Long-term outcome for patients with arthrogryposis multiplex congenita.

Purpose: To access the long-term outcomes for patients with arthrogryposis multiplex congenita at adult age.

Materials And Methods: The cases were traced for most of them thanks to direct contact maintained from child hood, from colleagues interested from other parts of the country, and from the list from Alliance arthrogryposis association (parents and patients). The methods used were: mostly direct clinical examination, some phone calls or email.

Surgical treatment of severe thoracic scoliosis in skeletally mature patients.

The few number of severe thoracic scoliosis requiring surgical treatment makes the description of its therapeutic course difficult. Twenty-one cases of severe thoracic scoliosis with Cobb's angle >90 degrees were treated surgically in the past 20 years. Surgical treatment was performed because of an evolutive scoliosis or in case of respiratory or functional impairment.

Lumbar hyperlodosis in cerebral palsy: anatomic analysis and surgical strategy for correction.

Introduction: We report our experience of five cases in adolescents with spastic quadriplegia who had primarily sagittal plane deformity with hyperlordosis of the lumbar spine, an uncommon condition in cerebral palsy spinal deformity.

Methods: Three boys and two girls, 13 to 19 years old, were surgically treated for excessive lumbar lordosis which made sitting difficult. Bilateral hip flexion contractures were present in all cases with a very horizontal sacrum and, in four cases, associated with pelvic anteversion.

Charcot's disease of the spine: diagnosis and treatment.

Study Design: Retrospective study.

Objective: To report nine cases of Charcot's joint of the spine, to clarify the difficulty in diagnosis and treatment, and to analyze the literature.

Summary Of Background: Charcot's joint of the spine, also known as spinal neuropathic or neurogenic arthropathy, is a destructive condition that affects the intervertebral disc and the adjacent vertebral bodies.

[Replacement arthroplasty of paralytic hip. Apropos of 18 cases].

Purpose: Frequency of hip impairment, with sub-luxation or dislocation, during evolution of neuromuscular diseases depends on intensity and spreading of palsy. At the end of growth or at the beginning of adult life, secondary arthritis can induce pain and lack of mobility. The importance of the chondropathy and irreducible lack of congruence may doom to failure a conservative articular or periarticular surgery.