Anatomy Institute and Orthopedics Department, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
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). Therefore, while pedicle fixation including intermediate screws improves biomechanical stability by providing protection to the fractured vertebral body by indirectly supporting the anterior column by a short fixation, in theory, kyphoplasty techniques
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osteotomies are the Smith-Petersen osteotomy (SPO), pedicle subtraction osteotomy (PSO), bone-disc-bone osteotomy (BDBO) and vertebral column resection (VCR), in order of increasing complexity. Below is a review of each osteotomy type with indications
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destroyed along with vertebral bodies (pan-vertebral lesion). CT/MRI shows destruction of anterior and posterior column of the vertebral bodies 6. Rajasekaran S 2001 9 – Spinal instability score: dislocation of the facets, posterior
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, removed ribs may also be used by the surgeon as bone graft for fusion. Simple rod de-rotation (SRD) and direct vertebral body de-rotation (DVBD) can also be an option made possible by the efficacy of 3-column control of the vertebrae which have two types
Faculty of Medicine, Saint Joseph University, Beirut, Lebanon
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Faculty of Medicine, Saint Joseph University, Beirut, Lebanon
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surveillance have also been proposed to monitor lengthening. Corrective osteotomies Vertebral column resection involves removing segments of the spine including the body of the vertebra and the posterior elements, which include the lamina, transverse
Clínica Universidad de los Andes, Santiago, Chile
Universidad Andrés Bello, Hospital del Trabajador, Facultad de Medicina, Santiago, Chile
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Sanatorio Güemes, Buenos Aires, Argentina
Hospital General de Agudos Dr. Teodoro Álvarez, Buenos Aires, Argentina
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Spine Unit, Department of Traumatology, Clínica Alemana, Santiago, Chile
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Department of Orthopedics and Traumatology, Paracelsus Private Medical University Nuremberg, Nuremberg, Germany
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’; ‘vertebral column’, ‘spinal column’, ‘vertebra’, ‘vertebrae’, ‘cervical’, ‘spinal fractures’, ‘spine injury’, ‘zygapophyseal joint’, ‘facet joint’. Our approach involved conducting a narrative review to synthesize the findings. Subsequently, an algorithm
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increased stiffness of the chest cage. 30 Vertebral column resection Vertebral column resection at an early age is indicated for short angular deformities, which are typical of congenital scoliosis or congenital kyphosis ( Figs 6 and 7 ). 32
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Infections of the spine have a large spectrum of clinical manifestations. The vertebral bodies, intervertebral discs, spinal canal and paravertebral structures may be involved. 1 Spinal infections can be aetiologically classified as pyogenic
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three popular methods: serial casting, growing rods and vertebral body tethering in this review article. Serial casting The management of EOS in young children is challenging. Conservative options such as bracing or serial casting should be the
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Universitat Autónoma de Barcelona, Spain
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kyphosis of greater than 20º and an increased supraspinous distance with a PLC injury, but not so with vertebral body translation, loss of vertebral body height or canal compromise. These results contrast with the ones published some years before by
