[Traction technic without plaster cast for the correction and preoperative therapy of scoliosis].
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Biomedical subjects
Publications and source records attributed to K Zielke.
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250 corrective operations using the Harrington implants have been performed. 160 served as a basis for the evaluation of the neurological risks, particulary the risks of spinal cord lesions. The intra- and postoperative damage has been analyzed. The results and therapeutic conclusions are recorded.
Report about 60 operated scoliosis and kyphoscoliosis experienced at adults above 18 years. After separating the patients into male and female groups, age and localisation the most severe preoperative findings which make the operative treatment more difficult, will be described. Much impact will be put on pre-operative respiratoric and cardial impairment. The evaluation of scoliosis in adults will be proofed by examples. The operative technique, whose basis is the Harrington instrumentation in the modification by Stagnara, will be described also. 72 operative treatments have been necessary at 60 patients. In many cases rip-resections and dorsal osteotomies of the spine have been done. In oposition to the correction results of 46.2% on scoliosis and 56.5% on kyphoscoliosis there is one pulmonary embolism ending deadly and one irreversible paraplegia.
With the transversal loading system, constructed by Cotrel, a new possibility for operative spine correction is given to the surgeon.
A simple fitting tool for placing the halo under local anesthesia is described.
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