Journal of pediatric orthopedics
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We performed a retrospective case study of 28 consecutive severely displaced radial neck fractures (Judet types III and IV) in children treated with elastic stable intramedullary nailing using the Metaizeau technique. ⋯ We performed a retrospective level 4 study of case series.
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Comparative Study
Interobserver and intraobserver reliability of Cobb angle measurement: endplate versus pedicle as bony landmarks for measurement: a statistical analysis.
The Cobb-Lippman technique measures the curve severity by measuring the angle between the upper and lower endplates of the upper-end and lower-end vertebrae, respectively, using pedicles to measure the angle when they are better visualized than the endplates. Vertebral endplates in younger children provide less distinct bony landmarks and pedicles may be more easily identifiable in these children. The purpose of this study is to evaluate the reliability of the pedicle method of the Cobb angle measurement and compare it with the conventional endplate method of measurement. ⋯ Diagnostic studies, investigating a diagnostic test, level 1.
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Different studies show the efficacy of intrathecal baclofen therapy (ITB) in patients with secondary dystonia because of cerebral palsy. These studies only report improvements related to dystonia reduction; however, none of them have assessed whether such benefit is reflected in limb function. The purpose of our study is to determine whether the effects ITB therapy in patients with secondary dystonia to cerebral palsy, in addition to reducing dystonia, may also improve upper limb function. ⋯ Therapeutic study: level 4.
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Multicenter Study
Derotational casting for progressive infantile scoliosis.
Serial cast correction by using the Cotrel derotation technique is one of several potential treatments for progressive infantile scoliosis. This study reviews our early experience to identify which, if any, patients are likely to benefit from or fail this technique. ⋯ Level 4, therapeutic study.
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Randomized Controlled Trial Comparative Study
Epidural analgesia compared with intravenous analgesia after pediatric posterior spinal fusion.
Pain management remains challenging for pediatric patients after posterior spinal fusion (PSF). This study compares the effectiveness of hydromorphone and bupivacaine administered through patient-controlled epidural analgesia (PCEA) with hydromorphone patient-controlled intravenous analgesia (IV-PCA) in this population. ⋯ Level 2, randomized, controlled trial.