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J A Botsford

Publications and source records attributed to J A Botsford.

7 recordsLinked to original sources
PubMed1995

The role of radiology in percutaneous laser disc decompression.

Diagnostic imaging has always played a key role in the evaluation of patients with suspected lumbar disc herniation. With the development of percutaneous laser disc decompression (PLDD), radiology is now equally important in its treatment. All physicians involved with the PLDD candidate must be familiar with the imaging techniques unique to this procedure to ensure a successful outcome. The following review is based on the cumulative experience gained in performing over 200 PLDD procedures. It discusses the function of diagnostic radiology in all facets of PLDD including patient selection, intraoperative imaging, postoperative evaluation, and analysis of complications. Fundamental radiologic concepts that apply to PLDD are explained and protocols suggested to optimize results and avoid complications.

Diskectomy, Percutaneous↗
PubMed1995

The PLDD registry.

The rapid acceptance of minimally invasive surgery in the United States has largely occurred without statistical proof of its superiority over traditional methods. All players in the healthcare field now see the need for valid outcome studies supporting the efficacy of new treatment techniques. Percutaneous laser disc decompression (PLDD) will gain wide acceptance only if it is statistically shown to be a safe and effective alternative treatment of a lumbar disc herniation. To that end, a central PLDD registry has been developed and implemented into clinical practice at several centers. This article reviews healthcare trends that motivated the creation of this data repository and discusses the history of its development. The currently used PLDD evaluation form is outlined and its utility is discussed. Most importantly, preliminary PLDD results and complications based on the data received are presented and analyzed.

Diskectomy, Percutaneous↗
PubMed1994

Radiological considerations: patient selection for percutaneous laser disc decompression.

Percutaneous laser disc decompression (PLDD) is an effective method of treating the lumbar herniated nucleus pulposis (HNP) that is both contained by the annular/posterior longitudinal ligament (PLL) complex and connected to the parent disc of origin. Not all radiological studies have the same ability to diagnose this specific type of herniation and therefore are not equally useful in the preoperative evaluation of the PLDD candidate. Ninety PLDD treated patients were retrospectively reviewed to determine which of the four most commonly performed lumbar imaging exams, when abnormal, correlated with a successful outcome. Overall MacNab criteria improvement occurred in 73.3% of PLDD-treated patients. An abnormal CT discogram correlated with PLDD success in all patients treated (100%). An abnormal MRI, CT, or myelogram correlated with success in 75% or less of patients treated. The theoretical reasons for the superiority of CT discography are discussed and the diagnostic potential of all major lumbar imaging modalities is reviewed. A diagnostic decision scheme for the evaluation of the prospective PLDD patient is presented.

Adolescent↗
PubMed1993

Radiological considerations: percutaneous laser disc decompression.

Diagnostic radiology is an integral part of percutaneous laser disc decompression (PLDD). All physicians involved in PLDD patient selection and treatment must be familiar with the imaging techniques unique to this procedure to ensure a successful outcome. The following review is based on the cumulative experience gained in performing over 150 PLDD procedures. It discusses the function of diagnostic radiology in all facets of PLDD including patient selection, intraoperative imaging, postoperative evaluation, and analysis of complications. Fundamental radiologic concepts that apply to PLDD are explained and protocols suggested to optimize results and avoid complications.

Humans↗
PubMed1980

Colon carcinoma in a right inguinal hernia.

A patient had an ascending colon carcinoma in a right inguinal hernia sac, the first such instance to be reported. A second patient had a left colon carcinoma in a left inguinal hernia sac. Both patients had gastrointestinal symptoms and anemia which warranted a barium enema.

Adenocarcinoma↗
PubMedDate not supplied

Traumatic longitudinal atlanto-occipital distraction injuries in children.

Traumatic atlanto-occipital dislocation with survival is possible and, in fact may be relatively more common than once thought. The spectrum of neurologic manifestations is broader than previously described and does not necessarily end in death or tragic neurologic deficit. Radiographic diagnosis of this injury may be difficult, particularly in the longitudinal distraction-dislocation type. Although several methods have been proposed to evaluate the atlanto-occipital relationship, none of these is infallible in the recognition of distraction injury in children. Immobilization rather than skeletal traction provides sufficient immediate stabilization when the dislocation at the atlanto-occipital junction is of the longitudinal distraction type. Three cases are reported: in one, death occurred early; in the second, recovery was partial, but sudden death occurred 2 years later; the third child recovered fully.

Atlanto-Occipital Joint↗