[Non-operative treatment for severe forms of infantile idiopathic scoliosis].

Abstract:

INTRODUCTION:Infantile idiopathic scoliosis (IIS) is a rare orthopaedic condition. Braces and casts are popular options in the treatment of IIS but there is a paucity of studies commenting on the outcome of non-operative treatment. The purpose of this study was to analyse failure and success after non-operative treatment for severe forms of IIS. METHODS:We retrospectively reviewed the data of all children who had been treated for IIS between 2003 and 2009 at a single institution. After calculating the failure and success rates, we additionally performed a risk factor analysis for patients who failed non-operative treatment. Chi (2) and T tests were used for statistical analysis with significance set at p < 0.05. RESULTS:25 children with an average age of 11 months and an Cobb angle of 46 degrees at presentation were analysed. Seven (28 %) patients were considered as having failed non-operative treatment after an average follow-up of 28 months. The pretreatment Cobb angle was identified as single significant risk factor for failure (55 versus 42) while neither age, gender, nor RVAD seem to influence the outcome. In children who were considered as successfully treated, the Cobb angle decreased from 42 to 18 degrees. CONCLUSION:Non-operative treatment for IIS is successful in 3 out of 4 patients.

journal_name

Z Orthop Unfall

authors

Trobisch PD,Samdani A,O'Neil C,Betz R,Cahill P

doi

10.1055/s-0031-1280330

subject

Has Abstract

pub_date

2012-02-01 00:00:00

pages

52-5

issue

1

eissn

1864-6697

issn

1864-6743

journal_volume

150

pub_type

杂志文章
  • [What is the value of the whole body spiral CT in the primary radiological imaging of severely injured children?].

    abstract:AIM:Whole body spiral CT scans have become a routine method in the radiological imaging of severely injured patients in emergency rooms of an increasing number of hospitals. The routine use of CT scans is, however, still discussed controversially, especially with regard to its use in children. This is mainly due to the...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2007-989438

    authors: Strohm PC,Uhl M,Hauschild O,Stankovic Z,Reising KJ,Lesniak M,Südkamp NP

    更新日期:2008-01-01 00:00:00

  • [Metal ions: important co-players in aseptic loosening].

    abstract:AIM:The aims of this review were to discuss the different mechanisms of biocorrosion of orthopaedic metal implants in the human body, as well as the effects of the released metal ions on bone metabolism and the immune system in regard to their involvement in the pathophysiological mechanisms of aseptic loosening and me...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0030-1250108

    authors: Cadosch D,Schlett CL,Gautschi OP,Frei HC,Filgueira L

    更新日期:2010-08-01 00:00:00

  • [Correlation of Estimated and Factual Operation Time in Frequent Interventions in Traumatolgy].

    abstract:BACKGROUND:The Surgical Safety Checklist (SSC) was introduced by the World Health Organization (WHO) in 2008 in order to analyse and reduce perioperative surgical morbidity. Preoperative estimation of the expected surgery time (EST) by the surgeon is an integral part of the SSC. OBJECTIVE:The aim of the present study ...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0042-101416

    authors: Büren C,Gehrmann SV,Scholz AO,Windolf J,Lögters T

    更新日期:2016-06-01 00:00:00

  • An Overview of the Current State of Pediatric Scoliosis Management.

    abstract::Historically pediatric scoliosis represents a condition deeply rooted within the origins of orthopedic surgery. Today only a few subspecialized surgeons treat pediatric scoliosis patients. In severe cases surgery can hold progression of and correct pathologic spinal curvature. The goal of this article is to provide an...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/a-0965-7760

    authors: Rüwald JM,Eymael RL,Upenieks J,Zhang L,Jacobs C,Pflugmacher R,Schildberg FA

    更新日期:2020-10-01 00:00:00

  • Botulinum Toxin for Chronic Lateral Epicondylitis (LE).

    abstract::Lateral epicondylitis is a common disease in orthopaedic practice. Although the majority of cases do not become chronic, patients who do not respond to the initial treatment may suffer from pain in the long term and effective treatment is challenging. The off-label use of botulinum toxin is one of the common potential...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/a-1202-6220

    authors: Grüner S,Schulz A,Schlüter-Brust K,Lippert-Grüner M

    更新日期:2020-08-03 00:00:00

  • [Bone Marrow Lesion - Risk-Factors and Pathophysiological Relevance: Systematic Review].

