Comparison of the outcome between the supine or prone positioned child with a supracondylar humerus fracture by measuring anaesthetic and operating time, functional outcomes and complications. All children with isolated Gartland 2 and 3 supracondylar humerus fractures were who were admitted to our institute, were asked to participate in the the study. For surgery, the participating children were either operated on in a ‘supine’ or ‘prone’ position. The children were randomly allocated to either the ‘supine’ or ‘prone’ position. The fractures were preferably treated by closed reduction and percutaneous pinning with k-wires. However, if the fracture proved difficult to reduce, we proceeded to open reduction via medial and lateral approach. All fractures were stabilized with one medial and one lateral k-wire. The children were immobilized in a reinforced above elbow back-slab. Total anaesthetic and surgical time were meticulously recorded. Patients were followed up in our outpatient clinic at one week, four weeks (at which time the k-wires were removed). Three months post operatively, elbow extension, flexion and total range of movement was assessed in all children. Results Twenty children with isolated Gartland 2 and 3 supracondylar humerus fractures were included in this study. Nine children (5 ± 1 years, 7 boys and 2 girls) were operated on in a prone position, while 11 children (6 ± 2 years, 10 boys and 1 girls) were operated on in a supine position.Aims
Methods
Circumferential arthrodesis of the spine may be achieved by posterior-only or anterior and posterior surgery. Posterior-based interbody fusions have significant limitations including unreliable improvement of segmental lordosis and variable rates of post-operative radiculopathy. Combined anterior and posterior surgery introduces significant cost and peri-operative morbidity. The purpose of this paper is to report the radiographic and clinical outcomes of posterior-based circumferential arthrodesis using a novel expandable interbody cage. A prospective pilot clinical trial with one year follow-up of the only expandable cage approved by the FDA for interbody application. Clinical outcomes measured include ODI and VAS for back and leg. Radiographic outcomes include arthrodesis rates based upon CT scan. Statistical significance for change in health status was calculated using Student's t-test.Introduction:
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