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Biomedical subjects

S Caserta

Publications and source records attributed to S Caserta.

At least 19 recordsLinked to original sources
PubMed2003

Prevention of venous thromboembolism in spinal surgery.

Deep vein thrombosis (DVT), and its most feared complication, pulmonary embolism (PE), still have a high incidence with high risk for patients' health. Proven prophylactic measures are available but are generally underused, and DVT is still considered the most common cause of preventable death among hospitalized patients. The rationale for prophylaxis of venous thromboembolism is based on the clinically silent nature of the disease, the relatively high prevalence among hospitalized patients and the potentially tragic consequences of a missed diagnosis. During the last 15-20 years, spine surgery has changed radically, developing into a well-defined area of specialist surgery, and some attention is now being given to DVT events in spine surgery. The incidence of DVT during spine surgery is not documented in the literature, because only case reports or retrospective studies are reported. It would therefore be very helpful to initiate a multicenter study in order to understand this problem better and to develop, if possible, some guidelines on prophylactic measures in spine surgery. In doing so, we need to consider each patient's pattern, any risk factors and every kind of surgical technique related to DVT, in order to improve the outcome of the patient and to reduce any medicolegal problems that could arise from a thrombotic complication or an epidural hematoma, with its high potential for irreversible consequences.

Humans↗
PubMed2002

Elastic stabilization alone or combined with rigid fusion in spinal surgery: a biomechanical study and clinical experience based on 82 cases.

The authors report their experience with the treatment of lumbar instability by a kind of spine stabilization. The elastic stabilization, which follows a new philosophy, is obtained by an interspinous device, and should be used alone in degenerative disc disease, recurrent disc herniation and in very low grade instability, or in association with rigid fusion for the prevention of pathology of the border area. In collaboration with bioengineers, we carried out an experimental study on a lumbar spine model in order to calculate stresses and deformations of lumbar disc during simulation of motion, in physiological conditions and when elastic stabilization is combined with rigid fusion. Results suggest that elastic stabilization reduces stresses on the adjacent disc up to 28 degrees of flexion. Based on this preliminary result, we began to use elastic stabilization alone or combined with fusion in 1994. To date, we have performed 82 surgical procedures, 57 using stabilization alone and 25 combined with fusion, in patients affected by degenerative disc disease, disc herniation, recurrence of disc herniation or other pathologies. Clinical results are satisfactory, especially in the group of patients affected by recurrent disc herniation, in whom the elastic device was used alone.

Adult↗
PubMed1986

[Kinesitherapy in lumbago].

Since most back pain syndromes are due to excessive and long-lasting incorrect postures, we think that such illness may benefit from kinesiotherapy. There must be considered 2 types of back pain: disc pain and static pain. We advise to patients various self control techniques and muscle potentiating gymnastics. Besides these techniques, other adjuvant therapies may be prescribed.

Back Pain↗
PubMed1986

[Considerations on various spinal pains].

Any nerve root irritation from about T6 to L1 is able to carry about parietal and visceral pain in the abdomen, owing to the metameric distribution of the splanchnic and somatic afferent ways along the dorsal roots at all these levels. The cause of abdominal segmental neuralgia are numerous. Radicular abdominalgia is a syndrome of painful and paresthetic sensations, which involve both somatic and visceral components of one or more segments, according to the metameric law. In the osteo-arthrosis in the dorsal intervertebral joints is a most common cause of radicular syndromes simulating intra-abdominal surgical conditions.

Abdomen↗
PubMed1986

[Synovial osteochondromatosis].

The Authors have examined the clinical history, roentgenograms, differential diagnosis and treatment of synovial osteochondromatosis.

Chondroma↗
PubMed1985

[1 year of traumatologic activity in the Emergency Orthopedic Unit of the G. Pini Institute (statistical data)].

The Authors have considered one year's traumatological activity in the G. Pini Institute's S.T.U. by drawing some statistical results. The data refer to the traumas ambulatorium-treated and to all those which required hospitalization during 1979. The total of the traumas surveyed in 1979 is 33335 of which 1812 required urgent hospitalization (5.44%). Previous statistics show 6679 patients in 1961 and 3209 in 1956. We can realize how these figures have increased in a few years (and in this abstract the different kinds of traumas are also highlighted) without any adjustment to the existing structures and equipment which are completely insufficient.

Contusions↗
PubMed1984

[Osteochondritis dissecans of the elbow (presentation of 2 rare cases)].

The authors show two cases of dissecting osteochondritis of elbow, confirming the frequent absence of a clinical symptomatology in the initial stages of such disease and the benignancy of its course. From a careful study of the casuistries present in literature, what emerges is the rareness of this location, together with a prudent therapeutical trend with periodic clinical and radiographical checkings, reserving the surgical solution to the cases of articular free body with episodes of block.

Adolescent↗
PubMed1984

[Arthrography of the operated meniscus].

The authors performed 20 double contrast arthrographits in syntomatic patients after meniscectomy. The results demonstrate that the lesions occur more frequently in partially excised menisc compared with totally existed ones. In some cases no meniscal regeneration has been found for menisci excised 2 to 4 years before.

Follow-Up Studies↗
PubMed1982

[Considerations on the surgical treatment of hallux valgus].

The authors, after showing a critical analysis of the most interesting operations for correction of valgus big toe in the history of orthopaedics, show the technique they followed, as well as the results obtained, in a specimen chosen among the patients treated with such method.

Adult↗
PubMed1982

[Anatomo-pathologic and therapeutic considerations on the Papineau method].

The authors study the treatment of bone infections through Papineau's technique, and emphasize the element they consider essential in the process restoring the loss of substance: the "bouton" according to the French School. On the basis of the experience deriving from the treatment of 22 patients, they subsequently point out the importance of local antibiotic therapy and, on the contrary, the inefficacy of the administration of antibiotics by general way, at least as far as the not strictly surgical period is concerned.

Administration, Topical↗
PubMed1980

[Septic arthritis of the knee in adults. Treatment with closed irrigation-drainage].

The Authors report their experiences in Redon tube closed washing-drainage treatment of secondary septic arthritis in adults. This technique, used at an early stage as an alternative to needle drainage, does not require plaster immobilisation and has allowed a good residual function to be obtained. In case of absence of response to the treatment, it is considered inadvisable to persist; in such case the surgical approach with "functional treatment", and with or without combined synovectomy, is recommended.

Anti-Bacterial Agents↗
PubMed1980

[Modified Villadot's operation in brain-damaged patients].

The Authors' purpose is to propose an operation, based on Viladot's, which will be technically simple and not involve any mutilation: it is performed in order to provide good support to children with valgus flat foot suffering from cerebral paralysis of spastic type or secondary to other neurological forms; it may however also be indicated in primitive valgus flat foot.

Adolescent↗
PubMed1980

[Bilateral congenital camptodactylia of the IF of the hallux. Presentation of case].

The Authors describe a bilateral congenital case of flexion and valgism of the IF of the hallux, since they are not mentioned in literature. On the basis of the operative examination it is thought that the etiopathogenesis may consist of a congenital retraction of the capsule, in plantar aspect, and of the collateral ligaments; they advise that surgical treatment should be carried out before the start of ambulation. The correction obtained proved stable over time.

Contracture↗