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Your search keyword '"Romero Rangel, José Alberto Israel"' showing total 2 results
Start Over Author "Romero Rangel, José Alberto Israel" Topic postoperative complications
2 results on '"Romero Rangel, José Alberto Israel"'

1. Segmental T12 Vertebral Artery Injury Treated by Endovascular Coil Placement after Kyphoplasty for Symptomatic Spinal Angioma. Case Report of a Minimal Invasive Solution for a Complication of a Minimally Invasive Spine Procedure.

Author

Soriano Sánchez JA, de Zavalía M, Soto García ME, Rodríguez García M, Soriano Solís S, Castañeda Gaxiola R, Guerrero Hernández M, Flores Soria ER, and Romero Rangel JAI

Subjects
Aged, Blood Vessel Prosthesis, Humans, Male, Minimally Invasive Surgical Procedures methods, Postoperative Complications etiology, Vertebral Artery surgery, Endovascular Procedures methods, Hemangioma surgery, Kyphoplasty adverse effects, Postoperative Complications surgery, Spinal Neoplasms surgery, Vertebral Artery injuries
Abstract

Background: Vertebral angioma is a tumor defined as an abnormality of vascular tissue development. It usually has an asymptomatic behavior, being present in 10%-12% of autopsies and imaging studies., Case Description: A 70-year-old man consulted because of a long history of low back pain. Imaging studies were compatible with vertebral angioma at T12; we decided to perform a minimally invasive surgical procedure, such as kyphoplasty. During surgery, there was a sharp decrease in pulmonary saturation, and the patient underwent a computed tomography scan evaluation confirming a left hemothorax due to segmental branch vascular injury at T12. Given the patient's poor medical condition and the complexity of an emergent open procedure in the thoracic spine, we decided to undertake a minimally invasive endovascular coil placement to repair the vascular injury. Due to a favorable outcome, we discharged the patient after 72 hours of surveillance., Conclusions: Even in the case of a complication to occur, we should always consider a minimally invasive solution to solve the problem because patients undergoing these procedures correspond to elderly patients with poor medical conditions or comorbidities., (Copyright © 2020 Elsevier Inc. All rights reserved.)

Published
2020
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2. Radiological diagnostic accuracy study comparing Lenke, Bridwell, BSF, and CT-HU fusion grading scales for minimally invasive lumbar interbody fusion spine surgery and its correlation to clinical outcome.

Author

Soriano Sánchez JA, Soriano Solís S, Soto García ME, Soriano Solís HA, Torres BYA, and Romero Rangel JAI

Subjects
Adult, Aged, Aged, 80 and over, Correlation of Data, Double-Blind Method, Female, Humans, Male, Middle Aged, Minimally Invasive Surgical Procedures methods, Observer Variation, Prospective Studies, Reproducibility of Results, Treatment Outcome, Postoperative Complications diagnostic imaging, Pseudarthrosis diagnostic imaging, Spinal Fusion methods, Spine diagnostic imaging, Spine surgery, Tomography, X-Ray Computed
Abstract

Prospective randomized double-blinded diagnostic accuracy study about radiological grading of fusion after minimally invasive lumbar interbody fusion procedures (MI-LIFP).To determinate the intra and the inter-observer correlation between different radiological lumbar interbody fusion grading scales (RLIFGS) in patients undergoing MI-LIFP and their correlation to clinical outcome.Besides technological improvements in medical diagnosis and the many existing RLIFGS, surgical exploration continues to be the gold-standard to assess fusion in patients with radiological pseudarthrosis, with little if any research on the relationship between RLIFGS and clinical outcome.We collected data from patients undergoing MI-LIFP procedures operated by a single surgeon from 2009 to 2017, which had follow-up and CT-scan control greater than 12 months, whose clinical registers specified lumbar and radicular visual analogue scale (L and R-VAS) and Oswestry Disability Index (ODI) score preoperatively and at the end of follow-up. Interbody fusion levels were coded for blinded evaluation by three different minimally invasive spine (MIS) surgeons, using Lenke, Bridwell, BSF (Brantigan, Steffe, Fraser), and CT-HU RLIFGS. We established fusion criteria, as described in their original papers. Another independent spine surgeon blindly evaluated successful clinical outcome (SCO), defined as a significant improvement in 2 of 3 of the following issues: L-VAS, R-VAS, or ODI score at follow-up; otherwise, rated as clinical pseudarthrosis. Radiological and clinical data was coded and statistically analyzed using Student T-Test, Pearson P-Test, and ANOVA with statistical package for the social sciences 21 by another blinded researcher, positive and negative predictive values were also calculated for each RLFGS.We found a significant clinical improvement with a moderate intra-observer correlation between scales and no inter-observer or clinical correlation, with no sub-group statistically significant differences.This paper represents the first study about the diagnostic accuracy of RLFGS, we concluded that their diagnostic accuracy is pretty low to determine fusion or pseudoarthrosis based on its low correlation to clinical outcome, we recommend surgeons rely on clinical findings to decide whether a patient has clinical fusion or pseudoarthrosis based on successful clinical outcome.

Published
2020
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