Wyniki wyszukiwania - Biblioteka Nauki

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Return to work after spinal stenosis surgery and the patient’s quality of life

100%

Truszczyńska A. , Rąpała K. , Truszczyński O. , Tarnowski A. , Łukawski S.

International Journal of Occupational Medicine and Environmental Health

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2013

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tom 26

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nr 3

394-400

EN

Introduction: The return to work of patients who undergo spinal surgery poses important medical and social challenge. Objectives: 1) To establish whether patients who undergo spinal stenosis surgery later return to work. 2) To establish the patient's attitude towards employment. 3) To assess the quality of life of the patients and its influence on their attitude to work. Materials and Methods: The study population consisted of 58 patients aged from 21 to 80 years (the mean age was 52.33±14.12). There were 29 women (50%) and 29 men (50%) in the group. The patients' quality of life was measured by the use of the WHOQOL-BREF instrument. Individual interviews were conducted 3 to 8 months (a mean of 5.72 months ±1.6) after the surgery. Results: 1) Although 13 patients (22.3%) returned to work, 44 (75.9%) did not, these being manual workers of vocational secondary education. 2) Almost half of the patients (27 patients, i.e. 44%) intend to apply for disability pension, 16 patients (27.6%) consider themselves unfit to work, 22 patients (37.9%) do not feel like working again. 3) The quality of life of the patients decreased. Domain scores for the WHOQOL-BREF are transformed to a 0-100 scale. The mean physical health amounted to 60.67 (±16.31), the mean psychological health was 58.78 (±16.01), while the mean social relations with family and friends were 59.91 (±20.69), and the mean environment 59.62 (±12.48). Conclusions: 1) A total of 75% of the patients operated for lumbar spinal stenosis do not return to their preoperative work. Difficulties in returning to work and decreased quality of life are associated with female sex, lower-level education, hard physical work and low income. 2) Physical health, psychological health, social relations and environment decreased to the mean of approximately 60. 3) The quality of life of the patients who did return to work was similar to that of healthy people.

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THE RELATIONSHIP BETWEEN THE EXPERIENCE OF NEGATIVE FEELINGS AND QUALITY OF LIFE AND THE SOCIO-DEMOGRAPHICAL FACTORS OF PATIENTS TREATED FOR DISCOPATHY OF THE LUMBAR SPINE

100%

Girzelska J. , Chomicki L.

Acta Neuropsychologica

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2021

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tom 19(1)

93-104

EN

Most of the pathological changes in the spine begin with the physiological loss of intervertebral disc function. Discopathy of the lumbar spine leads to a significant deterioration in the quality of life, which is why the therapeutic team strives is to improve patients quality of life through actions aimed at reducing spinal dysfunction to an extent that allows for human functioning. The research aim was to determine the quality of life of patients who had been treat- ed as a result of discopathy of the lumbar spine and to establish the relationship between the experience of negative feelings and a subjective assessment of the quality of life with factors resulting frompatient socio-demographics. The study included 110 patients treated for lumbar discopathy. A diagnostic survey method was employed as a research technique, with the use of a proprietary survey questionnaire. Statistic analysis of the results was performedusing the statistical package PQStat v1.6.6. Subjective evaluation of patients quality of life in 66 persons (60%) was at an average level, only 6 (5.45%) respondents rated the quality of their lives as being higher. Those living in towns of up to 50,000 residents rated their quality of life higher (6.21), with the lowest level being reported by those living in the countryside (4.95). Age did not influence significantly the quality of life, but older people most often experienced pain (p=0.4). Analysis of variance did not show statistically significant differences between marital status and respondent quality of life (p = 0.53) but did show significant differences between education levels and the incidence of negative feelings such as fear, anxiety or depression. Socio-demographic variables: such as gender, age and marital status do not significantly differentiate the quality of life of the respondents. There is a relationship between experiencing negative feel ings and educational levels. The lower the education level obtained, the more often negative feelings are experienced. The experiencing of negative feelings and disease duration are variables that reduce the quality of life of respondents. ------------------------------------------------------------------------------------------------------------------------------------

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Niektóre problemy wykorzystania bioinżynierii w zaawansowanej chirurgii kręgosłupa

100%

Ciupik L. F.

Inżynieria Biomateriałów

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2003

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tom R. 6, nr 30-33

70-74

PL

Więcej niż 25% populacji europejskiej ma zwyrodnienia, zniekształcenia, problemy onkologiczne, bóle pleców i inne neuro-ortopedyczne upośledzenia układu kostno-mięśniowo-kostnego człowieka. Dzisiaj w leczeniu chirurgicznym używa się zbyt dużo "sztywnego" metalu, który ogranicza ruchomość pacjenta i powoduje wzrost ryzyka komplikacji pooperacyjnej. Zastosowanie nowego bio-nano-materiału i biotechnologii pozwala na stworzenie nowej generacji wielofunkcyjnego implantu, który mniej obciąża pacjenta i zachowuje jego ruchomość; "from arthrodesis to arthroplasty". Procedura implantacji będzie dostosowana do mikroinwazyjnej chirurgii. Wsparcie leczenia naprawą komórki i substytutem kości przedłuża okres aktywności życiowej pacjenta i zdrowe starzenie się społeczeństwa.

