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Research paper thumbnail of The Utility of Diffusion Weighted MRI Imaging in the Diagnosis of Infectious Sacroiliitis

Journal on Surgery

MRI imaging plays an important role in musculoskeletal infections to allow prompt diagnosis and e... more MRI imaging plays an important role in musculoskeletal infections to allow prompt diagnosis and early treatment. Diffusion Weighted Imaging (DWI) is an additional pulse sequence that can be obtained in cases where infection is suspected to enhance the diagnostic ability of an MRI.

Research paper thumbnail of Shoulder Coccidioidomycosis Masquerading as Synovial Chondromatosis

Journal on Surgery

Coccidioidomycosis is an endemic fungal infection in arid areas of Southwestern US and Northern M... more Coccidioidomycosis is an endemic fungal infection in arid areas of Southwestern US and Northern Mexico. It is difficult to diagnose and treat, may take years to make the correct diagnosis, may leave sequelae and could even be fatal.

Research paper thumbnail of Comparative study between conventional open spine pedicle screw fixation surgery minimally invasive percutaneous pedicle screw fixation in the management of thoracolumbar spine fracture in adult

International Journal of Orthopaedics Sciences, 2016

Documented treatment of spine fractures dates back several thousands of years. Closed treatment a... more Documented treatment of spine fractures dates back several thousands of years. Closed treatment and manipulation to correct the sustained deformity were typically used. In the early 20th century, most treatment consisted of immobilization in hyperextension. The present study was conducted in the Department of Orthopaedics, from October 2011 to October 2013. 25 randomly selected cases admitted through hospital with unstable dorso-lumbar spinal fractures and dislocations in each group. All these patients were managed by posterior pedicle screw fixation. All cases were followed up for a minimum period of 1 year. In the percutaneous pedicle fixation group, 12 patients had excellent results, 10 patients had good results & 3 had fair outcome. In the conventional pedicle fixation group, 8 patients had excellent results, 12 patients had good results & 5 had fair outcome.

Research paper thumbnail of Clinical profile of thoracolumbar spine fracture in adult

International Journal of Orthopaedics Sciences, 2016

Most common site of injury was L1 vertebra. There was an increase in incidence of spinal cord inj... more Most common site of injury was L1 vertebra. There was an increase in incidence of spinal cord injuries during summer and rainy season. All those cases of unstable dorsolumbar fractures were included in the study that fulfilled following criteria. In our series, most common type was wedge compression fractures, accounting for 56% of the cases. Next common type is burst fracture 44%.In percutaneous pedicle screw fixation group, wedge compression fracture 64% were operated, compared to 48% of conventional pedicle fixation group. Burst fractures, which constituted 36% was the in percutaneous pedicle fixation group compared to 52% of conventional pedicle fixation group. Most common type was wedge compression fracture.

Research paper thumbnail of Advancing the Care of Cancer Patients with Vertebral Compression Fractures—A Radiation Oncology Expert Panel Discussion

Oncology & Hematology Review (US), 2012

A closed roundtable discussion on ‘Advancing the Care of Cancer Patients with Vertebral Compressi... more A closed roundtable discussion on ‘Advancing the Care of Cancer Patients with Vertebral Compression Fractures’ was held in Denver, Colorado, on November 16, 2010. The attendees included six invited local experts—four radiation oncologists, an interventional radiologist, and an orthopedic surgeon. The moderator, Jon Strasser, MD, a radiation oncologist, opened the meeting by explaining that its goal was to identify the barriers to managing vertebral compression fractures (VCFs) in cancer patients and discuss available treatment options. The focus would be on three topics: current treatment practice for spinal metastases; treatment goals in the presence of VCFs; and minimally invasive procedures for VCFs. Each topic is allocated a separate section of the following report of the discussion.

Research paper thumbnail of Ultrasound of the neonatal hip: its contribution to the elimination of congenital dislocation of the hip/12

Research paper thumbnail of Pediatric Unintentional Injuries in North of Iran

Objective: Since the beginning of the 21 st century, injury has been the most serious public heal... more Objective: Since the beginning of the 21 st century, injury has been the most serious public health problem that children face with. The aim of this study was epidemiologic evaluation of unintentional injury in north of Iran. Methods: In a prospective cross-sectional study between September 2005-July 2006 we studied data of 347 trauma patients aged 14 years and younger, including sex, age, trauma mechanism, transportation facility, anatomical sites of injury, severity of head injury according to GCS (Severe: 3-8, Moderate: 9-12, Mild: 13-15), injury severity score (ISS), and length of hospital stay (LOHS). SPSS 13 and independent t-test were used to analyze of data. Findings: Out of 3605 trauma patients, 353 were 14 years old or younger with a mean age (SD) of 7.6 (4.0); Male to female ratio about 2:1. Most of them (42.9%) were 1-5 years old. In patients younger than 1 year, falling was the most common (52.2%) mechanism of trauma while in other groups, traffic accidents were the leading cause of injury. About half of the patients were transported to hospital by their families or other people. About 77% of them suffered from head injury. Mean (SD) ISS was 4.3 (6.6), about 12% had severe injury and it was more than 25 in about 3%. Mean (SD) LOHS was 5.1 (8.9) days. Conclusion: Occurrence of falling and traffic accidents in children is remarkably high. Mainly traffic accidents are preventable. We suggest paying more attention to safety education in all levels of community.

