1.Psoas Abscess Caused by Non-Typhoid Salmonella in a Patient with Severe Aplastic Anemia.
Chin Chi KUO ; Shih Chi KU ; Jann Tay WANG ; Ching Wei TSAI ; Vin Cent WU ; Wen Chien CHOU
Yonsei Medical Journal 2010;51(3):472-474
The clinical spectrum of infections caused by non-typhoid Salmonella spp. includes gastroenteritis, enteric fever, bacteremia, and extraintestinal localized complications, especially in immunocompromised hosts. Here we report a patient with severe aplastic anemia developing left iliopsoas abscess caused by non-typhoid Salmonella (NTS), which was successfully treated by prolonged antibiotic treatment and repeated debridement. Our data indicate that aplastic anemia is a risk factor for infection caused by NTS.
Anemia, Aplastic/*complications/microbiology
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Humans
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Male
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Middle Aged
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Psoas Abscess/*etiology/*microbiology
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Salmonella Infections/*complications
2.Biomechanical Study of Cervical Endplate Removal on Subsidence and Migration in Multilevel Anterior Cervical Discectomy and Fusion
Maohua LIN ; Rudy PAUL ; Stephen Z. SHAPIRO ; James DOULGERIS ; Timothy E. O’CONNOR ; Chi-Tay TSAI ; Frank D. VRIONIS
Asian Spine Journal 2022;16(5):615-624
Methods:
Model 1 (M1) was an intact C2C6 model with a 0.5 mm endplate. In model 2 (M2), a cage was implanted after removal of the C4–C5 and C5–C6 discs with preservation of the osseous endplate. In model 3 (M3), 1 mm of the osseous endplate was removed at the upper endplate. Model 4 (M4) resembles M3, except that 3 mm of the osseous endplate was removed.
Results:
The range of motion (ROM) at C2C6 in the M2–M4 models was reduced by at least 9º compared to the M1 model. The von Mises stress results in the C2C3 and C3C4 interbody discs were significantly smaller in the M1 model and slightly increased in the M2–M3 and M3–M4 models. Migration and subsidence decreased from the M2–M3 model, whereas further endplate removal increased the migration and subsidence as shown in the transition from M3 to M4.
Conclusions
The M3 model had the least subsidence and migration. The ROM was higher in the M3 model than the M2 and M4 models. Endplate preparation created small stress differences in the healthy intervertebral discs above the ACDF site. A 1 mm embedding depth created the best balance of mechanical strength and contact area, resulting in the most favorable stability of the construct.
3.A Review of Finite Element Modeling for Anterior Cervical Discectomy and Fusion
Maohua LIN ; Rudy PAUL ; Utpal Kanti DHAR ; James DOULGERIS ; Timothy E. O’CONNOR ; Chi-Tay TSAI ; Frank D. VRIONIS
Asian Spine Journal 2023;17(5):949-963
The cervical spine poses many complex challenges that require complex solutions. Anterior cervical discectomy and fusion (ACDF) has been one such technique often employed to address such issues. In order to address the problems with ACDF and assess the modifications that have been made to the technique over time, finite element analyses (FEA) have proven to be an effective tool. The variations of cervical spine FEA models that have been produced over the past couple of decades, particularly more recent representations of more complex geometries, have not yet been identified and characterized in any literature. Our objective was to present material property models and cervical spine models for various simulation purposes. The outlining and refinement of the FEA process will yield more reliable outcomes and provide a stable basis for the modeling protocols of the cervical spine.