Search Results

You are looking at 1 - 10 of 28 items for :

  • "infection" x
  • By Author: Tu, Tsung-Hsi x
Clear All
Restricted access

Chih-Chang Chang, Wen-Cheng Huang, Tsung-Hsi Tu, Peng-Yuan Chang, Li-Yu Fay, Jau-Ching Wu and Henrich Cheng

combinations, n (%)  Ped-Ped 24 (38.1)  La-La 7 (11.1)  Par-Par 6 (9.5)  Ped-Par 7 (11.1)  Ped-La 19 (30.2) Adjuvant operations, n (%)  C1 laminectomy 12 (19)  C1–2 laminectomy 6 (9.5)  Odontoidectomy + C1 laminectomy 3 (4.8)  Posterior wiring 42 (66.7) Complications, n (%)  Surgical site infection 1 (1.6)  CSF leakage 1 (1.6)  C1 screw fracture 2 (3.2)  Vascular injury 0 (0) Outcomes  Rigid fixation/arthrodesis, n (%) 55 (87.3) Screw Placement For screw placement in C1, every patient had polyaxial screws placed into the lateral masses bilaterally. For C2 screws, there were

Restricted access

Tsung-Hsi Tu, Chao-Hung Kuo, Wen-Cheng Huang, Li-Yu Fay, Henrich Cheng and Jau-Ching Wu

how cigarette consumption affects the outcomes of CDA. There have also been studies demonstrating higher rates of pseudarthrosis and infection in smoking patients after anterior cervical fusion. 17 , 19 However, none of the literature indicates how smoking will affect surgery aimed at preserving spinal motion rather than inducing fusion. In the present study, we aimed to investigate the differences between smoking and nonsmoking patients who had undergone 1- and 2-level CDA surgery. All radiological and clinical outcomes of CDA were compared. To date, this is the

Restricted access

Chao-Hung Kuo, Wen-Cheng Huang, Jau-Ching Wu, Tsung-Hsi Tu, Li-Yu Fay, Ching-Lan Wu and Henrich Cheng

these patients were retrospectively reviewed. Study inclusion criteria were symptomatic L4–5 DDD or stenosis with Meyerding grade I spondylolisthesis that was refractory to nonsurgical management for at least 12 weeks. Exclusion criteria were multiple levels of DDD, Meyerding grade II (or higher) spondylolisthesis, degenerative scoliosis, a history of connective tissue diseases, vertebral fracture, infection, tumor, inability to cooperate with the study, or loss during a minimum of 2 years’ follow-up. All patients were divided into two groups according to their

Full access

Yu-Shu Yen, Peng-Yuan Chang, Wen-Cheng Huang, Jau-Ching Wu, Muh-Lii Liang, Tsung-Hsi Tu and Henrich Cheng

day after the operation, and 92% (12 of 13) of the patients required no nasogastric tube feeding. Imaging studies confirmed adequate decompression and realignment of the craniovertebral complex ( Figs. 2 – 5 ). However, there was 1 patient (Case 9) who, having shown significant improvement in lower-limb muscle strength since postoperative Day 2, died as a result of meningitis complicated by sepsis and multiple organ failure on postoperative Day 10. The disseminated infection was likely caused by leakage of the CSF from the mucosal wound in his nasopharynx. There

Restricted access

Jau-Ching Wu, Wen-Cheng Huang, Tsung-Hsi Tu, Hsiao-Wen Tsai, Chin-Chu Ko, Ching-Lan Wu and Henrich Cheng

disease, infection or severe systemic diseases, or traumatic disc disease with ligament injury. Generous decompression of neural elements (that is, resection of the bilateral uncovertebral joints, including the asymptomatic side, and the posterior longitudinal ligament) was routinely performed prior to insertion of the artificial disc. During the entire milling (endplate preparation) and drilling process, copious irrigation with normal saline was routinely used, and aggressive hemostasis was achieved intraoperatively. A drainage catheter was routinely placed before

Restricted access

Tsung-Hsi Tu, Jau-Ching Wu, Wen-Cheng Huang, Ching-Lan Wu, Chin-Chu Ko and Henrich Cheng

disease, infection or severe systemic diseases, and traumatic disc disease with ligament injury. Standard anterior cervical discectomy and total disc replacement with the Bryan disc were performed. Generous decompression of neural elements, including resection of the posterior longitudinal ligament and bilateral uncovertebral joints, was routinely performed prior to insertion of the implant. Our surgical strategy aimed to decompress with resection all the spurs and the uncovertebral joints around the exiting nerve roots, including those on the asymptomatic side. The

Restricted access

Tsung-Hsi Tu, Jau-Ching Wu, Wen-Cheng Huang, Wan-Yuo Guo, Ching-Lan Wu, Yang-Hsin Shih and Henrich Cheng

cervical disc (Medtronic Spine and Biologics) were included in this study. Surgical indications included subaxial (C3–7) cervical disc herniation with radiculopathy or myelopathy, degenerative disc disease with intractable axial pain, or symptomatic cervical spondylosis with failure of medical treatments for at least 6 months and preservation of range of motion at the proposed treatment level as demonstrated by dynamic (flexion-extension) radiography. The general exclusion criteria were infection, osteoporosis (T score of −3.5), malignancy, metabolic bone disease

Free access

John E. Ziewacz, Sigurd H. Berven, Valli P. Mummaneni, Tsung-Hsi Tu, Olaolu C. Akinbo, Russ Lyon and Praveen V. Mummaneni

WHO 19-item safe-surgery checklist rate of any complication in Cohort 1 vs 2: 11.0% vs 7.0% (p < 0.001) total in-hospital rate of death in Cohort 1 vs 2: 1.5% vs 0.8% (p = 0.003) surgical site infection in Cohort 1 vs 2: 6.2% vs 3.4% (p < 0.001) unplanned return to OR in Cohort 1 vs 2: 2.4% vs 1.8% (p = 0.047) nonrandomized study possibility of confounding by secular trends inclusion of only inpatient complications learning curve for observers de Vries et al., 2010 prospective, controlled, multicenter, observational study intervention (checklist) group

Full access

Jau-Ching Wu, Wen-Cheng Huang, Hsiao-Wen Tsai, Chin-Chu Ko, Ching-Lan Wu, Tsung-Hsi Tu and Henrich Cheng

radiographically identified loosening ( Fig. 5 ). No revision surgery was performed for screw misplacement or neurological deterioration. However, 1 diabetic patient (0.79% in 126) suffered from wound infection and underwent surgery for debridement and removal of implants 28 months after the primary surgery. Diabetes Mellitus and Screw Loosening There were 25 diabetic patients (19.8%), all with Type 2 disease, in this series. Patients with diabetes had a significantly higher rate (36.0%) of screw loosening than patients with normal serum glucose (15.8%) (p = 0

Free access

Beejal Y. Amin, Tsung-Hsi Tu, William W. Schairer, Lumine Na, Steven Takemoto, Sigurd Berven, Vedat Deviren, Christopher Ames, Dean Chou and Praveen V. Mummaneni

reasons for readmission were infection, planned staged surgery, and “nonoperative management” ( Table 1 ). Nonoperative management included admission for fever workup, pain control, aspiration of seroma, and so on. These cases did not require surgical intervention. TABLE 1: Reasons for all-cause readmission Reasons for Readmission No. of Cases (%) infection at index site 125 (39.8) nonoperative management * 42 (13.4) staged procedure 39 (12.4) hematoma or seroma 20 (6.4) CSF leak or dural repair 17 (5.4) non