Álynson Larocca Kulcheski

• Master of Surgery
• Federal University of Paraná

Objective Quantify the time elapsed between the arrival of the patient with surgical trauma in the spine at the emergency room and the completion of the surgical procedure, analyzing the factors that may have influenced this process. Methods Retrospective study that included individuals of both sexes aged between 18 and 100 years who arrived at a...

Objective To compare patients who underwent anterior cervical arthrodesis with autologous iliac crest graft and those who used synthetic graft. Methods Analysis of 38 patients aged between 18 and 100 years with anterior cervical spondylosis of 1 or 2 levels in a spine surgery service. Results degenerative cervical spine changes associated with ce...

Resumo Objetivo Validar o modelo de baixo custo para treinamento em artroscopia e analisar a aceitação e utilidade do simulador desenvolvido no ensino e treinamento médico. Método Dez acadêmicos do curso de medicina, dez residentes do terceiro ano em ortopedia e dez cirurgiões de ombro realizaram tarefas pré determinadas em um simulador de ombro du...

Objective To evaluate the epidemiological, clinical, and radiological data of patients treated with XLIF, including the impact on quality of life, pain parameters, and improvement of lumbar lordosis. Methods Retrospective longitudinal study, in which medical records of patients who underwent XLIF between 2017 and 2020 at Hospital do Trabalhador/UF...

Objective Evaluate the epidemiological and radiographic data of patients submitted to the Anterior Lumbar Interbody Fusion (ALIF) technique and the possible complications related to this procedure. Methods: A longitudinal and retrospective study was carried out to analyze electronic medical records and image files of patients who underwent spinal s...

Objective Establish the frequency of incidences, management, and description of the relationship between thoracic and abdominal trauma and spinal injury. Methods Observational, retrospective study of quantitative analysis carried out through the analysis of medical records of patients who presented spinal fractures and associated thoracoabdominal...

Objectives Evaluate the evolution of pain, functional capacity, and vitamin D levels in conservatively treated patients with low-energy spinal fractures. Methods Between January 2017 and March 2021, patients older than 40 years old affected by these fractures were selected and treated conservatively for six months. Visual Analogue Scale (VAS) and...

Objective Evaluate the clinical outcome of patients with lumbar disc herniation (HDL) operated by endoscopic interlaminar microdiscectomy. We evaluated epidemiology, time to return to work, and technique-related complications as secondary outcomes. Method Prospective longitudinal study, where patients with HDL with surgical indications were evalua...

Objectives: To evaluate and compare the clinical evolution of surgical approaches used in patients with severe cervical myelopathy. Methods: Retrospective observational study in which 19 patients with myelopathy who underwent surgery were evaluated. Neurological assessments using the Frankel scale were conducted both preoperatively and one year fol...

Objectives Elaborate a care protocol for spinal gunshot wounds (GSWs), based on the experience of more than fifteen years of treating this type of injury. Methods A retrospective cross-sectional analysis of the electronic medical record data of a tertiary hospital related to the treatment of spinal GSWs between January 2002 and January 2018. Resu...

Objective: to validate a lumbar spine endoscopic flavectomy simulator using the construct method and to assess the acceptability of the simulator in medical education. Methods: thirty medical students and ten video-assisted surgery experienced orthopedists performed an endoscopic flavectomy procedure in the simulator. Time, look-downs, lost instru...

Resumo O objetivo do presente trabalho é criar um modelo de treinamento em artroscopia de ombro de baixo custo abaixo de 100 dólares, tornando-o acessível à capacitação prática de estudantes de medicina e residentes. O modelo foi criado utilizando um cano de PVC de 150 mm de diâmetro em 90 graus e um modelo de ombro sintético. O posicionamento das...

Objective: The objective of this study is to compare the clinical outcome among patients who are surgically treated for lumbar disc herniation by transforaminal and interlaminar endoscopy techniques. Methods: For the treatment of lumbar disc herniation, 31 patients were assigned to undergo the interlaminar technique and 24 patients the transfora...

Objectives: The hip-spine syndrome (HSS) is defined as the simultaneous degeneration of the hip and lumbar spine. The objective of this study is to quantify the sagittal balance values in the population with HSS and to compare them with the normal sagittal balance parameters. Methods: A retrospective study was conducted in which 30 patients with HS...

Objective The objective of the study was the development of a low cost simulator of the endoscopic lumbar spine flavectomy technique for use as a teaching method in order to make endoscopic training more accessible. Methods The study was a descriptive research project conducted at the Orthopedic Skills Laboratory of the Health Sciences Department...

RESUMO A Piomiosite Tropical é uma doença rara, decorrente de uma infecção muscular usualmente causada pelo Staphylococcus aureus, cursando com formação de abscesso e necrose de tecidos. No presente artigo é relatado o caso de uma paciente com piomiosite da musculatura paravertebral, com extensão para o canal medular evidenciado em ressonância magn...

OBJECTIVE To validate an affordable and easily reproducible arthroscopic knee surgery simulator made from simple, low-cost materials by demonstrating its ability to distinguish experienced from novice arthroscopists (i.e., construct validity). Additionally, acceptance and usefulness of the simulator in medical training and education were assessed....

Resumo Objetivo Analisar uma série de casos de fraturas complexas do sacro com dissociação espinopélvica tratados cirurgicamente com fixação iliolombar, e revisar a literatura médica existente. Métodos Para a análise, foram avaliados retrospectivamente os prontuários médicos de casos operados utilizando a técnica de Schildhauer et al para fixação....

