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Biomedical subjects

R Rosenberger

Publications and source records attributed to R Rosenberger.

7 recordsLinked to original sources
PubMed2006

[Reduction of traumatic dislocations and facet fracture-dislocations in the lower cervical spine].

BACKGROUND: Traumatic facet dislocations and facet-fracture dislocations in the lower cervical spine (C2/C3 to C7/T1) are frequently associated with devastating neurological symptoms. A good outcome can only be achieved if the operator has wide and sound knowledge of reduction techniques and the best possible strategy is devised for the subsequent treatment of these severe lesions. PATIENTS AND METHODS: Between 1973 and 1997 a total of 117 of our patients met at least one of the following inclusion criteria: unilateral locked facet dislocation (48%), bilateral locked facet dislocations (23%), unilateral "perched" facet subluxation (14%), bilateral perched facet subluxation (12%), uni- or bilateral dislocation/perched subluxation with facet fractures (3%). RESULTS: Most of the lesions were located at the levels of C5/C6 and C6/7 (n=46 for each). Associated neurological deficits were present initially in 65% of patients: 35% had complete or incomplete spinal cord injuries (tetraplegia), 2% were paraplegic, and 28% had cervical radiculopathies. CONCLUSIONS: Closed reduction (e.g. with the aid of a halo ring) should be carried out as soon as possible after lower cervical spine dislocation or facet-fracture dislocation, as both the success rate of reduction and the potential for recovery from neurological deficits are clearly higher when reduction is achieved within the first 4 h after the initial injury.

Adolescent↗
PubMed1982

Reconstruction after the Tikhoff-Linberg procedure.

The Tinhoff-Linberg operation is a limb salvage technique that permits intercapulothoracic resection of malignant neoplasms of the shoulder with preservation of neuromuscular function of the upper extremity. A metallic interpositional device can be used to fix the humerus to the second rib, thus increasing stability and function. This device was used in a patient with a proximal humeral osteosarcoma who was also treated with radiation and chemotherapy and who has reasonably good extremity functional and is free of tumor at one year postoperatively.

Adult↗
PubMed1982

Paralytic spinal deformity: orthotic treatment in spinal discontinuity syndromes.

Nineteen patients with spinal discontinuity syndromes resulting in paralytic spinal deformity were treated with orthoses to postpone spinal stabilization to allow for vertebral growth. All patients had some degree of sensory deficit under the orthosis. The average period of orthotic treatment for all patients was 54 months (range, 22 to 98). The initial upright curve measurement prior to treatment averaged 43 degrees, the best correction obtained during treatment averaged 26 degrees, and all curves averaged 39 degrees when the brace was discontinued or at most recent follow-up. Although pressure sores occurred, no orthosis was abandoned due to a decubitus problem. Eight patients were successfully braced until maturity, at which time they underwent one stage spinal fusion. Five immature patients are still under active orthotic treatment. Poor compliance with brace wear was documented in the cases in which unacceptable progression occurred, requiring spinal fusion prior to maturity. Successful, technically simpler, one stage stabilization procedures were made possible by the successful long-term control of these difficult spinal deformities afforded by orthotic treatment.

Braces↗
PubMed1974

[Not Available].

Explore the source record for details and available documents.

Diet↗
PubMedDate not supplied

The treatment of fracture dislocations of the thoracolumbar spine with halofemoral traction and Harrington rod instrumentation.

Although function does not return after complete spinal cord injuries, partial recovery is possible after incomplete lesions Halofemoral traction may produce early decompression of injured neural elements in the spinal canal by anatomic realignment of the spinal column. It also acts to stabilize the very unstable thoracolumbar fracture dislocation and prevent displacement as well as further neurologic trauma. The body jacket is easy to make and apply. It allows early mobilization of patients when utilized in conjunction with the posterior spinal fusion and Harrington rod fixation.

Adolescent↗