Course participants submitted six CXRs, each taken before and after training. Two senior radiological technologists blinded to the CXR profiles assessed the CXRs independently, using an assessment sheet developed by
the Tuberculosis Coalition for Technical Assistance.
RESULTS: Forty radiological technologists from 10 facilities in Manila City and nine in Quezon City participated in the training. A total of 36 participants submitted the required set of CXRs. The assessment indicated learn more that the training effectively improved the quality of CXRs in terms of identification marking (Wilcoxon matched-pairs signed-rank sum test, P = 0.00), contrast (P = 0.00), sharpness (P = 0.01), artefacts (P = 0.00), and the total score of the factors (P = 0.00).
CONCLUSION: The significant improvement in the total score of assessment factors strongly suggests a positive impact of the training course on improving the quality of CXRs.”
“The surgical strategy for cervical spondylotic myelopathy (CSM) accompanying local kyphosis is controversial. The purpose of the present study was to compare and evaluate the outcomes of two types of surgery for CSM LY3023414 chemical structure accompanying local kyphosis: (1) laminoplasty alone (LP) and (2) posterior reconstruction surgery (PR) in which we corrected the local
kyphosis using a pedicle screw or lateral mass screw.
Sixty patients selleck chemicals who presented with local kyphosis exceeding 5A degrees were enrolled. LP and PR were each performed on a group of 30 of these patients; 30 CSM patients without local kyphosis, who had undergone LP, were used as controls. The follow-up period was 2 years or longer. Preoperative local kyphosis angles in LP and PR were 8.3A degrees A A +/- A 4.4A degrees and 8.8A degrees A A +/- A 5.7A degrees, respectively. Preoperative C2-7 angles in LP, PR and controls were -1.7A degrees A A +/- A 9.6A degrees, -0.4A degrees A A +/- A 7.2A degrees and -12.0A
degrees A A +/- A 5.6A degrees, respectively. The recovery rate of the JOA score, local kyphosis angle and C2-7 angle at post-op and follow-up were compared between the groups.
The recovery rate of the JOA score in the LP group (32.6 %) was significantly worse than that in the PR group (44.5 %) and that of controls (53.8 %). Local kyphosis angles in the PR and LP groups at follow-up were 4.0A degrees A A +/- A 8.6A degrees and 8.0A degrees A A +/- A 6.0A degrees, respectively. However, although the C2-7 angle at follow-up was improved to -11.1A degrees A A +/- A 12.7A degrees in PR, and maintained at -11.6A degrees A A +/- A 6.2A degrees in controls, it deteriorated to 0.5A degrees A A +/- A 12.7A degrees in LP.
The present study is the first to compare the outcomes between LP alone and PR for CSM accompanying local kyphosis. It revealed that PR resulted in a better clinical outcome than did LP alone.