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Evaluation of Management of Closed Spinal Injury

Objectives: to evaluate the role of conservative, decompression, spine fixation in management of closed spinal injury.
Methods: The study was conducted at Specialized Surgical hospital and Al-Kadhemayia Teaching Hospital, in the period between July 2003 and July 2005.The study included 61 patients categorized Into many groups according level of vertebral injury (cervical, cervicodorsal, dorsal, dorsolumbar, Lumbar and lumbosacral), type of injury (compressed fracture, burst fracture and fracture dislocation) And according the severity into three groups as G1( complete motor paralysis and sensory loss ) G2 ( complete motor paralysis and incomplete sensory loss) and G3 ( incomplete motor paralysis And incomplete sensory loss ).The methods of treatment include (conservative, decompression, And open reduction and internal fixation).
Results: no deterioration of the neural function occurred in any case .All patients who had full neural Function on admission remained so. The patients who at time of admission was completely paraplegic Or tetraplegic did not show any neural improvement .Internal fixation was done to maintain good alignment of the spine and stabilize the fracture dislocation segment for early mobilization and rehabilitation no significant improvement in the neural status has occurred in patients with complete motor and sensory loss below the level of the injury at time of admission. The value of decompression of the spinal Canal may improve neurologic recovery or rate of recovery in some patients with an incomplete deficit.
Conclusion: clinical awareness is the most important diagnostic point. Other associated injuries which frequently co-exist should not be forgotten. Adequate radiological examination must be done.MRI is very helpful especially in incomplete spinal cord injury. Conservative treatment consists of immobilization. Laminectomy was performed for patients who have incomplete neural deficit. Internal fixation Performed for patients who have fracture dislocation.

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Publication Date
Mon Jul 01 2013
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Evaluation of Moderate Closed Head Injury by Visual Evoked Response

Background: Traumatic brain injury (TBI) is a serious public health problem. Even injuries classified as mild which is the most common, can result in persistent neurobehavioural impairment. Diffuse axonal injury is a common finding after TBI, and is presumed to contribute to outcomes, but may not always be apparent using standard neuroimaging. All severities of TBI can result in a degree of axonal damage, while irreversible myelin damage was only apparent for moderate to severe TBI.

Objectives: To evaluate the effects of moderate closed head injury on visual evoked response (VER) and to assess the changes in VER 6 months later as follow up indices.

Subjects and methods: T

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Publication Date
Thu Jul 18 2019
Journal Name
Journal Of The Faculty Of Medicine Baghdad
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Publication Date
Tue Sep 03 2019
Journal Name
Rawal Medical Journal
Evaluation of Radial Nerve Injury Associated with Closed Humeral Shaft Fracture by Early Pre-operative Ultrasonic Evaluation and Correlation with Surgical Exploration

Traumatic radial nerve injury in humeral shaft fracture is the most common traumatic nerve injury in long-bone fracture, with overall prevalence 2-18%, ranging from traction to complete transection. Spontaneous recovery may reach 88%. The aim of the study is to assess the sensitivity & specificity of the ultrasound to detect the radial nerve injury and to see if this can be used as a diagnostic test. This is a prospective study on 17 adult patients with a closed fracture of the humeral shaft, dividing into two groups, the first group of 7 patients had signs and symptoms of radial nerve palsy at presentation and the second group of 10 patients had intact radial nerve function was considered as a control group. All these patients had at leas

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Publication Date
Sun Jul 03 2016
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Synthetic vertebral body implantation Functional outcome in management of spinal disorders

Background: Synthetic vertebral body replacement has been widely used recently to treat different spinal conditions affecting the anterior column. They arrange from trauma, infections and even tumor conditions
Objective: To assess the functional outcome of this modality in different spinal conditions.
Patients and Methods: twenty-seven cases operated from Oct. 2010 to Dec. 9 cases had spinal fractures, 8 cases with spinal tuberculosis, and 10 cases with spinal tumors. They were followed clinically for a mean period of 36 months.
Results: All the cases approached anteriorly. 5 cases had postoperative infection. No neurological worsening reported. we had dramatic neurological improvement in all spinal tuberculo

