Background: Posterior Pedicle screw fixation has step by step become popular to thoracolumbar fracture management. Since Roy-Camille et al used application of plates with pedicle screws for thoracolumbar fractures in 1963. Aim of work: to evaluate the percutaneous transpedicular fixation for management of lumbar fractures. Patient and Methods: This research was done on 20 patients presented by lumbar spine fractures; they were treated with percutaneous transpedicular fixation and stabilization at Al-Azhar University hospitals from June 2019 to February 2020.All patients were without neurological deficits theywere fixed either one level above and one level below or two levels above and two levels below the fractured vertebra. Results: Clinical and functional outcomes are preferable or comparable to conventional open procedures. The key disadvantages of this procedure are the steep learning curve and radiation exposure to both doctors, nurses and surly patients, which may be reduced as much as possible by using the new 3D CT screw insertion process. Conclusion:Percutaneous transpedicularspine fixation is a secure technique that follows the same principles as open procedures, allowing the surgeon to conduct biomechanically strong internal spinal fixation with minimal tissue damage, and is a suitable choice for the treatment of unstable thoracolimber fractures with no neurological deficit. This has the benefit of short-time surgery, no loss of blood, almost no muscle damage results in less postoperative pain than conventional open procedures, short hospitalization, early mobilization, a quicker return to work and a low risk of complications.
Background Nutritional deficiencies and health-related quality of life represent a major concern after bariatric procedures and can cause serious complications. Bariatric procedures have different effects on the domains of quality of life. Objective To prospectively compare between the effects of laparoscopic sleeve gastrectomy (LSG) and laparoscopic mini-gastric bypass (LMGB) on nutritional deficiencies and quality of life during the first postoperative year. Patients and methods We included 40 patients. In the first group, 20 patients underwent LSG, whereas 20 patients in the second group underwent LMGB. Postoperative assessment of nutritional parameters and quality of life was performed every 3 months. Quality of life was assessed using bariatric analysis and reporting outcome system (BAROS) and short form-12 questionnaires. Results All nutritional parameters showed significant decrease with more significant deficiencies after LMGB. Quality of life improved significantly after both procedures. Using BAROS questionnaire, LMGB was associated with significant better results. Conclusion LSG and LMGB are associated with significant decrease of nutritional parameters and significant improvement of quality of life. However, LMGB is associated with significantly more nutritional deficiencies and better improvement of quality of life than LSG.
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