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Biomedical subjects

A Arthornthurasook

Publications and source records attributed to A Arthornthurasook.

At least 19 recordsLinked to original sources

Posterior reduction and stabilization of painful spondylolisthesis.

The authors reported 16 cases of first to third grade painful spondylolisthesis. The treatment was posterior reduction and stabilization in one stage operation by modified Vidal et al and Luque techniques. The operation consisted of stabilization of an above involved vertebra and another one below with a rectangular rod and sublaminar wirings. The pedicular screws were inserted through the Harrington hooks which levered upon the rectangular rod for reduction of the displaced vertebra. The posterolateral intertransverse arthrodesis of two spinal segments was also added. A 2-5-year follow-up study showed all patients were relieved from pain initially, and could ambulate early following the operation. The vertebral displacement did not increase postoperatively and solid posterolateral fusion was obtained.

Adult

Anterior lumbar discectomy: a study of iliac and fibular bone graft.

The author studied the iliac and fibular autogenous bone grafts in anterior lumbar discectomy for herniated disc of 29 patients. They were examined 2 1/2 to 8 years postoperatively. Iliac numbness was found in 4 of 15 patients (26.7%) and fibular pain was found in one of 14 patients (7.1%). For functional result, iliac and fibular graft were found excellent in 86.6 and 92.9 per cent respectively. There was no statistically significant difference in proportion of patients experiencing discomfort at donor site or in the functional result between iliac and fibular grafts.

Fibula

Spinal tuberculosis with posterior element involvement.

Vertebral body tuberculosis with involvement of the posterior element was studied by computed tomography in six patients. They ranged in age from 4 to 70 years. The ratio of male to female was 1:1. The spinal segments involved were from T2 to S1. The posterior element involvement consisted of pedicle, transverse process, articular process, lamina, spinous process, and vertebral part of rib. Of these six patients, spastic paraparesis was found in three patients; paraparesis, monoparesis, and no neurologic deficit each in one. The cold abscess extended dorsally, reaching the surface in three patients. All surgical specimens were confirmed as tuberculous infection by histologic examination.

Female

Anterior tibial tendon insertion: an anatomical study.

Anatomical variations of the anterior tibial tendon insertion were studied by dissection in 44 normal feet of 22 embalmed adult cadavers. Three types of insertion were found. The most common insertion (56.8%) was a division of the tendon into two slips, equal in width, the one slip being inserted into the first cuneiform and the other slip into the base of the first metatarsal. The next most common (27.3%) was a division of the tendon into a large slip, inserted into the first cuneiform, and a small slip, inserted into the base of the first metatarsal. The third type, and least common tendon insertion (15.9%), was by a single slip into the first cuneiform only. Knowledge of these anatomical variations will assist surgeon in performing anterior tibial tendon transposition for recurrent congenital clubfoot.

Adult

Thoracolumbar burst fracture with another spinal fracture.

From January 1985 to May 1988, thirty-six patients with thoracolumbar burst fracture were treated and nine of these (25%) were associated with another burst fracture or wedge compression fracture. The etiology of injury was a fall from a height in four patients, motorcycle accident in three, and elevator crushing and house crushing in each of the other two patients respectively. The neurological implications were caused by the main burst fractures, and L1 was the most involved segment of the main burst fracture (44.4%). All three patients had associated wedge compression fracture, as well as three patients who had associated burst fracture, found adjacent to the main burst fracture. The remaining three associated burst fractures were found at a distant level to the main burst fracture.

Adolescent