: Behrooz A. Akbarnia, Muharrem Yazici, George H. Thompson
: Behrooz A. Akbarnia, Muharrem Yazici, George H. Thompson
: The Growing Spine Management of Spinal Disorders in Young Children
: Springer-Verlag
: 9783540852070
: 1
: CHF 161.40
:
: Klinische Fächer
: English
: 629
: DRM
: PC/MAC/eReader/Tablet
: PDF

Spinal disorders in very young children may be caused by a variety of conditions. The treatment of such conditions is often challenging due to the age of the patient and the progressive nature of the deformity. There also may be associated problems such as congenital anomalies, respiratory insufficiency, and neurological problems. Depending on the etiology of the deformity, these children are often cared for by multiple specialists including pediatricians, pediatric orthopaedists or orthopaedic spine surgeons, neurologists, pediatric surgeons, pediatric neurosurgeons, oncologists, and/or pulmonologists. Health professionals in all of the mentioned disciplines are involved in the management of these patients, which is why compiling a comprehensive textbook that is not limited to orthopedic specialists is essential. This textbook will effectively help to standardize the care of these patients. Furthermore, other professionals such as nurses, physical therapists and healthcare professionals in training are usually not familiar with these conditions and are in need of a reference book to consult when caring for children with spinal deformities.
345192
25.4.3.3 Spondyloptosis356
25.4.4 Spondylolisthesis in VeryYoung Children358
25.4.5 Exotic Spondylolisthesis361
References363
Section IV:Management of Spinal Deformity in theGrowing Child: Non-Surgical368
26:Casting for Early Onset Scoliosis369
26.1 Infl uence of Age and Etiology370
26.2 Technique of Casting370
References372
27:Orthotic Management for Infantileand Juvenile Scoliosis373
27.1 Introduction373
27.2 Evidence for Effi cacy of Bracingin Early Onset Idiopathic Scoliosis379
27.3 Decision-Making in OrthoticTreatment of Early OnsetIdiopathic Scoliosis380
27.4 Bracing Techniques384
27.5 Current and Future Developments385
References387
28:Halo-Gravity Traction390
28.1 Introduction390
28.2 Indications390
28.3 Technique392
28.4 Complications395
28.5 Current Results397
References398
29:Crankshaft Phenomena Following SpinalFusion in the Growing Child399
29.1 Introduction399
29.2 The Problems of CorrectiveFusion with Instrumentationin Idiopathic Scoliosis399
29.2.1 Halting of Further LongitudinalSpinal Growth399
29.2.2 Loss of Correction400
29.2.3 Prediction and Preventionof Crankshaft Phenomenon400
29.3 Spinal Fusion with or WithoutInstrumentation in CongenitalScoliosis401
29.4 Crankshaft Phenomenonin Congenital Scoliosis402
References402
30:Convex Growth Arrestfor Congenital Scoliosis404
30.1 Background404
30.2 Classical Indicationsand Contraindications405
30.3 Techniques405
30.4 Results405
30.5 Problems406
30.6 Proposed Solutionsand Modifi cations406
30.7 Conclusion408
References409
31:Kyphectomy in Myelomeningocele410
31.1 Background410
31.2 Medical/Neurosurgical Issues410
31.3 Perioperative Management411
31.4 Surgical Strategies: General411
31.5 Surgical Technique Specific412
31.5.1 Vertebral Resection KyphectomyTechnique412
31.5.2 Subtraction (Decancellation)Kyphectomy Technique413
31.5.3 Results413
31.6 Summary414
References415
32:Hemivertebrectomy416
32.1 Background416
32.2 Hemivertebra Resection Concept417
32.2.1 Biological Concept417
32.2.1.1 First Part is the Resectionof the Posterior Aspects of the HV417
32.2.1.2 Second Part is the Resectionof the Anterior Aspects of the HV417
32.2.2 Stability Concept419
32.2.2.1 Primary Stability419
32.2.2.2 Secondary Stability419
32.3 Our Personal Technique420
32.3.1 Preoperative Evaluation420
32.3.2 Technique420
32.3.3 Results420
32.4 Discussion420
References429
33:Vertebral Osteotomy431
33.1 Introduction431
33.2 Single Osteotomy431
33.3 Multiple Osteotomies433
33.4 Use of Spinal Instrumentation433
33.5 Rib Osteotomies434
33.5.1 Rib Osteotomies at the Concavity434
33.5.2 Osteotomies of the Ribsat the Convexity434
References434
34:Vertebral Resection435
34.1 Introduction435
34.2 Evaluation436
34.3 Management437
34.4 Surgical Procedure438
34.4.1 Surgical Technique439
34.4.2 Postoperative Management440
34.4.3 Documentation440
34.5 Discussion441
34.6 Summary443
References443
35:Single Growing Rods445
35.1 Introduction445
35.2 Surgical Techniquefor Single Growing RODS445
35.2.1 Intraoperative445
35.2.2 Postoperative Management447
35.2.3 Defi nitive Fusion447
35.3 Current Results448
35.4 Controversies449
35.5 Conclusions450
References450
36:Dual Growing Rods452
36.1 Introduction452
36.2 Background452
36.3 Indications454
36.4 Technique456
36.4.1 Initial Dual Rod Procedure456
36.4.2 Technique of PreparingFoundations456
36.4.3 Insertion of Dual Rodsand Anchors459
36.5 Lengthenings459
36.5.1 Lengthening Outsidethe Tandem Connector459
36.6 Final Fusion460
36.6.1 Spinal Cord Monitoring461
36.7 Complications (Fig. 36.7a–g)462
36.7.1 How to Avoid Complications466
36.8 Results466
36.9 Discussion469
36.10 Growing Spine Study Group469
36.11 Future Direction470
References470
37:VEPTR Expansion Thoracoplasty472
37.1 Introduction472
37.1.1 Thoracic Insuffi ciency Syndrome:Anatomic Basis472
37.1.2 Volume Depletion Deformitiesof the Thorax473
37.1.3 FDA Indications for VEPTRExpansion Thoracoplasty473
37.2 VEPTR Preoperative Assessment475
37.2.1 Clinical Examination475
37.2.2 Imaging Studies475
37.2.3 Specifi c Cardiopulmonary Studies476