ABSTRACT
PURPOSE: To determine whether right hip adduction deficit is associated with adolescent idiopathic scoliosis. METHODS: 102 adolescents (mean age, 14 years) with idiopathic scoliosis were prospectively studied. Their spinal curve pattern (according to Lenke's classification), curve severity (by Cobb's angle), and hip adduction ranges of both sides were recorded. Additional factors that may affect hip adduction range including the preferred leg during standing, the presence of hip flexor tightness, and the side of the dominant leg were also assessed. RESULTS: The mean Cobb's angle was 27 degrees. The difference in hip adduction range between the right and left hips was 5 degrees (p<0.05). Of 102 patients, 64 had an adduction range deficit of the right hip, 4 of the left hip, and 34 had no difference. Patients with >10 degrees of right hip adduction deficit were associated with a higher proportion of left leg dominance than those with less than or equal to 10 degrees of right hip adduction deficit (18% vs 4%). CONCLUSION: Left leg dominance may play a role in right hip adduction deficit and scoliosis.
Subject(s)
Hip Joint/physiopathology , Kyphosis/physiopathology , Adolescent , Gait , Hip Joint/pathology , HumansABSTRACT
An open biopsy has minimal sampling error, but is a major procedure, with its inherent complications and morbidity. The complications of paraspinal needle biopsy of vertebral lesions are well known. Needle biopsies have a high incidence of false negatives, especially for tumors. Percutaneous transpedicular bopsy is efficacious, safe, and cost effective, and mostly performed under local anesthesia. Fluoroscopic monitoring enables real time positioning of the needle. Serious needle complications from percutaneous needle biopsy are uncommon. More than 50% of vertebral body tissue, including the disc is accessible via a unilateral transpedicular approach and amenable for biopsy.
Subject(s)
Biopsy, Needle/methods , Spine/surgery , Adolescent , Adult , Aged , Biopsy, Needle/instrumentation , Female , Humans , Malaysia , Male , Middle Aged , Spine/pathologyABSTRACT
We report a case of vertebral osteochondroma of C1 causing cord compression and myelopathy in a patient with hereditary multiple exostosis. We highlight the importance of early diagnosis and the appropriate surgery in order to obtain a satisfactory outcome.
Subject(s)
Cervical Vertebrae , Exostoses, Multiple Hereditary/complications , Osteochondroma/complications , Spinal Cord Diseases/etiology , Spinal Neoplasms/complications , Adult , Cervical Vertebrae/surgery , Exostoses, Multiple Hereditary/surgery , Female , Humans , Orthopedic Procedures/methods , Osteochondroma/surgery , Spinal Cord Compression/etiology , Spinal Cord Compression/surgery , Spinal Cord Diseases/surgery , Spinal Neoplasms/surgery , Treatment OutcomeABSTRACT
It has been at least a decade since the introduction of extra-corporeal shock-wave treatment (ESWT) for the treatment of non-unions. Despite conflicting opinions in the literature, it is recently experiencing a revival. This paper reports our experience with Ossa Tron, which produces shock-waves electro-hydraulically, on 5 patients. The two successful cases experienced remarkable results of union at an average of 22 weeks after ESWT. The remaining three had disappointing results. A description of the study and a note on the essential issues are presented.
