摘要:

We reviewed the results of 22 cases of Cotrel-Dubousset (C-D) instrumentation, 16 cases of anterior approach, and 200 cases of posterior approach by Harrington instrumentation and modifications of Harrington procedure. Posterior spinal fusion and instrumentation by C-D gives better correction and stabilization in thoracic and balanced double major curves. We no longer use the Harrington procedure and its modification. In lumbar and short thoracolumbar curves, VDS is still preferred. In some double major curves combined procedures, VDS and C-D are used to obtain more correction with a shorter fusion area.

ISSN:0271-6798    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Thirteen children/adolescents and two young adults with unifocal or multifocal nonpyogenic inflammatory bony lesions with a prolonged, fluctuating course are reported. The lesions were most often located at the metaphyseal region of tubular bones and the clavicle, but also at the spine, ischiopubic bone, and the sacroiliac joint. Progressive sclerosis and hyperostosis occurred mostly in the clavicle and occasionally in the tibia, femur, metatarsal, and ischiopubic bone, linking the changes to those described under the name Garre osteomyelitis. Seven patients had pustulosis palmoplantaris, and the skeletal disorder may be regarded a form of pustulotic arthroosteitis.

ISSN:0271-6798    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Kingella kingaeis still a poorly understood germ which is responsible for osteoarticular infections. We observed nine cases of osteoarthritis involvingK. kingaein children. They included 4 cases of arthritis, 2 of osteomyelitis, and 3 of spondylodiscitis. The germ was cultured in all cases by direct surgical approach or by needle aspiration of the septic locus. Evolution was always good after immobilization and nonspecific anti-biotherapy. Our nine clinical cases, along with the few cases already published, allow us to state thatK. kingaeshows a strong affinity for bones and joints in the young child. Clinical presentation is nonspecific. The bacterial sampling must be cultured in enriched atmospheres (CO2). The strains are sensitive to most common antibiotics.

ISSN:0271-6798    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Corticotomy according to Ilizarov was used for the treatment of congenital leg length discrepancies from June 1984 to June 1986. A comparison of the results of this method and previously performed methods has been made.

ISSN:0271-6798    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Triplane fractures of the adolescent ankle are relatively rare but should be suspected when a forceful rotatory injury is sustained. A case of the extremely rare medial triplane variant is presented. The importance of a careful history and physical examination and precise radiographic demonstration with computerized axial tomography is demonstrated.

ISSN:0271-6798    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Four patients with congenital pseudarthrosis in neurofibromatosis were treated with percutaneous transosseous fixation according to the Ilizarov method. Three tibias were first treated unsuccessfully with a So-field procedure. After application of the Ilizarov fixator, consolidation was obtained in two cases after 6 and 19 months, respectively. A fourth case consisted of a congenital pseudarthrosis of the ulna, primarily treated with the Ilizarov system, which showed advanced consolidation after 4 months.

ISSN:0271-6798    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

The efficacy of (3-amino-1-hydroxypropylidene)-1,1-biphosphonate (APD) is reported in a severe case of osteogenesis imperfecta (01). An increased density at the metaphysis level is demonstrated on wrist radiograph. Similar findings have been observed in two other children with 01 at various metaphyseal levels (e.g., tibia, femur). To our knowledge, this is the first time the effect of APD in children with severe 01 has been reported.

ISSN:0271-6798    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Limb lengthening is still a major procedure with potentially serious complications. It does not, however, deserve the reputation it gained over the last few years. With a proper understanding of the biology, bio-mechanics, and strategies of lengthening, excellent results can be consistently obtained with relatively few complications.

ISSN:0271-6798    

出版商:OVID    

年代:1988

数据来源: OVID

ISSN:0271-6798    

出版商:OVID    

年代:1988

数据来源: OVID

ISSN:0271-6798    

出版商:OVID    

年代:1988

数据来源: OVID