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Query: UMLS:C0700208 (scoliosis)
 8,574 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Report about 60 operated scoliosis and kyphoscoliosis experienced at adults above 18 years. After separating the patients into male and female groups, age and localisation the most severe preoperative findings which make the operative treatment more difficult, will be described. Much impact will be put on pre-operative respiratoric and cardial impairment. The evaluation of scoliosis in adults will be proofed by examples. The operative technique, whose basis is the Harrington instrumentation in the modification by Stagnara, will be described also. 72 operative treatments have been necessary at 60 patients. In many cases rip-resections and dorsal osteotomies of the spine have been done. In oposition to the correction results of 46.2% on scoliosis and 56.5% on kyphoscoliosis there is one pulmonary embolism ending deadly and one irreversible paraplegia.
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PMID:[Results of surgical management of scoliosis and kyphoscoliosis in adults (author's transl)]. 109 59

A survey conducted by the Scoliosis Research Society found eighty-seven patients with acute neurological complications resulting from the treatment of scoliosis. The incidence of these complications was determined to be 0.72 per cent. Seventy-four major complications involving the spinal cord were reported, half of them complete paraplegia and half partial paraplegia. Thirty-six per cent recovered completely, 32 per cent had partial recovery, and 32 per cent had no return of function. Thirteen minor complications involving cranial and peripheral nerves were reported. Major complications occurred in forty-two cases of posterior spine fusion with Harrington instrumentation and in twenty cases of posterior spine fusion without instrumentation. Six patients became paraplegic following skeletal traction alone.
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PMID:Acute neurological complications in the treatment of scoliosis. A report of the Scoliosis Research Society. 112 94

A survey has been undertaken of the various complications of halo-pelvic distraction in 118 patients with scoliosis prior to spinal fusion. In the first sixty-two patients the standard solid distraction rods were employed. The neurological complications included ten cases of cranial nerve lesions and two cases of paraplegia, one of them permanent. Springs were then incorporated in the distraction rods so as to allow direct readings of the distraction forces, and a total force of 18 kilograms was not exceeded in the last fifty-six patients. No further serious neurological complications occurred, but the amount of correction achieved in the adolescent and juvenile idiopathic types of scoliosis was reduced.
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PMID:Complications of halo-pelvic distraction for scoliosis. 114 Dec 78

The complications of scoliosis in 100 cases were treated surgically in the past 8 years. The early complications were pulmonary complications (3 cases), syndrome of supra-mesenteric artery (2), and wound infection (3). Late complications were unhooked Harrington instrumentality (10) cases), fracture of Harrington rods (9), protrusion of upper end of Luque rods (7), breakage of tethering wire (4) and pseudarthrosis (3). there was no operative mortality or paraplegia after operation.
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PMID:[Complications of scoliosis following surgery]. 161 30

The role of motor evoked potentials in the management of a case of presumed hysterical paraplegia precipitated by spinal injury in a man with a previous history of surgery for scoliosis is presented. Motor evoked potentials were elicited with magnetic stimulation 12 days after injury and were within normal limits. The presence of normal motor electrophysiology and observation by the patient of involuntary movement of the lower limbs during stimulation greatly facilitated the patient's management. These findings are discussed with reference to current diagnostic investigations in the presence of a suspected diagnosis of hysterical paraplegia.
Paraplegia 1992 Apr
PMID:The role of motor evoked potentials in the management of hysterical paraplegia: case report. 162 2

