Postoperative redislocation of the hip in a patient with congenital insensitivity to pain with anhidrosis: A case report and review of literature.

Pelvic osteotomy is commonly used to adjust acetabula dysplasia for congenital dislocation of the hip, whereas congenital insensitivity to pain with anhidrosis (CIPA) is a rare hereditary disease that often has the characteristics of joint development deformity and easy fracture. This article reports the case involving a CIPA patient who was surgically treated by Chiari pelvic osteotomy and proximal femoral rotation osteotomy for congenital dislocation of the left hip joint and was provided long-term follow-up for redislocation and bilateral femoral head absorption.

[Radical debridement and single stage posterior spinal fusion and instrumentation for the treatment of thoracic-lumber tuberculosis].

OBJECTIVE: To evaluate the radical debridement and single stage posterior spinal fusion and instrumentation for the treatment of spinal tuberculosis. METHODS: From 1999 to 2004, 57 patients (29 males, 26 females) with spinal tuberculosis were operated at our department. The age range was 20 to 77 years old (mean: 39 years old). There were 30 cases of thoracic vertebra and 27 cases of lumbar vertebra. All the patients received a standard pre-operative 4 - 8-week anti-tuberculosis treatment. RESULTS: The follow-up period ranged from 1 - 4 years and 95.9% of patients achieved an excellent outcome. Solid bony fusion was seen at last in all cases. The mean post-operative kyphosis angle reduced to 20 degrees from 32 degrees pre-operation. CONCLUSION: Single stage anterior spinal fusion and instrumentation is curative for spinal tuberculosis.