Biomedical subjects

J T Nicholson

Publications and source records attributed to J T Nicholson.

At least 19 recordsLinked to original sources

PubMed1978

Vertebra plana and eosinophilic granuloma of the cervical spine in children.

Eosinophilic granuloma of the cervical spine in children is a rare lesion which presents both diagnostic and therapeutic problems. The report describes three additional cases. Open biopsy is recommended instead of attempted needle aspiration in children. Laminectomy is likely to result in spinal deformity, and is not advised unless a second stage fusion is planned. Radiotherapy is effective in controlling the lesion. The ultimate outcome is usually good.

Adolescent↗

PubMed1978

Fractures of the odontoid process in young children.

We reviewed eleven patients less than seven years old with fractures of the odontoid process in an effort to establish a more standard form of treatment for the injury and to determine what complications, if any, occur as a result of fractures of the odontoid process in pediatric patients. Our study showed that children with odontoid fractures that are recognized and treated promptly usually do well. The fracture can usually be reduced by passive manipulation or by the "hanging head technique". Support in the reduced position for two to three months in a Minerva jacket or halo cast should be long enough to permit healing. Our study suggests that fractures of the odontoid process in young patients almost always heal.

Age Factors↗

PubMed1976

Long-term results in the treatment of femoral-shaft fractures in young children by immediate spica immobilization.

Manual traction reduction without anesthesia and immediate immobilization in a spica cast were used to treat eighty-five children ranging in age from birth to ten years old who had closed femoral-shaft fractures and no associated injuries. Up to two centimeters of overriding, 30 degrees of anterior angulation, and 15 degrees of medial angulation were accepted. Any angulation in excess of these amounts, or lateral or posterior angulation, was corrected by wedging the cast at the fracture site. Further telescoping of the fracture fragments in the case was attributed to the child pressing the foot against the bottom of the cast and was prevented by removing the sole of the cast. Of the seventy-five children examined two to eighteen years after fracture, none had any residual skeletal deformity or joint stiffness. The length discrepancies of the fractured limbs ranged from 1.7 centimeters of shortening to 0.9 centimeter of overgrowth.

Casts, Surgical↗

PubMed1974