Neurological complications of thoracic and lumbar spinal tuberculosis were studied in 32 patients under the age of 16 years. The majority had lesions involving three or more vertebral bodies. Paraplegia occurred in 8 patients and was always associated with bladder and bowel dysfunction. Lesions located at T4/5 were most commonly accompanied by paraplegia. Deterioration of the neurological status was related to the degree of spinal stenosis, whereas the degree of kyphosis was of less importance. Radiculopathy is rare in children with Pott's disease.Résumé Sont étudiees les complications neurologiques de la tuberculose vertébrale observées chez 32 enfants agés de 16 ans au maximum avec une 1ésion de la région thoracique et la région lombaire. Dans la plupart des cas l'atteinte a été de trois vertebres et plus. 8 cas de paraplé-gie complète ont été notés toujours accompagnés par la dysfonction des organes du bassin. Les problémes moteurs sont observés le plus souvent dans les cas de la lésion des vertebres T4-T5. La gravité des troubles neurologiques dépend de la sténose du canal rachiden. On ne trouve pas de relation directe entre la caractère de la myelopathie et l'importance de la cyphose. La radiculopathie est observée très rarement chez les enfants souffrant du mal de Pott.
A report of a rare case of the spinal hydatidosis in a child is presented. Spinal hydatidosis with a total spinal instability caused by the natural history of the disease and inadequate surgical treatment was diagnosed in a 10 year-old girl. At the department the excision of paravertebral and prevertebral hydatid cavernous masses followed by anterior L1–L5 reconstruction and posterior spinal CD-instrumentation was performed. Early post-op results are satisfactory, supporting ability of the spine is restored, that allowed physical and social rehabilitation of the child. Diagnostic pitfalls are identified and discussed.
Clinical cases of surgical treatment of suboccipital tuberculosis in two children 7.5 and 12 years of age are presented. Clinical, X-ray, CT, and MRI findings and peculiarities of surgical intervention and postoperative follow-up are described. The application of comprehensive technologies for craniovertebral region stabilization was shown to increase the efficacy of suboccipital tuberculosis treatment.
Die elektrischen und effektiven magnetischen Momente der durch Reaktion stöchiometrischer Mengen entsprechender Metallacetate und Azomethine dargestellten Komplexe (I) (Ausbeute 30‐75%) werden untersucht.
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