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RISS 인기검색어
- 검색키워드
- 저자 : Natarajan Muthukumar (검색결과 3 건)
- 무료
- 기관 내 무료
- 유료
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Problems in Instrumentation of Syndromic Craniovertebral Junction Anomalies – Case Reports
Natarajan Muthukumar 대한척추신경외과학회 2019 Neurospine Vol.16 No.2
The aim of this study is to highlight the complications of instrumentation in the setting of syndromic craniovertebral junction (CVJ) anomalies. The records of patients with syndromic CVJ anomalies treated by this author during the period of 2012–2017 were retrospectively reviewed. Patients in whom intraoperative difficulties and complications were encountered were culled out from the database. Complications were divided into (1) technique related, (2) neural injury, (3) vascular injury, (4) instrumentation pull out/breakage, (5) inaccurate screw placement and, (6) where postoperatively, the surgeon felt an alternate surgical technique could have yielded better results. Four patients with either unexpected intraoperative difficulties or complications or in whom the technique could have been refined were identified. There were 2 patients with proatlas segmentation anomalies and 2 with Morquio’s-Brailsford disease. The first patient had cage migration which necessitated a second procedure during craniovertebral realignment, the second had partial penetration of the screw into the transverse foramen, the third with bipartite atlas underwent a C1–2 fixation without a horizontal cross-connector and, the fourth had screw pull outs from the subaxial cervical spine intraoperatively during an attempted occipitocervical fusion. In children with syndromic CVJ anomalies, the surgeon should be aware of the high risk of intraoperative difficulties and complications. Potential pitfalls and the ways to avoid these complications are discussed.
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Odontoid Synchondrosis Fracture Treated by C1-2 Polyaxial Screw-Rod Fixation
Muthukumar, Natarajan The Korean Neurosurgical Society 2014 Journal of Korean neurosurgical society Vol.55 No.4
The synchondrosis between the dens and the body of axis normally fuses between 5 and 7 years of age. Until this age, synchondrosis fractures can occur in children. Most synchondrosis fractures are conventionally treated by external immobilization alone. We report a 10-year-old child with odontoid synchondrosis fracture who was treated by C1 lateral mass and C2 pars screw rod fixation with a successful outcome and discuss the possible reasons for occurrence of odontoid synchondrosis fracture in this older child as well as the indications for surgery in this condition.
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Durable keratin-based bilayered electrospun mats for wound closure
Singaravelu, Sivakumar,Ramanathan, Giriprasath,Muthukumar, Thangavelu,Raja, M. D.,Nagiah, Naveen,Thyagarajan, Sitalakshmi,Aravinthan, Adithan,P., Gunasekaran,Natarajan, T. S.,V. N. Geetha Selva, Ganga The Royal Society of Chemistry 2016 Journal of Materials Chemistry B Vol.4 No.22
<P>A bilayered nanofibrous scaffold with rapid wound healing properties is found to be suitable for tissue regeneration applications. The objective of this study is to reveal the fabrication of a poly(3-hydroxybutyric acid) (P)-gelatin (G) nanofibrous mat through electrospinning, with a horn keratin-chitosan-based biosheet (KC) as a bilayered nanofibrous scaffold. The mupirocin (D)-loaded horn KC biosheet (KCD) acts as the primary layer over which PG nanofibers were electrospun to act as the secondary layer. It is shown that this engineered bilayered nanofibrous scaffold material (KC-PG) should fulfill the functions of the extracellular matrix (ECM) by elucidating its function<I>in vitro</I>and<I>in vivo</I>. The bilayered nanofibrous scaffold was designed to exhibit improved physiochemical, biological and mechanical properties, with better swelling and porosity for enhanced oxygen permeability, and it also exhibits an acceptable antibacterial property to prevent infection at the wound site. The bilayered nanofibrous scaffold assists in better biocompatibility towards fibroblast and keratinocyte cell lines. The morphology of the nanofibrous scaffold aids increased cell adhesion and proliferation with cell material interactions. This was elucidated with the help of<I>in vitro</I>fluorescence staining against both cell lines. The bilayered KCD-PG nanofibrous scaffold material gives accelerated wound healing efficiency during<I>in vivo</I>wound healing. The results showed the regulation of growth factors with enhanced collagen synthesis, thereby helping in faster wound healing.</P>
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