EN

More than 25% of the European population suffers from arthritis, deformities, oncological problems, pain in the back or other neuro-orthopedic impairments of musculoskeletal system. Today, in surgical treatment with implants, too much of rigid metal is applied, which in consequence limits the movability of the patient and raises serious risk of complication in the patient's post-operational life. Application of new bio-nano-materials and bio-nano-technologies permits to create a new generation of multifunctional implants, which are less burdening for the patient, increasing patient's mobility; "from arthodesis to arthoplasty". The procedure for implantation especially for spine will be adapted to minimally-invasive surgery. A parallel support by means of tissue repair and bone substitutes prolongs the patient's life-activity as well as healthy aging of the society.

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Changes in the neurosurgical admissions during the COVID-19 pandemic – a comparison with 2019

88%

Fercho J. , Szmuda T. , Ali S. , Szplit D. , Jurkiewicz A. , Słoniewski P. , Stefaniak T.

European Journal of Translational and Clinical Medicine

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2021

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tom 4

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nr 1

22-28

EN

Background: The coronavirus pandemic has strongly affected health-care systems around the world, testing their patients’ care capacities. Admission restrictions, patients’ fear of hospitalization or other uncomprehended constraints has affected admissions to neurosurgery department. Material and methods: The clinical data of admissions from March 1st to July 24th 2020, as well as data of the control group in relevant periods of time in 2019 was collected from the local hospital database and compared. Results: The total number of procedures performed between March and July 2020 is 1545, compared to the corresponding period of the previous year it was the number of 2062, indicating a decrease by about 25%. Both head and aneurysm procedures decreased over the entire analyzed period. The number of procedures classified as "other" was higher in each of the three stages. Between March 1st and April 30th (Phase 1) mainly younger male patients were admitted. Conclusions: We demonstrated the impact of the COVID-19 pandemic on the work organization of our Neurosurgery Department. We report that after the introduction of appropriate solutions, it is possible to provide care to neurosurgical patients while ensuring the safety of patients and Staff during the pandemic.

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Comparison of the O-arm and C-arm guided pedicle screws placement

88%

Krakowiak M. , Sokal P. , Rusinek M. , Rudaś M.

European Journal of Translational and Clinical Medicine

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2022

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tom 5

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nr 2

31-36

EN

Background Transpedicular screw placement remains the gold standard technique for destabilization of the lumbar spine. Material and methods This is a retrospective study that analyzes patients that underwent the spinal stabilization surgical procedure. We compared results from two independent neurosurgical centers. At the turn of years 2012-2015, O-arm and StealthStation neuronavigation system was used for implantation of transpedicular screws. In 2018 to 2020 transcutaneous pedicle screw placement procedure was performed using standard C-arm device. Results In 208 procedures performed with the O-arm device, the accuracy of the positioning of the screws was 98.08 %. Screw repositioning was necessary in 1.92 % of all cases. In 30 procedures that were performed using the C-arm, the accuracy of the screws was 86.7% and the screw reposition procedure accounted for 10% (in one case crews were not replaced due to clinical sequelae). Conclusions Our data show that the spinal fusion with the O-arm tool has more accuracy, thus might be more indicated in procedures that require minimally invasive spinal stabilization.

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Biokeramika NORIAN ve spinání chirurgii

75%

Florian Z. , Wendsche P. , Kotek V.

Zeszyty Naukowe Katedry Mechaniki Stosowanej / Politechnika Śląska

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2001

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tom z. 16

29-34

EN

The Traumatology Hospital Brno starts with the application of bio-compatible Norian ceramic materials. A number of tests including mechanical ones areproceeded before the clinical application. The contribution deals with the proposal, run and results of work connected with the determination of mechanical propertie of spine unit with Norian.

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Development of a robotic system for spinal surgery

63%

Kostrzewski S. , Duff J. M. , Baur C. , Olszewski M.

Medical Robotics Reports

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2012

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tom vol. 1

22--26

PL

Kręgosłup człowieka składa się z 24 ruchomych i 9 połączonych kręgów. Ważne elementy układu nerwowego znajdują się we wnętrzu otworu kręgowego osłoniętego przez otaczającą go kość. W wyniku wypadków lub chorób mogą się pojawić schorzenia, które muszą być leczone chirurgicznie. Ze względu na dużą gęstość ważnych tkanek w tym rejonie, takich jak układ nerwowy lub krwionośny, powodzenie operacji zależy w dużym stopniu od dokładności, z jaką może być ona przeprowadzona. W obecnie używanych metodach manualnych duże znaczenie ma doświadczenie i dyspozycja chirurga. Aby rozwiązać te problemy opracowano nowy system zrobotyzowany do operacji kręgosłupa. Składa się on z mechanizmu robota pozycjonowanego za pomocą struktury pasywnej, optycznego systemu pomiarowego, urządzenia wejściowego, identyfikacji położenia operowanych kręgów, algorytmów i oprogramowania do planowania operacji i nawigacji. System został przebadany na denatach z udziałem chirurga, osiągając bardzo dobre rezultaty. Omówiono wyniki badań, zaproponowano możliwości dalszych ulepszeń i inne zastosowania systemu.