Academic literature on the topic 'Cotrol dubousset, technique'

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Journal articles on the topic "Cotrol dubousset, technique"

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DUBOUSSET, J., and Y. COTREL. "Application Technique of Cotrel-Dubousset Instrumentation for Scoliosis Deformities." Clinical Orthopaedics and Related Research &NA;, no. 264 (March 1991): 103???110. http://dx.doi.org/10.1097/00003086-199103000-00012.

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Lonstein, John E. "The Galveston Technique Using Luque or Cotrel- Dubousset Rods." Orthopedic Clinics of North America 25, no. 2 (April 1994): 311–20. http://dx.doi.org/10.1016/s0030-5898(20)31912-x.

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Illés, S. Tamás. "Reckoning: Assessment of a 21-year activity in spine surgery." Orvosi Hetilap 156, no. 15 (April 2015): 598–607. http://dx.doi.org/10.1556/oh.2015.30108.

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Introduction: Of the world-wide used Cotrel–Dubousset instrumentation and surgical technique providing breakthrough for the three-dimensional correction and multi-segmental fixation of spinal deformity surgery in Hungary is linked to the author’s name, who carried out 1655 spine deformity surgeries in the last 21 years. Aim: The aim of the author was to discuss his own results in the field of spine surgery and compare his own data to those published in the international literature. Method: At the beginning hooks, followed by hybrid instrumentation with hooks in thoracic area and transpedicular screws in lumbar spine have been used for the segmental fixation. During the correction process, initially the classic derotation maneuver was used, followed by the translation and then the in situ bending techniques and, finally, a combination of the above three techniques have been applied. Results: In addition to the restoration of normal sagittal balance, an average of 40.8° (SD, 25.9), a 65.5% correction was achieved in the frontal plane, which partly exceeds and partly consistent with the published international results. The incidence of inflammation (3.9%), and mechanical complications (1.7%) was similar to the international average, while the incidence of neurological complications (0.48%) was slightly lower than the average of international data. Conclusions: The author believes that the better correction results as compared to the international average could be due to the always consistent application of the Cotrel–Dubousset instrumentation correction philosophy based on the meticulous segmental analysis of spine deformities. Orv. Hetil., 2015, 156(15), 598–607.
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Lafon-Jalby, Y., J. Dubousset, J. P. Steib, and W. Skalli. "Mechanisms of scoliosis surgical correction related to Cotrel-Dubousset and in situ contouring techniques." Journal of Biomechanics 39 (January 2006): S212. http://dx.doi.org/10.1016/s0021-9290(06)83775-9.

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Mohan, Avinash Lalith, and Kaushik Das. "History of surgery for the correction of spinal deformity." Neurosurgical Focus 14, no. 1 (January 2003): 1–5. http://dx.doi.org/10.3171/foc.2003.14.1.2.

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During the last century the technological advances in the field of spinal surgery had a dramatic impact on the treatment of spinal deformity in children and adults. Before the advent of medications and vaccines to treat and/or prevent tuberculosis and poliomyelitis, patients suffering from these disorders often became incapacitated by the resulting kyphoscoliosis. In the early 1900s Lange began to address this problem mechanically by using foreign materials to stabilize the spine internally. In the 1950s and 1960s, owing to the efforts of Harrington and others, the process evolved to create the first generation of modern spinal instrumentation. The Harrington rod was able to correct a spinal deformity primarily through distraction. In the next wave of advances, some of the shortcomings of Harrington rods were addressed. Segmental fixation involving sublaminar wires was introduced in the 1970s by Luque. Anterior approaches and instrumentation-related techniques developed by Zielke and colleagues as well as Dywer and coworkers in the late 1960s and mid-1970s allowed for better correction of deformity with immobilization of fewer motion segments compared with posterior surgery. Transpedicular fixation of the spine was popularized by Cotrel and Dubousset in the 1980s; they used the technique to perform segmental stabilization, which better reduces the rotational aspect of a deformity. Finally, in the mid-1990s, thoracoscopic techniques were developed and are currently in use for anterior release and placement of instrumentation. The authors review the major technical developments for the surgical treatment of spinal deformity.
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Smith, Tait S., Scott A. Yerby, Robert F. McLain, and Todd O. McKinley. "A Device for the Measurement of Pedicle Screw Moments by Means of Internal Strain Gauges." Journal of Biomechanical Engineering 118, no. 3 (August 1, 1996): 423–25. http://dx.doi.org/10.1115/1.2796027.

