Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Dec 1995
Secure fixation of lumbar osteotomy. Surgical experience with 50 patients.
Despite intensive conservative treatment, severe kyphotic spinal deformities may develop in patients with ankylosing spondylitis. Lumbar osteotomy can restore a horizontal visual field in these patients. Of 50 patients undergoing corrective lumbar osteotomy, there were 44 men and 6 women. ⋯ All patients were able to see straight ahead after the operation. There were 2 deaths and 1 permanent sacral root lesion. Fixation failure was seen in 2 of 37 patients in whom transpedicular implants were used and in 3 of 13 in whom alternative methods of internal fixation were used.
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Clin. Orthop. Relat. Res. · Dec 1995
Review Case ReportsSalmonella panama osteomyelitis in an otherwise healthy patient. A case report.
A 22-year-old man had Salmonella panama osteomyelitis of the left distal tibia. He had endured a period of untreated diarrhea without fever 6 years before. The osteomyelitis was treated successfully with surgical debridement followed by 9 weeks of oral cotrimoxazole 960 mg twice daily. ⋯ Although the osteomyelitis in this patient was possibly secondary to Salmonella enteritis 6 years before, the authors believe that enteric Salmonella infections should not be treated with antibiotics unless the infection is accompanied by systemic symptoms. Otherwise, the risk of chronic carriership is substantially increased. In case of Salmonella panama osteomyelitis, surgical debridement is recommended as the main component of treatment, followed by a prolonged period of specific antibiotic therapy.