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  1. Article ; Online: Vertebra prominence in women: significance in clinical practice and in surface topography.

    Grivas, T B / Kechagias, V A / Mihas, C

    Studies in health technology and informatics

    2021  Volume 280, Page(s) 86–91

    Abstract: A sexual dimorphism (SD) of the "vertebra prominens" was found, namely the 7th cervical vertebra (C7) spinous process (SP) is more frequently longer in men and the 1st thoracic (T1) SP in women.[1] We assume that the cause of this SD is the different ... ...

    Abstract A sexual dimorphism (SD) of the "vertebra prominens" was found, namely the 7th cervical vertebra (C7) spinous process (SP) is more frequently longer in men and the 1st thoracic (T1) SP in women.[1] We assume that the cause of this SD is the different anatomy of the anterior upper thoracic region (AUTR) between men and women, due to the presence of the breast. One-hundred forty-two women aged 48.1Âś17 years old, who visited the OPD for neck complaints, were studied. Measures included the age, the relationship of C7 and T1 SP length, documented in three types (type 1= [C7>T1], 2 = [C7 = T1], 3 = [C7 < T1]), the breast size, (small, medium and large), the length ratio of C7/T1 SP and the BMI. Breast size and SP length relationship between C7 and T1 was found to be significantly correlated. The results confirm that the cause of the SD of the SP length of C7 and T1 seems to be the different female AUTR anatomy due to the presence of the breast and it is probably the result of the need of the posterior cervical anatomical structures to compensate for the higher torque created by the female AUTR anatomy. These original findings are useful in clinical examination, in breast oncology, for the plastic surgeons, in terms of implantation of the proper breast size implant, after mastectomies for malignancies but also for aesthetic reasons and the software of all surface topography devices should be adjusted accordingly.
    MeSH term(s) Adolescent ; Cervical Vertebrae ; Female ; Humans ; Male ; Neck
    Language English
    Publishing date 2021-06-30
    Publishing country Netherlands
    Document type Journal Article
    ISSN 1879-8365
    ISSN (online) 1879-8365
    DOI 10.3233/SHTI210441
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: General Medical Practitioners' Preferences in Referring Patients with Head and Neck Disorders; A Cross-Sectional Evaluative Study in Greece.

    Tatsis, Dimitris / Grivas, Theodoros / Antoniou, Asterios / Argyriadou, Stella / Kyrgidis, Athanassios

    Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India

    2021  Volume 74, Issue Suppl 3, Page(s) 5668–5674

    Abstract: Oral and Maxillofacial Surgery (OMFS) is among the newest established medical specialties and its full scope is not fully known by other specialties. The aim of the present study is to record the perception of OMFS scope by general medical practitioners ( ...

    Abstract Oral and Maxillofacial Surgery (OMFS) is among the newest established medical specialties and its full scope is not fully known by other specialties. The aim of the present study is to record the perception of OMFS scope by general medical practitioners (GMPs) of the National Health Service in Greece. A cross-sectional study was conducted in GMPs via a structured questionnaire. Questions involved various head and neck disorders and possible referring medical specialties. 66 answered questionnaires were included in this study. Participants were established to regional health practices, health centres or hospitals. 77.2% of the participants would refer a facial laceration to a plastic surgeon and only 7.2% to an OMFS. 89.3% would refer a zygoma fracture to an OMFS and 10.6% to an ENT. The vast majority would refer a tongue cancer, a neck mass and a mouth lesion to an ENT (74.8%, 81.8%, and 48% respectively). OMFS scope awareness of GMPs can be considered low. Thus, widening the knowledge of OMFS practice in primary grade medical practitioners is of high importance. Early exposure of medical students to the specialty could be a valid option to achieve this target.
    Language English
    Publishing date 2021-11-27
    Publishing country India
    Document type Journal Article
    ZDB-ID 1471137-0
    ISSN 0973-7707 ; 2231-3796 ; 0019-5421
    ISSN (online) 0973-7707
    ISSN 2231-3796 ; 0019-5421
    DOI 10.1007/s12070-021-02991-1
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  3. Article: An Unusual Late Onset of Ichthyosis Hystrix.

