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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)
Internet cím:Intézményi repozitóriumban (DEA) tárolt változat
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2.

001-es BibID:BIBFORM028373
Első szerző:Molnár Szabolcs (ortopéd sebész, traumatológus)
Cím:Ex Vivo and In Vitro Determination of the Axial Rotational Axis of the Human Thoracic Spine / Molnár Szabolcs, Manó Sándor, Kiss László, Csernátony Zoltán
Dátum:2006
ISSN:0362-2436
Megjegyzések:Different geometrical and biomechanical evaluations were performed to determine the axial rotational axis of the thoracic spine.OBJECTIVE: Our research group has been dealing with the determination of the axial rotational axis of the thoracic spine. Here, we would like to present the geometrical and experimental results of our trials. With our experiments, we are trying to evaluate the contradictions of the related literature.SUMMARY OF BACKGROUND DATA: In the present state, we know quite a lot about the biomechanics of healthy and pathologic spines. Nevertheless, for a seemingly simple question like the position of the axial rotation of the thoracic spine, the literature gives contradicting results. During correction of a scoliotic deformity, when trying to correct the pathologic rotation, not knowing the physiologic rotation can be hazardous.METHODS: We wanted to clarify this question, so we examined the thoracic spine in many different ways. First, we examined the problem from a geometrical point of view then we modeled the different rotational axes by studying the change in volume of the spinal canal. Finally, we used cadaver spines that we rotated and examined with radiographs and digital pictures.RESULTS: Based on the results, we made the following establishments: most of the center points fell on the anterior half of the vertebral body or into the spinal canal, basically on the midsagittal axis of the vertebra. The rib cage has a significant effect on the place of the axis. After removing the ribs, the axis of axial rotation moved forward.CONCLUSIONS: After evaluating the results, we determined that the most likely place for the rotational axis is on the median-sagittal plane, in the anterior portion of the spinal canal.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
thoracic spine
rotational axis
biomechanics
scoliosis
Megjelenés:Spine. - 31 : 26 (2006), p. E984-E991. -
További szerzők:Manó Sándor (1977-) (gépészmérnök, számítógépes tervezőmérnök) Kiss László (1978-) (ortopéd sebész, traumatológus) Csernátony Zoltán (1959-2023) (ortopéd sebész, traumatológus)
Pályázati támogatás:T 034889
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