Biomedical subjects
P Stagnara
Publications and source records attributed to P Stagnara.
[Mesenteric neurofibromatosis. Apropos of a case].
The authors report a case of severe Recklinghausen's disease, revealed early in infancy, by spinal deformities and then by severe dislocations with kypho-scoliosis surgically treated by anterior and posterior fusion. Other localisations of neurofibromatosis were present, especially bones and skin. During the disease's course a wide sub-cutaneous tumor of the chest wall was removed. Two years later a large abdomino-pelvic tumor of the mesentery was discovered and also removed. Histologic examination showed it to be related to Recklinghausen's disease and malignant. The authors analyse the risk of malignant degeneration of this tumor with relation to previous surgical treatment.
[Scoliosis in adults. Consequences of idiopathic scoliosis in adulthood].
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[Anterior strut grafting in kyphosis and kyphoscoliosis (author's transl)].
The authors have reviewed 58 cases submitted to strut grafting in the concavity of the curve. There were 44 kyphoscolioses and 12 kyphoses. The average follow-up was more than two years and the average pre-operative deformity was 127 degrees. The average improvement was 38 degrees and the secondary loss was only 3 degrees. The results are analysed with regard to the surgical technique used. In some cases, posterior fixation was added and the graft was either from the tibia, the fibula or a rib. In 16 cases a secondary fracture of the graft was found. It appeared between the fourth and tenth post-operative months. During this period, reduction of the graft was seen. The graft was found to thicken later at about the eighteenth post-operative month. It is concluded that the technique is worthwhile provided it is associated with posterior internal fixation, and that an external brace is worn for at least eighteen months after operation.
[Round table: So-called idiopathic scolioses in the adult].
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[Megaspondylodysplasia : orthopaedic management (author's transl)].
The authors describe three cases of megspondylodysplasia, an original syndrome first described in 1972. This congenital lesion is associated with severe kyphoscoliosis, multiple hemimelic enchondromatoses of the spine, hands, feet, knees and hips and hypertrophy of half of the body. In the discussion, differentiation between this syndrome and other diseases such as Ollier's or Mafucci's disease is described. Surgical correction on such a severely deformed spine is dangerous to the spinal cord.
[Scoliosis in arachnodactyly].
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[Major scoliosis, over 100 degrees, in adults. 183 surgically treated cases].
Most severe scoliosis and kyphoscoliosis are not unfrequent in European countries. The purpose of their treatment is not only cosmetic but, often, vital. Patients are hypotrophic and their vital capacities usually very poor. Since 1952, the authors have treated (partial, reduction and fusion) 183 patients: with curves above 100 degrees (101 degrees-203 degrees). Reduction was obtained by distraction cast or halo-traction. Surgical treatment (one or two stages) used Harrington rods and fusion with a large amount of iliac bone. These procedures are dangerous for the medullary function. Controls must be performed during the operative distraction. Follow up studies demonstrated the stability of the obtained reductions.
[Vertebral lesions in neurofibromatosis].
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Functional monitoring of spinal cord activity during spinal surgery.
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[Anterior grafts, using the thoracic route, in treatment of vertebral deviations. Critical reflections on 23 cases].
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[Cranial traction using the "Halo" of Rancho Los Amigos].
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[Essential scoliosis during the growth period: natural history and therapeutic possibilities].
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[Medical observation and tests for scoliosis].
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[The plan of choice for the radiologic examination of kyphoscolioses].
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[Tenotomy of the Achilles tendon for talipes equinus in a hemophiliac B].
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