Abstract：
OBJECTIVE:Correction of a segmental or global lumbar hypolordosis to improve a sagittal imbalance. INDICATIONS:Lumbar segments fixed in kyphosis; degenerative or posttraumatic hypolordotic deformity of the lumbar spine with sagittal imbalance. CONTRAINDICATIONS:Bechterew disease; extended adhesions in the retroperitoneum. SURGICAL TECHNIQUE:Segmental correction of a kyphotic fixed segment using a unilateral transforaminal approach to release the annulus and anterior longitudinal ligament. With an additional posterior V‑shaped osteotomy, a segmental correction of more than 20° could be achieved to improve a global sagittal imbalance. POSTOPERATIVE MANAGEMENT:Back-friendly mobilisation starting the first day after surgery with support of a physiotherapist. No sports for 3-4 months. RESULTS:In all, 25 patients with 33 kyphotic fixed lumbar segments were treated using a complete anterior release of the annulus and anterior longitudinal ligament via a unilateral transforaminal approach. This enabled a lordosizing correction of the segment between 5° and 29° (mean 11.4°) without any neurological or vascular complications. A total of 10 patients treated with an additional posterior osteotomy were corrected 14-29° (mean 19°). There was a loss of reduction of the lordotic correction (mean 1°; range 0-3°) in the X‑ray control at a minimum follow-up of 6 months (range 6-33 months).
journal_name
Oper Orthop Traumatoljournal_title
Operative Orthopadie und Traumatologieauthors
Lattig F,Stettin E,Weckbach Sdoi
10.1007/s00064-018-0532-1subject
Has Abstractpub_date
2018-06-01 00:00:00pages
210-222issue
3eissn
0934-6694issn
1439-0981pii
10.1007/s00064-018-0532-1journal_volume
30pub_type
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journal_title：Operative Orthopadie und Traumatologie
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journal_title：Operative Orthopadie und Traumatologie
pub_type： 临床试验,杂志文章
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更新日期：2013-08-01 00:00:00
abstract：OBJECTIVE:Indirect decompression of the spinal canal and the neuroforamina by means of interspinous process distraction and limitation of extension movements. Reduction of forces acting on the posterior joint structures of a functional spinal unit (posterior anulus, facet joints, intervertebral discs). INDICATIONS:Pri...
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更新日期：2010-11-01 00:00:00
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journal_title：Operative Orthopadie und Traumatologie
pub_type： 临床试验,杂志文章
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更新日期：2013-12-01 00:00:00
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journal_title：Operative Orthopadie und Traumatologie
pub_type： 临床试验,杂志文章
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更新日期：2009-12-01 00:00:00
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journal_title：Operative Orthopadie und Traumatologie
pub_type： 临床试验,杂志文章
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更新日期：2016-12-01 00:00:00
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更新日期：2020-02-01 00:00:00
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journal_title：Operative Orthopadie und Traumatologie
pub_type： 临床试验,杂志文章
doi：10.1007/s00064-011-0061-7
更新日期：2012-07-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2018-02-01 00:00:00
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pub_type： 杂志文章
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更新日期：2013-06-01 00:00:00
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journal_title：Operative Orthopadie und Traumatologie
pub_type： 临床试验,杂志文章
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更新日期：2005-02-01 00:00:00
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pub_type： 杂志文章
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更新日期：2014-12-01 00:00:00
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更新日期：2019-06-01 00:00:00
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pub_type： 临床试验,杂志文章
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更新日期：2009-11-01 00:00:00
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更新日期：2013-10-01 00:00:00
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更新日期：2014-06-01 00:00:00
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更新日期：2015-12-01 00:00:00
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pub_type： 杂志文章
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更新日期：2012-04-01 00:00:00
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pub_type： 杂志文章
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更新日期：2011-12-01 00:00:00
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journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
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更新日期：2015-06-01 00:00:00
abstract：OBJECTIVE:Safe and definitive stabilization of fully displaced, unstable fractures of the humerus which cannot be fixed conservatively; plaster cast: subcapital humerus fractures, fractures of the shaft, and supracondylar fractures. INDICATIONS:These depend on two major factors: first, on the morphology (strongly disp...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-008-1409-5
更新日期：2008-10-01 00:00:00
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pub_type： 临床试验,杂志文章
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更新日期：2014-08-01 00:00:00
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journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
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更新日期：2020-06-01 00:00:00
abstract：OBJECTIVE:Immediate two-step coverage of dorsal finger and thumb-tip soft-tissue defects with a dorsal flag flap, which can bridge over two fingers if necessary. INDICATIONS:Soft-tissue defects on the dorsal aspect of fingers between the metacarpophalangeal and the distal interphalangeal joint as well as on the tip of...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 临床试验,杂志文章
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更新日期：2008-09-01 00:00:00
abstract：OBJECTIVE:Accessibility of any anatomical structure of the hand via surgical approach. INDICATIONS:Any surgical treatment of the hand. CONTRAINDICATIONS:Any contraindication to surgical treatment of the hand. SURGICAL TECHNIQUE:Skin incision at the hand with access to any anatomical structure. POSTOPERATIVE MANAGEM...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-019-0622-8
更新日期：2019-10-01 00:00:00
abstract：OBJECTIVE:Debridement and irrigation of the knee joint and the donor site to reduce the amount of bacteria and to remove bacterial enzymes and inflammatory cytokines in cases with infection after replacement of the anterior cruciate ligament (ACL). INDICATIONS:Proven infection, suspected infection. CONTRAINDICATIONS:...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 临床试验,杂志文章
doi：10.1007/s00064-013-0262-3
更新日期：2014-02-01 00:00:00
abstract：OBJECTIVE:Reconstruction of stable knee joint kinematics using modular axis-guided revision implants after failed knee arthroplasty surgery. INDICATIONS:Revision implant for bone defects (type Anderson Orthopaedic Research Institute [AORI] III) in case of revision arthroplasty. Primary implant in case of mediolateral ...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-020-00669-5
更新日期：2020-08-01 00:00:00
