RESUMO
In this study, 12 patients with progressive pediatric scoliosis underwent instrumentation without fusion and began a program of repetitive incremental distraction. The deformity measured an average of 80 U. All patients had posterior instrumentation without fusion. Five patients had anterior annulotomy one week beforehand. The average curve immediately after surgery was 37 and at the final follow up, the curves measured 42 over an average follow up period of 1 year. Implant related problems complicated 5 out of 61 procedures [8.3%]
Assuntos
Humanos , Masculino , Feminino , Escoliose/cirurgia , Criança , Complicações Pós-Operatórias , Seguimentos , PediatriaRESUMO
Twelve patients with fractures of the neural arch of the axis [Hangman's fracture] were treated surgically by internal fixation. All patients were neurologically free preoperatively and no patient suffered from any neural deficit postoperatively. The complications were acceptable. Patients were placed in a Philadelphia Collar for 2 months and then gradually weaned of it. All patients regained a stable cervical spine
Assuntos
Humanos , Masculino , Feminino , Vértebra Cervical Áxis , Fixadores Internos , Complicações Pós-Operatórias , Parafusos Ósseos , Seguimentos , Vértebras Cervicais , Imageamento por Ressonância MagnéticaRESUMO
In this study, 20 patients who had previous surgeries performed to correct their spinal deformities were revised. The age at surgery had an average of 18 years. The dorsal curves ranged from 38-98 degrees with an average of 59.6 degrees. The lumbar curves ranged from 26-70 degrees with an average of 39.7 degrees. These patients had a double staged procedure. All patients had an anterior release performed as a first stage. On a second stage, the old implants were removed and correction was achieved by performing multiple level osteotomies in the fusion mass. The patients were re-instrumented and fusion was performed. Postoperatively, the curves were corrected to an average of 31.3 and 23.1 degrees, respectively. The patients were followed up for an average of three years. There was no postoperative neurological deficit and the complications were minimal