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The Journal of Bone & Joint Surgery British Volume
Vol. 68-B, Issue 3 | Pages 489 - 493
1 May 1986
Spencer J

Between 1980 and 1984 nine adult patients in the renal unit of Guy's Hospital developed bone and joint infection. The commonest site of infection was the spine. In this series two patients died, a mortality of 22%. The purpose of this paper is to illustrate the pitfalls in the diagnosis and management of bone and joint infection in patients with renal failure and renal transplants


The Journal of Bone & Joint Surgery British Volume
Vol. 65-B, Issue 2 | Pages 199 - 203
1 Mar 1983
Adams M Hutton W

Forty-one cadaveric lumbar intervertebral joints from 18 spines were flexed and fatigue loaded to simulate a vigorous day's activity. The joints were then bisected and the discs examined. Twenty-three out of 41 of the discs showed distortions in the lamellae of the annulus fibrosus and, in a few of these, complete radial fissures were found in the posterior annulus


The Journal of Bone & Joint Surgery British Volume
Vol. 48-B, Issue 4 | Pages 786 - 792
1 Nov 1966
Roaf R

1. Evidence is presented that the basic lesion in scoliosis is relative lengthening of the anterior components of the spine compared with the posterior elements. 2. The logical treatment is to reduce this relative lengthening either by lengthening the posterior elements or shortening the anterior elements. This may be achieved by anterior lumbar wedge osteotomy or by epiphysiodesis; and correction of lumbar lordosis can improve a thoracic scoliosis


The Journal of Bone & Joint Surgery British Volume
Vol. 82-B, Issue 1 | Pages 28 - 32
1 Jan 2000
Sundaresh DC Gopalakrishnan D Shetty N

In our practice sequestration of the shafts of long bones in children because of acute osteomyelitis continues to be a problem. Conventional procedures for bone grafting are likely to fail. Vascularised grafts with microvascular anastomosis are technically demanding with a high rate of failure. Transfer of the rib on its vascular pedicle to achieve anterior fusion in the thoracic spine is now well established and the length of the pedicle available is adequate to allow grafting of a diaphyseal defect in the humerus. We describe the successful use of this procedure in two patients


Bone & Joint Research
Vol. 7, Issue 6 | Pages 379 - 387
1 Jun 2018
Hansen L De Raedt S Jørgensen PB Mygind-Klavsen B Kaptein B Stilling M

Objectives

To validate the precision of digitally reconstructed radiograph (DRR) radiostereometric analysis (RSA) and the model-based method (MBM) RSA with respect to benchmark marker-based (MM) RSA for evaluation of kinematics in the native hip joint.

Methods

Seven human cadaveric hemipelves were CT scanned and bone models were segmented. Tantalum beads were placed in the pelvis and proximal femoral bone. RSA recordings of the hips were performed during flexion, adduction and internal rotation. Stereoradiographic recordings were all analyzed with DRR, MBM and MM. Migration results for the MBM and DRR with respect to MM were compared. Precision was assessed as systematic bias (mean difference) and random variation (Pitman’s test for equal variance).


The Journal of Bone & Joint Surgery British Volume
Vol. 70-B, Issue 5 | Pages 708 - 711
1 Nov 1988
Heywood A Learmonth I Thomas M

We describe a method of internal fixation for occipito-cervical fusion utilising a standard "small fragment" T-plate bent and fixed to the skull with three screws. The lower end of the plate is screwed and wired firmly to the spine of the axis. Of 14 patients so treated, 12 fused, one died and one failed to unite to the skull. Of eight with cord signs, seven remitted or improved and one died


The Journal of Bone & Joint Surgery British Volume
Vol. 68-B, Issue 5 | Pages 729 - 733
1 Nov 1986
Greenough C Dimmock S Edwards D Ransford A Bentley G

