ΣΠΟΝΔΥΛΟΛΙΣΘΗΣΕΙΣ: ειδική συμπτωματολογία και θεραπεία σε παιδιά και εφήβους

THIS MONOGRAPHY DEALS WITH THE SPECIAL SYMPTOMS AND TREATMENT OF SPONDYLOLISTHESIS IN CHILDREN AND ADOLESCENTS. AT THE FIRST PART WE PRESENT THE KNOWLEDGE CONCERNING SPONDYLOLISTHESIS IN YOUNG PATIENTS. AT THE SECOND PART WE PRESENT THE EXPERIENCE FROM 20 CASES OF SYMPTOMATIC SPONDYLOLISTHESIS IN CHILDREN AND ADOLESCENTS OPERATED IN SWEDEN BETWEEN THE YEARS 1963-1981. EIGHTEEN OF THEM AMONG WHICH 11 SUFFERING FROM OLISTHESIS LARGER THAN GR III MEYERDING, WERE OPERATED BY ANTERIOR EXTRAPERITONEAL INTERBODY FUSION WITHOUT DECOMPRESSION. OUR CONCLUSIONS ARE: 1. SYMPTOMS AND TREATMENT OF SPONDYLOLISTHESIS IN CHILDREN AND ADOLESCENTS ARE DIFFERENT THAN IN ADULTS. YOUNG PATIENTS FACE THE POSSIBILITY OF FURTHER PROGRESSION. FURTHERMORE THE RESULTS FROM OPERATIVE TREATMENT AREMORE SATISFACTORY. 2. SPONDYLOLISTHESIS IS NOT NECESSARILY ACCOMPANIED BY PAIN IN YOUNG PATIENTS. A TRIAD OF SYMPTOMS THAT CHARACTERIZE THE PHALEN-DICKSONOR TIGHT HAMSTRINGS SYNDROME MAY APPEAR AS FIRST SIGNS OF SPONDYLOLISTHESIS: A) WADDLING GAIT, B) INABILITY TO FLEX THE HIPS WITH STRAIGHT KNEES, C) FIXED LUMBAR LORDOSIS. THE FIRST SYMPTOM IS PATHOGNOMONIC FOR PATIENT'S CONDITION AND APPEARED IN 14 OF OUR PATIENTS. IN 6 CASES WADDLING GAIT WAS THE FIRST AND THE ONLY SYMPTOM. 3. ONLY FEW CASES OF SPONDYLOLISTHESIS DEMAND SURGICAL TREATMENT. THE INDICATIONS ARE: A) FEAR OF FURTHER PROGRESSION, B) PERSISTENT SYMPTOMS IN SPITE OF CONSERVATIVE TREATMENT AND C) WADDLING GAIT. 4. REDUCTION IS NOT NECESSARY IN THE TREATMENT OF SPONDYLOLISTHESIS. IN THIS SERIES PREOPERATIVE TRACTION (COTRELL) GAVE NO APPRECIABLE REDUCTION. 5. LAMINECTOMY ALONE IS NOT INDICATED IN THE SURGICAL TREATMENT OF SPONDYLOLISTHESIS IN CHILDREN. 6. ANTERIOR EXTRAPERITONEAL INTERBODY FUSION WITHOUT DECOMPRESSION IN CHILDREN AND ADOLESCENTS WITH SPONDYLOLISTHESIS PROVIDES NEITHER SPECIAL TECHNICAL DIFFICULTIES NOR PERSISTENT COMPLICATIONS. THIS METHOD IS RECOMMENDED IN SPONDYLOLISTHESIS OF ANY DEGREE WITH OR WITHOUT ROOT AFFECTION OR GAIT DISTURBANCES. THE RESULTS OF THIS OPERATIVE METHOD IN THIS SERIES WERE VERY SATISFACTORY IN OUR BELIEF.

Grantor dc:publisher

National and Kapodistrian University of Athens

Year dc:date

1985

Author dc:creator

• Ακριβός, Ιωάννης

• Anterior fusion
• Children and adolescents
• Spondylolisthesis
• TIGHT HAMSTRINGS SYNDROME
• Παιδιά και έφηβοι
• Πρόσθια σπονδυλοδεσία
• Σπονδυλολισθήσεις
• Ιατρική και Επιστήμες Υγείας
• Κλινική Ιατρική
• Medical and Health Sciences
• Clinical Medicine

Language dc:language

gre

Identifier

10.12681/eadd/0394

OAI identifier oai:identifier

oai:10442/0394