Journal of orthopaedic surgery (Hong Kong)
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J Orthop Surg (Hong Kong) · Dec 2009
Case ReportsTraumatic spondylolisthesis of the lumbar spine: a report of three cases.
Traumatic spondylolisthesis of the lumbar spine is uncommon and can result in canal narrowing and spinal cord injury. Early decompression promotes recovery of neurological function. ⋯ The connecting rods broke at 3 years and the patient had a residual neurological deficit. We recommend early decompression with posterior instrumentation and interbody fusion for maximum recovery of neurological function and stability of the spine.
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To evaluate the effects of a policy change from emergency to scheduled management of hip fractures in older patients. ⋯ Non-emergency management of hip fractures in older patients resulted in fewer cancellations and after-hour operations, and increased consultant supervision. Nonetheless, extra time slots for operating theatres are required to avoid an associated increase in preoperative and total length of hospital stay.
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J Orthop Surg (Hong Kong) · Dec 2009
Laminar fractures as a severity marker in burst fractures of the thoracolumbar spine.
To assess the correlation between the presence of lamina fractures, narrowing of the spinal canal, and the severity of injury. ⋯ In patients with burst fractures of the thoracolumbar spine, the presence of laminar fractures indicates a more severe injury.
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J Orthop Surg (Hong Kong) · Dec 2009
Laminoplasty after anterior spinal fusion for cervical spondylotic myelopathy.
To review outcomes of laminoplasty after anterior spinal fusion (ASF) in 8 patients with cervical spondylotic myelopathy (CSM). ⋯ Initial surgery (such as ASF) is more effective in relieving cord compromise and myelopathy. Inadequate decompression and progression of disease may necessitate secondary laminoplasty, which conferred additional benefits that 5 of our 8 patients enjoyed despite persistence of myelomalacia.
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J Orthop Surg (Hong Kong) · Dec 2009
Intramedullary nailing and plate osteosynthesis for fractures of the distal metaphyseal tibia and fibula.
To assess the results of concurrent intramedullary nailing plus plate osteosynthesis for fractures of the distal tibia and fibula. ⋯ Concurrent intramedullary nailing and plate osteosynthesis for fractures of the distal tibia and fibula is effective in preventing malalignment. Plate osteosynthesis for the fibula provides additional stability even when a single distal locking bolt is used to fix the intramedullary nail to the tibia.