Computerised tomography of the lumbar spine was performed on 22 patients with clinical evidence of prolapse of an intervertebral disc and normal or equivocal radiculograms. Of 11 patients with positive scans who had an operation the presence of pathology was confirmed in 10. Although CT scanning is always helpful in diagnosing disc disorders, where facilities are scarce (as in Great Britain) it is best employed in patients with negative or non-contributory radiculography


The Journal of Bone & Joint Surgery British Volume
Vol. 63-B, Issue 3 | Pages 337 - 341
1 Aug 1981
Handelberg F Bellemans M Opdecam P Casteleyn P

This paper presents four patients with injuries to the thoracolumbar spine assessed by computerised tomography. This technique enabled an easy, quick and accurate diagnosis to be made, avoiding dangerous manipulation of the patient. The scans were analysed using the anatomical classification of Louis to evaluate the instability of the lesions. Control CT scans were used to monitor progress and to provide an accurate prognosis within acceptable limits of irradiation


The Journal of Bone & Joint Surgery British Volume
Vol. 71-B, Issue 3 | Pages 399 - 403
1 May 1989
Howell F Dickson R

We present a method of visualising spinal deformities in three dimensions using conventional radiographs and computer graphics. The shape of the spinal column can be determined from the anteroposterior and lateral radiographs and displayed in any projection. In patients with adolescent idiopathic scoliosis, the fundamental lesion, an abnormal lordosis, can be demonstrated without the need for additional views. The method is applicable to other spinal deformities and may help to elucidate their three-dimensional shape


Bone & Joint 360
Vol. 7, Issue 1 | Pages 35 - 37
1 Feb 2018


The Journal of Bone & Joint Surgery British Volume
Vol. 56-B, Issue 3 | Pages 513 - 519
1 Aug 1974
Aufdermaur M

In the necropsy material presented there were, among 100 spinal injuries occurring during the past eight years, twelve in juveniles up to eighteen years of age. In all cases, the growth zone of the cartilaginous end-plate of the spine was fractured. The special histological architecture of the growth zones with their loosened fibrous lamellae might play a decisive role in the localisation of the lesions. The clinical importance of this type of injury and the radiological findings are discussed


The Journal of Bone & Joint Surgery British Volume
Vol. 72-B, Issue 5 | Pages 917 - 920
1 Sep 1990
MacLean J Tucker J Latham J

The pre-operative lumbar spine radiographs of 200 consecutive patients who had undergone discectomy for prolapsed intervertebral disc were reviewed. Prolapse was recognized as bulging or sequestration of the disc with consequent root compromise. Measurement of the lumbar level of the interiliac line was shown to correlate with the level of disc prolapse and the incidence of transitional vertebrae at the lumbosacral junction was significantly higher than normal. A pathological value for the lumbosacral angle could not be identified


The Journal of Bone & Joint Surgery British Volume
Vol. 67-B, Issue 2 | Pages 204 - 210
1 Mar 1985
McMaster M

Fourteen patients with ankylosing spondylitis had an extension osteotomy for severe flexion deformity of the spine. The Smith-Petersen technique was modified by using a compression device which allows a slow, finely controlled closure of the osteotomy, and provides rigid internal fixation. There were no serious neurological complications. All the patients were able to see straight ahead after operation, and all had solid fusion at nine months, having maintained good correction


The Journal of Bone & Joint Surgery British Volume
Vol. 74-B, Issue 5 | Pages 683 - 685
1 Sep 1992
Fontijne W de Klerk L Braakman R Stijnen T Tanghe H Steenbeek R van Linge B

In 139 patients with burst fractures of the thoracic, thoracolumbar or lumbar spine, the least sagittal diameter of the spinal canal at the level of injury was measured by computerised tomography. By multiple logistic regression we investigated the joint correlation of the level of the burst fracture and the percentage of spinal canal stenosis with the probability of an associated neurological deficit. There was a very significant correlation between neurological deficit and the percentage of spinal canal stenosis; the higher the level of injury the greater was the probability. The severity of neurological deficit could not be predicted


The Journal of Bone & Joint Surgery British Volume
Vol. 46-B, Issue 2 | Pages 260 - 267
1 May 1964
Alldred AJ Nisbet NW

