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Introduction: Idiopathic Scoliosis (IE) is one of the most frequent problems of the child-adolescent population. Few studies investigate the physiotherapy treatments used to reduce curves.Objective: to verify the effectiveness of four treatments (exercises, three-dimensional corsets, Spinecor corset and Cotrel traction) in subjects with IE. Material and method: a non-randomized controlled trial was carried out with four intervention groups, including 80 subjects (20 per group). The treatment according to its classification curve was applied to each group. The curve was assessed using the Cobb angle before and after the treatment, calculating the difference between both measurements and the percentage change (PC). Results: in all groups the curve decreased significantly (p < 0.001). Both in the decrease of the curve and in the CP there was a significant difference (p < 0.001) between the group of three-dimensional corsets and the traction group, with no significant differences between the other groups. There was a reduction in the curve and a lower CP in the group of three-dimensional corsets compared to the other groups, these variables not being influenced by the initial value of the curve. Conclusions: the four Physiotherapy treatments carried out show effectiveness in reducing the curve in children/adolescents with IE. The decrease in the curve was less in the three-dimensional corsets group compared to the traction group. [ABSTRACT FROM AUTHOR]

Copyright of Revista Ciência & Saúde Coletiva is the property of Associacao Brasileira de Pos-Graduacao em Saude Coletiva and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Metastatic bone disease should be considered as a public health problem. The alterations it may cause include pain that is refractory to medical treatment, metabolic instability, pathologic fractures and spinal disorders. Material and methods: The primary tumor site that led to the need for surgery was investigated in a series of patients with a diagnosis of metastatic bone disease. The bone involved and the histology of the lesions were also studied. Results: Kidney cancer was the one that most frequently required a surgical procedure; it was followed by breast and prostate cancer. The primary tumor was not found in 6.36% of cases. The bones affected by the lesions studied were as follows in order of occurrence: femur, spine, humerus and pelvis. Adenocarcinoma was the most frequent histological diagnosis. Discussion: The diagnosis of metastatic bone disease should always be considered in patients over forty years of age with skeletal lesions, preferably lytic. Conclusions: In this study, kidney cancer, the proximal limbs and adenocarcinomas were the variables that most frequently produced metastatic bone lesions that warranted a surgical procedure. [ABSTRACT FROM AUTHOR]

Copyright of Universitas Médica is the property of Pontificia Universidad Javeriana and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Spinal epidural lipomatosis without evidence of neural tube defect is not a frequent problem. This is more likely to occur associated with chronic steroid ingestion, severe obesity and hormonal disturbances. Adult idiopathic epidural lipomatosis has been reported in some case reports. We are presenting a case of a child in whom the presence of an epidural lipoma conditioned compression of the dural sleeve and lumbosacral roots with subsequent radicular manifestations. Neural tube defect was not demonstrated, no steroid intake was referred as part of previous treatments and hormonally he was considered normal. [ABSTRACT FROM AUTHOR]

Objective: To evaluate the participation of oxidative stress (OS) on chronic inflammatory joint disease (CIJD), as well as its possible use as a diagnostic biomarker. Patients and methods: The study population comprised 29 patients with CIJD: 18 with rheumatoid arthritis (RA: 13 active/5 inactive); 11 with ankylosing spondylitis (AS: 7 active/4 inactive) and 13 healthy subjects. Activity of the disease was assessed by: RA patients. Disease Activity Score (DAS 28) and AS patients by means of Bath Ankylosing Spondylitis Disease Activity Index (BASDAI). Oxidative stress biomarkers were determined in plasma using spectrophotometrical techniques. The statistical analysis was carried our using the SSPS statistical package. Results: Active CIJD showed a high oxidative stress characterized by increases in oxidative damage markers and a reduction in antioxidative systems, together with a higher myeloperoxidase (MPO) concentration. Inactive CUD only showed changes in oxidized glutathione (GSSG) and reduced glutathione (GSH)/GSSG ratio levels, without changes in oxidative damage parameters or in antioxidative systems. Conclusions: Our data revealed that: i) CIJD presents with a high oxidative stress: ii) inactive CIJD shows a production of reactive species without triggering oxidative damage and maintaining red-ox homeostasis, and iii) the combination of oxidative stress biomarkers may be used as markers of active-inactive stages of CIJD. [ABSTRACT FROM AUTHOR]

Copyright of Revista Umbral Científico is the property of Universidad Manuela Beltran and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The main purpose of the present study, besides reviewing basic concepts on cervical sprain physiopathology, rotoscoliosis and structural classification, is, to demonstrate the relationship between them, also it is important to remark some hypothesis in it's genesis, based on clinical observations of patients in the southeast area of Mexico. [ABSTRACT FROM AUTHOR]

Copyright of Cirugía y Cirujanos is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