    Tampouratzi, Eleftheria / Platsidaki, Eftychia / Grivas, Theodoros / Katsantonis, John

    Skinmed

    2018  Volume 16, Issue 5, Page(s) 365–367

    MeSH term(s) Age of Onset ; Aged, 80 and over ; Humans ; Ichthyosis/pathology ; Male
    Language English
    Publishing date 2018-11-09
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2171125-2
    ISSN 1540-9740
    ISSN 1540-9740
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  4. Article ; Online: The Turkish version of the Brace Questionnaire in brace-treated adolescents with idiopathic scoliosis.

    Gür, Gözde / Yakut, Yavuz / Grivas, Theo

    Prosthetics and orthotics international

    2017  Volume 42, Issue 2, Page(s) 129–135

    Abstract: Background: Evaluation of the effects of brace treatment on quality of life in adolescent idiopathic scoliosis is important.: Objectives: To analyze the validity and reliability of the Turkish version of the Brace Questionnaire.: Study design: ... ...

    Abstract Background: Evaluation of the effects of brace treatment on quality of life in adolescent idiopathic scoliosis is important.
    Objectives: To analyze the validity and reliability of the Turkish version of the Brace Questionnaire.
    Study design: Cohort study, evaluation of reliability and validity of the Turkish version of the Brace Questionnaire.
    Methods: Twenty-eight patients undergoing brace treatment for adolescent idiopathic scoliosis (median age: 14.6 years) were included in the study. The Brace Questionnaire was translated into Turkish and administered to the patients twice at an interval of 5 days. Reliability was assessed using the test-retest method (Pearson's correlation coefficient); internal consistency was analyzed using Cronbach's alpha. Validity was assessed by correlating the Brace Questionnaire with the Bad Sobernheim Stress Questionnaire-Brace and Scoliosis Research Society-22 questionnaire.
    Results: The mean Cobb angles were 31.1° ± 8.3° and 29.7° ± 9° for thoracic and lumbar regions, respectively. Cronbach's alpha was 0.94. Intraclass correlation coefficient was 0.95 in test-retest reliability analysis. The correlations between Brace Questionnaire and Bad Sobernheim Stress Questionnaire-Brace and Scoliosis Research Society-22 were r = 0.67 and r = 0.64, respectively.
    Conclusion: The Turkish version of the Brace Questionnaire to measure the effects of brace treatment on quality of life in adolescent idiopathic scoliosis was found to have good validity, excellent reliability, and high internal consistency. Clinical relevance We recommend routine use of the Brace Questionnaire in scoliosis patients to evaluate brace-related quality of life and relevant factors and to support the individual when necessary during such treatment.
    MeSH term(s) Adolescent ; Braces/utilization ; Cohort Studies ; Female ; Humans ; Male ; Quality of Life ; Reproducibility of Results ; Scoliosis/diagnosis ; Scoliosis/therapy ; Severity of Illness Index ; Surveys and Questionnaires ; Treatment Outcome ; Turkey
    Language English
    Publishing date 2017-02-13
    Publishing country England
    Document type Evaluation Studies ; Journal Article
    ZDB-ID 753382-2
    ISSN 1746-1553 ; 0309-3646
    ISSN (online) 1746-1553
    ISSN 0309-3646
    DOI 10.1177/0309364617690393
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  5. Article: A novel surgical tool for the revision hip arthroplasty due to neck stem's fracture.

    Grivas, T B / Magnissalis, E / Papadakis, S

    Hippokratia

    2016  Volume 19, Issue 4, Page(s) 352–255

    Abstract: During revision surgery of total hip arthroplasties, surgeons may come across the challenging complication of a proximally fractured femoral stem, which however maintains sufficient distal fixation. Such cases, although rare, are extremely demanding due ... ...

