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Hardware complications in scoliosis surgery.
Pediatr Radiol
July 2002
Present address: 5302 Bishop's View Circle, Cherry Hill, NJ 08002, USA.
Background: Scoliosis surgery has undergone a dramatic evolution over the past 20 years with the advent of new surgical techniques and sophisticated instrumentation. Surgeons have realized scoliosis is a complex multiplanar deformity that requires thorough knowledge of spinal anatomy and pathophysiology in order to manage patients afflicted by it. Nonoperative modalities such as bracing and casting still play roles in the treatment of scoliosis; however, it is the operative treatment that has revolutionized the treatment of this deformity that affects millions worldwide.
View Article and Find Full Text PDFScoliosis in cerebral palsy: an overview and recent results.
J Pediatr Orthop B
January 2001
Newington Department of Orthopaedic Surgery, Connecticut Children's Medical Center (CCMC), Hartford, CT 06106, USA.
The natural history of scoliosis in cerebral palsy as well as the treatments that include observation, bracing, and surgery are reviewed. If surgery is indicated, a careful preoperative evaluation is essential, focusing especially on the patient's nutritional, gastrointestinal, neurologic, and orthopedic systems. Intraoperative and perioperative issues such as blood loss control are reviewed.
View Article and Find Full Text PDFCharcot arthropathy in spina bifida.
J Pediatr Orthop
February 2000
Newington Department of Orthopedic Surgery, Connecticut Children's Medical Center, Hartford 06106, USA.
This multicenter study was undertaken to identify the prevalence of Charcot arthropathy in the spina bifida population; to evaluate the relationship of neurosegmental level, ambulatory level, and distribution of joint involvement; and to assess treatment results and make treatment recommendations. Sixteen patients were identified with Charcot arthropathy based on clinical and radiographic criteria ranging in age from 9 to 42 years. There were 15 ankles, seven knees, and four hips identified with Charcot arthropathy.
View Article and Find Full Text PDFAn evaluation of the posterior leaf spring orthosis using joint kinematics and kinetics.
J Pediatr Orthop
November 1996
Department of Orthopaedics, Newington Children's Hospital, Newington, Connecticut 06111, USA.
The primary function of the posterior leaf spring orthosis (PLS) is to prevent excessive equinus or drop foot in swing. The name of the orthosis, posterior leaf "spring," suggests that it also mechanically augments push-off in stance. The purpose of this study was to determine the effect of the PLS on ankle function by using computerized gait-analysis techniques.
View Article and Find Full Text PDFThirty-six patients with severe Legg-Calvé-Perthes disease were reviewed retrospectively to compare the results of ambulation-abduction bracing with varus derotation osteotomy. There were 17 brace patients and 19 osteotomy patients, and all were aged greater than 6.9 years.
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