Non-pyogenic infections are even rarer. The main non-pyogenic infections are due to Mycobacteria, fungi, Brucella, and syphilis, and they induce granulomatous reactions. In this chapter, we review about the fungal spinal infections and discuss the clinical presentation, diagnosis, complications, and treatment.

The spinal stenosis is the most common disease of the lumbar spine over 65 years. More specific symptoms are the progressive neurogenic claudicating, pain and muscle strength deficit started to walk. A form of clinical evaluation is performed by the “Swiss Spinal Stenosis Questionnaire” (SSSQ). An objective assessment can be made with sedimentation...

Fungal infections of the spine are rare. They usually affect the immunosuppressed population. Most of the time, the symptoms are indolent and nonspecific, which makes difficult its early diagnosis. The histopathological diagnosis is mandatory for its adequate treatment. Cases that do not present with neurological deficits, instability, deformities,...

Objectives: Obesity is a public health problem with high morbidity and mortality rates and perioperative complications in the general population. Minimally invasive procedures are promising alternatives to perioperative complications in individuals with a high body mass index (BMI). Endoscopic lumbar discectomy has been gaining popularity in this r...

Objectives: Despite the use of systemic antibiotic prophylaxis, infection is still a challenge for spine surgeons, with high morbidity and mortality, long hospitalization, delayed rehabilitation, and a greater number of interventions. The purpose of this cross-sectional retrospective case-control study was to compare the incidence of postoperative...

Objectives: Spondylodiscitis is a rare, late diagnosis disease. In view of the morbidity and mortality associated to the delayed diagnosis and increase of the cases in the last years, this study was carried out in order to evaluate the operated cases and improve the management of these patients.. Methods: Retrospective longitudinal study involving...

Objective: To evaluate the degree of patient satisfaction and complications after endoscopic surgery for the treatment of lumbar disc herniation. Methods: We retrospectively evaluated 94 patients with lumbar disc herniation undergoing endoscopic lumbar discectomy through the MacNab questionnaire and four subjective questions related to the procedur...

Objetivos: Avaliar a realidade do ensino e do conhecimento médico sobre as disciplinas musculoesqueléticas do estudante que cursa o último ano de medicina de uma universidade federal no Brasil. Métodos: Estudo quantitativo observacional do tipo transversal, realizado no período de maio a agosto de 2015, utilizando o teste Freedman e Bernstein tradu...

Objective: To retrospectively evaluate factors that influence the return to work of patients of economically active age submitted to surgery due to spinal fractures. Methods: Patients aged between 18 and 65 years that underwent surgery after spinal fracture from 2012 to 2014 were selected. Through a specific questionnaire and review of the medical...

A Piomiosite Tropical é uma doença rara, decorrente de uma infecção muscular usualmente causada pelo Staphylococcus aureus, cursando com formação de abscesso e necrose de tecidos. No presente artigo é relatado o caso de uma paciente com piomiosite da musculatura paravertebral, com extensão para o canal medular evidenciado em ressonância magnética (...

Objective: The aim of this study was to evaluate the success and complications rates of thoracolumbar fractures with a score equal or superior to 7 according to the load sharing classification (McCormack), surgically treated with short posterior fixation at three points. Methods: We evaluated 40 patients with thoracolumbar fractures and score by t...

Objective: Lumbar disc herniation is a common indication for surgical treatment of the spine. Open microdiscectomy is the gold standard. New surgical techniques have emerged, such as spinal endoscopy. We compared and evaluated two endoscopic techniques: the transforaminal and the interlaminar. Methods: Fifty-five patients underwent endoscopic tech...

Objectives: To evaluate thoracolumbar fractures and the complications such as adjacent disc degeneration (ADD) and post-traumatic deformity. Methods: We evaluated 32 patients divided into two equal groups, 16 in the case group (removal of the synthesis material) and 16 in the control group (not submitted to removal of the synthesis material) in or...

Spondylodiscitis affecting the cervical spine is the most unusual type. Disease progression can be dramatic, even causing quadriplegia and death. We present an unusual case that progressed with osteolytic lesions between C2 and C3, causing cord compression and epidural abscess. The patient was treated surgically by a double approach and improved wi...

Objective: To test the reliability of the new AO/2013 classification compared with AO/Magerl and TLICS. Methods: Four spine surgeons retrospectively and blindly evaluated imaging and clinical data from 98 patients with thoracolumbar fractures. Results: Using the Kappa coefficient, we obtained the best reproducibility for the AO/2013 classificatio...

Spondylodiscitis due to Candida is a rare complication from hematogenic dissemination of infection caused by this fungus. We present an atypical case of spondylodiscitis caused by this germ that occurred after chest contusion and progressed with necrotizing fasciitis of the anterior region of the chest and osteomyelitis of the sternum. Through cont...

Spondylodiscitis due to Candida is a rare complication from hematogenic dissemination of infection caused by this fungus. We present an atypical case of spondylodiscitis caused by this germ that occurred after chest contusion and progressed with necrotizing fasciitis of the anterior region of the chest and osteomyelitis of the sternum. Through cont...

Objective: To evaluate the Spine Deformity Index (SDI) and serum levels of vitamin D in patients surgically treated for proximal femur fracture and its relationship with osteoporosis. Methods: Between August and November 2013, patients older than 50 years-old with surgical fracture of the proximal femur by low-energy trauma underwent radiographic...

OBJETIVO: Dada la pequeña cantidad de informaciones con respecto a las alteraciones degenerativas y patológicas de la columna vertebral, se llevó a cabo este estudio con el fin de evaluar y cuantificar los valores angulares de equilibrio sagital en la población obesa. MÉTODOS: Se midieron los ángulos de incidencia pélvica (IP), la versión de la pel...