthopaedic Centers The 940^(th) Hospital of Joint Logistics Support Force of Chinese People’s Liberation ArmyLanzhou 730050Gansu ProvinceChina Orthopaedic Centers The Clinical Medical College of Ningxia Medical UniversityYinchuan 750000Ningxia Hui Autonomous RegionChina Orthopaedic Centers The Second Clinical Medical College of Lanzhou UniversityLanzhou 730000Gansu ProvinceChina Orthopaedic Centers The Clinical Medical College of Gansu University of Traditional Chinese MedicineLanzhou 730000Gansu ProvinceChina

BACKGROUND Scedosporium apiospermum(***)is a clinically rare and aggressive fungus mainly found in contaminated water,wetlands,decaying plants,stagnant water,and potted plants in *** lung,bone,joint,eye,brain,skin,and other sites are easily infected,and there is a marked risk of *** have been few case reports of infection by *** of the lumbar vertebrae;most reports have focused on infection of the *** SUMMARY An otherwise healthy 60-year-old man presented with a 4-mo history of lumbosacral pain,stooping,and limited *** symptoms were significantly aggravated 10 d prior to hospitalization,and radiating pain in the back of his left lower leg developed,which was so severe that he could not *** of the lumbar spine was significantly limited,anterior flexion was about 30°;backward extension,right and left lateral curvature,and rotational mobility were about 10°;tenderness of the spinous processes of the lumbar 3-5 vertebrae was evident,and the muscle strength of both lower limbs was gradeⅣ.Imaging suggested bony destruction of the lumbar 3,4,and 5 vertebrae and sacral 1 vertebra;in addition,the corresponding intervertebral spaces were narrowed and the lumbar 5 vertebra was posteriorly displaced and *** vertebral infection was also noted,and the possibility of lumbar tuberculosis was *** first performed surgical intervention on the lesioned lumbar vertebrae,cleared the infected lesion,and performed stable fixation of the lesioned vertebral body using a lumbar internal fixation device,which restored the stability of the lumbar *** and pathological examination of the lesioned tissue removed during surgery confirmed *** infection of the lumbar vertebrae;on this basis,the patient was administered *** the 6-mo followup,efficacy was significant,no drug-related side effects were observed,and imaging examination showed no evidence of ***

关键词： Scedosporium apiospermum lumbar vertebrae Fungal infection Treatment Voriconazole Case report

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Research progresses of artificial intelligence in MRI of lumbar degenerative diseases

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中国医学影像技术 2024年第8期40卷 1266-1269页

作者： ZHANG Dongxiao ZHANG Bangke YE Yufei LU Xuhua College of Health Sciences and Engineering University of Shanghai for Science and TechnologyShanghai 200093China Department of Orthopaedics Second Affiliated Hospital of Naval Medical UniversityShanghai 200003China

The incidence of lumbar degenerative diseases is increasing year by year,and MRI is often used in clinical *** recent years,artificial intelligence(AI)has rapidly developed in medical field and can be used for image segmentation and auxiliary diagnosis of lumbar degenerative *** research progresses of AI in MRI of lumbar degenerative diseases were reviewed in this article.

关键词： lumbar vertebrae magnetic resonance imaging deep learning

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Cement vertebroplasty combined with ethanol injection in the treatment of vertebral hemangioma

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Chinese Medical Journal 2007年第13期120卷 1136-1139页

作者： CHEN Liang ZHANG Chun-lin TANG Tian-si Department of Orthopaedic Surgery First Affiliated Hospital of Suzhou University Suzhou 215006 China

Background A number of methods have been used in the treatment of symptomatic and aggressive vertebral hemangioma, but none of them is optimal. Vertebral hemangioma treated with cement vertebroplasty or ethanol injection alone showed relatively good results despite their limitations. Methods Between February 2002 and May 2004, twelve patients with vertebral hemangioma were subjected to combined cement vertebroplasty and ethanol injection, five of them were men and seven women, and aged from 26 to 54 years （mean, 41 years）. The following levels of the spine were involved： T9： 1, T10： 3, T12： 2, L1： 1, L2： 2, L3：2 and L4：1 The clinical results and radiographic records of the patients were assessed after 2 years and 5 months of follow-up. Results The average score of back pain significantly decreased from 6.5 before operation to 1.7 one month after operation. No severe complications occurred during and after operation. During the period of follow-up, symptoms were not deteriorated. At the end of follow-up, neither radiographic sign of aggressive destruction nor collapse of the involved vertebra was observed. Significant improvement in the 12 patients was demonstrated on 7 of 8 SF-36 Health Scale except for mental health. Conclusions Cement vertebroplasty combined with ethanol injection as a safe and effective technique is an alternative to the treatment of patients with vertebral hemangioma.

关键词： lumbar vertebrae hemangioma vertebroplasty ethanol bone cements

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Techniques and applications of endoscopic spine *** Ⅰ:overview of current techniques

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中国骨与关节杂志 2013年第4期2卷 232-236页

作者： Kai-Xuan Liu Atlantic Spine Center

Background Spinal pain is a serious health and social-economic *** spine surgery as a treatment option for spinal pain has gained tremendous attention and growth in the past 2 decades,and a variety of endoscopic techniques have been invented to treat a wide range of spinal *** The purposes of this 2-part review article are to 1) overview the published techniques of endoscopic spine surgery,2) summarize the applications of these techniques in treating various spinal conditions,and 3) evaluate the clinical evidence of the safety and effectiveness of these endoscopic techniques in treating some of the most common spinal *** first part of the review article provides an overview of currently most commonly used *** We searched the PubMed database for publications concerning endoscopic spine surgery and reviewed the relevant articles published in the English *** Discectomy and foraminotomy are the most common types of spine surgery that can currently be done *** techniques have been used to treat a wide range of spinal disorders located in the lumbar,cervical,as well as the thoracic regions of the spine.

关键词： Intervertebral disk displacement lumbar vertebrae Surgical procedure,minimally invasive Intervetebral disc degeneration Diskectomy,percutaneous Endoscopes

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A Zen cushion for better sitting posture 17th

A Zen cushion for better sitting posture

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第十七届国际工效学大会暨中国人类工效学会成立20周年庆...

作者： Keiko ISHIHARA Kazuo DAKE Shigekazu ISHIHARA Faculty of Psychological Science Hiroshima International University

A Zen cushion was developed to improve the sitting posture on *** cushion is cut 25° toward the leg and is used on the seat of an ordinary *** lets users straighten their backs and support their weight on their feet on the *** mapping of a user’s lower body showed that the cushion distributed the user’s *** load at the lower back lumbar spine at the fourth and fifth lumbar vertebrae(L4/L5) was simulated for 28 participants using a body mechanics *** simulated load when using the cushion compared to not using the cushion for all participants was an average of 93.8%.

关键词： Leg lumbar vertebrae seat cushions Sitting Position

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