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Artigos em Inglês
Index RESUMOS DOS TRABALHOS
Case Report Ney Medeiros, MSc,* and Gustavo Gaffr?e, MSc†
THE FALSE LIGAMENTS OF THE LUMBAR SPINE (DR.Antonio Ribas e colab. Congresso em Tokyo 2009)
 The accidental displacement of teeth into the fascial spaces constitutes an unusual complication, however,
there are reports in worldwide literature of displacements to the infratemporal fossa,1 maxillary sinus,2
submandibular space,3 pterygomandibular space,4 lateral pharyngeal space,3,5-7 and lateral cervical region.8
The purpose of this article is to report a case treatedin the hospital environment and under general anesthesia
to remove a tooth in the lateral pharyngeal space.
Ney Medeiros, MSc,* and Gustavo Gaffr?e, MSc
CHRONIC LOW BACK PAIN TREATMENT BY RADIOFREQUENCY Antonio Ribas, MD 1 2, Gerard Oertmüller, MD 2,
Johannes Ruttermann, MD2, Klaus Von Battenn, MD²
1. Clinica Santa Lucia, placeCityRio de Janeiro, RJ, Brazil Brazil
2 Institut für Anatomie und Zell Biologie, UKB,, Berlin, Germany
BACKGROUND CONTEXT:
In 1933 Ghormley introduced the term 'facet syndrome' or "syndrome of the ramus medialis of the lumbar ramus dorsalis".Harris, McNab and McRae in the 1950's suggested that facet joint degeneration was the responsable for the low back pain. Since then several authors reported good results in relieving pain by injections of local anesthetics.The current evolution of radiofrequency seem to elarge its therapeutic value in the management of chronic pain and prevent the patient from major surgical procedures .
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RADIOFREQUENCY TREATMENT FOR CERVICOGENIC HEADACHE - A RANDOMIZED DOUBLE-BLIND, SHAM-CONTOLLED STUDY
Antonio Ribas, MD1 2 3 , Gerard Oertmüller, MD2 ,
Johannes Ruttermann, MD2, Klaus Von Battenn, MD,PhD²
1. Clinica Santa Lucia, placeCityRio de Janeiro, RJ, Brazil Brazil
2 Institut für Anatomie und Zell Biologie, UKB,, Berlin, Germany
3. Hospital Municipal Miguel Couto, Rio de Janeiro- Brazil
INTRODUCTION
Cervicogenic headache is still a controversial disease entity, and good and reliable treatment is lacking. The current evolution of radiofrequency seem to enlarge its therapeutic value in the management of chronic pain
PURPOSE
The aim of this study is to clarify the efficacy and safety of radiofrequency procedure for medically intractable cervicogenic headache .
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A NEW FRONTIER: THE NANOSPINEMEDICINE
Antonio Ribas, MD1 2 3 , Gerard Oertmüller, MD 2,
Johannes Ruttermann, MD2, Klaus Von Battenn, MD,²
1. Clinica Santa Lucia, placeCityRio de Janeiro, RJ, Brazil Brazil
2 Institut für Anatomie und Zell Biologie, UKB,, Berlin, Germany
3. Hospital Municipal Miguel Couto, Rio de Janeiro - Brazil
INTRODUCTION: The idea of nanotechnology was developed by Richard Feynman, a physicist who won a Nobel Prize for "fundamental work in quantum electrodynamics". He proposed work in a field "in which little has been done, but in which an enormous amount can be done in principle". Feynman described how the entire Encyclopedia Britannica could be written on the head of a pin, and how all the world's books could fit in a pamphlet. The design and application of bionanotechnologies aimed at spine and spinal cord provide powerful new approaches for studying cell and molecular biology and physiology.
PURPOSE: The main purpose of this paper is give an introduction to the structure and organization of the spine and spinal cord starting at the organ level and working down in spatial scale to the cellular and molecular levels, with specific examples of biological 'nanoengineering' in bone and neural cells and clarify some aspects of the emerging nanotechnologies for neuroscience and spine science applications.
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THE MECHANOBIOLOGY OF DISCOGENIC LOW BACK PAIN.
ANTONIO RIBAS,MD,RJ,BRAZIL
BRAZILIAN SOCIETY OF NEUROSURGERY -- XXVI CONGRESS -- FLORIANOPOLIS -- SEPTEMBER , 2006
Diskogenic low back pain is a complex entity and its pathogenesis
remains unclear. Nerve growth deeper into lumbar painful disks
had been reported. The micromechanobiology of the lumbar disk
play an important role in this issue.
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HISTORY AND DEVELOPMENT OF THE SPINE INDUSTRY
ANTONIO RIBAS,MD,RJ,BRAZIL
BRAZILIAN SOCIETY OF NEUROSURGERY -- XXVI CONGRESS -- FLORIANOPOLIS - - SEPTEMBER 2006
Data about the treatment of the spine disorders and instability of the spine dates back to a document from 2500 B.C., the Edwin’s papyrus. In his 1891 report ........
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ANATOMY OF THE LUMBAR SEGMENT : VARIATIONS AND TOPOGRAPHICAL RELATIONS BETWEEN VERTEBRAE , NERVROOTS AND DISKS.
ANTONIO RIBAS,MD,RJ,BRAZIL
Congresso SBTO , Vitória , ES , out 2005
MALFORMATION AND DEVELOPMENT ANOMALIES OF THE LUMBAR SPINE SEGMENT ARE USUALLY UNDERRATED IN THEIR CLINICAL SIGNIFICANCE AS CAUSES FOR INTERVERTEBRAL DISK SYMPTOMS. THE PURPOSE OF THE AUTHORS IS TO REVIEW THE LUMBAR SPINE ANATOMY FOR CLINICAL EVALUATION AND SURGICAL APPROACHES.