    abstract:AIM:The objective of this systematic review and meta-analysis is to obtain information about risks and associated factors for knee symptoms and the progression of osteoarthritis in idiopathic bone marrow lesion (BML). MATERIALS AND METHODS:The primary search on 31. 12. 2013 included the databases PubMed, EMBASE, Web o...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章,meta分析,评审

    doi:10.1055/s-0042-101560

    authors: Spahn G,Biehl M,Hofmann GO

    更新日期:2016-08-01 00:00:00

  • [Long-term results of the cementless Hofer-Imhof threaded titanium cup].

    abstract:AIM:This retrospective monocentre study investigates long-term results of the cementless parabolic-shaped HI threaded cup. MATERIAL AND METHODS:678 threaded cups made of titanium were implanted into 641 patients from November 1991 to May 1995. Mean age was 67 years, 65 % female, 35 % male. From December 2005 until Oct...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0029-1185434

    authors: Metzner G,Strassl R,Neumann DR,Hitzl W,Ramsauer T,Dorn U

    更新日期:2009-03-01 00:00:00

  • [Elastic stable intramedullary nailing (ESIN) in pediatric forearm shaft fractures: intraoperative image intensifier times].

    abstract:AIM:Elastic stable intramedullary nailing (ESIN)is the therapy of choice in pediatric forearm shaft fractures. It requires increased intraoperative image intensifier times and radiation load. METHOD:We performed a retrospective analysis of 78 operative procedures from a five-year period. In 16 cases the image intensif...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-2007-965171

    authors: Kraus R,Pavlidis T,Szalay G,Meyer C,Schnettler R

    更新日期:2007-03-01 00:00:00

  • [Pedicled Flaps in the Reconstruction of Complex Wounds at the Lower Extremity].

    abstract::The present refresher article highlights the current role of pedicled flaps in the reconstruction of complex wounds at the lower extremity. Due to the increasing standardization and ongoing improvements in microsurgery and in view of the fact that local tissue limitation and elevated rates of wound healing disorders r...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0043-124091

    authors: Schmidt VJ,Kneser U

    更新日期:2019-02-01 00:00:00

  • [Therapy of Periprosthetic Shoulder Infection].

    abstract::There are several therapeutic options for the treatment of periprosthetic joint infections of shoulder arthroplasties. In acute infections, the implant can remain in place with open debridement, septic lavage with antibacterial solutions such as octinedine or polyhexanide solution and exchange of all mobile components...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0043-116942

    authors: Fink B,Sevelda F

    更新日期:2018-02-01 00:00:00

  • [Prognostic factors to assess the value of arthroscopy in gonarthrosis].

    abstract:AIM:The value of athroscopy in osteoarthritis(oa) of the knee remains uncertain. Many studies claim to prove efficacy of arthroscopy in oa of the knee, while other authors report that there is no such effect. The purpose of this study was to identify factors to predict the outcome of arthroscopy in oa of the knee. MET...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-2007-965172

    authors: Mazoochian F,Pietschmann MF,Krüger-Franke M,Jansson V,Müller PE

    更新日期:2007-03-01 00:00:00

  • The Influence of Lumbar Modifiers on Functional and Radiological Outcomes in the Brace Treatment of Lenke Type 1 Adolescent Idiopathic Scoliosis.

    abstract:BACKGROUND:Brace treatment prevents the progression of scoliosis and reduces surgical treatment rates. However, the efficacy of brace treatment varies depending on the patient's age, gender, curve magnitude and type, structure of the curve, and patient compliance at the beginning of treatment. METHODS:Between January ...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/a-1269-0000

    authors: Bayrak A,Duramaz A,Koluman A,Belen B,Öztürk V

    更新日期:2020-11-24 00:00:00

  • [Intra-articulair tibial Plateau Fractures].

    abstract::Tibial plateau fractures are complex articular injuries, especially if caused by high energy. For adequate treatment a decidedly clinical and radiographic diagnostic is required. The three-column-concept has proven as excellent surgical planningstool in this complex trauma. By (1) precisely considering the specific ch...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0042-116779

    authors: Reul M,Nijs S,Rommens PM,Hoekstra H

    更新日期:2017-06-01 00:00:00

  • [Mechanical bending strength of explanted ex vivo bone cements compared with in vitro samples].

    abstract:INTRODUCTION:The mechanical properties of acrylic bone cements are an important factor in determining an efficient load transmission between prosthesis and bone to guarantee the long-term stability in cemented hip arthroplasty. MATERIAL AND METHODS:Palacos and Refobacin Palacos specimens from 21 aseptically loosened f...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2007-989324

    authors: Gravius S,Wirtz DC,Marx R,Maus U,Andereya S,Müller-Rath R,Mumme T

    更新日期:2008-01-01 00:00:00

  • [Graft integration in the lumbar spine of bovine cancellous bone compared to autologous iliac crest in a sheep model].

