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

Scoliosis is a complication of spinal lesions in neurofibromatosis, and leads frequently to major deformities with dislocations. The authors conducted a critical study of 31 cases surgically treated during the 1954-73 period of time. The techniques of spine straightening and of arthrodesis were recalled. The authors conclude that in case of moderate deformity (less than 100 degrees) Harrington's operation was satisfactory enough when correctly conducted. In case of severe dislocation and kyphosis, straightening was obtained after long lasting casts and halo tractions. Then posterior fusion using Harrington's rods had usually to be completed by anterior, transthoracic fusion for better solidity.
Rev Chir Orthop Reparatrice Appar Mot
PMID:[Critical evaluation of the surgical treatment of vertebral lesions due to neurofibromatosis. 31 cases (1954-1973)]. 12 68

Most severe scoliosis and kyphoscoliosis are not unfrequent in European countries. The purpose of their treatment is not only cosmetic but, often, vital. Patients are hypotrophic and their vital capacities usually very poor. Since 1952, the authors have treated (partial, reduction and fusion) 183 patients: with curves above 100 degrees (101 degrees-203 degrees). Reduction was obtained by distraction cast or halo-traction. Surgical treatment (one or two stages) used Harrington rods and fusion with a large amount of iliac bone. These procedures are dangerous for the medullary function. Controls must be performed during the operative distraction. Follow up studies demonstrated the stability of the obtained reductions.
Rev Chir Orthop Reparatrice Appar Mot 1975 Mar
PMID:[Major scoliosis, over 100 degrees, in adults. 183 surgically treated cases]. 12 44

The authors describe an original technique for rapid closed reduction of scoliosis (Maguelone technique). It is based on mild distraction in suspension associated with derotation without pressure points. It is painless and efficient. In 50 cases it was followed by a conservative treatment using plaster casts. In 15 other cases it was the first stage of a surgical treatment of the deformity.
Rev Chir Orthop Reparatrice Appar Mot 1975 Mar
PMID:[Orthopedic reduction of scoliosis by Maguelone's technic. Indications and first results]. 12 45

The author reports a ten-years experience of the Milwaukee brace in the treatment of idiopathic scoliosis. 168 patients were treated and the results are analysed according to age at onset of treatment, severity of the curves, type of scoliosis. It is concluded that this bracing is worthwile as well for young children as for teenagers, the goal of the treatment being to prevent physical and psychological distress in adult life.
Rev Chir Orthop Reparatrice Appar Mot
PMID:[Milwaukee brace in the treatment of idiopathic scolioses. Results and indications]. 13 20

The authors have followed up 26 children suffering from severe scoliosis associated with congenital heart disease up to the end of puberty. The curve was usually a very severe idiopathic scoliosis developing early and requring surgical treatment. Two types may be distinguished: I. Scoliosis without excessive surgical risk, in patients in whom the heart disease is not associated with cyanosis or where the heart condition has already been treated surgically and in which there are no clinical, radiological or electrical signs of cardiac failure. 2. Scoliosis with considerable surgical risk because of heart disease with cyanosis not treated surgically, or with signs of heart failure or pulmonary hypertension. In such cases, the surgical treatment of the scoliosis is likely to endanger life.
Rev Chir Orthop Reparatrice Appar Mot 1976 Dec
PMID:[Scoliosis and congenital cardiopathies]. 13 60

Pelvic obliquity due to spinal deformity is a well defined syndrome. Its natural history is related to the evolution of the scoliosis. The authors describe two types of pelvic obliquity--total pelvic obliquity in which the sacrum is the lowest vertebra of the lumbar curve and subtotal pelvic obliquity in which there is some compensation between L5 and the sacrum. Seventeen patients were operated on. The Dwyer's procedure was found to be satisfactory in total pelvic obliquities from the point of view of correction and stabilization. In subtotal pelvic obliquity, an additional lumbosacral fusion by a posterior approach was found to be necessary.
Rev Chir Orthop Reparatrice Appar Mot
PMID:[The dwyer operation in the treatment of paralytic scoliosis with oblique pelvis]. 14 9

The authors have studied twenty cases of spine deformity in children suffering from Marfan's syndrome. They describe the main features of the disease and point out the difficulty of accurate diagnosis in children with minor involvement. The deformities are those of a dysplastic scoliosis as shown by the frequency of vertebral inversion on the lateral view: dorso-lumbar kyphosis, decreased lumbar lordosis. The treatment should be surgical because of the danger of a fatal outcome without treatment. The incidence of non-union is high and the authors recommend systematic revision of the fusion double curve scolioses with a moderate kyphosis. In cases of severe kyphosis, the addition of anterior grafting is recommended.
Rev Chir Orthop Reparatrice Appar Mot 1978 Sep
PMID:[Spine deformity in Marfan's syndrome in childhood (author's transl)]. 15 55

The authors have studied a series of seventy patients with hemivertebra. Classification should be based on two criteria--firstly, that the hemivertebra can be fused or separate and secondly, vertebrae above and below the hemivertebra may or may not show transitional abnormality. The natural history may take one of three courses: 1--Deformity may be severe from the beginning in cases of separate hemivertebra associated with transitional abnormalites. 2--The deformity may be stable until the age of nine or ten years, after which a severe scoliosis or kypho-scoliosis may develop. 3--The deformity may be stable throughout the whole of the growing period. The prognosis should be based on the existence of transitional abnormalities, the characteristics of the hemisvertebra (separate or fused), the sex of the patient, assoicated congenital defects, the rotation of the hemivertebra, and the level of the deformity. Treatment should be surgical in cases with early progression during the first few years of life by excision of the hemisvertebra associated with correction using Harrington rods. At the thoracic level, this surgical procedure is dangerous and spine fusion is more appropriate. The second period for surgical treatment is at puberty, either by spine fusion or correction and fusion. At this age, excision of the hemivertebra may still be indicated in the lumbar spine.
Rev Chir Orthop Reparatrice Appar Mot
PMID:[Hemivertebra. -- classification, natural history and prognosis (author's transl)]. 15 13

35 cases of infantile scoliosis were studied most of whom were followed for more than 10 years. In 11 instances, the scoliosis was present in the new born. The results are compared with those obtained by other authors. The authors consider that the signs found at the first examination as described by Mehta are not reliable enough and that the subsequent evolution of the curve is important. They have observed totally regressive and partially regressive cases. They are also found that right thoraco-lumbar curves in girls were common. Criteria for a more reliable prognosis are put forward.
Rev Chir Orthop Reparatrice Appar Mot 1979 Dec
PMID:[Prognosis of infantile scoliosis (author's transl)]. 16 3

Thirty-two scoliosis in total body involved children with cerebral palsy (CP) were reviewed. Mean preoperative angle was 13. Average follow-up was four years. Surgery included a single posterior (11 cases) or anterior (3 cases) approach and a double stage anterior and posterior procedure in 18 cases. Fusion was extended to the sacrum in 15 cases. Complications were numerous: 3 deaths, 15 postoperative complications in 10 patients. Most of them were septic and cutaneous. Cobb angle was 78 degrees before surgery, 28 degrees after surgery and 32 degrees at follow-up. Functional status was improved in most of cases. Pain disappeared in 2/3 of cases. Sitting position was acquired in all cases at follow-up; motor possibilities were improved in 1/4 of cases; associated medical pathologies (mainly respiratory) were reduced in 2/3 of cases.
Rev Chir Orthop Reparatrice Appar Mot 1992
PMID:[Surgical treatment of scoliosis in bed-ridden patients with cerebral palsy]. 128 82


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