1 . The incidence of hydatid disease in bone is discussed and the relevant literature reviewed. 2. The parasitology and methods of control are described. 3. The pathology of hydatid disease affecting bone is described. 4. An analysis of fifty-three cases is made showing that the disease commonly occurs in the spine, the long bones, the ribs and scapula, and the pelvis and hip. The treatment and prognosis of each group is discussed. 5. Three cases of hydatid disease of bone occurring in animals are described


The Journal of Bone & Joint Surgery British Volume
Vol. 68-B, Issue 1 | Pages 96 - 99
1 Jan 1986
Citron N Paterson F Jackson A

Four children are described, each with spontaneous osteonecrosis affecting nearly one-third of the lateral femoral condyle. All the children had a motor and a sensory deficit in the affected limb: two had been previously treated for neuroblastoma of the spine, one for an infected lumbar dermoid cyst and one had spina bifida. We consider that these disorders, singly or in combination, may lead to repeated excessive loading of the lateral femoral condyle, which cannot be appreciated in a knee that is not protected by normal sensation


The Journal of Bone & Joint Surgery British Volume
Vol. 42-B, Issue 2 | Pages 273 - 279
1 May 1960
Rennie AM

1. Epiphysial tilt commonly precedes slipping. 2. This tilt is due to a diminished or arrested growth from compression of the back of the epiphysial plate. 3. The stresses on the upper end of the femur are such that the upper femoral epiphysial plate is peculiarly liable to compression. 4. A primary abnormality of the cartilage of the epiphysial plate renders it susceptible to the effect of compression. 5. Because this abnormality is diffuse, deformities due to a similar pathology may be found elsewhere, notably in the spine


The Journal of Bone & Joint Surgery British Volume
Vol. 83-B, Issue 7 | Pages 1005 - 1008
1 Sep 2001
Yildiz Y Bayrakci K Altay M Saglik Y

Hydatid disease of bone is rare. It probably represents between 0.5% and 4% of all human shydatid disease and, in about 60% of patients, affects the spine or pelvis. Between 1986 and 1998, we treated 15 cases of bone hydatidosis. Curettage, swabbing with povidone iodine and filling the defect with polymethylmethacrylate (PMMA) were carried out in ten patients. Three of these had a recurrence after five years, but seven had no signs of relapse during a mean follow-up of 52 months. We believe that the combination of antihelminthic therapy, wide resection and the use of PMMA gives the best outcome in the treatment of bone hydatidosis


The Journal of Bone & Joint Surgery British Volume
Vol. 84-B, Issue 4 | Pages 530 - 534
1 May 2002
Bhojraj S Nene A

We have reviewed, retrospectively, 66 adult patients who were treated for lumbar or lumbosacral tuberculosis. A total of 45 had a paravertebral or epidural abscess, 24 had clinical instability and 18 presented with a radiculopathy, of which six also had a motor deficit. The diagnosis was usually made on clinical and radiological grounds and they were followed up until there were clinical and radiological signs of full recovery. Conservative treatment with antituberculous drugs was successful in 55 patients (83%). None had persistent instability, radiculopathy or neurological compromise. We feel that tuberculous spondylodiscitis, especially in the lumbar spine, can usually be satisfactorily managed conservatively and that there are few indications for surgical treatment


The Journal of Bone & Joint Surgery British Volume
Vol. 68-B, Issue 1 | Pages 36 - 41
1 Jan 1986
Adams M Dolan P Hutton W

One hundred and thirty-nine discs from cadaveric lumbar spines were injected with a mixture of radio-opaque fluid and dye. Discograms were taken and the discs were then sectioned in the sagittal plane. Examination of the sections revealed that injected fluid did not at first mix with the disc matrix but pushed it aside to form pools of injected fluid. The location of these pools, and hence the appearance of a discogram, depended on the stage of degeneration of the disc. It is concluded that useful clinical information can be obtained from discograms