    abstract:BACKGROUND:Spinal injuries are common and a standard procedure for the stabilisation of spinal injuries is ventral spondylodesis with an autograft from the iliac crest. Because of the high incidence of harvesting complications there is a need to search for alternative materials. The aim of our study was to evaluate gra...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0030-1250060

    authors: Strohm PC,Kubosch DC,Sprecher CM,Schmal H,Südkamp NP,Milz S

    更新日期:2010-12-01 00:00:00

  • [S2k-Guideline on Meniscus Diseases: from Aetiology to Scoring].

    abstract::The number of patients with meniscal injuries is increasing constantly, but the treatment algorithms are undergoing continuous change. The effects of meniscal surgery, as well as the indications for the procedure, are currently a matter of heated debate. Various German speaking associations addressing topics related t...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0042-116683

    authors: Siebert CH,Becker R,Buchner M,Förster J,Frosch KH,Losch A,Niemeyer P,Scheffler S

    更新日期:2017-04-01 00:00:00

  • [Flexion contracture in haemophilic knee arthropathy--10-year follow-up after hamstring release and dorsal capsulotomy].

    abstract:INTRODUCTION:The aim of this study was to evaluate the long term results of joint preserving surgery with hamstring release and dorsal capsulotomy for the treatment of therapy resistant knee flexion contracture in patients with severe haemophilia. METHODS:16 patients having undergone hamstring release and dorsal capsu...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-2007-965228

    authors: Pennekamp PH,Wallny TA,Goldmann G,Kraft CN,Berdel P,Oldenburg J,Wirtz DC

    更新日期:2007-05-01 00:00:00

  • [Diagnostic and Treatment Strategies in Morel-Lavallee Lesions in the Spinal Column and Pelvis].

    abstract:BACKGROUND:The Morel-Lavallée lesion is one of the concomitant soft tissue lesions of pelvic fractures. Its role in spine fractures and its treatment in combination with osteosynthesis of pelvic or spine fractures have not yet been determined. The aim of this study was to analyse the best diagnostic and treatment optio...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/a-0596-8018

    authors: Becker CA,Kammerlander C,Greiner A,Sommer F,Linhart C,Böcker W,Rubenbauer B,Weidert S

    更新日期:2018-10-01 00:00:00

  • Knochensarkome.

    abstract::Bone sarcomas are extremely rare representing approximately 0.2% among all cancer types. Due to the rarity of these tumors both the patients and the physicians can overlook or misinterpret the first often unspecific symptoms of these tumors (pain, limping and swelling). Therefore, radiographic examination (X-ray and/o...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0043-117905

    authors: Hardes J,Gosheger G,Budny T

    更新日期:2018-02-01 00:00:00

  • [Conventional X-Rays of Ankle Joint Fractures in Older Patients are Not Always Predictive].

    abstract::Background: Ankle fractures are extremely common in the elderly, with an incidence of up to 39 fractures per 100,000 persons per year. We found a discrepancy between intraoperative findings and preoperative X-ray findings. It was suggested that many relevant lesions of the ankle joint in the elderly cannot be detected...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0042-113879

    authors: Jubel A,Faymonville C,Andermahr J,Boxberg S,Schiffer G

    更新日期:2017-02-01 00:00:00

  • [Ligamentous injuries to the ankle joint].

    abstract::Injuries to the lateral ankle ligaments are the most common sports injuries. Determination of their severity and exclusion of relevant accompanying injuries requires a subtle clinical and a focussed radiological assessment. Treatment is non-operative and functional in the majority of cases. Consequent application of o...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0031-1280258

    authors: Rammelt S,Schneiders W,Grass R,Rein S,Zwipp H

    更新日期:2011-10-01 00:00:00

  • [Accuracy of rotational positioning of the femoral component using the tibial-cut-first technique].

    abstract:AIM:Problems with the patellofemoral joint are still one of the most common difficulties after total knee arthroplasty. One of the main reasons for these problems seems to be the rotatory malposition of the femoral component. We examined the rotation of the femoral component and the symmetry of the flexion gap of knee ...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0029-1240587

    authors: Classen T,Wegner A,Müller RD,von Knoch M

    更新日期:2011-12-01 00:00:00

  • [Total hip arthroplasty with a less invasive anterolateral approach].

