Keywords : situ fusion

Reduction Versus Non-Reduction Technique in Low Grade Spondylolisthesis; Functional Outcome

Mohanned A. Al-Falahi; Mohammad Saeed; Sinan Adnan

Iraqi Postgraduate Medical Journal, 2014, Volume 13, Issue 1, Pages 115-121

Spondylolisthesis is a condition in which a vertebra slips anteriorly in relation to the vertebra below as a result of pars defect or degenerative disease. The slipped segment produces abnormal positioning of the vertebrae in relation to each other along the spinal column that causing back pain and neurologic deficit.
There are debates about surgical maneuvers regarding low grade spondylolisthesis (grades I and II according to Meyerding classification) whether to reduce the slipped segment or not, the aim of this study is to determine the short and long term difference in the functional outcome between these methods.
This randomized prospective study consist of 32 patients aged between 42-63 years old (11 males and 21 females) treated for symptomatic low grade spondylolisthesis between October 2009 to November 2011 and followed up for 24 months. All patients were randomly divided into two groups: Group I (15 patients) underwent surgical reduction of the slipped segment, and Group II (17 patients) who underwent in-situ fusion without reduction. Both groups had the same pre and postoperative management.
Early postoperative minor complications including one case in each group had superficial wound infection (6.6% and 5.8% in Group I and II respectively) which was controlled in the hospital, and one case in each group (6.6% and 5.8% in Group I and II respectively) had dural tear intraoperatively that was repaired during the operation; none of patients had CSF leak postoperatively. There were two cases in Group I (13.3%) and one case in Group II (5.8%) had postoperative transient sciatic pain due to nerve irritation. Depending on the Oswestry Disability Index (ODI), there was a significant statistical difference between both groups in the short term (p-value = 0.04), but there was no significant statistical difference in the long term follow up between them (p-value =0.33) regarding the functional outcome.
Surgical treatment of low grade symptomatic spondylolisthesis usually include neural decompression, fixation and fusion; however reduction of the slipped segment is not necessary for these patients as the ultimate outcome is similar to those who underwent in-situ fusion only.

Effect of Hypertension on Aortic Root Size and Prevalence of Aortic Regurgitation

Ghassan Abbod Ahmed; Amal Noori Al; Marayati; Basil Najeeb; Asaad Abdullah Abbas; Talib Hashim Salim; Basil Najeeb Saeed; Riyadh S. Abultiman; Abdulhameed A. Majeed Al-kassir; Namir M. Taher Abdullah; Zainab Abdul Razak AL-SharifiA; Halla Ghazi Mahmood; Amjad Daoud Niazi; Hassan Sarhan Haider; Rafal Rajab Hasan; Alaa Hussein Altaee; Raghad Hannon Shinenalsudani; Iyad Abbas Salman; Saba J. AL-Wardi; Khudir Z. Mayouf; Faiq. I. Gorial; Warda S. Lasso; Mohanned A. Al-Falahi; Mohammad Saeed; Sinan Adnan; Islam Ghanem Mahmood; Ali A. Muttalib Mohammed; Ammar Hadi Khammas; Mohammed Radef Dawood; Yaseen Adeeb Sakran; Azad Mohammed Abdullah; Bassam Musa Sadik Al-Musawi; Waleed Mustafa Hussen; Osama Elhassani; Muhanad Fadhil

Iraqi Postgraduate Medical Journal, 2014, Volume 13, Issue 1, Pages 61-69

Although early reports suggested that hypertension predisposed to aortic root enlargement and consequent aortic regurgitation, more recent pathological and M-mode echocardiographic studies have not found an association between hypertension and aortic root enlargement when age is considered.
The aim of this study is to asses the effect of hypertension on aortic root size and to estimate the prevalence of aortic regurgitation.
measurement of two-dimensional echocardiographic diameters of the aortic root at four locations and compared findings with resting blood pressures and measures of body BMI in 110 normotensive and 110 hypertensive men and women matched for age and sex.Colour and continuous wave Doppler study are used to diagnose and assess severity of aortic regurgitation.
Aortic diameters at the anulus (2.40±0.29 versus 2.33±0.24 cm, P=.06) and sinuses (3.45±0.43 versus 3.35±0.35cm, P=.08) were marginally higher, whereas diameters at the supra-aortic ridge (2.93±0.39versus 2.73±0.33cm, P


such a difference in this population of
asymptomatic hypertensive individuals.