Search PubMed⌕ Search

Biomedical subjects

G Saillant

Publications and source records attributed to G Saillant.

At least 73 records · Page 4Linked to original sources
PubMed1991

Symptomatic spinal epidural lipomatosis induced by a long-term steroid treatment. Review of the literature and report of two additional cases.

Spinal epidural lipomatosis associated with Cushing's syndrome is an uncommon complication (11 reported cases). Two additional symptomatic cases with neurologic deficit are described. Steroid treatment was systemic in the first case and local with epidural injections in the second. The second case is unique because no similar observations have yet been reported. In most cases, a preoperative computed tomographic scan establishes the diagnosis by demonstrating dural compression by an adipose mass. Myelography is far less specific. In some cases, the exact diagnosis is made at the time of surgery. The treatment is primarily surgical, with laminectomy over the length of the compression and the removal of the compressing fat. Neurologic recovery is dependent on two factors: the level of the compression and the adequacy of decompression.

Epidural Neoplasms↗
PubMed1991

[Old traumatic lesions of the dorsal and lumbar spine].

The authors present 71 cases of malunion or old traumatic lesions. They result from an unadapted initial surgical or functional treatment. The pain symptoms are in the form of vertebral pain or nerve root pain, often associated with signs of neurological deficit. The authors emphasize the stability or instability of the lesion in order to assess its reducibility. The radiographic exploration (dynamic views, MRI, CT, medullary arteriography) would serve as a guide for the treatment strategy. The authors do not report any case of permanent postoperative neurological aggravation. Three surgical options are analyzed (anterior approach, posterior approach and "three-stage" surgery). An enlarged posterior approach enables treatment and reduction of all malunions, except if a medullary feeder artery is present on the site of the lesion. The pain symptoms improve in 87% of all cases. The authors do not report any permanent postoperative neurological aggravation.

Adolescent↗
PubMed1991

[Treatment of complete lumbar disk herniation by percutaneous discectomy].

Percutaneous diskectomy is a new treatment used in surgery of the spine for the treatment of herniated lumbar disks. The idea is to carry out an exeresis with a posterolateral percutaneous approach on a part of the herniated intervertebral disk; while always remaining outside the spinal canal. This technique eliminates the risks of fibrosis or arachnoiditis. It is carried out under local anesthesia, reduces the surgical insult and requires only a short stay in hospital. Between 1984 and 1988, 188 operations using this technique were carried out on L3-L4, L4-L5 and L5-S1. Of the first 100 cases studied, we note: 71% good and very good results for radiculalgia after a time lapse of more than a year, 51% good and very good results for low back pain; 16% of the patients required a surgical approach after percutaneous diskectomy. The authors specify the advantages and the indications of this surgical technique, which complements the traditional lumbar intervertebral disk surgery.

Back Pain↗
PubMed1990

[Ruptures of the tibialis posterior tendon. A clinical and therapeutic study apropos of 13 cases].

The authors have observed 13 cases of ruptures of the tibialis posterior tendon. Two types were described: either sudden and frank ruptures after traumas in younger patients or progressive ruptures in older patients, of degenerative origin. Clinical examination was based on the isometric test of the tibialis posterior, either after an acute trauma or in valgus painful progressive flat feet. The diagnosis was confirmed mainly by CT scan. Eleven cases were operated on, several techniques being used: suture (4 cases) resection (4 cases) plastic transfers or plastic operations (4 cases). The results were analysed according to the strength of the muscle, the ability to stand on the tip of the foot with inversion of the heel and resume of the previous sports. The pain disappeared 4 to 6 months after surgery. The results were satisfactory in nine cases. However the shape of the foot could not be completely restored and the use of a foot support had to be continued.

Adult↗
PubMed1989

[Recent ligament lesions of the knee].

In every case knee injury, it is imperative not to miss a possible lesion of the ligaments and, when such a lesion is present, to evaluate its severity. The practitioner who examines the injured knee in an emergency therefore plays a crucial role in taking a definite attitude when faced with lesions. Before any treatment is envisaged the lesion must be precisely diagnosed. This requires a very strict examination based on the patient's history and on clinical tests that are often simple. At the slightest suspicion of severe lesion of the ligaments, a specialist must be called in to complete the investigation, if necessary by testing under general anaesthesia and/or by performing an arthroscopy.

Humans↗
PubMed1989

[Treatment of fracture of the thoracolumbar spine using Böhler's method].

The treatment of stable thoracolumbar compressive fractures by the Böhler cast is worth while in cases of kyphosis with integrity of articular apophysis. The best reductions concern T12, L1 and L2. This method, studied on 92 patients, regularly succeeded in reducing and maintaining the kyphosis beneath 20 degrees, provided a complete reduction of the vertebral body and an early and intensive reeducation in the cast, and despite an early, constant but partial loss of reduction. The long term functional results appear to be satisfactory with such a residual deformation. This treatment seems to be particularly indicated in kyphosis of more than 20 degrees.

Adolescent↗
PubMed1989

[Role of surgical resection in the treatment of vertebral hemangioma].

Resection (total or subtotal excision of vertebra) of vertebral hemangiomas appears to be the logical course when there are neurological signs. This is a rather complicated surgery with the aim of reduction of recurrence rate. We report two such cases with surgical technique and results at 2 and 4 years post-operatively.

Adolescent↗
PubMed1989

[Surgical treatment of refractory tennis elbow. Apropos of 126 cases].

The authors have performed surgical treatment in 126 cases of resistant lateral tennis elbow. It is an easy and quick surgical technique, consisting of a desinsertion of the epicondylar muscles, with or without arthrotomy depending on the clinical symptoms associated with an articular lesions. One hundred and twelve cases have been successful and only fourty cases have obtained bad results. Best results are obtained in young people and in sportsmen presenting with an early lesion.

Aged↗
PubMed1987

[Extra-coracoid axillary approach to the gleno-humeral joint].

The authors advocate an elective approach to the lower part of the humeral (shoulder) joint by an original axillary route. This route is external to the short head of the biceps brachii muscle which is retracted together with the neurovascular bundle. The articular capsule is opened through the space between the subscapular and latissimus dorsi muscles. The skin incision is cosmetic. No muscle is cut, and in surgery for anterior instability of the shoulder the crucial area is automatically exposed. This technique, however, requires two assistants and may be arduous in very muscular subjects. In addition, the visibility of the rest of the humeral joint is limited. With a few precautions, the neighbouring vessels and nerves are well protected.

Axilla↗