    Abstract During revision surgery of total hip arthroplasties, surgeons may come across the challenging complication of a proximally fractured femoral stem, which however maintains sufficient distal fixation. Such cases, although rare, are extremely demanding due to lack of available attachments that would assist surgical explantation of the broken implant. It is herein presented a metal sterilisable surgical tool designed for the removal of the femoral stem broken at the level of the "neck". Hippokratia 2015; 19 (4): 352-355.
    Language English
    Publishing date 2016-09-22
    Publishing country Greece
    Document type Journal Article
    ZDB-ID 2491943-3
    ISSN 1790-8019 ; 1108-4189
    ISSN (online) 1790-8019
    ISSN 1108-4189
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  6. Article: Using the Scoliometer and a Surface Topography Apparatus to Check if Back Trunk Asymmetry Changes in Children and Adolescents in the Forward Flexion and Standing Erect Positions.

    Maragkoudakis, Emmanouil G / Gelalis, Ioannis / Grivas, Theodoros / Burwell, Geofrey R / Mazioti, Christina / Tsilimidos, Gerasimos

    Cureus

    2019  Volume 11, Issue 12, Page(s) e6334

    Abstract: Background The purpose of this study is to evaluate the effects of the forward bending (FB) test versus the standing erect (SE) position on back trunk asymmetry (TA). The Scoliometer in the FB position and the 4D Formetric (4DF; Diers International, ... ...

    Abstract Background The purpose of this study is to evaluate the effects of the forward bending (FB) test versus the standing erect (SE) position on back trunk asymmetry (TA). The Scoliometer in the FB position and the 4D Formetric (4DF; Diers International, Schlangenbad, Germany) readings in the SE position were assessed. Method The angle of trunk inclination (ATI) was measured at the midthoracic, thoracolumbar, and lumbar levels using the Scoliometer in the FB position and the 4DF in the SE position. A total of 134 subjects attending the scoliosis clinic (86 girls and 48 boys), age ranging from seven to 18 years, were assessed. The children and adolescents were divided into three groups according to the severity of TA, symmetric group 1 (0-2 degrees), asymmetry group 2 (2 to 6 degrees), and group 3 having asymmetry of seven or more degrees. Children with leg length discrepancy were excluded from the study. The IBM SPSS v.20 package (IBM Corp., Armonk, NY) was used for analysis. Results At the midthoracic level comparing the Scoliometer to 4DF readings in males in group 1, the Wilcoxon signed ranks test was p=0.451 while for the Spearman's Rho, it was -0.138; in group 2, p=0.184 and Rho=0.204; and in group 3, p=0.109 and Rho=0.500. For females in group 1, p=0.000 while Rho=0.003; in group 2, p=0.008 and Rho=0.000, and in group 3, p=0.003 while Rho=0.642. At the thoracolumbar level in males for group 1, p=0.004 and Rho=-0.517; in group 2, p=0.006 and Rho=0.000; and in group 3, p=0.043 while Spearman's Rho=0.053. For females in group 1, p=0.000 and Rho=-0.095; in group 2, p=0.000 and Rho=-0.171; in group 3, p=0.001 while Rho= -0.081. At the lumbar level for males in group 1 p=0.000 while Rho=0.149; in group 2, p=0.003 and Rho=0.373; while in group 3, p=0.109 and Rho= (-). For females in group 1, p=0.000 while Rho=-0.072; in group 2, p=0.001 and Rho=0.168; and in group 3, p=0.068 while Rho=0.500. Conclusion The results of this study show that the back TA in children and adolescents is not similar in the FB and SE positions. This phenomenon probably is attributed to the complicated trunkal (spinal, thoracic, and pelvic) anatomy, and the results of this study may be used as a useful foundation for further understanding of torso dynamics.
    Language English
    Publishing date 2019-12-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.6334
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  7. Article ; Online: Pulmonary function in children with idiopathic scoliosis.

