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Spinal orthoses have a long history of being used for the correction and prevention of spinal deformities. The primary goals of spinal orthoses are to aid a weakened muscle group, correct a deformed body part, and maintain the stability of a fractured spine. The orthosis can protect a body part from further injury or can correct the position of a body part. The clinician’s priority should be to determine which spinal motion to control. Good clinical outcomes can be maximized through proper selection, use, and application of the orthosis. Technology has revamped the field of orthotics, with newer orthoses that are stronger and lighter.

Several techniques of arthroscopic treatment of tibial spine avulsion fractures have been described in the literature. These techniques include the use of various fixation devices such as screws, K-wires, wiring, sutures, and suture anchors. In this study, we evaluate a new wiring technique for the treatment of these injuries. This technique involves fixation by stainless steel tension wires passed over the fractured spine and tied over a bone bridge. The advantages of this technique are that it aids in reduction, allows for compression of the tibial spine fragment anatomically in its fracture bed, provides stable fixation in difficult comminuted fractures, and allows for early mobilization and weight bearing because of the solid fixation.

OBJETIVOS: Avaliar as características do fragmento retropulsado nas fraturas explosão da coluna toracolombar, de acordo com dois examinadores independentes no plano sagital da TAC e correlacionar estes achados com a presença de déficit neurológico. MATERIAL E MÉTODOS: Coleta retrospectiva de dados de prontuário e TC em 138 pacientes com fratura toracolombar do tipo explosão internados no nosso serviço entre 1983 e 2004. RESULTADOS: Observamos correlação significante entre dois examinadores independentes (p

Most of the Hangman's fractures are treated conservatively. Surgical indication is only in type IIA and III fractures. There are many ways of fixing fractured spine either by anterior or posterior. Osteosynthesis of C2 pedicle by transpedicular screw in type IIA is a newer concept started by Judet by putting appropriate length of screws in C2 pedicle, so the fracture reduces and anatomical motion will remain intact. In fact it is a more physiological concept of fixing. 1 I am doing by open method with exposure of C2 bilaterally and putting appropriate screws in the fracture. It gives proper reduction, compression and immediate stabilization of fracture.

The pectoral spines of Synodontis schall (n = 813) were examined for 24 months. Mean length for the right (3.2 cm) and lefl (3.1 cm) pectoral spines were not significantly different lP> 0.05]. However, the male and female pectoral spine lengths were significantly different CP < 0.05). A fractured pectoral spine in one of the specimens was sborter than the other. The fracture which could be deleterious to balancing, feeding and reproductive activities was attributed to an injury rather than to genetíc or epigenetic defects. The pectoral spines of Synodontis schall (n = 813) were examined for 24 months. Mean length for the right (3.2 cm) and lefl (3.1 cm) pectoral spines were not significantly different lP> 0.05]. However, the male and female pectoral spine lengths were significantly different CP < 0.05). A fractured pectoral spine in one of the specimens was sborter than the other. The fracture which could be deleterious to balancing, feeding and reproductive activities was attributed to an injury rather than to genetíc or epigenetic defects.

The similar proximal and distal attachments to the stereom of primary spine ligament in the echinoid Eucidaris tribuloides are described, from thin sections and SEM studies on frozen and fractured spine articulations and ligaments from decalcified material. The orthogonal structure of the general stereom is modified on the attachment zones where bundles of collagen cylinders enter approximately hexagonally arranged channels. Straps of collagen extend in parallel series between adjacent bundles via regularly placed ports and collagen loops rather than non-striated 'tendons' pass over skeletal trabeculae. The regular pattern of collagen straps is most evident on the proximal and distal attachment zones. Mechanical features of the non-adhesive mode of attachment are considered, together with similarities and differences between insertion of muscle cells and mutable collagenous tissue (ligament) in echinoderms.

Twenty-four patients with spinal disorders were treated by Luque's segmental spinal instrumentation. We used this method for the purpose of increasing stability and reducing the period of postoperative bed rest.This surgery was performed on four cases with spinal fracture, four cases with metastatic spinal tumor, two cases with unstable spine, four cases with spondylolytic spondylolisthesis and ten cases with degenerative spondylolisthesis. The patients with the fractured spine were allowed to sit on the bed on the first postoperative day, and other cases on the seventh postoperative day. The patients were allowed to sit and walk with the William's flexion brace.We recognized two complications. One was pain of the sacral region which was noticed in some cases, and another was a wire breakage seen only in one case.

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Up to about 40 years ago, the chances of survival of a paraplegic patient were poor, as they had been some 5000 years ago in Egypt, when surgeons first described this condition. Ambrose Pare (1510–1519) was the first modern surgeon to recommend an operation to relieve spinal compression, but it was not until the eighteenth century that the first laminectomy of a fractured spine was performed at St. Thomas’s Hospital, London, by the surgeon Henry Cline.

Clinical experience in spine alloplasty has long standing traditions at the Konstancin Center of Rehabilitation. The regeneration process of a fractured spine, in accordance with the principle adopted at Konstancin, called dynamic stabilization, carried into effect under the slogan: ‘Do not fix the vertebrae, stabilize them by means of flexible mechanical elements’ has produced good results in 150 cases.

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The pectoral spines of Synodontis schall (n = 813) were examined for 24 months. Mean length for the right (3.2 cm) and lefl (3.1 cm) pectoral spines were not significantly different lP> 0.05]. However, the male and female pectoral spine lengths were significantly different CP < 0.05). A fractured pectoral spine in one of the specimens was sborter than the other. The fracture which could be deleterious to balancing, feeding and reproductive activities was attributed to an injury rather than to genetíc or epigenetic defects.

To the Editor. — I was particularly interested in the report on "Cave-Associated Histoplasmosis—Costa Rica" 1 because of a personal experience with this condition during World War II, prior to the recognition of histoplasmosis. In 1943, with a group of eight airmen, I was sent into the mountains of Trinidad to rescue a member of our squadron who had fallen into a 30-ft shaft about a half mile into a cave while exploring with a fellow. It was during the rainy season and we had a narrow "window" of time to get in and out, as the passages reportedly would flood. We found an 8-ft entrance that soon opened into a large cavern where the air was filled with disturbed bats and the screeching of sea hawks and the floor was deep in bat guano. We found our man deep in the cave with a fractured spine and other injuries

This apparatus provides a cheap and remarkably efficient means of producing any desired degree of hyperextension of the dorsolumbar spine and makes easy the application of a plaster-of-paris jacket in dorsal recumbency. It is particularly valuable in the forcible correction of compression fractures of the spine. It is a combination of an ordinary automobile screw-jack with a simple device that I1 described in 1907. Two short pieces of half inch gas pipe, 2 inches long, are brazed vertically to the top of the jack, about an inch apart. Four flat strips of iron measuring ½ by ⅛ by 4 inches are bent at the middle to a right angle and two of them are slipped into each gas pipe (fig. 1). This makes two T shaped supports on which will rest the kyphosis, protected by a thick piece of felt 4 or 5 inches square. The head and shoulders rest