    abstract::Soft tissue injury in total hip replacements has recently developed into a main topic of orthopaedic surgery. The M. glutaeus medius is at risk to be injured in Watson-Jones' approach to the hip. A special technique in positioning of the leg offers the possibility to save the integrity of the muscles. While profiling ...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0034-1368207

    authors: Bopp F

    更新日期:2014-04-01 00:00:00

  • [Clinical cost analysis of balloon kyphoplasty--is there a possibility of cost-covering treatment?].

    abstract::Financial pressure on hospitals has been a major issue in the health care system of the past years and the financial situation is often what decides about the future of the hospitals. Therefore today the economic feasibility of patient treatment in hospitals is more important than ever before. After the degradation of...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0034-1368472

    authors: Chmielnicki M,McDougall AM,Prokop A

    更新日期:2014-06-01 00:00:00

  • [Treatment of Hallux Valgus: Current Diagnostic Testing and Surgical Treatment Performed by German Foot and Ankle Surgeons].

    abstract:BACKGROUND:Hallux valgus is one of the most prevalent foot deformities, and surgical treatment of Hallux valgus is one of the most common procedures in foot and ankle surgery. Diagnostic and treatment standards show large variation despite medical guidelines and national foot and ankle societies. The aim of this nation...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0043-120352

    authors: Arbab D,Schneider LM,Schnurr C,Bouillon B,Eysel P,König DP

    更新日期:2018-04-01 00:00:00

  • [Evaluation of image quality of two different three-dimensional cone-beam-scanners used for orthopedic surgery in the bony structures of the pelvis in comparison with standard CT scans].

    abstract:AIM:This study evaluated the image quality of two different cone beam CT scanners used in the operation theatre in pelvic trauma surgery in relation to their radiation dosage. Furthermore, the assumption that a higher dosage would result in better image quality was analysed by using the different acquisition scanner mo...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0030-1271136

    authors: Stuby F,Seethaler AC,Shiozawa T,Weise K,Mroue A,Badke A,Buchgeister M,Ochs BG

    更新日期:2011-12-01 00:00:00

  • [Malpractice in the treatment of supracondylar humeral fractures in children - experience of the arbitration office of the Northern German Medical Boards].

    abstract:INTRODUCTION:Arbitration offices ("Schlichtungsstellen") in Germany are expert panels for the extrajudicial resolution of malpractice claims. The performance of arbitration panel proceedings ("Schlichtungsverfahren") is based on the German medical and insurance jurisdiction. In Germany, and in the United States likewis...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0030-1250487

    authors: Vinz H,Neu J,Festge OA

    更新日期:2010-12-01 00:00:00

  • Clinical Relevance of Cement Leakage after Radiofrequency Kyphoplasty vs. Balloon Kyphoplasty: A Prospective Randomised Study.

    abstract:BACKGROUND:Cement leakage is regarded as a typical complication of cement-based augmentation of vertebral fractures. The gold standard is balloon kyphoplasty (BK). Recent methods, such as radiofrequency kyphoplasty (RFK), must be compared with BK in terms of therapeutic success and complication rates. It is unclear whe...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章,随机对照试验

    doi:10.1055/s-0042-104069

    authors: Riesner HJ,Kiupel K,Lang P,Stuby F,Friemert B,Palm HG

    更新日期:2016-08-01 00:00:00

  • [Optical coherence tomography (OCT) to evaluate cartilage tissue engineering].

    abstract:AIM:The aim of this study was to investigate hyaline cartilage defects treated with cell-seeded artificial matrix systems (two different collagen type I gels) with the method of optical coherence tomography (OCT) and to correlate the results with conventional histological and immunocytochemical staining. METHOD:Osteoc...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2008-1038948

    authors: Gavenis K,Schmitt R,Eder K,Mumme T,Andereya S,Schneider U,Müller-Rath R

    更新日期:2008-11-01 00:00:00

  • [Anatomic reconstruction of hip joint biomechanics: conventional vs. short-stem prosthesis].

    abstract:BACKGROUND:Currently, short cementless femoral stems are alternative implants to treat osteoarthritis in young patients with sufficient bone quality in order to get a more proximal load transfer. The purpose of the present study was to biomechanically compare joint reconstructions resulting from implantations of a shor...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0034-1396230

    authors: Ries C,Schopf W,Dietrich F,Franke S,Jakubowitz E,Sobau C,Heisel C

    更新日期:2015-02-01 00:00:00