ABSTRACT
The measures of the blood loss prophylaxis and compensation, occurred at the time of 4350 surgical interventions on vertebral column conduction in 2697 patients with scoliosis, are analyzed. While performing osteoplastic fixation of vertebral column the blood loss have constituted 1200-2600 ml. The lowering of the blood loss down to 200-120 ml while conducting of complex correcting interventions was permitted by application of the governed hypotension together with general anesthesia.
Subject(s)
Blood Loss, Surgical/prevention & control , Scoliosis/surgery , Adolescent , Adult , Anesthesia, General , Blood Transfusion , Blood Volume , Child , Humans , Hypotension, ControlledSubject(s)
Scoliosis/diagnosis , Child , Child, Preschool , Combined Modality Therapy , Humans , Orthopedics , Scoliosis/therapy , SportsABSTRACT
The authors have made a roentgenologic and histologic study of the preparations of the vertebral columns of 13 rats with congenital scoliosis born to the rats who had been administered a teratogenic drug (6-merkaptopurin) during their pregnancy. In part of the rats the spinal deformations were accompanied by pathologic changes in the vertebrae and in the discs and by an abrupt narrowing (flattening) of the vertebral canal which caused disturbance in the blood flow in the mater spinalis, edema and sclerosis of the epidural space, hypoxia of the neurons, atrophy and glial and cicatrix substitution of the spinal cord tissue in the area of the curvature. The observed clinical picture of the compression spinal syndrome (posterior paraparesis with disturbed functions of the organs of the pelvis) reminded of similar disturbances in the patients with severe congenital kyphoscoliosis.
Subject(s)
Scoliosis/congenital , Spinal Cord Compression/etiology , Animals , Female , Kyphosis/chemically induced , Kyphosis/complications , Kyphosis/congenital , Kyphosis/pathology , Mercaptopurine , Morphogenesis/drug effects , Pregnancy , Rats , Scoliosis/chemically induced , Scoliosis/complications , Scoliosis/pathology , Spinal Canal/pathology , Spinal Cord/pathology , Spinal Cord Compression/pathology , Spine/pathologySubject(s)
Lumbar Vertebrae/surgery , Orthopedic Equipment , Scoliosis/surgery , Sphenoid Bone/surgery , Thoracic Vertebrae/surgery , Adolescent , Adult , Female , Humans , Male , MethodsSubject(s)
Scoliosis/surgery , Spinal Fusion/methods , Adolescent , Adult , Casts, Surgical , Child , Female , Humans , MaleSubject(s)
Scoliosis/surgery , Spine/growth & development , Adolescent , Adult , Humans , Spine/surgeryABSTRACT
The syndrome of the rigid spine is described in two patients aged 15 and 12 years. A total of 8 patients with this syndrome were studied. The disease was characterized by the myopathic syndrome, scoliosis, failure to bend the head and body, cardiopathy and occasional contractures of the proximal joints. The clinical, biochemical, roentgenological and morphological findings are presented. A multimodality treatment suggested should be carried out by a team comprising an orthopedist, a neuropathologist, and a pediatrician.