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An Acta Orthopaedica educational article: Treatment of pediatric spondylolysis and spondylolisthesis.
Acta Orthop
January 2025
Helsinki New Children's Hospital, Helsinki University Hospital, Helsinki, Finland.
Spondylolysis is defined as a defect or elongation in the pars interarticularis of the lumbar spine, either unilateral or bilateral. Growing children with bilateral spondylolysis may develop spondylolisthesis, i.e.
View Article and Find Full Text PDFMagnetic resonance imaging evaluation of the cerebellar tonsil position before and after posterior spinal fusion in adolescent idiopathic scoliosis.
Spine Deform
January 2025
Hospital Italiano de Buenos Aires, Instituto de Ortopedia y Traumatología "Carlos E. Ottolenghi", Buenos Aires, C1199ABB, Argentina.
Article Synopsis
- Chiari malformation type I (CM-I) is common in patients with adolescent idiopathic scoliosis (AIS) and its necessity for decompression surgery in asymptomatic patients is unclear.
- A study involving 40 AIS patients evaluated changes in cerebellar tonsil position using MRIs before and after posterior spinal fusion (PSF).
- Results showed significant spinal curve corrections after PSF, but no notable change in cerebellar tonsil position was detected post-surgery, indicating that CM-I decompression may not be necessary for asymptomatic AIS patients.
Calcaneal Lengthening after Tarsal Bone Fusion for Massive Calcaneus Defect Reconstruction.
Orthop Surg
September 2024
Department of Orthopedics, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Article Synopsis
- Calcaneus defects pose a significant challenge in reconstruction due to limited existing treatment options, which often have shortcomings; the study introduces a novel method combining tarsal bone fusion and gradual calcaneus lengthening for cases with substantial bone loss.
- A retrospective analysis of six patients who underwent this technique showed promising results, with an average calcaneal axial lengthening of 43.8 mm and favorable clinical outcomes measured by the American Orthopedic Foot and Ankle Score (AOFAS).
- The findings indicate that using the Ilizarov technique in conjunction with tarsal bone fusion can effectively restore foot and ankle function even in cases of considerable calcaneal loss.
Spinal height for growth guidance treatment in early onset idiopathic scoliosis: analysis through final surgical treatment.
Spine Deform
September 2024
Departments of Orthopaedics, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Background: The growth guidance (GG) method for treatment of early onset scoliosis has as its primary goal the restoration of apical spinal alignment, facilitating normal spinal growth to achieve a suitable adult thoracic height.
Purpose: To evaluate whether GG surgical treatment achieves comparable thoracic and spinal height to distraction-based treatment (DBT) in idiopathic early onset scoliosis (I-EOS) patients. We hypothesized that GG would prove superior to DBT at the time of definitive fusion surgery.
The Use of External Fixator and Iliac Crest Bone Graft in Traumatic Metacarpal Bone Defect.
J Orthop Case Rep
December 2022
Department of Orthopedics and Traumatology, Istanbul Medipol University, Istanbul, Turkey.
Article Synopsis
- Metacarpal bone fractures can cause significant shortening of the phalanges, affecting function and appearance, often due to various types of injuries or conditions.
- A case involving a 22-year-old male with a traumatic fracture in the second metacarpal was treated using an external fixator to lengthen the bone and reconstruct the defect with an iliac crest graft.
- Proper surgical techniques and early rehabilitation can lead to successful outcomes with minimal complications following metacarpal fractures.
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