The surgical management of kyphosis in older children with myelomeningocele
An operative technique for correction of the severe kyphosis that may develop in cases of myelomeningocele is described. It includes excision of the apical vertebrae, correction of the full length of the kyphotic segment and of rigid compensatory curves, and extensive fusion aided by internal fixati...
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Veröffentlicht in: | Journal of bone and joint surgery. British volume 1978-02, Vol.60 (1), p.40-45 |
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container_title | Journal of bone and joint surgery. British volume |
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creator | Lowe, G P Menelaus, M B |
description | An operative technique for correction of the severe kyphosis that may develop in cases of myelomeningocele is described. It includes excision of the apical vertebrae, correction of the full length of the kyphotic segment and of rigid compensatory curves, and extensive fusion aided by internal fixation with longitudinal threaded wires. The technique evolved during the management of eleven children. Of these, in the first two the internal fixation employed was inadequate; two others died; and in the remainder good correction was maintained up to the time of review one to six years later. |
doi_str_mv | 10.1302/0301-620X.60B1.627577 |
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It includes excision of the apical vertebrae, correction of the full length of the kyphotic segment and of rigid compensatory curves, and extensive fusion aided by internal fixation with longitudinal threaded wires. The technique evolved during the management of eleven children. Of these, in the first two the internal fixation employed was inadequate; two others died; and in the remainder good correction was maintained up to the time of review one to six years later.</description><identifier>ISSN: 0301-620X</identifier><identifier>EISSN: 2044-5377</identifier><identifier>DOI: 10.1302/0301-620X.60B1.627577</identifier><identifier>PMID: 627577</identifier><language>eng</language><publisher>England</publisher><subject>Bone Screws ; Child ; Child, Preschool ; Female ; Follow-Up Studies ; Humans ; Kyphosis - etiology ; Kyphosis - surgery ; Male ; Meningomyelocele - complications ; Methods ; Orthopedic Fixation Devices ; Postoperative Care ; Preoperative Care</subject><ispartof>Journal of bone and joint surgery. 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It includes excision of the apical vertebrae, correction of the full length of the kyphotic segment and of rigid compensatory curves, and extensive fusion aided by internal fixation with longitudinal threaded wires. The technique evolved during the management of eleven children. Of these, in the first two the internal fixation employed was inadequate; two others died; and in the remainder good correction was maintained up to the time of review one to six years later.</description><subject>Bone Screws</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Kyphosis - etiology</subject><subject>Kyphosis - surgery</subject><subject>Male</subject><subject>Meningomyelocele - complications</subject><subject>Methods</subject><subject>Orthopedic Fixation Devices</subject><subject>Postoperative Care</subject><subject>Preoperative Care</subject><issn>0301-620X</issn><issn>2044-5377</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1978</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kMtOwzAQRS3EqxT-ACSv2KXYmThOl1DxEpXYFImd5TiTxpDExU6E-vckSsVqFvfcmdEh5IazBQcW3zFgPEpj9rlI2QNfpLEUUh6RWcySJBIg5TGZ_TPn5CKEL8ZYIgSckdOJnpG3TYU09H5rja5po1u9xQbbjrqSfu93lQs2UNtSVxfoqalsXXhs6a_tKtrssXYDbNutM1jjJTkpdR3w6jDn5OPpcbN6idbvz6-r-3VkgEEX5ctMo0lKKaHksSwKZGLJNU-XaWxAwpIbAA5ZJhOdF2A0DhkXptQQS5MbmJPbae_Ou58eQ6caG4YHat2i64PKIBNMsmQAxQQa70LwWKqdt432e8WZGh2q0Y8a_ajRoZqsDL3rw4E-b7D4bx3iP92YbWY</recordid><startdate>197802</startdate><enddate>197802</enddate><creator>Lowe, G P</creator><creator>Menelaus, M B</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>197802</creationdate><title>The surgical management of kyphosis in older children with myelomeningocele</title><author>Lowe, G P ; Menelaus, M B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c303t-b98aec4f773f127dde0591a16962c37391c33138874abd3caea1615cfa327cbc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1978</creationdate><topic>Bone Screws</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Kyphosis - etiology</topic><topic>Kyphosis - surgery</topic><topic>Male</topic><topic>Meningomyelocele - complications</topic><topic>Methods</topic><topic>Orthopedic Fixation Devices</topic><topic>Postoperative Care</topic><topic>Preoperative Care</topic><toplevel>online_resources</toplevel><creatorcontrib>Lowe, G P</creatorcontrib><creatorcontrib>Menelaus, M B</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of bone and joint surgery. 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source | MEDLINE; Alma/SFX Local Collection |
subjects | Bone Screws Child Child, Preschool Female Follow-Up Studies Humans Kyphosis - etiology Kyphosis - surgery Male Meningomyelocele - complications Methods Orthopedic Fixation Devices Postoperative Care Preoperative Care |
title | The surgical management of kyphosis in older children with myelomeningocele |
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