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Pedicle screws are commonly used in spinal reconstruction, and failure of pedicle screws due to bending is a significant clinical problem. To measure the moments typically placed on pedicle screws in situ we instrumented 7 mm Cotrel-Dubousset (CD) pedicle screws with internally mounted strain gauges. The screws were designed to measure flexion-extension moments at a single cross-section as dictated by strain gauge placement. It is possible to measure moments of up to 12 Nm at any location along the length of the screw by constructing transducers with varying strain gauge placements. These transducers are capable of measuring moments at points located within the vertebra including the pedicle, which is where failure usually occurs clinically. Transducer output was both linear and reproducible. These transducers are being used to investigate the load transfer characteristics between the pedicle screw and the vertebra. This technique could be applied to investigations of load sharing in reconstruction plates, lag-screws, and cross-locked intra-medullary nails.
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Olsfanger, D., R. Jedeikin, U. Metser, J. Nusbacher, and R. Gepstein. "Acute Normovolaemic Haemodilution and Idiopathic Scoliosis Surgery: Effects on Homologous Blood Requirements." Anaesthesia and Intensive Care 21, no. 4 (August 1993): 429–31. http://dx.doi.org/10.1177/0310057x9302100411.

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After the introduction of acute normovolaemic haemodilution (NVHD) in our hospital, we prospectively studied 19 patients managed with moderate NVHD (mean haematocrit 0.28, SD 0.02) during idiopathic scoliosis surgery (mean angle 53.2, SD 16.7 degrees) with the Cotrel-Dubousset instrumentation (CDI). Our standard scoliosis anaesthetic technique was used. Intraoperatively, one patient received one unit of homologous blood. Postoperatively, seven patients received ten units of homologous blood. Homologous blood used was reduced by about 83% for this procedure in our institution. In the assessment of fluid and blood requirements we found physical signs reflecting tissue perfusion and oxygen supply more reliable than the estimated blood loss using the suction bottle and swabs. The similar postoperative complications (nine fever, five atelectasis/pneumonia, one urinary infection, one phlebitis), anaesthetic duration (mean 5.21, SD 1.13) hours, hospitalisation (mean 6.67, SD 1.19) days and return to normal activity (mean 8, SD 7.68) weeks indicate that the NVHD patients did just as well as with our previous regimen when only homologous blood was used.
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Li, Ming, Suxi Gu, Jianqiang Ni, Xiutong Fang, Xiaodong Zhu, and Zhiyu Zhang. "Shoulder balance after surgery in patients with Lenke Type 2 scoliosis corrected with the segmental pedicle screw technique." Journal of Neurosurgery: Spine 10, no. 3 (March 2009): 214–19. http://dx.doi.org/10.3171/2008.11.spine08524.

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Object The authors evaluated the effectiveness of Lenke Type 2 criteria in scoliosis correction with the segmental pedicle screw (PS) technique, with emphasis on shoulder balance. Methods Twenty-five consecutive patients with Lenke Type 2 scoliosis (structural double thoracic curves, sidebending Cobb angle > 25°, or T2–5 kyphosis > 20°) who underwent segmental PS instrumentation were included in this study. At surgery, the patients were an average of 14.1 years of age, and the average duration of follow-up was 2.9 years. For radiological evaluation of the patients, preoperative, postoperative, and the latest available follow-up radiographs were used. The difference between right and left shoulder heights was determined to assess shoulder balance. All patients were treated with fusion of both the proximal and distal curves. Results The mean preoperative proximal thoracic curve of 43° was corrected to 21° postoperatively, a 51.2% correction. The preoperative lower thoracic curve of 61° was corrected to 23°, for a 62.3% correction. The preoperative shoulder height difference of −5.92 ± 12.52 mm (range: −31 to +14 mm, negative designating a lower left shoulder) was improved to 1.52 ± 8.12 mm. Postoperatively, no patient had significant or moderate shoulder imbalance, 4 patients had minimal shoulder imbalance, and 21 patients had balanced shoulders. Conclusions Although Lenke Type 2 criteria were developed wth Cotrel-Dubousset instrumentation, they are successfully applied to determining thoracic fusion when segmental PS instrumentation is used.
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Dickman, Curtis A., Richard G. Fessler, Michael MacMillan, and Regis W. Haid. "Transpedicular screw-rod fixation of the lumbar spine: operative technique and outcome in 104 cases." Journal of Neurosurgery 77, no. 6 (December 1992): 860–70. http://dx.doi.org/10.3171/jns.1992.77.6.0860.