Research paper thumbnail of The Utility of Diffusion Weighted MRI Imaging in the Diagnosis of Infectious Sacroiliitis

Journal on Surgery

MRI imaging plays an important role in musculoskeletal infections to allow prompt diagnosis and e... more MRI imaging plays an important role in musculoskeletal infections to allow prompt diagnosis and early treatment. Diffusion Weighted Imaging (DWI) is an additional pulse sequence that can be obtained in cases where infection is suspected to enhance the diagnostic ability of an MRI.

Research paper thumbnail of Shoulder Coccidioidomycosis Masquerading as Synovial Chondromatosis

Journal on Surgery

Coccidioidomycosis is an endemic fungal infection in arid areas of Southwestern US and Northern M... more Coccidioidomycosis is an endemic fungal infection in arid areas of Southwestern US and Northern Mexico. It is difficult to diagnose and treat, may take years to make the correct diagnosis, may leave sequelae and could even be fatal.

Research paper thumbnail of Comparative study between conventional open spine pedicle screw fixation surgery minimally invasive percutaneous pedicle screw fixation in the management of thoracolumbar spine fracture in adult

International Journal of Orthopaedics Sciences, 2016

Documented treatment of spine fractures dates back several thousands of years. Closed treatment a... more Documented treatment of spine fractures dates back several thousands of years. Closed treatment and manipulation to correct the sustained deformity were typically used. In the early 20th century, most treatment consisted of immobilization in hyperextension. The present study was conducted in the Department of Orthopaedics, from October 2011 to October 2013. 25 randomly selected cases admitted through hospital with unstable dorso-lumbar spinal fractures and dislocations in each group. All these patients were managed by posterior pedicle screw fixation. All cases were followed up for a minimum period of 1 year. In the percutaneous pedicle fixation group, 12 patients had excellent results, 10 patients had good results & 3 had fair outcome. In the conventional pedicle fixation group, 8 patients had excellent results, 12 patients had good results & 5 had fair outcome.

Research paper thumbnail of Clinical profile of thoracolumbar spine fracture in adult

International Journal of Orthopaedics Sciences, 2016

Most common site of injury was L1 vertebra. There was an increase in incidence of spinal cord inj... more Most common site of injury was L1 vertebra. There was an increase in incidence of spinal cord injuries during summer and rainy season. All those cases of unstable dorsolumbar fractures were included in the study that fulfilled following criteria. In our series, most common type was wedge compression fractures, accounting for 56% of the cases. Next common type is burst fracture 44%.In percutaneous pedicle screw fixation group, wedge compression fracture 64% were operated, compared to 48% of conventional pedicle fixation group. Burst fractures, which constituted 36% was the in percutaneous pedicle fixation group compared to 52% of conventional pedicle fixation group. Most common type was wedge compression fracture.

Research paper thumbnail of Advancing the Care of Cancer Patients with Vertebral Compression Fractures—A Radiation Oncology Expert Panel Discussion

Oncology & Hematology Review (US), 2012

A closed roundtable discussion on ‘Advancing the Care of Cancer Patients with Vertebral Compressi... more A closed roundtable discussion on ‘Advancing the Care of Cancer Patients with Vertebral Compression Fractures’ was held in Denver, Colorado, on November 16, 2010. The attendees included six invited local experts—four radiation oncologists, an interventional radiologist, and an orthopedic surgeon. The moderator, Jon Strasser, MD, a radiation oncologist, opened the meeting by explaining that its goal was to identify the barriers to managing vertebral compression fractures (VCFs) in cancer patients and discuss available treatment options. The focus would be on three topics: current treatment practice for spinal metastases; treatment goals in the presence of VCFs; and minimally invasive procedures for VCFs. Each topic is allocated a separate section of the following report of the discussion.

Research paper thumbnail of Ultrasound of the neonatal hip: its contribution to the elimination of congenital dislocation of the hip/12

Research paper thumbnail of Pediatric Unintentional Injuries in North of Iran

Objective: Since the beginning of the 21 st century, injury has been the most serious public heal... more Objective: Since the beginning of the 21 st century, injury has been the most serious public health problem that children face with. The aim of this study was epidemiologic evaluation of unintentional injury in north of Iran. Methods: In a prospective cross-sectional study between September 2005-July 2006 we studied data of 347 trauma patients aged 14 years and younger, including sex, age, trauma mechanism, transportation facility, anatomical sites of injury, severity of head injury according to GCS (Severe: 3-8, Moderate: 9-12, Mild: 13-15), injury severity score (ISS), and length of hospital stay (LOHS). SPSS 13 and independent t-test were used to analyze of data. Findings: Out of 3605 trauma patients, 353 were 14 years old or younger with a mean age (SD) of 7.6 (4.0); Male to female ratio about 2:1. Most of them (42.9%) were 1-5 years old. In patients younger than 1 year, falling was the most common (52.2%) mechanism of trauma while in other groups, traffic accidents were the leading cause of injury. About half of the patients were transported to hospital by their families or other people. About 77% of them suffered from head injury. Mean (SD) ISS was 4.3 (6.6), about 12% had severe injury and it was more than 25 in about 3%. Mean (SD) LOHS was 5.1 (8.9) days. Conclusion: Occurrence of falling and traffic accidents in children is remarkably high. Mainly traffic accidents are preventable. We suggest paying more attention to safety education in all levels of community.