摘要:

Sixty-three patients with well-documented congenital scoliosis were studied to determine their response to the use of the Milwaukee brace for nonoperative treatment. The results in 2 patients were classified as “very good,” 33 were classified as “good,” 8 as “fair,” and 20 as “poor.” The specific limits of these categories are defined. The authors observed that there were three types of curves, which responded to brace management: 1) the longer and flexible curves, 2) those demonstrating correctability, either in traction or on side bending, and 3) those in which there was a mixture of anomalous and nonanomalous vertebrae. Short, sharp, and rigid curves did not respond to brace treatment. The authors note that the Milwaukee brace can delay surgery in certain congenital curves, but its use cannot serve as the definitive nonoperative treatment for congenital scoliosis in most cases.

ISSN:0362-2436    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

Cells in fibroblast cultures from patients with idiopathic scoliosis were compared with cells from a control group without idiopathic scoliosis regarding the presence of metachromasia. Seventy percent of the cultures from patients with Idiopathic scoliosis demonstrated this characteristic, as compared with 30% of the control group (P< 0.005). Possible interpretation of these findings is discussed.

ISSN:0362-2436    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

Certain injuries of the thoracolumbar junction disrupt spinal stability by interrupting both the anterior and posterior supporting columns of the spine. Spinal cord injury occurs in these injuries as a result of insult from an anterior direction. Proposed management should include both posterior stabilization of the spine and anterior decompression of the cord, all accomplished, ideally, under one anesthetic. Five illustrative cases demonstrate the principles and outcomes of this approach.

ISSN:0362-2436    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

An investigation of the role of protein-polysaccharide complexes of the nucleus pulposus in intervertebral disc prolapse and degeneration is presented. Investigative techniques include roentgenographic crystallography, infrared spectroscopy, polarizing and electronmicroscopy, direct biochemical investigations, and immunologic studies. A visual representation is provided of the hypothesis that there is a chemical basis for disc degeneration and prolapse, and that the process may be a cyclic one.

ISSN:0362-2436    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

This report details observations made while the author was developing personal experience with a method for intradiscal injections in the lumbar spine using chymopapain, in preparation for participation in a subsequent double-blind study. Thirty patients were injected with the enzyme according to a standardized protocol, which included discography. All patients were candidates for surgery for disc displacement. The overall rate of satisfactory symptomatic relief was 70% at an average follow-up time of 11 months, and 21 of 30 patients returned to their previous employment.

ISSN:0362-2436    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

Attempted denervation of the zygapophyseal joint with radio-frequency coagulation techniques has been proposed as a method for treatment of pain of spinal origin. This study reports an appraisal of the method as applied to 149 patients selected from a population of 234 individuals with intractable spinal pain. Those selected for radiofrequency coagulation were patients who obtained temporary relief from local anesthetic blockade of the zygapophyseal joints. An overall 40% of patients achieved satisfactory relief from the “denervation.” In those with no prior spinal surgery, 61% were improved by the method. Only 26% of those having had prior surgery claimed benefit. Follow-up time ranged between 6 and 30 months.

ISSN:0362-2436    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

A study was undertaken to evaluate the possibility of using the pain drawing of a patient with low-back pain as a screening test to determine whether further psychologic evaluation was necessary. Using the analysis described, the pain drawing predicted a high or low hypochondriasis or hysteria scale on the Minnesota Multiphasic Personality Inventory in 97 of 109 patients studied (89%).

ISSN:0362-2436    

出版商:OVID    

年代:1976

数据来源: OVID

ISSN:0362-2436    

出版商:OVID    

年代:1976

数据来源: OVID