La perspectiva biopsicosocial se centra en la interacción entre las variables biológicas, psicológicas y médico-legales de los pacientes que se enfrentan a una enfermedad crónica. Se considera que dicha perspectiva es el abordaje más integral y heurístico para la evaluación psicológica del enfermo con trastornos vertebrales. La valoración tiene lugar en tres etapas, desde los índices globales de tensión emocional a la evaluación de diagnósticos más específicos de psicopatología. La etapa 1, el cribado inicial, utiliza instrumentos psicométricamente válidos para determinar el grado de tensión emocional del paciente. La etapa 2, la entrevista psicosocial, indica si es necesario realizar pruebas psicológicas adicionales. La etapa 3, la evaluación prequirúrgica, valora a los pacientes en los que se contempla una intervención quirúrgica. Esta evaluación por etapas proporciona resultados basados en la evidencia, ayudándonos a identificar al paciente que podría ser especialmente rebelde a una determinada intervención terapéutica. [ABSTRACT FROM AUTHOR]

Copyright of Revista ADM is the property of Asociacion Dental Mexicana and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: The lumbosacral agenesis is an uncommon congenital anomaly. Material and methods: We were revised from 1990 to 2003 all the patients with a diagnosis of sacral agenesis and we evaluated the type of agenesis, family background, spinal and limbs malformations that are related with this pathology. Patients were evaluated with a new classification: Type I: partial agenesis, Type II: total agenesis. Patient with spinal-pelvic instability were treated with a new technique of arthrodesis. Results: 21 patients were studied: 10 men and 11 women. Relating lumbosacral agenesis with a diabetic mother, 13 (62%) patients had healthy mothers and 8 (38%) patients had a diabetic mother. The following of the patients was an average of 3.1 years (range 0.1 to 17), with a total average following of 5.2 year-old average (range 1.0 to 12.8). Nine patients (43%) had a community gait without use of ortesis, another 9 patients (43%) had a community gait with use of ortesis and 3 patients (14%) were mobilized with a wheelchair. Sixteen patients (76%) had thoraco-pelvic stability and 5 patients had thoraco-pelvic instability, reason for which they were underwent to a thoraco-pelvic arthrodesis with good results. Conclusion: The lumbosacral agenesis is a pathology difficult to try and when accompanies with myelodysplasia it is much more difficult to treat the spinal-pelvic instability. For the pelvic instability thorn the described technique provides a good alternative. [ABSTRACT FROM AUTHOR]

El artículo discute la etiología y tratamiento de la discitis infantil. La discitis puede afectar varios niveles de la columna vertebral, por ejemplo el nivel torácico. La enfermedad está causada por una infección bacteriana, como Staphylococcus aureus, y suele presentarse en los niños menores de 5 años de edad. El artículo examina las formas de tratamiento, como los antibióticos.

Objectives: To show our experience on surgical treatment of Scheuermann's disease. Material and methods: Fifteen patients with Scheuermann's Kyphosis had surgery for progressive Kyphotic deformity of 50° or greater. All of them were men, from 1994 through 2001. The Cobb method was used to measure the deformity on X-ray. This measure was made before surgery, immediately after, and two years later after surgical procedure. All patients had anterior release with posterior spine arthrodesis with segmental compression instrumentation. It was used a cast corset after surgery. Results: This is a retrospective study of 15 patients of mean age 17 ± 8.15 years 9-45) with severe Scheuermann's Kyphosis. The mean preoperative thoracic kyphotic curve was 79.53° ± 10.46 (68°-100°). The mean postoperative thoracic kyphotic curve was 32.73° ± 10.10. 45.6 ± 16.78° was the average correction (p < .005). Cast corset was used an average of 11.4 months after surgery. 40% of patients had late complications and 27% underwent instrumentation withdrawal. The mean thoracic kyphotic curve after two years of surgery was 37.06° ± 9.69 with loss of correction of 4.6° p > .05. Conclusions: Patients with Scheuermann's disease who underwent surgical treatment had good results and significant loss of correction did not occur in the fusion area. [ABSTRACT FROM AUTHOR]

Intraspinal hemorrhage is very rare and intramedullary hemorrhage, also called "hematomyelia," is the rarest form of intraspinal hemorrhage. There are few reports in medical literature. We report the case of a woman of 43 years with diagnosis of systemic lupus erythematosus and secondary antiphospholipid syndrome under anticoagulant therapy that presented hematomyelia. We describe the clinical course, the findings in the image studies and surgery, and the available information in the literature. [ABSTRACT FROM AUTHOR]

This is the case of a one-year-old patient, with post-traumatic C5-C6 anterolisthesis. The injuries of the cervical column with injury to the spinal medulla are more common in the high cervical region (C1-C3) in small children. The patient was treated with metilprednisolone and an internal fixation with posterior accessing of C5-C6, placing a wiring of sublaminar titanium plus a graft from the iliac crest. Currently, this girl is living a normal life. This case is a rare presentation of this kind of spinal injury. [ABSTRACT FROM AUTHOR]