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THE ARTERY OF ADAMKIEWICZ - MICROSURGICAL ANATOMY
ANTONIO RIBAS,MD,RJ,BRAZIL
Congresso SBTO , Vitória , ES , out 2005
THE BOOD SUPPLY OF THE LOWER SPINAL CORD IS HEAVILY DEPENDENT ON THE ARTERY OF ADAMKIEWICZ, WHICH OFTEN ORIGINATES FROM ONE OF THE THORACOLUMBAR SEGMENTAL ARTERIES. IT IS OF ENORMOUS CLINICAL, SURGICAL AND RADILOGICAL IMPORTANCE. THE GOAL OF THIS STUDY IS TO CLARIFY THE COURSE AND BRANCHES OF THE SEGMENTAL ARTERY THAT GIVES RISE TO THIS IMPORTANT VESSEL.
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DISK REGENERATIONS AFTER LUMBAR ARTHROPLASTY WITH THE DYNAFIX SYSTEM
ANTONIO RIBAS,MD,RJ,BRAZIL
N A S S 20 TH ANNUAL MEETING – P H I LA D E L P H I A - 2005
13th Worls Congress of Neurological Surgery (Marrakesh,June 19,2005)
THE DYNAFIX IS A SEMI-RIGID METALLIC “U” DRVICE MOLDED IN TITANIUM. IT , AND PARTIALLY RESTORESIS INSERTED INYO THE INTERSPINOUS SPACE AND SUBSTANTIALLY RESTRICTS MOBILITY OF THE VERTEBRAL SEGMENT, BUT NOT COMPLETELY. IT REDUCES STRESS AT THE POSTERIOR JOINTS , PARTIALLY
MODIFYING LORDOSIS, OPENS UP THE FORAMINA, AND PARTIALLY RESTORES THE INTERVERTEBRAL DISK FUNCTION, ACTING AS A SHOCK ABSORBENT. IT OFFERS NA IMPORTANT ALTERNATIVE TO FUSION AND THE IMPLANT TECHNIQUE IS QUICK, SAFE AND EASY TO PERFORM. 231 PROTHESES WERE IMPLANTED IN 166 PATIENTS
OBS.: artigo em pps com 10mega + adobe de 1.450
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Abdominal Compartment Syndrome
RICHARD A. WATSON, MD, and THOMAS R. HOWDIESHELL, MD, Augusta, Ga
ABDOMINAL COMPARTMENT SYNDROME (ACS) is apotentially fatal entity of which all clinicians,and surgeons in particular, need to be acutelyaware. Reports regarding ACS have beenappearing throughout the traumatology andgeneral surgery literature in steady, if notexplosive progression,1-14accompanied by an
expanding appreciation of the potential forlife-threatening ramifications, should this underlying condition go undetected. In this clinical review, we provide a comprehensive update and overview.
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Review Article
Primary Care
PRIMARY CARE
HYPERNATREMIA
HORACIO J. ADROGUƒ, M.D.,
AND NICOLAOS E. MADIAS, M.D.
From the Department of Medicine, Baylor College of Medicine and Methodist Hospital, and the Renal Section, Department of Veterans Affairs Medical Center, Houston (H.J.A.); and the Department of Medicine, Tufts University School of Medicine, and the Division of Nephrology and Tupper Research Institute, New England Medical Center, Boston (N.E.M.).
HE serum sodium concentration and thus serum osmolality are closely controlled by water homeostasis, which is mediated by thirst , arginine vasopressin, and the kidneys. 1 A disruption in the water balance is manifested as an abnormality in the serum sodium concentration - hypernatremia or hyponatremia. 2,3 Hypernatremia, defined as a rise in the serum sodium concentration to a value exceeding 145 mmol per liter, is a common electrolyte disorder. Because sodium is a functionally impermeable solute, it contributes to tonicity and induces the movement of water across cell membranes. 4 Therefore, hypernatremia invariably denotes hypertonic hyperosmolality and always causes cellular dehydration, at least transiently (Fig. 1). The resultant morbidity may be inconsequential, serious, or even life-threatening. 5 Hypernatremia frequently develops in hospitalized patients as an iatrogenic condition, and some of its most serious complications result not from the disorder itself but from inappropriate treatment of it. 6,7 In this article, we focus on the management of hypernatremia, emphasizing a quantitative approach to the correction of the fluid imbalance. 8
CAUSES
CLINICAL MANIFESTATIONS
TREATMENT
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Review Article
Primary Care
PRIMARY CARE
HYPONATREMIA
HORACIO J. ADROGUƒ, M.D.,
AND NICOLAOS E. MADIAS, M.D.
From the Department of Medicine, Baylor College of Medicine and Methodist Hospital, and the Renal Section, Department of Veterans Affairs Medical Center, Houston (H.J.A.); and the Department of Medicine, Tufts University School of Medicine, and the Division of Nephrology and Tupper Research Institute, New England Medical Center, Boston (N.E.M.).
nmadias@infonet.tufts.edu.
HYPONATREMIA is defined as a decrease in the serum sodium concentration to a level below 136 mmol per liter. Whereas hypernatremia always denotes hypertonicity, hyponatremia can be associated with low, normal, or high tonici-
ty. 1,2 Effective osmolality or tonicity refers to the contribution to osmolality of solutes, such as sodium and glucose, that cannot move freely across cell
membranes, thereby inducing transcellular shifts in water. 3 Dilutional hyponatremia, by far the most common form of the disorder, is caused by water reten-tion. If water intake exceeds the capacity of the kidneys to excrete water, dilution of body solutes results, causing hypo-osmolality and hypotonicity (Fig. 1B,1E, 1F, and 1G).
Cause
Treatment
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