ISSN:0271-6798    

出版商:OVID    

年代:1992

数据来源: OVID

ISSN:0271-6798    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

From birth to age 5 years, the sitting height increases by 27 cm. The sitting height represents 66% of the standing height at birth and 56% at age 5 years. The T1 to S1 segment must still grow 15 cm at age 5 years. The deficit in sitting height caused by a perivertebral arthrodesis can be calculated with accuracy; a practical diagram can be used. At age 5 years, the spinal canal has grown to ∼95% of its definitive size. Therefore, perivertebral arthrodesis will have no influence on the size of the spinal canal. All indicators do not progress at the same speed. The increase in weight and the thoracic volume remain offset relative to the other indicators.

ISSN:0271-6798    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

We report a series of 11 patients aged <5 years with congenital oblique takeoff. A one-stage combined posterior and anterior resection and fusion technique was used to treat these patients. Functional and cosmetic results were excellent, with good correction of trunk imbalance. Early operation for oblique takeoff in congenital takeoff due to lumbosacral hemivertabrae is recommended.

ISSN:0271-6798    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

Sixteen patients with congenital scoliosis and eleven patients with congenital kyphoscoliosis were treated by an original surgical technique that included excision of the hemivertebra, correction of the deformity by a contractor device, and anterior and posterior fusion fixation of the spine. On the average, the patients were aged 1 year 7 months at operation. An average correction of 75% of the Cobb angle was obtained in the scoliosis group, and a correction of 60% was obtained in the patient with kyphoscoliosis. Complete correction was obtained in six patients. We recommend this technique for treatment at a very early age of congenital deformities of the spine caused by hemivertebrae.

ISSN:0271-6798    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

Sixteen children with neuromuscular scoliosis were treated by a subcutaneous (s.c.) Harrington rod without fusion. The rod was regularly changed up to the time of definite fusion. The average curvature at the time of the first operation measured 56°, and at last follow-up was 53°. The average intraoperative correction decreased from 25.3° to 8°. After age 8 years, the spine becomes stiffer, making correction more difficult and enhancing the effect of a crankshaft mechanism. We conclude that the first operation should be performed earlier, that the interval between operations should be shorter, and that a definite fusion should be performed earlier, probably at ∼8 years.

ISSN:0271-6798    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

Fifteen patients with congenital scoliosis due to segmented hemivertebra were treated by combined anterior and posterior fusion (four cases), short (two level) convex fusion (five cases), and extended (four-level) convex fusion (six cases). Age at operation averaged 3 years 3 months. Follow-up averaged 10 years. All patients treated by the combined approach were improved; all patients treated by long posterior fusion were either stabilized or improved. Short posterior fusion resulted in failure in all patients treated by this technique. Congenital scoliosis preferably should be treated by an early combined approach. Posterior convex fusion should be limited to patients in whom an anterior approach is technically unfeasible. Posterior fusion in these cases should be extended to four levels: two distal and two proximal to the hemivertebra.

ISSN:0271-6798    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

We reviewed 43 cases of epiphysiodesis in young children for congenital anomalies of the spine. Pre-operative planning is of utmost importance. A three-dimensional analysis of the growth potential of the spine is used to determine the precise location of spinal fusion. Preventing a crankshaft phenomenon by balancing the remaining growth potential of the spine is also of great importance.

ISSN:0271-6798    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

The objective of early lower limb surgery in Duchenne muscular dystrophy (DMD) is to preserve the patient's walking capacity and functional independence for as long as possible by using limited surgical therapy. The indications for such therapy derive from careful follow-up of patients, with special attention to muscular and/ or aponeurotic contractures as well as developing functional limitations. Since 1985, 22 patients with DMD treated by early operation were followed up; at the end of the follow-up period, 19 of the 22 patients were still able to walk and 11 were aged >10 years. The improvement in clinical appearance of these patients with limited operation and the absence of braces in the postoperative period underlines the usefulness of this technique.

ISSN:0271-6798    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

The results of 64 operations to correct paralytic dislocation of the hip in children with myelomeningocele (MMC) were reviewed. Innominate pelvic osteotomy was combined with intertrochanteric femoral osteotomy and a muscle transfer. The mean follow-up period is 4 years 4 months. The results show that permanent bony stability of the hip joint can be achieved with a combination of these surgical procedures. Because this surgical treatment leads to no true improvement in functional ability, use of orthotic devices was not decreased.

ISSN:0271-6798    

出版商:OVID    

年代:1992

数据来源: OVID