    Tsiligiannis, Theofanis / Grivas, Theodoros

    Scoliosis

    2012  Volume 7, Issue 1, Page(s) 7

    Abstract: Idiopathic scoliosis, a common disorder of lateral displacement and rotation of vertebral bodies during periods of rapid somatic growth, has many effects on respiratory function. Scoliosis results in a restrictive lung disease with a multifactorial ... ...

    Abstract Idiopathic scoliosis, a common disorder of lateral displacement and rotation of vertebral bodies during periods of rapid somatic growth, has many effects on respiratory function. Scoliosis results in a restrictive lung disease with a multifactorial decrease in lung volumes, displaces the intrathoracic organs, impedes on the movement of ribs and affects the mechanics of the respiratory muscles. Scoliosis decreases the chest wall as well as the lung compliance and results in increased work of breathing at rest, during exercise and sleep. Pulmonary hypertension and respiratory failure may develop in severe disease. In this review the epidemiological and anatomical aspects of idiopathic scoliosis are noted, the pathophysiology and effects of idiopathic scoliosis on respiratory function are described, the pulmonary function testing including lung volumes, respiratory flow rates and airway resistance, chest wall movements, regional ventilation and perfusion, blood gases, response to exercise and sleep studies are presented. Preoperative pulmonary function testing required, as well as the effects of various surgical approaches on respiratory function are also discussed.
    Language English
    Publishing date 2012-03-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 2236126-1
    ISSN 1748-7161 ; 1748-7161
    ISSN (online) 1748-7161
    ISSN 1748-7161
    DOI 10.1186/1748-7161-7-7
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  8. Article ; Online: Letter to the Editor Concerning: "Patterns of Rib Growth in the Human Child" by Richard M. Schwend, John A. Schmidt, Julie L. Reigrut, Laurel C. Blakemore, and Behrooz A. Akbarnia. Spine Deform 3 (2015):297-302, http://dx.doi.org/10.1016/j.jspd.2015.01.007.

    Grivas, T B / Burwell, R G / Moulton, A / Webb, J K

    Spine deformity

    2015  Volume 3, Issue 6, Page(s) 608–610

    Language English
    Publishing date 2015-10-28
    Publishing country England
    Document type Letter
    ZDB-ID 2717704-X
    ISSN 2212-1358 ; 2212-134X ; 2212-1358
    ISSN (online) 2212-1358 ; 2212-134X
    ISSN 2212-1358
    DOI 10.1016/j.jspd.2015.09.001
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  9. Article ; Online: Treatment of severe thoracolumbar kyphoscoliosis on the ground of ganglioneuroblastoma of the diaphragm: a case report.

    Vlachou, Maria / Verikokakis, Alexis / Grivas, Theodoros / Dimitriadis, Dimitris

    Journal of pediatric orthopedics. Part B

    2012  Volume 21, Issue 2, Page(s) 155–159

    Abstract: The treatment of an unusual case with severe kyphoscoliotic deformity of the thoracolumbar spine, in association with a ganglioneuroblastoma invading the adjacent diaphragm, is presented in this report. Severe scoliotic deformity of the spine, associated ...

