Browsing by Author "Carelli, Luis Eduardo"

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    Management of type II odontoid fractures: experience from latin american spine centers
    (Elsevier, 2017) Falavigna, Asdrubal; Righesso, Orlando; Guarise da Silva, Pedro; Rocca Siri, Carlos; Daniel, Jefferson; Esteves Veiga, Jose Carlos; Borges Laurindo de Azevedo, Gustavo; Carelli, Luis Eduardo; Yurac, Ratko; Sanchez Chavez, Felix Adolfo; Sfreddo, Ericson; Cecchini, Andre; Martins do Reis, Marcelo; Jimenez Avila, Jose Maria; Riew, Daniel
    OBJECTIVE: To analyze characteristics of type II odontoid fracture (TII-OF), including clinical and radiographic factors, that influence surgical planning in 8 Latin American centers. METHODS: Retrospective chart review was performed of 88 patients with TII-OF between 2004 and 2015 from 8 Latin American centers. Parameters studied included 1) demographic data and causes of TII-OF, 2) clinical and neurologic presentation, 3) characteristics of fracture (degree of odontoid displacement, displacement of odontoid relative to C2 body, anatomy of fracture line, distance between fragments, presence of comminution, contact area between odontoid and C2 body), 4) type of treatment, and 5) clinical and radiographic outcome. Bone fusion was assessed using computed tomography. RESULTS: Mean patient age was 45.33 years ± 23.54; 78.4% of patients were male. Surgery was the primary treatment in 65 patients (73.8%), with an anterior approach in 64.6%. Surgery was usually preferred in patients with posterior or horizontal oblique fracture lines, local pain, and a smaller bone contact surface between the odontoid and the body of C2. A posterior approach was chosen when distance between the fractured bone fragments was >2 mm or after failed conservative or anterior odontoid screw treatment in a symptomatic patient. CONCLUSION: The treatment of choice for TII-OF in 8 Latin American trauma centers was surgery through an anterior approach using screw fixation. Posterior segmental C1-C2 fixation was indicated when distance between bone fragments was >2 mm and in symptomatic patients with nonunion.
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    SPINE20 Recommendations 2024 -Spinal Disability: Social Inclusion as a Key to Prevention and Management
    (2025) Menezes, Cristiano M.; Tucci, Carlos; Tamai, Koji; Chhabra, Harvinder S.; Alhelal, Fahad H.; Bussières, André E.; Muehlbauer, Eric J.; Roberts, Lisa; Alsobayel, Hana I.; Barneschi, Guido; Campello, Marco A.; Côté, Pierre; Duchén Rodríguez, Luis Miguel; Cristante, Alexandre F.; Kamra, Komal; Kitamura, Kazuya; Meves, Robert; Risso-Neto, Marcelo I.; Vlok, Adriaan J.; Wadhwa, Sanjay; Wiechert, Karsten; Yurac, Ratko; Blattert, Thomas; Costanzo, Giuseppe; Darwono, Bambang; Nordin, Margareta; Al Athbah, Yahya S.; Alturkistany, Ahmed; Chahal, Rupinder; Franke, Joerg; Ito, Manabu; rand, Markus; Pereira, Paulo; Ruosi, Carlo; Sullivan, William J.; Andújar, André L.F.; Henrique Ribeiro, Carlos; Carelli, Luis Eduardo; Sardá, Jamir; Machado, Ana Lígia G.E.; AlEissa, Sami
    Spine disorders are the leading cause of disability worldwide. To promote social inclusion, it is essential to ensure that people can participate in their societies by improving their ability, opportunities, and dignity, through access to high-quality, evidence-based, and affordable spine services for all. To achieve this goal, SPINE20 recommends six actions. - SPINE20 recommends that G20 countries deliver evidence-based education to the community health workers and primary care clinicians to promote best practice for spine health, especially in underserved communities. - SPINE20 recommends that G20 countries deliver evidence-based, high-quality, cost-effective spine care interventions that are accessible, affordable and beneficial to patients. - SPINE20 recommends that G20 countries invest in Health Policy and System Research (HPSR) to generate evidence to develop and implement policies aimed at integrating rehabilitation in primary care to improve spine health. - SPINE20 recommends that G20 countries support ongoing research initiatives on digital technologies including artificial intelligence, regulate digital technologies, and promote evidence-based, ethical digital solutions in all aspects of spine care, to enrich patient care with high value and quality. - SPINE20 recommends that G20 countries prioritize social inclusion by promoting equitable access to comprehensive spine care through collaborations with healthcare providers, policymakers, and community organizations. - SPINE20 recommends that G20 countries prioritize spine health to improve the well-being and productivity of their populations. Government health systems are expected to create a healthier, more productive, and equitable society for all through collaborative efforts and sustained investment in evidence-based care and promotion of spine health.

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