摘要:

Idiopathic juvenile osteoporosis is an unusual condition appearing in the prepubertal child who is otherwise normal. Characteristically, the condition is of variable severity and of limited duration and always affects the spine. One of the major complications of idiopathic juvenile osteoporosis has been residual kyphosis. The present paper reports two cases of this condition and reviews the literature. The results of treatment with a Milwaukee brace in one case have been particularly gratifying and would indicate that brace treatment should be considered when this condition is encountered.

ISSN:0362-2436    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

A review of 203 patients with Scheuermann's kyphosis is presented. The modified Milwaukee brace was used in 62 patients. Thirty-nine patients wore the brace for an average of 18 months. The pretreatment kyphosis averaged 62°, and the curve at the completion of brace treatment averaged 41°. Follow-up of more than 18 months after brace wear showed an average 15° loss of correction. Wedging of the vertebral bodies improved from 7.9° to 6.8° with brace treatment. To provide permanent correction, vertebral wedging must improve to approximately 5°. Most patients will require full-time brace wear of longer than 18 months to effect this improvement in vertebral wedging. The brace can improve kyphotic curves greater than 75°.

ISSN:0362-2436    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

Four adaptive personality characteristics (trait anxiety, active-independent orientation, emotional poise, and level of cognitive development) were evaluated preoperatively in 50 adolescent idiopathic scoliosis patients undergoing spinal surgery. Postoperatively, three indices of physical recovery (quantity of analgesics taken, elimination difficulties, and number of days to discharge) and two of psychological state (anxiety and depression) were rated. Two of the four adaptive personality characteristics correlated significantly with postoperative physical and psychological reactions. Quantity of analgesics taken, elimination difficulties, anxiety, and depression were significantly related to (viz., predicted by) preoperative trait anxiety. Quantity of analgesics taken and anxiety were significantly related to level of cognitive development. Preoperative degree of curvature was significantly related to postoperative quantity of analgesics taken. Duration of the scoliosis was significantly associated with level of cognitive development, but not with postoperative physical or psychological adjustment.

ISSN:0362-2436    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

Sixty-three patients with thoracolumbar spine fractures treated between 1972 and 1978 were placed into six treatment groups: fusion and instrumentation alone, laminectomy with fusion and instrumentation, laminectomy alone, laminectomy with fusion without instrumentation, fusion alone, and no operation. Patients were interviewed and examined and their histories reviewed; new radiographs were obtained, and a detailed questionnaire was answered. No treatment method improved neurologic function. Fusion with instrumentation allowed earliest ambulation with least spinal deformity. Most patients in all treatment groups adjusted effectively to their injuries and remained active in employment and hobbies. A detailed, thorough rehabilitation program gave best functional results and patient attitudes.

ISSN:0362-2436    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

Radiographs were obtained of the lumbosacral spines of 143 patients that had never walked. The frequency of spondylolysis and spondylolisthesis was determined, as well as that of other spinal abnormalities. The average age of the patients was 27 years, with a range of 11 to 93 years. The underlying diagnoses responsible for the nonambulatory status varied, but cerebral palsy predominated. No case of spondylolysis or spondylolisthesis was detected, and when compared to the 5.8% incidence in the general population, this finding is significant at theP< 0.001 level. The incidences of spina bifida 8.4%) and of transitional vertebrae (10.9%) are similar to those found in the general population. Scoliosis was found in 49% and vertebral body height was increased in 32.9%. Degenerative changes occurred in only 2.8%. These results support the theory that spondylolysis and isthmic spondylolisthesis represent a fatigue fracture resulting from activities associated with ambulation.

ISSN:0362-2436    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0362-2436    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0362-2436    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0362-2436    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0362-2436    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0362-2436    

出版商:OVID    

年代:1981

数据来源: OVID