Low back pain is one of the most common and disabling morbidities in the world and its relationship with spino-pelvic parameters is not yet fully understood in the Indian population. Our objective was to study the spino-pelvic parameters in patients who presented to the OPD with low back ache (LBA). Materials and Methods: Cross-sectional study conducted at SGITO, Bangalore between March-August 2018. 90 patients with LBA were asked to take standing lateral radiographs showing the pelvis with both hips and lumbar spine. The lumbar lordosis (LL), pelvic incidence (PI), pelvic tilt (PT), and sacral slope (SS) were calculated; and statistical analysis was done. Results: The mean age of patients was 46 years. The average duration of LBA was 14.5 months. The average PI, SS, PT, and LL among the patients was found to be 52.53 (+/-10.85), 35.08 (+/-9.17), 17.56 (+/-7.72), and 49 (+/-3) respectively. PI had statistically significant association with PT and SS but not with LL among both men and women in all age groups. Mean PI and PT was found to be higher in women (53.82+/-11.85) (18.35 +/-8.45) and in above 50 years age group (54.58 +/-11.41). Similarly, the mean PT was higher in among women (18.35 +/-8.45) and in the above 50 years age group (18.93 +/-8.02). The duration of lower back pain was found to be positively associated with PI, SS, PT, and LL but didn't reach statistical significance. Conclusion: Spino-pelvic alignment is maintained in patients with low back pain and differences in sagittal alignment in patients with low back ache are minor and clinically, multiple factors contribute to LBA. However, further studies need to be conducted to corroborate these findings in the Indian population which may help in early detection and management of patients prone to develop lumbar disc degeneration and low back ache.
-Wi-Fi Analyser tools and range recognition is a project which involved analyzing the Wi-Fi traffic in Vishwakarma Institute of Technology. We present the details of the analysis and the results of our experiment on the Wi-Fi network using a Wi-Fi analyzer tool called Netspot which is windows software Open Signal and a Coverage app. This paper provides an overall coverage of the Wi-Fi in the college campus . The idea was to present how the signals were measured, analyzed and the conclusion was based on the analysis. Today we already have better tools to access the WiFi devices. This paper presents measurements in real WiFi scenarios and shows how a simple laptop along with some built in applications can be used for such measurement purpose. The applications used for the study is user friendly, free of cost and is easily available both online and offline. The project concentrated on optimizing the number of APs required to access the Wi-Fi signal from every corner of the project site.
Introduction: Cervical radiculopathy is one of the most common symptoms of disc herniation although; it can also be associated with osteoarthritis of uncovertebral and facet joints. Patients with cervical radicular syndrome due to disc herniation who are refractory to Lifestyle modification and conservative management are offered ACD which is the standard procedure, often in combination with inter body fusion. ACD is widely accepted as standard procedure for cervical disc radiculopathy but fusion is still controversial. This study is intended to observe the role of ACDF with anterior cervical plate in cases of cervical disc Herniation and, its effects on cervical mobility, complications and the neurological improvement.Objective: To study the Functional outcome ACDF with anterior cervical plate in cases of cervical disc herniation with respect to Post-operative neurological improvement, effect on quality of life and complications associated with procedure. Material and methods: A prospective followup study of functional outcome following ACDF with Anterior locking plate in patients with Cervical Disc herniation. A sample size of minimum 50 patients was selected using purposive sampling technique. Clinical improvement was studied during follow up at 6 weeks, 12 weeks, 6 months and 9months and a Functional score was obtained using SF-36 questionnaire, Neck disability index score, and Visual analog scale at these visits. Statistical Analysis of the data was done by Friedman test, ANOVA and Wilcoxon signed rank test. X Result Statistical significant improvement seen in SF-36 scores, Neck disability index score, and Visual analog scale was seen in study (P<0.01). No worsening of neurological deficit or donor site morbidity found in the study of 50 patients. SF-36scores, NDI score as well as VAS scores featured gradual and constant improvement during the follow-up with best scores presenting 9 months after surgery. Conclusion: Cervical plating increases the rate of fusion and decreases the change of graft related complication. Thus this study shows that the improved clinical outcome and fusion and low complication rate associated with anterior cervical plating may justify its use for cervical disc fusion.
Aim: To assess the clinical and functional outcome of surgically treated tibial plateau fractures with internal fixation by locking compression plated at SSIMS-RC, DAVANAGERE during JUNE 2015 TO FEBRUARY 2017. Objectives 1. To re-establish the anatomy of articular surface of upper end of tibia and knee joint perfectly by operative treatment with internal fixation. 2. To assess the radiological union of fractures after internal fixation with locking compression plate. 3. To assess the functional outcome of knee joint Materials and methods: Total number of cases studied were 30. Inclusion criteria: Skeletally mature patients with tibial plateau fractures. Exclusion Criteria: Patients with Gustilo-Anderson Type 3 compound tibial plateau fractures, Children with proximal tibial fractures in whom the growth plate is intact, patients with pathological proximal tibial fractures apart from osteoporosis, Patients managed conservatively for other medical comorbidities, Ipsilateral intraarticular fracture femur and patella. Observation and results: Rassmussens criteria was used for evaluation of results. Out of 30 cases., we are able to achieve 66.66% excellent result and 20% good result( over all 86.66%, acceptable results ) with our standard surgical care. in addition we have 13.33% fair and resultsinterm of functional outcome. Conclusion: From this study we conclude that, surgical management of tibial plateau fractures gives excellent anatomic reduction, accurate axial and articular alignment with rigid internal fixation by locking compression plate and achieves a stable and functional knee joint. Preoperative soft tissue status and associated ligamentous injuries and their repair at right time, significantly changes the final outcome.
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