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QUICK TIPS (--THIS SECTION DOES NOT PRINT--) This PowerPoint template requires basic PowerPoint (version 2007 or newer) skills. Below is a list of commonly.

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Presentation on theme: "QUICK TIPS (--THIS SECTION DOES NOT PRINT--) This PowerPoint template requires basic PowerPoint (version 2007 or newer) skills. Below is a list of commonly."— Presentation transcript:

1 QUICK TIPS (--THIS SECTION DOES NOT PRINT--) This PowerPoint template requires basic PowerPoint (version 2007 or newer) skills. Below is a list of commonly asked questions specific to this template. If you are using an older version of PowerPoint some template features may not work properly. Using the template Verifying the quality of your graphics Go to the VIEW menu and click on ZOOM to set your preferred magnification. This template is at 100% the size of the final poster. All text and graphics will be printed at 100% their size. To see what your poster will look like when printed, set the zoom to 100% and evaluate the quality of all your graphics before you submit your poster for printing. Using the placeholders To add text to this template click inside a placeholder and type in or paste your text. To move a placeholder, click on it once (to select it), place your cursor on its frame and your cursor will change to this symbol: Then, click once and drag it to its new location where you can resize it as needed. Additional placeholders can be found on the left side of this template. Modifying the layout This template has four different column layouts. Right-click your mouse on the background and click on Layout to see the layout options. The columns in the provided layouts are fixed and cannot be moved but advanced users can modify any layout by going to VIEW and then SLIDE MASTER. Importing text and graphics from external sources TEXT: Paste or type your text into a pre-existing placeholder or drag in a new placeholder from the left side of the template. Move it anywhere as needed. PHOTOS: Drag in a picture placeholder, size it first, click in it and insert a photo from the menu. TABLES: You can copy and paste a table from an external document onto this poster template. To adjust the way the text fits within the cells of a table that has been pasted, right-click on the table, click FORMAT SHAPE then click on TEXT BOX and change the INTERNAL MARGIN values to 0.25 Modifying the color scheme To change the color scheme of this template go to theDesign menu and click on Colors. You can choose from the provide color combinations or you can create your own. QUICK DESIGN GUIDE (--THIS SECTION DOES NOT PRINT--) This PowerPoint 2007 template produces a 91cm x 122cm professional poster. It will save you valuable time placing titles, subtitles, text, and graphics. Use it to create your presentation. Then send it to PosterPresentations.com for premium quality, same day affordable printing. We provide a series of online tutorials that will guide you through the poster design process and answer your poster production questions. View our online tutorials at: (copy and paste the link into your web browser). For assistance and to order your printed poster call PosterPresentations.com at Object Placeholders Use the placeholders provided below to add new elements to your poster: Drag a placeholder onto the poster area, size it, and click it to edit. Section Header placeholder Move this preformatted section header placeholder to the poster area to add another section header. Use section headers to separate topics or concepts within your presentation. Text placeholder Move this preformatted text placeholder to the poster to add a new body of text. Picture placeholder Move this graphic placeholder onto your poster, size it first, and then click it to add a picture to the poster. RESEARCH POSTER PRESENTATION DESIGN © s.com © 2011 PosterPresentations.com 2117 Fourth Street, Unit C Berkeley CA Student discounts are available on our Facebook page. Go to PosterPresentations.com and click on the FB icon. OUTCOMES FOLLOWING PERCUTANEOUS PEDICLE FIXATION FOR SPINE FRACTURE. Percutaneous fixation techniques for stabilization of the spinal segment following spinal trauma has potential advantages in selected patients. The minimized collateral soft tissue damage with the MIS technique results in reduced time to mobilize with less postoperative pain and a lower complication rate (1,2,3). In patients requiring stabilization of a fracture, without the need for multi-segmental posterior fusion, the percutaneous technique has many potential advantages (2). Removal of the pedicle screws following union of the fracture may return functional spinal units back to mobility and restore the spinal biomechanics without the requirement of a multilevel fusion (1). In patients with cancer and a pathological fracture, stabilization may benefit with a rapid return of mobility in a patient group with a significantly reduced longevity. INTRODUCTION METHODS CONCLUSIONS Percutaneous pedicle fixation and stabilization of the injured spinal segment is a successful management strategy for spinal trauma in selected patients, such as chance#, various thoraco-lumbar# and pathological fractures. Additional research is required to determine the advantages of various fracture patterns and types, however an assessment of this prospective cohort and a review of other case series confirms there are definite benefits of percutaneous techniques for spinal trauma. Additional advantages include: the removal of fixation hardware to restore movement at non-fused segments, reduced complication rates of surgery, and early mobilization. REFERENCES 1.Ni, W.F., et al., Percutaneous pedicle screw fixation for neurologic intact thoracolumbar burst fractures. J Spinal Disord Tech, (8): p Beringer, W., et al., Percutaneous pedicle screw instrumentation for temporary internal bracing of nondisplaced bony Chance fractures. J Spinal Disord Tech, Mobbs RJ, Sivabalan P, Li J. Technique, challenges and indications for percutaneous pedicle screw fixation. J Clin Neurosci Jun;18(6): Epub 2011 Apr 21. CONTACT & DISCLOSURE Dr Ralph Mobbs MD MS FRACS Prince of Wales Private Hospital NeuroSpineClinic e p f The outcomes of 14 patients, aged 16 to 87, were prospectively assessed. The surgeries were performed between March, 2009 to November, 2011 by the author. 6 patients were fixed with short segmentation while the remaining 8 fixed with long segmentation. Percutaneous systems used include: MANTIS (Stryker, USA) and SERENGETI (K2M, Leesburg USA). The indications for inclusion in the study were: 1.Chance fracture: 3 patients. 2.Pathological fracture: 6 patients (5 tumour, 1 infection). 3.Thoracolumbar burst or flexion/distraction injury: 5 patients. Prince of Wales Hospital / NeuroSpineClinic University of New South Wales Ralph Mobbs Sydney, 2012 Major shareholding Medtronic Major shareholding in Johnson / Johnson (Depuy) Minor shareholding in HealthScope Consultancy Agreements / Design / Development: Kasios Biomaterials, Spine Surgical Innovation (SSI), K2M, Stryker Spine, Cerapedics. Travel / Training: Synthes, Stryker, K2M, LifeHealthCare, Cerapedics. RESULTS Case Examples CASE 3: 60F / Fall – L3# & multiple injuries - screws removed 9/12 postop. CASE 2: 16M / Motor Bike – T12# - ASIA_A – sitting up day 1 postop. CASE 1: 52F / IVDU HIV+ Hep C+ – L1/2 osteomyelitis with pathological fracture. All patients were mobilized within 24 hours of surgery. Complications of surgery included 2 superficial infections treated with antibiotics. No patients had worsening of neurological function. Of 96 percutaneously inserted pedicle screws, 2 screws had a medial pedicle breach of less than 3mm. 4 patients have had removal of their fixation hardware to restore motion in non-fused segments.


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