Navegando por Palavras-chave "Orthopedic fixation devices"

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    Comparação das alterações do potencial evocado somatosensorial no tratamento cirúrgico da escoliose idiopática entre técnicas com e sem amarrilha sublaminar
    (Sociedade Brasileira de Coluna, 2010-09-01) Ueta, Renato Hiroshi Salvioni [UNIFESP]; Del Curto, David [UNIFESP]; Wajchenberg, Marcelo [UNIFESP]; Martins Filho, Délio Eulálio [UNIFESP]; Ferreira, Ricardo [UNIFESP]; Puertas, Eduardo Barros [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: to compare the number of events with alteration in the somatosensory evoked potentials (SSEP) and its repercussion between different techniques of surgical treatment for idiopathic scoliosis, with and without sublaminar wiring. METHODS: twenty-five surgical procedures with flexible curves for treatment of idiopathic scoliosis were reviewed in the period of November 1996 to September 1999. They were divided into two groups: without sublaminar wiring (Cotrel-Dubousset's system) (Group I); and with sublaminar wiring (Harrington-Luque's system and rectangle of Hartshill) (Group II). In all surgeries, the intraoperative neurophysiologic monitoring with Somatosensory Evoked Potentials (SSEPs) was used. RESULTS: according to the findings, a bigger frequency of monitoring changes was observed during and at the end of the surgery in Group II. A high incidence of false-negative changes was also verified. No patient with neurological damages was observed. CONCLUSION: There are still doubts about the safest method for the surgical treatment of idiopathic scoliosis. The results presented in this study suggest a smaller incidence of SSEPs changes in the patients treated with Cotrel-Dubousset's system.
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    Osteossínteses com hastes intramedulares em crianças
    (Sociedade Brasileira de Ortopedia e Traumatologia, 2009-10-01) Fernandes, Helio Jorge Alvachian [UNIFESP]; Saad, Eduardo Abdalla [UNIFESP]; Reis, Fernando Baldy dos [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    The authors present a comprehensive review of the literature emphasizing the use of flexible intramedullary nails in the treatment of fractures in children, focusing the treatment of femoral shaft and forearm fractures and emphasizing the importance of the non-surgical approach. Children's age and weight threshold are not well defined for the use of the method. The removal of implants is a controversial matter in the literature, with a trend towards keeping the implants.