ISSN:0885-9698    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0885-9698    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0885-9698    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0885-9698    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Summary:To assess the clinical efficacy of promoted changes in second-generation segmental instrumentation technology, we performed a retrospective analysis of 42 consecutive patients requiring posterior spinal fusion for adolescent idiopathic scoliosis. Cotrel-Dubousset instrumentation (CDI) was used in 24, and Texas Scottish Rite (TSRH) Universal Spine instrumentation was used in 18. There was no statistically significant difference between systems with regard to correction, operative time, estimated blood loss, postoperative decompensation, thoracic correction in the sagittal plane (8.1° for CDI, 7.2° for TSRH), or maintenance of lumbar lordosis. The results emphasize similarities rather than differences between the two systems. Poor curve correction and maintenance were due primarily to errors in strategy or application rather than failure of the systems.

ISSN:0885-9698    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Summary:The Southwick biplane osteotomy has been useful for the correction of residual deformity resulting from severe slipped capital femoral epiphysis. The fixation used for the osteotomy has evolved from the original use of an external fixator to the reverse Moe plate. At our hospital, we have used the AO 90° blade plate to provide more rigid fixation which allows rapid mobilization and rehabilitation. We describe the surgical technique in detail. We also propose a more standardized correction scheme which we hope will facilitate the technique for more generalized application.

ISSN:0885-9698    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Summary:In preventing progressive deformity in congenital scoliosis, the transpedicular approach to pathology of the thoracic, lumbar, or thoracolumbar spine has distinct advantage over the standard anterior approach in that it poses less risk to patients with concomitant visceral abnormalities or other underlying medical conditions and allows accomplishment of epiphyseodesis or vertebrectomy. The transpedicular approach can be used in children as young as 4 years with less morbidity than the anterior approach. No complications have resulted from its use.

ISSN:0885-9698    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Summary:An anterior approach for correction of anterior column spinal deformity or severe sagittal imbalance can be difficult in patients with anterior midline abnormalities. Posterior closing wedge osteotomy of the spine can achieve epiphyseodesis and correction of focal deformity without the greater attendant morbidity of an anterior approach.

ISSN:0885-9698    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Summary:Closed reduction of an infant's developmental dislocation of the hip (DDH) and spica cast application remains a common yet challenging procedure for orthopaedic surgeons caring for children. The indications, current technique, pitfalls, and complications of closed reduction, arthrography, and spica casting of an infant with DDH are reviewed in this article based on the author's experience as a pediatric orthopaedist at Newington Children's Hospital.

ISSN:0885-9698    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Summary:In cases of lesions, fractures, or infections of the thoracic or thoracolumbar spine, stabilization of the anterior spinal column is essential to prevent late kyphosis. As compared with traditional struts of autologous or allograft fibula or iliac crest bone, the vascular pedicle rib graft has the advantages of being locally available, carrying its own blood supply, requiring minimal operating time for harvest and markedly decreased time to incorporation, and causing minimal donor site morbidity. The vascular pedicle rib graft has a significant advantage in beds compromised by infection, scarring, or postoperative infection and can be used in patients, regardless of their age or size, who require stabilization.

ISSN:0885-9698    

出版商:OVID    

年代:1995

数据来源: OVID