    Abstract The treatment of an unusual case with severe kyphoscoliotic deformity of the thoracolumbar spine, in association with a ganglioneuroblastoma invading the adjacent diaphragm, is presented in this report. Severe scoliotic deformity of the spine, associated with ganglioneuroblastoma of the diaphragm is a rare combination and treatment can be very challenging, as both entities require extensive surgery. To the best of our knowledge, only two reports related to a similar condition have been published in the literature so far. A 9-year-old girl had been treated in another institution since the age of 5 years for thoracolumbar kyphoscoliosis with bracing. She was referred to our department with a stiff right kyphoscoliotic curve at the thoracolumbar region (T8-L2), with measurements of 105 and 90° for the scoliotic and kyphotic elements, respectively. There were no neurological signs detected at the preoperative work-up, which included clinical and radiological evaluation (plain X-rays and computed tomographic scan). The patient was treated with a two-stage spinal fusion. During the anterior approach through a right thoracotomy, a tumor was discovered infiltrating half of the diaphragm and extended to the frontal surface of the lower thoracic vertebral bodies. The vertebrae were cleared of the tumorous masses and anterior discectomies (T8-L2) were successfully carried out according to the preoperative plan. The histopathology report indicated ganglioneuroblastoma in both the prevertebral material and the speciments excised from the diaphragm. A week later a T3-L4 posterior fusion was carried out and the deformity was corrected and fixed with an SFS instrumentation system. Both the scoliotic and the kyphotic curves were reduced to 46°. Postoperatively the patient was referred to the oncology department of another hospital for the treatment of the diaphragm tumor. During the last follow-up (4 years), the scoliotic curve remains steady and the tumor shows no recurrence. Although there are cases of ganglioneuroblastoma associated with scoliotic deformity, the combination of this tumor infiltrating the diaphragm and a very severe deformity of the spine is extremely rare. Nevertheless, the treatment undertaken has proven to be successful so far.
    MeSH term(s) Child ; Child, Preschool ; Diaphragm/pathology ; Female ; Ganglioneuroblastoma/complications ; Ganglioneuroblastoma/pathology ; Humans ; Kyphosis/diagnosis ; Kyphosis/etiology ; Kyphosis/surgery ; Lumbar Vertebrae/pathology ; Scoliosis/diagnosis ; Scoliosis/etiology ; Scoliosis/surgery ; Soft Tissue Neoplasms/complications ; Soft Tissue Neoplasms/pathology ; Spinal Fusion/methods ; Thoracic Vertebrae/pathology ; Treatment Outcome
    Language English
    Publishing date 2012-03
    Publishing country United States
    Document type Case Reports ; Journal Article
    ISSN 1473-5865
    ISSN (online) 1473-5865
    DOI 10.1097/BPB.0b013e32834742af
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Aetiology of Idiopathic Scoliosis. What have we learned from school screening?

    Grivas, T B / Vasiliadis, E S / Rodopoulos, G

    Studies in health technology and informatics

    2008  Volume 140, Page(s) 240–244

    Abstract: The value of school screening as a research tool for Idiopathic Scoliosis (IS) aetiology has not been recognized adequately in the literature. The aim of the present study is to summarize the contribution of school screening in research of IS aetiology. ... ...

    Abstract The value of school screening as a research tool for Idiopathic Scoliosis (IS) aetiology has not been recognized adequately in the literature. The aim of the present study is to summarize the contribution of school screening in research of IS aetiology. All the relative publications about research of IS aetiology which originated from our scoliosis school screening program were analyzed. Information is provided about a) the influence of environmental factors in IS prevalence, b) the IS prevalence in girls with visual deficiency, c) the role of melatonin in IS pathogenesis, d) the age at menarche in IS girls and its relation to laterality of the curve, e) the role of the brain in trunk asymmetry and IS pathogenesis, f) the role of the thoracic cage in IS pathogenesis, g) the impact of the lateral spinal profile, h) the role of the intervertebral discs in IS pathogenesis, i) the association of cavus foot with IS and j) anthropometric data in IS patients. The present study provides evidence to support that school screening programs should be continued not only for early detection of IS or for health care purposes, but also as a basis for epidemiological surveys until we learn much more about the aetiology of IS.
    MeSH term(s) Adolescent ; Age Factors ; Anthropometry ; Female ; Humans ; Melatonin ; Menarche ; Posture ; School Health Services ; Schools ; Scoliosis/diagnosis ; Scoliosis/physiopathology ; Students ; Time Factors
    Chemical Substances Melatonin (JL5DK93RCL)
    Language English
    Publishing date 2008
    Publishing country Netherlands
    Document type Journal Article
    ISSN 0926-9630
    ISSN 0926-9630
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