[Lumbo-sacral spondylolysis and spondylolisthesis in children. Study of 82 cases].
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Biomedical subjects
Publications and source records attributed to G Guyonvarch.
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The authors have operated on 33 equinovarus feet, (14 patients) with various condition--myelomeningocele, arthrogryposis, club foot or dwarfism. The results were poor, only 11 being satisfactory. Some failures were due to incorrect tecunique. The authors describe the technique which they consider to be the best. This procedure appears to have its main indication in myelomeningocele and arthrogryposis when the feet are severely deformed and rigid.
The authors have treated 28 cases of traumatic separation of epiphysis of the lower end of the femur. They have noted the particular severity of the initial trauma. The results were less satisfactory when the child was younger and when the plate was crashed. However, 4 cases of fractures in breech delivery had rather good results. The authors think that a good reduction is essential, either close reduction fixed by Kirchner's wires or open reduction when the former is impossible.
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The authors have reviewed 32 cases of severe varus deformity following supra-condylar fractures in childhood. The sequellae were mainly cosmetic, the function being preserved. All cases were treated by supra-condylar osteotomy fixed by screwing. The technique is described. The results were satisfactory in 20 cases.
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The authors have observed 29 cases of osteoid osteoma in children aged from 1 to 15 years. 10 cases involved the femur, 9 the tibia, 4 vertebrae. All cases were operated on. 3 recurrences were noted but the nidus had been removed in these cases. 2 cases were complicated by post-operative fractures and 5 by bone growth disturbances.
The authors have treated 27 cases of congenital elevation of the scapula in children. 21 were operated on. They describe 3 types of the deformity which was often associated with other congenital lesions local (spine, ribs) or general. Two types of operations were performed: Schrock's procedure (partial excision of the scapula) and Woodward's procedure (dissection and re-insertion of muscles). The second one was followed by better results. Operations must be cautiously decided for they may be the cause of severe complications.
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