La Chirurgia degli organi di movimento
-
The authors illustrate the results of a series of 47 fractures of the odontoid process all treated according to two non-surgical methods, among the most diffused and accepted: Minerva plaster and halo-plaster. The various elements used to classify odontoid fractures are examined, as is their importance for prognosis. The conclusions refer to two essential points: 1) fractures with a higher risk of nonunion are Anderson type II, with posterior shifting, in elderly patients; 2) reduction and immobilization with a halo-plaster may be considered the first choice of a method for most of these fractures, in consideration of the limited risk of nonunion involved.
-
The authors describe a case of traumatic monolateral dislocation of L5 on S1. It is a very rare lesion which involves serious diagnostic and therapeutic problems. Surgical treatment constituted by reduction and stabilization alone can obtain stable correction of the deformity and complete functional recovery.
-
Review Comparative Study
Sacro-iliac joint pain: etiology and conservative treatment.
Orthopedic surgeons use many modalities in conservative treatment of low back pain (LBP) and sacroiliac pain (SIP) but few have been studied with randomized controlled trials. We have been studying the physiological effects of manipulation on joints and the clinical effect on patients. ⋯ The iliac and sacral surfaces of the sacroiliac joint develop differently. Although this statement need further study it seems that manipulations may play a role in the treatment of LBP and SIP.