“…External fixation of the spine was also used to estimate the effect of spinal fusion [22] or as a reduction device for scoliosis [23] or spondyloptosis [24] correction.…”
Section: Discussionmentioning
confidence: 99%
“…It also enables an ambulatory programme immediately after its application [20]. Even during the distraction phase of the treatment the whole construct is sufficient for early mobilisation [23]. Stability is improved by preloading the Schanz screws, whereas secure insertion through the pedicles allows forceful reduction manoeuvres [23].…”
Section: Discussionmentioning
confidence: 99%
“…Even during the distraction phase of the treatment the whole construct is sufficient for early mobilisation [23]. Stability is improved by preloading the Schanz screws, whereas secure insertion through the pedicles allows forceful reduction manoeuvres [23]. Structural elasticity of Magerl's frame adds more benefit by absorbing energy, thus protecting the Schanz screws from overload.…”
This is an effective and safe technique which addresses the lumbosacral kyphosis and cosmetic deformity without the neurological complications which accompany other reduction and fusion techniques for high-grade spondylolisthesis.
“…External fixation of the spine was also used to estimate the effect of spinal fusion [22] or as a reduction device for scoliosis [23] or spondyloptosis [24] correction.…”
Section: Discussionmentioning
confidence: 99%
“…It also enables an ambulatory programme immediately after its application [20]. Even during the distraction phase of the treatment the whole construct is sufficient for early mobilisation [23]. Stability is improved by preloading the Schanz screws, whereas secure insertion through the pedicles allows forceful reduction manoeuvres [23].…”
Section: Discussionmentioning
confidence: 99%
“…Even during the distraction phase of the treatment the whole construct is sufficient for early mobilisation [23]. Stability is improved by preloading the Schanz screws, whereas secure insertion through the pedicles allows forceful reduction manoeuvres [23]. Structural elasticity of Magerl's frame adds more benefit by absorbing energy, thus protecting the Schanz screws from overload.…”
This is an effective and safe technique which addresses the lumbosacral kyphosis and cosmetic deformity without the neurological complications which accompany other reduction and fusion techniques for high-grade spondylolisthesis.
“…Dubousset [12] used Ilizarov fixator in several particular cases. Reyes-Sanchez et al [13] used external fixator Orthofix Ò to achieve a correction by dynamic distraction, compression and derotation of the severe scoliotic curve. Pedicular fixation is solid and allows distraction, which enables to correct the trunk shortening and the abdominal collapse.…”
A case of caudal regression syndrome in which rehabilitation was obtained by lumbopelvic distraction and stabilization with external fixation Orthofix Ò is presented. The objective of the study is to describe the benefit of spine external fixator in caudal regression syndrome. Caudal regression syndrome is a rare and sporadic neural defect of distal spinal segments affecting the development of the spinal cord. It is characterized by vertebropelvic instability and essentially manifests as neurological deficit in the lower limbs and absence of bladder and bowel control. Pluridisciplinary management of this affection is complex. The clinical presentation and treatment of caudal regression syndromes are reviewed. A case of a boy for whom physical rehabilitation was obtained with external fixation Orthofix Ò is presented. Lumbopelvic stabilization was performed with autograft and allograft bone. A spine distraction was performed with external fixation with pedicular screws in L1 and L2 and in the pelvis bone. An elongation of 19 mm was obtained in 35 days. The external fixator was removed after 4 months and a spine cast was applied during 8 months. This treatment resulted in lumbopelvic nonunion of very low mobility. Lumbopelvic stability and the disappearance of pain were achieved. Sitting position was stable without hand support. At 14 years of follow-up, his condition is stable with possible deambulation at home with crutches. Lumbopelvic arthrodesis in caudal regression syndrome is difficult to obtain. The use of spine external fixator, however, allows trunk elongation and can achieve a stable sitting and upright position.
“…К тяжелым или грубым обычно относят сколиозы с величиной основ-ной дуги от 70° до 100° [10,11,28,29,39,42,51,52,56,63]. Тяжелые формы развиваются у 15,0-20,0 % больных сколиозом.…”
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