1.C2 En Bloc Hemilaminectomy and Recapping Using Laminar Screws: A New Approach to Preserve the C2 Extensor Muscles during Intradural Tumor Resection at the C2 Level: A Technical Report.
Gun Woo LEE ; Sung Shik KANG ; Mary Ruth Alfonso PADUA ; Ho Joong KIM ; Bong Soon CHANG ; Choon Ki LEE ; Jin S YEOM
The Journal of the Korean Orthopaedic Association 2012;47(6):452-456
Conventional posterior approach for resection of an intradural tumor at C2 involves C2 lamincectomy and detachment of extensor muscles from C2 spinous process. Being major extensors of the cervical spine, the destruction of C2-attached muscles may lead to detrimental consequences, namely, neck pain, limited neck motion, progressive kyphosis, and instability. We report a new technique on exposing and reconstructing the C2 level while preserving C2 extensors for resection of an intradural tumor at C2 level. We performed an en bloc hemilaminectomy of C2 while carefully preserving C2 extensor muscles to adequately expose the dura mater at the C2 level. After removal of the tumor, we proceeded with the reconstruction by recapping the C2 hemilamina using 2 laminar screws.
Dura Mater
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Kyphosis
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Muscles
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Neck
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Neck Pain
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Spine
2.A proof of concept study on the comfort and usability of a supportive pillow for pregnant patients with COVID-19 acute respiratory distress syndrome.
Maria Antonia E. Habana ; Maria Julieta V. Germar ; Angela S. Aguilar ; Louis Angelo M. Danao ; Mary Ruth A. Padua ; Albert B. Jr. Albay
Acta Medica Philippina 2024;58(11):13-21
Background:
The prone position has been seen to benefit patients experiencing acute respiratory distress syndrome. However, performing this position in pregnant patients has been difficult and raises safety concerns.
Objective:
The current study aimed to test the use of a supportive pillow (Prone Pillow for Pregnant Patients or 4P) to address concerns regarding pregnant patients in prone position.
Methods:
The study prospectively evaluated the use of the prone pillow for patient comfort and usability among healthcare workers with qualitative and quantitative measures.
Results:
A total of three patients were recruited alongside 16 healthcare workers assisting pregnant patients to the prone position. Overall, awake pregnant patients found the pillow to be comfortable while healthcare workers perceived the pillow to be useful in improving quality of care among awake and intubated pregnant patients.
Conclusion
The 4P is a potentially useful and beneficial product in placing pregnant patients in the prone position during episodes of acute respiratory distress. However, due to the limited sample size, more clinical trials are needed to evaluate the impact of this innovation in improving patient and healthcare worker safety.
Covid-19