- Spine and Intervertebral Disc Pathology
- Spinal Fractures and Fixation Techniques
- Musculoskeletal pain and rehabilitation
- Scoliosis diagnosis and treatment
- Medical Imaging and Analysis
- Management of metastatic bone disease
- Lymphatic System and Diseases
- Vascular Tumors and Angiosarcomas
- Vascular Malformations and Hemangiomas
- Pelvic and Acetabular Injuries
Tampere University
2019-2025
Tampere University Hospital
2019-2025
Kuopio University Hospital
2023
Orthopaedic Trauma Association
2022
Cohort Study. End-stage degenerative segments above fusion levels have been associated with lower rates for surgical adjacent segment disease. We aimed to explore how this degeneration translates into patient reported outcomes. A consecutive series of lumbar patients pathologies were enrolled. Preoperative cranial status was determined using the Combined Imaging Score (CIS). Based on CIS, trichotomized mild (CIS <7), advanced 7-10), and end-stage >10) tertiles. In analysis, tertiles adjusted...
Background and purpose: Information on metastatic spine disease (MSD) based nationwide data trends postoperative survival is limited but needed to optimize treatment in this population. We aimed assess the incidence of rates after MSD surgery.Methods: This retrospective register-based study combined from Finnish Cancer Registry, Care Register for Health Care, Cause Death 1997 2020. Surgeries were identified using diagnosis procedural codes, with primary pathologies excluded. Incidence...
Retrospective additional analysis of a prospective follow-up study.We aimed to find out whether poor postoperative sagittal alignment increases revisions for adjacent segment disease (ASD) after lumbar spine fusion (LSF) performed degenerative disease.Revisions ASD accumulate over time LSF disease. The etiology is considered multifactorial. Yet, the role balance in this process remains controversial.A total 215 consecutive patients who had undergone an elective surgery spinal stenosis with...
Retrospective analysis of prospectively collected data.
Study Design. Retrospective cohort study. Objective. The aim of this study was to assess the incidence and trends spine fracture hospitalization surgery in Finland 1998–2017. Summary Background Data. Traumatic fractures are rare, yet they known cause significant long-term disability therefore social, functional, financial burden. related mortality has been suggested have declined during recent years. However, there no population-based studies investigating surgical treatment fractures....
Prospective follow-up study.The aim of this study was to assess whether depressive symptoms change the outcome lumbar spine fusion (LSF) surgery at a 5-year follow-up.Previous reports influence on results are controversial, but patient characteristics and indications for varied widely between studies. The LSF has not been studied.The based data from local database two hospitals comprising 392 consecutive patients (mean age 61 years, 277 women) who underwent an instrumented fulfilled...
Prospective, follow-up study.We aim to compare the rate of revisions for ASD after LSF surgery between patients with IS and DLSD.ASD is a major reason late reoperations surgery. Several risk factors are linked progression ASD, but understanding underlying mechanisms imperfect. If infrequently becomes complicated it would emphasize role ongoing degenerative process in spine development ASD.365 consecutive that underwent elective were followed up an average 9.7 years. Surgical indications...
Study Design. Cohort study Objective. To evaluate heterogeneity (fluctuation) in minimal important change (MIC) and patient acceptable symptom state (PASS) for patient-reported outcomes (PROMs) through 10 years after lumbar fusion. Summary of Background Data. PROMs have become key determinants spine surgery studies. MIC PASS were established to aid PROM interpretations. However, their long-term stability has not yet been reported. Methods. A consecutive series elective fusions followed-up...
Prospective follow-up study.We aimed to assess the effect of lumbar spine fusion (LSF) on disability, health-related quality life and mortality in a 5-year follow-up, compare these results with general population.523 consecutive LSF operations were included prospective follow-up. Disability was assessed by Oswestry Index (ODI), HRQoL 36-item Short Form (SF-36) questionnaire using physical mental summary scores (PCS MCS). The patients compared an age-, sex-, residential area matched...
Lumbar spine fusion (LSF) surgery is a viable form of treatment for several spinal disorders. Treatment effects are preferably to be endorsed in real-life settings.This prospective study evaluated the 10-year outcomes LSF. A population-based series elective LSFs performed at 2 centers between January 2008 and June 2012 were enrolled. Surgeries tumor, acute fracture, or infection, neuromuscular scoliosis, postoperative conditions excluded. The following patient-reported outcome measures...
Summary Gorham–Stout disease (GSD) is a rare bone characterized by massive osteolysis and lymphatic proliferation. The origin of the condition unknown, no established treatment protocol exists. Massive pleural effusion frequent complication GSD in thoracic region. We present case 23-year-old male with GSD, subsequent paraparesis, life-threatening effusion. patient was managed multidisciplinary team good recovery. successfully treated pleuro-peritoneal shunt. This first report use this...