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✓ A total of 104 patients underwent transpedicular spinal instrumentation using the Cotrel-Dubousset (71 cases) or the Texas Scottish Rite Hospital (33) screw-rod system. Surgery was performed for lumbar vertebral column instability secondary to fractures (28 cases), spondylolisthesis (29), tumors (four), vertebral osteomyelitis (two), or postoperative causes (41). Pseudoarthrodesis due to failure of a prior fusion was present in 37 cases. The 55 men and 49 women (mean age 47 years, range 18 to 87 years) all presented with severe back pain. Signs or symptoms of neural compression were noted in 96 patients. Surgery consisted of neural decompression, internal fixation, and autogenous iliac bone grafting. Spondylolistheses were fused in situ, without reduction; otherwise, major spinal deformities were corrected. A total of 516 pedicle screws were placed. The mean extent of fusion was 2.7 motion segments (range one to six motion segments). A 96% fusion rate was obtained with a mean follow-up period of 20 months. There were no operative deaths. Major complications included one spinal epidural hematoma, three isolated nerve root deficits (two transient, one permanent), and three wound infections (two deep, one superficial). Instrument failure eventually developed in 18 patients; nine were asymptomatic with a solid fusion and did not require further treatment and the other nine were symptomatic or had a pseudoarthrosis and required operative revision. Pedicle screw-rod fixation offers biomechanical advantages compared to other forms of internal fixation for the lumbar spine. It enables short-segment fixation with preservation of lumbar lordosis and adjacent normal motion segments. This technique provides a highly successful method to obtain arthrodesis, even with prior pseudoarthrosis.
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Norkin, Igor Alekseyevich, Viktor Nikolayevich Shemyatenkov, Vladimir Vladimirovich Zaretskov, Darya Pavlovna Zueva, Aleksandr Vladimirovich Zaretskov, and Sergey Anatolyevich Rubashkin. "PECULIARITIES OF PSYCHOPHYSIOLOGY OF CHILDREN AND ADOLESCENTS WITH SCOLIOSIS AT DIFFERENT STAGES OF TREATMENT." Hirurgiâ pozvonočnika, no. 4 (December 19, 2006): 008–12. http://dx.doi.org/10.14531/ss2006.4.8-12.

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Objectives. To study some peculiarities of psychophysiology of children and adolescents with scoliosis and to assess its dynamics after surgical treatment. Material and Methods. Total of 58 patients with scoliosis of grade III–IV at the age of 10 to16 years were examined, out of them 17 were operated on by Cotrel – Dubousset technique. Control group consisted of 18 practically healthy individuals of similar age. Clinical, rontgenologic and psychophysiologic methods of analysis were used. Psychoemotional state was assessed by depression level, indexes of personal and reactive anxiety, and by patients’ attitude to their disease and vital functions. Psychovegetative reactivity was evaluated by oculocardiac, cardiac-sinus and celiac-plexus reflexes. The patients were examined three times: before operation, in six and twelve months after operation. Results. Psychophysiologic status of children and adolescents with scoliosis essentially differs from that of normal ones. Psychoemotional disorders are characterized by a high level of depression, situational and personal anxiety, and by violation of social adaptation, and psychovegetative disorders – by increase in lability and reduction of reactivity of the vegetative nervous system. Conclusion. It was revealed that the psychophysiologic status of children and adolescents with scoliosis has essential peculiarities. In the nearest postoperative period the positive dynamics is mainly seen in psychoemotional status, but psychovegetative state remain without any essential dynamics.
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Dissertations / Theses on the topic "Cotrol dubousset, technique"

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BALIN, CLAUDINE. "Reduction du saignement dans la chirurgie des scolioses selon la technique de cotrel dubousset, interet de l'isoflurane et de la trinitrine : a propos de 30 observations." Lille 2, 1988. http://www.theses.fr/1988LIL2M067.

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BERTHELIN, GUILLAUME. "Le traitement chirurgical du spondylolisthesis lombaire au moyen du materiel cotrel-dubousset : analyses et resultats a propos de 15 observations." Nantes, 1989. http://www.theses.fr/1989NANT003M.

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Dohin, Bruno. "Correction tridimensionnelle de la scoliose idiopathique de l'enfant et de l'adolescent par instrumentation de cotrel-dubousset : a propos de 44 cas cas operes a la clinique chirurgicale infantile du c.h.u. de lille." Lille 2, 1991. http://www.theses.fr/1991LIL2M096.

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Lesprit, Éric. "Traitement des scolioses par le matériel de Cotrel-Dubousset : intérêt des potentiels évoqués sensitifs et moteurs, à propos de 54 cas." Bordeaux 2, 1995. http://www.theses.fr/1995BOR23050.

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Book chapters on the topic "Cotrol dubousset, technique"

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"83 Cotrel-Dubousset Horizon Spinal Instrumentation." In Spinal Instrumentation: Surgical Techniques, edited by Daniel H. Kim, Alexander R. Vaccaro, and Richard G. Fessler. Stuttgart: Georg Thieme Verlag, 2005. http://dx.doi.org/10.1055/b-0034-75907.

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