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[Long-term results following treatment of spondylitis].

The preliminary results of a follow-up examination of patients with spondylitis are presented. The 127 patients concerned comprised 94 specific and 33 nonspecific cases. With the combination of conservative treatment (immobilisation, chemotherapy) and surgery (excision of an abscess, chip spondylodesis), all but two of the infections (one progressive infection, one recurrence) proved manageable. At the time of the follow-up examination, bony reorganisation had occurred in all but 8 cases. But also the segments in which bony reorganisation had not yet taken place, were functionally stable. Despite the good physical results of treatment, the social impairment due to the disease remained considerable. The results obtained compare well with those reported in the literature (2).

Abscess↗

[Anterior spinal cord decompression in paraplegia in angular kyphosis. Apropos of 5 cases in children and adolescents].

The authors performed an anterior medullar decompression and a vertebral arthrodesis with bone grafts in 5 children and adolescents suffering neurological troubles caused by an angular kyphosis. 4 patients out of 5 completely or almost completely recovered from their paraplegia in the days or weeks following surgery. The authors stress the infrequency of the indication of such a procedure justified in either recent or incomplete neurological troubles without improvement by immobilization and rest. This procedure, which may raise technical problems, gives way to the rapid recovery of a satisfying functional state. It is to be considered in view of these dramatic situations.

Adolescent↗