This paper presents four patients with injuries to the thoracolumbar
We present a method of visualising spinal deformities in three dimensions using conventional radiographs and computer graphics. The shape of the
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
The pre-operative lumbar
Fourteen patients with ankylosing spondylitis had an extension osteotomy for severe flexion deformity of the
In 139 patients with burst fractures of the thoracic, thoracolumbar or lumbar
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
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
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
The aims of this study were to review the surgical technique for a combined femoral head reduction osteotomy (FHRO) and periacetabular osteotomy (PAO), and to report the short-term clinical and radiological results of a combined FHRO/PAO for the treatment of selected severe femoral head deformities. Between 2011 and 2016, six female patients were treated with a combined FHRO and PAO. The mean patient age was 13.6 years (12.6 to 15.7). Clinical data, including patient demographics and patient-reported outcome scores, were collected prospectively. Radiologicalally, hip morphology was assessed evaluating the Tönnis angle, the lateral centre to edge angle, the medial offset distance, the extrusion index, and the alpha angle.Aims
Patients and Methods
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
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
One hundred and thirty-nine discs from cadaveric lumbar
Magnetic resonance images (MRI) were obtained of 10 healthy volunteers and 70 patients suffering from various orthopaedic disorders. Selected images of soft tissue, joint, bone and spinal abnormalities are presented and their interpretation is described. Although we have been using MRI for only a very short time, it is already possible to see its advantages: it provides good images of soft-tissues, detailed pictures of bone marrow, and excellent visualisation of the
In a series of over 250 patients, four suffered peritoneal penetration by one of the pelvic pins while being put into a halo-pelvic apparatus. In each case a point on the iliac crest two to three centimetres posterior to the anterior superior iliac crest had been used as the anterior landmark for the positioning of the pelvic pin guide. To avoid this complication we advise that the anterior landmark for the guide should be the "tubercle of the crest", five centimetres or more posterior to the anterior superior iliac
1. A report is given of a family suffering from dystrophia myotonica and familial Pagetâs disease of bone. 2. Radiological changes in the skull occur in both disorders, which are quite dissimilar. Thickening of the calvarium, however, may be common to both. 3. The serum alkaline phosphatase is high in Paget's disease and normal in dystrophia myotonica. 4. In one patient the Paget's disease was complicated by the development of multiple sarcomata. Sarcomatous involvement of the
Spinal injury at more than one level is not uncommon. Awareness of multilevel injury of the
The effect of storage at sub-zero temperatures and subsequent thawing was investigated in dissected muscles, tendons, limbs and
The majority of patients with chronic infantile and juvenile forms of spinal muscular atrophy survive to adult life. Forty-four patients have been reviewed at an average of 17 years after diagnosis. The subdivision of patients into four groups, based on the maximal physical function developed by the individual, correlates well with the onset and severity of secondary deformity of the limbs and
The aim of this study was to evaluate improvements in the quality
and safety of paediatric spinal surgery following the implementation
of a specialist Paediatric Spinal Surgical Team (PSST) in the operating
theatre. A retrospective consecutive case study of paediatric spinal operations
before (between January 2008 and December 2009), and after (between
January 2012 and December 2013) the implementation of PSST, was
performed. A comparative analysis of outcome variables including
surgical site infection (SSI), operating time (ORT), blood loss (BL),
length of stay (LOS), unplanned staged procedures (USP) and transfusion
rates (allogenic and cell-saver) was performed between the two groups.
The rate of complications during the first two postoperative years
was also compared between the groups.Aims
Patients and Methods