Burnei's disease: teratological spondylolysis.

Teratological spondylolysis is a pathological entity noted for the first time in the specialty literature by Gh. Burnei in "The Spine Journal", in September 25, 2014. This disease was described in a short presentation of the first case treated by the author.

Burnei's technique of femoral neck variation and valgisation by using the intramedullary rod in Osteogenesis imperfecta.

Background: Varus or valgus deviations of the femoral neck in osteogenesis imperfecta have been an ignored chapter because the classic correction procedures were applied in medical practice with unsatisfying results. Until the use of telescopic rods, coronal deviations remained unsolved and the distal configuration of the proximal femoral extremity remained uncorrected or partially corrected, which required an extensive use of the wheel chair or bed immobilization of the patient. The concomitant correction of the complex deformities, coxa vara/valga and femoral integrated configuration, have been a progress which allowed the patients to walk with or without support.

The assessment of primitive or metastatic malignant pulmonary tumors in children.

Background: The purpose of our study is to assess primitive and secondary malignant pulmonary tumors in children. The presence of lung tumors in newborns and infants is a point of interest to specialists in pediatric surgery, thoracic surgery and genetics due to the high death rate. The 5-years survival rate communicated by EUROCARE-study is less than 10% for primitive tumors and less than 15% in lung metastases.

Upper and lower limb length equalization: diagnosis, limb lengthening and curtailment, epiphysiodesis.

Introduction: This article contains notions and guidelines derived from the current therapeutic approach used in the Pediatric Orthopedics Clinic of "M.S. Curie" Hospital, Bucharest.

Malignant bone tumors: therapeutical strategies related to localization.

Modular concept of reconstruction in malignant bone tumors in children and adolescents is trying to solve a complex problem in order to replace a certain bone segment of various sizes or joint, fully adjustable and fully aware ofmorpho-functional features related to the child's age. Given the high frequency of malignant bone tumors in children, occupying the third place in osteoarticular pathology, after injuries and malformations, due to the progress made in terms of knowledge and identifying certain factors (genetical, biological, immunological, etc.) and the increasing life expectancy of these sick children, paediatric orthopedics should offer the possibility of reconstruction of the resected segment.

[Theoretical considerations and comments on the physiopathology in renovascular hypertension].

The researches performed during the last four decades did not elucidate completely the pathogenic mechanism of the renovascular hypertension. The present knowledge considers that the origins of renovascular hypertension are the imbalance between the renal hypotensive system located in the medullar renal site (antihypertensive and hypotensive substances) and the renal hypertensive system (renin-angiotensin-aldosterone) located cortically. As an additional mechanism in producing hypertension is involved the disorder of hydro electrolytic metabolism, as a result of decreased excretory function, inducing an increase of plasmatic natrium level, of volemia and interstitial liquid.

Acute osteomyelitis--special cases with particularities related to specific locations.

In the clinical practice of paediatric orthopaedic surgery, there are a few cases of acute osteomyelitis which are not characterized by general and local infectious syndrome, making the diagnosis difficult and leading to severe complications. The specific locations, seldom affected, are the spine, pubis, ilium, ischium, sacrum and coccyx. Comparing with other regions, spinal osteomyelitis is less frequent (1:80).

[Renovascular hypertension: symptoms and signs. Clinical study on 20 patients].

Objectives: symptoms in renovascular hypertension can be wrong interpreted, which leads to a late diagnostic, after discover the determination disease.

Materials And Methods: the study on the renovascular hypertension was made on 20 patients, aged between 2 and 36 years old, diagnosed with reno-ureteral malformations, pyelonephritis, reno-ureteral reflux and renal trauma as a determination disease, leads to manifestation types that guide the diagnostic: neuro-psychiatric signs, weight loss, renal signs and digestive signs. Beginning from these signs the arterial hypertension was diagnosed and the investigations determined the causes.

Renovascular hypertension in children: symptoms and manifestations. A 19 patients clinical study.

Unlabelled: The symptomatology in renovascular hypertension in children may be sometimes misunderstood, leading to the establishment of a late diagnosis, even after the inducing disease is diagnozed.

Methods: The main types of manifestations on which the diagonsis was established: neuropsychiatric, weight loss, renal and digestive manifestations were studied in 19 patients, age ranged 2 to 15 years old in which the main causes diagnosed were reno-ureteral malformations, pyelonephritis, reno-ureteral reflux and renal trauma. Starting from these observations the diagnosis of arterial hypertension was established and the further investigations have shown the real causes of arterial hypertension noticed.

Current opinions regarding the spinal cord ischemia syndrome.

Spinal cord ischemia syndrome (SCIS) is a serious complication which may occur after either internal or surgical diseases in newborn, young children, teenagers and adults; it is also followed by paraplegia. The onset is acute in 95% of cases. In the other cases the onset may be subacute, developing within one week, or it may be chronic, with slow, progressive development, within a few months to a year.

Reno-ureteral diseases inducing hypertension in children.

Unlabelled: Revealing the cause of renal hypertension is a major objective in medical practice. A series of investigations are required in order to elucidate the primary disease and then the treatment surgical and/or medical. The transitory hypertension of adolescent is not discussed in this paper.