Orthop Traumatol Sur
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Orthop Traumatol Sur · Sep 2014
Surgical treatment of thoracic spine fractures. Outcomes on 50 patients at 23 months follow-up.
The morphological and biomechanical features of the thoracic spine, together with its close proximity to the spinal cord, set it apart from other spinal segments. Management of thoracic spine injuries consists of achieving a reduction and an immediate and long-lasting stabilization of the spine while constantly protecting the central and peripheral nervous system. The aim of this study was to determine the best treatment for surgical thoracic spine fractures. ⋯ Level IV.
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Orthop Traumatol Sur · Sep 2014
Complications of shoulder arthroplasty for osteoarthritis with posterior glenoid wear.
Anatomical total shoulder arthroplasty (TSA) for glenohumeral osteoarthritis (OA) and severe posterior glenoid wear may entail early postoperative complications (recurrence of posterior subluxation, glenoid loosening). To avoid these mechanical problems, reverse shoulder arthroplasty (RSA) has recently been proposed, mainly for its intrinsic stability. Our purpose was to present the results of TSA and RSA in glenohumeral OA with posterior glenoid wear of at least 20°. ⋯ Level IV; retrospective case series.
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Orthop Traumatol Sur · Sep 2014
Computer-assisted osteotomy for valgus knees: medium-term results of 29 cases.
Computer-assisted surgery has been shown to be beneficial for correcting misaligned lower limbs. The purpose of this study was to analyze the medium-term results of computer-assisted osteotomy for 29 valgus knees. The hypothesis was that computer navigation would allow a valgus deformity to be corrected with similar precision as varus deformity. ⋯ IV. Retrospective study.
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Orthop Traumatol Sur · Sep 2014
Case ReportsEndovascular aortic injury repair after thoracic pedicle screw placement.
Our objective was to describe the management and prevention of thoracic aortic injuries caused by a malposition of pedicle screws in corrective surgery of major spine deformities. Positioning pedicle screws in thoracic vertebras by posterior approach exposes to the risk of injury of the elements placed ahead of the thoracic spine, as the descending thoracic aorta. This complication can result in a cataclysmic bleeding, needing urgent vascular care, but it can also be totally asymptomatic, resulting in the long run in a pseudoaneurysm, justifying the systematic removal of the hardware. ⋯ When such a complication occurs, a co-management by vascular and spine surgeons is necessary to avoid major complications. Endovascular management of this kind of vascular injuries permits to avoid an open surgery that have a great rate of morbi-mortality in frail patients. Nowadays, technologies exist to prevent this kind of event and may improve the security when positioning pedicle screws.
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Orthop Traumatol Sur · Sep 2014
Posterior percutaneous reduction and fixation of thoraco-lumbar burst fractures.
Treatment of A3 thoraco-lumbar and lumbar spinal fractures nowadays remains a controversial issue. Percutaneous techniques are becoming very popular in the last few years to reduce the approach-related morbidity associated with conventional techniques. ⋯ Level IV. Retrospective study.