Langenbecks Archiv für Chirurgie
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Langenbecks Arch Chir · Jan 1990
[Treatment of unstable thoracic and lumbar spinal fractures with Cotrel-Dubousset instruments].
The present study is a retrospective analysis of first experiences of fracture treatment with the Cotrel-Dubousset instrumentation technique. Thirty-five unstable spine fractures were treated with the CD implant at the University of Louisville--Level I Trauma Center--between June, 1985 and August, 1987. There were 17 burst fractures, 12 compression fractures and 2 fracture dislocations, 2 flexion distraction fractures and 2 flexion rotation injuries. ⋯ The loss of correction in the sagittal plane varied between 0 and 20 degrees (mean 5.6) at final follow-up. Complications due to the implant have not been observed except an avulsion of an upper thoracic hook, which did not effect the clinical or radiographic result. The high stability of the implant provides a decreased risk of neurological deterioration, posttraumatic kyphosis as well as early rehabilitation.
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Langenbecks Arch Chir · Jan 1990
Case Reports[Complex trauma of the perineum, especially the anorectal continence organ. Experiences and results in 27 patients 1956-1988].
This report is based upon 27 patients with severe perineal injuries treated in a 30-year-period. Four groups of injuries could be identified. Severity of the trauma, correct diagnosis of concomitant injuries, right usage of antibiotics and protection of the perineal wound by a temporary colostomy represented key factors for a favorable outcome. ⋯ All these cases required a permanent colostomy. Concomitant tears of the membranous urethra frequently caused urethral stenoses and irreversible impotence. Mortality rates were low in patients with severe perineal injuries.