Current Research Status and Progress in Kümmell’s Disease
Issue:
Volume 8, Issue 5, October 2022
Pages:
71-74
Received:
31 August 2022
Accepted:
15 September 2022
Published:
27 September 2022
DOI:
10.11648/j.ejcbs.20220805.11
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Abstract: With the arrival of an aging society, the incidence of Kümmell’s disease (KD), one of the complications of osteoporotic vertebral compression fracture (OVCF), has gradually increased, because it easily leads to vertebral instability and causes intractable pain or neurological dysfunction, and the disability rate of the disease is high, placing a serious burden on society and families. Since Dr. Kümmell Hermann first reported Kümmell’s disease in 1895, more than 100 years later, the pathogenesis of this disease has not been elucidated, but many scholars generally believe that the presence of intravertebral vacuum cleft (IVC) sign on imaging is a specific sign of vertebral ischemic osteonecrosis and Kümmell’s disease should be highly suspected. About two-thirds of patients with Kümmell’s disease have no significant back pain symptoms in the early stages, resulting in patients rarely going to the hospital for relevant examinations. At the same time, trivial injuries are easily overlooked by patients, so it is difficult to make an early diagnosis of this disease. Progressive kyphosis due to vertebral collapse has already developed in this disease at the time of diagnosis, so treatment becomes difficult, and there is currently no uniform guideline for the treatment of this disease. The purpose of this review is to discuss the latest research progress of Kümmell’s disease and provide some reference for spinal surgeons.
Abstract: With the arrival of an aging society, the incidence of Kümmell’s disease (KD), one of the complications of osteoporotic vertebral compression fracture (OVCF), has gradually increased, because it easily leads to vertebral instability and causes intractable pain or neurological dysfunction, and the disability rate of the disease is high, placing a se...
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Impact of COVID-19 in Emergency Digestive Surgery
Rahantasoa Finaritra Casimir Fleur Prudence,
Andrianjafiarivony Carol,
Tofotranjara Aldino,
Rakoto Ratsimba Hery Nirina,
Rakotoarison Cathérine Nicole,
Rajaonera Andriambelo Tovohery,
Samison Luc Herve,
Rakotondrainibe Aurélia
Issue:
Volume 8, Issue 5, October 2022
Pages:
75-79
Received:
2 November 2022
Accepted:
22 November 2022
Published:
15 December 2022
DOI:
10.11648/j.ejcbs.20220805.12
Downloads:
Views:
Abstract: Introduction: The COVID-19 pandemic caused a global shift in health care management strategies. Emergency surgery remained a priority regardless of the patient's CoViD status. However, the balance between the delay in surgical management and this unprecedented pandemic situation posed a problem regarding the postoperative prognosis of patients. The main objective of our study was to investigate the outcome of patients with COVID-19 undergoing emergency digestive surgery. Patients and Method: In a prospective, cross-sectional, observational study, over a period of three months (from April 1, 2021 to July 1, 2021) in the surgical resuscitation and visceral surgery departments of the Joseph Ravoahangy Andrianavalona Hospital, patients “data” who underwent emergency digestive surgery with or without COVID-19. The CoViD-19 was diagnosed by a positive PCR (Polymerase Chain Reaction) result, the presence of anti-SARS-Cov-2 antibodies (IgM positive), and a chest CT scan in favor of COVID-19 pneumopathy. The Chi2 or Fisher test was used to measure the association of the different variables. Results: Of the 322 patients hospitalized, thirty-two patients had undergone emergency digestive surgery, twenty-two of whom stayed in the Surgical Intensive Care Unit. The median age was 40 [19-95] years. Twelve patients were infected with COVID-19. Traumatic indications occupied the first place. The time to surgery as well as the duration of surgery were significantly associated with COVID-19 infection (p=0.039; p=0.05 respectively). Ten patients died, half of them within the first 48 hours. Conclusion: COVID-19 was associated with a longer time to surgery and a longer hospital stay. High mortality was recorded. An update of the patients' vaccination status would be recommended to improve the postoperative prognosis.
Abstract: Introduction: The COVID-19 pandemic caused a global shift in health care management strategies. Emergency surgery remained a priority regardless of the patient's CoViD status. However, the balance between the delay in surgical management and this unprecedented pandemic situation posed a problem regarding the postoperative prognosis of patients. The...
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