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Publication Date
Thu Feb 01 2018
Journal Name
Comparative Medicine
Model of traumatic spinal cord injury for evaluating pharmacologic treatments in cynomolgus macaques (Macaca fasicularis)

Here we present the results of experiments involving cynomolgus macaques, in which a model of traumatic spinal cord injury (TSCI) was created by using a balloon catheter inserted into the epidural space. Prior to the creation of the lesion, we inserted an EMG recording device to facilitate measurement of tail movement and muscle activity before and after TSCI. This model is unique in that the impairment is limited to the tail: the subjects do not experience limb weakness, bladder impairment, or bowel dysfunction. In addition, 4 of the 6 subjects received a combination treatment comprising thyrotropin releasing hormone, selenium, and vitamin E after induction of experimental TSCI. The subjects tolerated the implantation of the recording devi

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Publication Date
Thu Jan 02 2014
Journal Name
Journal Of The Faculty Of Medicine Baghdad
The Role of Brainstem Auditory Evoked Potential Study in Patients With Moderate Closed Head Injury

Background: The high prevalence of head injury among civilian populations and the provision of the adequate hospitals services have become matters of worldwide concern. Brain-stem auditory evoked potentials (BAEPs) have been shown to be of highly resistant to systemic factors and toxic or metabolic derangements, making them particularly useful in differentiating reversible brain-stem dysfunction from that due to structural disruption.

Objectives: The purpose of this study was to demonstrate the changes in   brainstem evoked response (BAER( in patient with moderate closed head injury and   assessing again these changes in BAER six months later as follow up indices.

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Publication Date
Sun Jul 01 2018
Journal Name
Journal Of Craniofacial Surgery
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Publication Date
Sat Jul 27 2019
Journal Name
Sensors
Neurophysiological Characterization of a Non-Human Primate Model of Traumatic Spinal Cord Injury Utilizing Fine-Wire EMG Electrodes

This study aims to characterize traumatic spinal cord injury (TSCI) neurophysiologically using an intramuscular fine-wire electromyography (EMG) electrode pair. EMG data were collected from an agonist-antagonist pair of tail muscles of Macaca fasicularis, pre- and post-lesion, and for a treatment and control group. The EMG signals were decomposed into multi-resolution subsets using wavelet transforms (WT), then the relative power (RP) was calculated for each individual reconstructed EMG sub-band. Linear mixed models were developed to test three hypotheses: (i) asymmetrical volitional activity of left and right side tail muscles (ii) the effect of the experimental TSCI on the frequency content of the EMG signal, (iii) and the effect

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Publication Date
Wed Jul 01 2015
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Sciatic nerve injection injury in children: Management and outcome

Background: Sciatic nerve injury is a common complication following IM gluteal injection in children. A controversy still exists regarding management and outcome.
Objective: To find the outcome of conservative and surgical treatment and compare it with other studies.
Patients and Methods: This is a retrospective study of 24 children( less than 15 years old) with sciatic nerve injection injury at the gluteal region. The child age, gender, type of injection drug, time of injury with complete neurological examination and EMG study were recorded. Conservative treatment including physiotherapy and surgical treatment including surgical exploration and neurolysis at the buttock region were done with follow-up 6 months to one year.
Resu

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Publication Date
Wed Jul 01 2020
Journal Name
Proceedings Of The Institution Of Mechanical Engineers, Part H: Journal Of Engineering In Medicine
Comparison study of classification methods of intramuscular electromyography data for non-human primate model of traumatic spinal cord injury

Traumatic spinal cord injury is a serious neurological disorder. Patients experience a plethora of symptoms that can be attributed to the nerve fiber tracts that are compromised. This includes limb weakness, sensory impairment, and truncal instability, as well as a variety of autonomic abnormalities. This article will discuss how machine learning classification can be used to characterize the initial impairment and subsequent recovery of electromyography signals in an non-human primate model of traumatic spinal cord injury. The ultimate objective is to identify potential treatments for traumatic spinal cord injury. This work focuses specifically on finding a suitable classifier that differentiates between two distinct experimental

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