Spine
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A case series of patients with cerebral palsy treated for spinal deformity using Luque-Galveston instrumentation was retrospectively analyzed. ⋯ Preoperative hyperkyphosis in the thoracic, thoracolumbar, or lumbar spine was associated with an increased incidence of proximal and distal loss of sagittal plane correction in patients with spastic quadriplegic cerebral palsy treated with Luque-Galveston instrumentation alone. An anterior lumbar release and fusion without instrumentation in a patient with thoracolumbar or lumbar kyphosis increased the risk for posterior pullout of the Galveston rods from the pelvis.
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Ventilator weaning after staged revision anteroposterior spine fusion in a ventilator-dependent child with congenital scoliosis is reported. ⋯ Surgical correction of a severe thoracic spinal deformity in the setting of severe restrictive lung disease can be performed successfully with stabilization of pulmonary volumes and improvement in pulmonary performance.
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Spinal injuries and diseases have been diagnosed and treated since antiquity. We attempt to record any available information in this area, starting from the prehistoric period and going up to Roman times. ⋯ The epitome of their wisdom is to be found in Galen's works made available via Khun's edition (Leipzig, 1829) written in both ancient Greek and Latin. Galen not only presents the Hippocratic knowledge and comments on it, but adds his own opinions and thoughts.