The reliability of distinguishing central, musculoskeletal, and syringomyelic pain by two points of history: (1) pain quality and (2) pain location relative to the level of paralysis in spinal cord injury patients was tested by (1) physical examination, and (2) by radiographic imaging. Fifty five incidents of chronic pain (median duration 10 years, range 3 weeks-42 years) were found in a survey of 66 spinal cord injured patients. Central pain was suggested in 24 patients on the basis of a predominant 'neurogenic' pain quality: burning, stabbing, needles and pins, or numbness; and a location at or distal to the level of paralysis. Neurogenic pain was not associated with structural pathology in these patients. Musculoskeletal pain was suggested in 20 instances on the basis of predominantly aching pain and a location at or distal to the level of paralysis. Aching pain was associated with degenerative joint disease (11 each); scoliosis, shoulder dislocation, contractures (2 each); fracture, soft tissue calcium deposit (1 each) in 19 patients. Syringomyelic pain was suggested in 11 instances solely on the basis of pain location above the level of paralysis. Magnetic resonance imaging revealed extensive syringomyelia in 8 patients. It is proposed that the quality and location of chronic pain can quickly suggest confirmatory examinations, sometimes revealing correctable causes.
Paraplegia 1990 Sep
PMID:Chronic pain after spinal cord injury: an expedient diagnostic approach. 225 Sep 89

Cotrel-Dubousset instrumentation (CDI) has been gaining popularity in scoliosis surgery because of their improved rigidity which can obviate the need for a brace in most cases. Early results of this new system in scoliosis surgery have demonstrated a low pseudarthrosis and hardware complication rate. Because of these advantages, CDI was used to stabilise thoracolumbar fractures at the Lucerne Spinal Center. The results of 23 patients were reviewed with respect to completion of healing, change in neurological status, hardware complications, and follow-up radiographic parameters. Nine patients were braced and 14 were not braced post-operatively. Two elderly patients expired at 1 and 6 months following their injury from medical complications. Of the remaining 21 patients, all were evaluated at follow-up ranging from 6 to 28 months, mean 12.7 months. The evaluation revealed that all patients showed complete healing without significant neurological or hardware complications.
Paraplegia 1989 Dec
PMID:Cotrel-Dubousset rods in spinal fractures. 223 44

The distribution of pressure points in 16 patients with paraplegia, nine with ulcers, and six who were ulcer free were compared with the distribution in 15 normal individuals using an instrument capable of simultaneously measuring multiple pressure points under the buttocks and thighs. The nine patients with ischial and sacral decubiti showed redistribution of their sitting pressures posteriorly, asymmetrical loading of the ischiae, and higher than normal pressures under the sacrococcygeum. These abnormal pressures were associated with unbalanced scoliosis, pelvic obliquity, and the loss of physiological lordosis following a spinal fusion. We defined four criteria of risk for decubitus ulceration.
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PMID:Relationship of spine deformity and pelvic obliquity on sitting pressure distributions and decubitus ulceration. 389 15

Pneumatic orthoses were used to mobilise eight post-traumatic thoracic paraplegic males whose progress was monitored for two years. The pneumatic orthosis was more likely to be used than pelvic brace and calipers mainly due to increased support for the pelvis and the thoracolumbar spine. The effects of the orthosis and the mobilisation upon patient physiology were studied. Beneficial effects upon cardiovascular and respiratory systems were noted and increases in total body calcium after mobilisation were found. Contraindications to fitting the orthosis include severe spasms, obesity and scoliosis.
Paraplegia 1985 Oct
PMID:An evaluation of pneumatic orthoses in thoracic paraplegia. 406 39

One hundred consecutive patients with spinal deformity due to various diagnoses were treated by posterior spinal arthrodesis with instrumentation and multiple sublaminar wires. Both the Harrington and Luque rodding systems were used. A total of 1128 wire loops were passed. No patient developed paraparesis or paraplegia, but three had transient sensory disturbance. There were no cases of broken rods or wires. Forty-five of the patients had no postoperative support. This worked well for neuromuscular scolioses, but for idiopathic scoliosis there was a disturbing loss of correction in many cases. Fusion to the sacrum was best accomplished with the "Galveston" technique, other methods having a high rate of pseudarthrosis. The main benefits appeared to be the ability to stabilize neuromuscular patients without the use of external immbolization, and the correction of thoracic lordosis.
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PMID:Spinal arthrodesis for spinal deformity using posterior instrumentation and sublaminar wiring. A preliminary report of 100 consecutive cases. 409 25


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