CCL

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001-es BibID:BIBFORM042756
Első szerző:Csernátony Zoltán (ortopéd sebész, traumatológus)
Cím:Our experience and early results with a complementary implant for the correction of major thoracic curves / Zoltán Csernátony, László Kiss, Sándor Manó, Zsolt Hunya
Dátum:2013
ISSN:0940-6719
Megjegyzések:PURPOSE: In our article, we would like to introduce a new auxiliary implant called the CAB hook, for use in posterior approach scoliosis surgery. METHODS: Since 2007, we operated 42 patients with the CAB hook with an average preoperative Cobb angle of 59.3° (28°-92°). In three cases, the posterior approach was preceded by ventral release and Halo traction. In four cases, besides the CAB hooks, SCS hooks and pedicular screws, in three cases both CAB and SCS hooks, in nine cases CAB hooks with SCS pedicular screws, and in 23 cases, only CAB were used. The average follow-up time was 21.6 month (2-51). RESULTS: All the patients are satisfied with the results. No reoperation was needed due to the loss of correction, pain, implant failure, or infection. The average postoperative Cobb angle decreased to 24.7° (4°-60°). Based on this we calculated the Cincinnati Correction Index (CCI), which was 1.53 (0.7-4.8), which means that our correction exceeded the flexibility of the spine based on the lateral bending X-ray by 53 %. CONCLUSION: As with all new surgical techniques and implants after the short learning curve, we were able to improve the degree of correction and decrease the time of surgery. One of the advantages of the CAB hook is that besides a few implant-specific instruments, no special instrumentation is required for insertion, and image intensifier need not be used.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:European Spine Journal. - 22 : 6 (2013), p. 1286-1291. -
További szerzők:Kiss László (1978-) (ortopéd sebész, traumatológus) Manó Sándor (1977-) (gépészmérnök, számítógépes tervezőmérnök) Hunya Zsolt (1980-) (ortopéd és baleseti sebész)
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001-es BibID:BIBFORM034542
Első szerző:Jeszenszky Dezső (idegsebész, ortopédus)
Cím:Fusionless posterior hemivertebra resection in a 2-year-old child with 16 years follow-up / Jeszenszky, D., Fekete, T. F., Kleinstueck, F. S., Haschtmann, D., Bognár, L.
Dátum:2012
ISSN:0940-6719
Megjegyzések:PURPOSE: We present the case of a 2-year-old patient with congenital scoliosis due to a lumbar hemivertebra. The current gold standard treatment of such an abnormality would be hemivertebra resection and short level posterior spinal fusion. However, due to the young age of the patient, we considered that application of a fusionless solution might offer advantages in terms of retaining normal segmental motion and the potential for growth.METHODS:The incarcerated hemivertebra was resected and the facet joints of the neighbouring vertebrae were joined to create a new functional motion segment and correct the kyphoscoliotic deformity. Transpedicular screws were inserted on the convex side in L2 and L3 and a tension band was applied.RESULTS:16 years after the surgery, the patient was completely pain-free, motion of the lumbar spine was preserved and the physiological curvatures were maintained.CONCLUSION:To our knowledge a fusionless surgical solution for the treatment of a hemivertebra has never been described before. Although this is only a single case, the good result with a long follow-up suggests the technique is worthwhile considering when planning the treatment of a lumbar hemivertebra in very young children.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:European Spine Journal. - 65 : 1-2 (2012), p. 17-24. -
További szerzők:Fekete Tamás Fülöp Kleinstück, Frank S. Haschtmann, Daniel Bognár László (1958-) (idegsebész, gyermekidegsebész)
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