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A technique of correction and internal fixation for scoliosis
ABSTRACTS
1094
salvage, and after 48 hr there is virtually no hope of testicular survival. For the latter group, the author advises orchidectomy. Fear of wound infection has caused the author to delay fixation of the opposite testis to a later date, a dangerous and unacceptable approach. Likewise, orchidectomy as a primary procedure is not generally practiced. Although the involved testis may macroscopically appear necrotic, there are definite areas remaining which are histologically viable.-f.ewis Spirz Priapism in Twins. P. Mollord, J. M. Morichaf, and G. Sooillet. Ann Chir Infant 17:173-176
(May/
June), 1976. Two cases of priapism in twins of 124 yr are described, both after a viral infection. Etiology remained unknown, a hemopathy having been excluded. Both were cured, one by saphenocavernous anastomosis, the other by anticoagulative treatment. Prognosis concerning erectile
function
remains
unknown.-Claire
Jaussi-Bovet Congenital Absence of the Penis. W. G. John-
ston, Jr., G. W. Yeotman, and J. W. Weigel. J. Ural 117:508-512 (April), 1977. Congenital absence of the penis is a rare condition which should be diagnosed at birth. If the patient is immediately and unequivocally assigned the female gender, she can develop into a well adjusted women who is emotionally and sexually functional. Early castration is advised and the median raphe of the scrotum should be fixed to the underlying fascia to resemble labia. The scrotal skin is thus preserved for vaginoplasty, which may be performed at puberty.--George Holcomb
MUSCULOSKELETAL
SYSTEM
Simpson. J Bone Joint Surg 598:143-151 1977.
A study of 40 children with spinal tumors revealed the difficulties of diagnosis. The most common complaints were weakness of a limb, pain in the back with or without radiation to a limb, and sphincter disturbance. Physical findings of muscle weakness, pathologic reflexes, sensory loss, the presence of a mass, and spinal muscle spasm were common. Radiologic changes of neural arch and vertebral erosion were the most common findings, but in only 55?; were there changes in the plain films. Myelography was carried out in 25 children in all but two of whom the lesion or a block was ‘demonstrated. Manometric tests on the CSF were of limited value, but a raised protein level was a most significant finding. Laminectomy was carried out in 29 children, and in 10 of these children spinal instability developed, giving rise to deformity most severe in the cervical and thoracic spine in the form of “swan neck” deformity or scoliosis. Attempted prevention and treatment of these deformities is discussed.--M. G. H. Smith Sub-Capital Coxa Valga After Varus Osteotomy for Congenital
Joint Surg 598:159-165
A.
In a review of 47 patients treated for congenital dislocation of the hip by varus osteotomy, 6 cases of coxa valga were subsequently found. This appears to be related to the development of a relatively horizontal growth plate, but an analysis of the 6 cases does not reveal a cause for this. The production of a partially uncovered femoral head as a result of the sub-capital coxa valga must be regarded as a serious long term complication.-_. G. H.
Aspects of
NERVOUS
F. Afves. J Bone Craniopagur
A technique is described in which a stainless steel rod is placed on the convex side of the spinous processes of a scoliosis curve, and to which the spinous processes and posterior elements are then wired. This device as a reduction and stabilizing device accompanied by spinal fusion was used in 100 children, the average correction of the curves obtained being 45 per cent.-M. G. H. Smith Olthopaedic
Spinal
Turnours and
D. A. (May), 1977.
Smith
(May), 1977.
Children. R. D. Fraser, D. C. Paterson,
Dislocation of the Hip.
Jones. J Bone Joint Surg 598:152-158
A Technique of Correction and Internal Fixation for Scoliosis. J. Resino and
(May),
in
D. A.
Twins:
Embryology and
O’Connell. 1976
SYSTEM Surgical
Anatomy
and
Their Implications. J. E. A.
J Neural Neurosurg
Psychiatr
39:1-22,
Craniopagus can be “partial,” which can be separated to produce survival of both children (the fusion being superficial), or “total,” the two brains being contained in a common cranium, separation resulting in only one survivor. In the total form, the heads are joined at the vertex and three varieties occur, depending on the rotation of the heads about the long axis: (1) both faces in the same direction, (2)
1094
salvage, and after 48 hr there is virtually no hope of testicular survival. For the latter group, the author advises orchidectomy. Fear of wound infection has caused the author to delay fixation of the opposite testis to a later date, a dangerous and unacceptable approach. Likewise, orchidectomy as a primary procedure is not generally practiced. Although the involved testis may macroscopically appear necrotic, there are definite areas remaining which are histologically viable.-f.ewis Spirz Priapism in Twins. P. Mollord, J. M. Morichaf, and G. Sooillet. Ann Chir Infant 17:173-176
(May/
June), 1976. Two cases of priapism in twins of 124 yr are described, both after a viral infection. Etiology remained unknown, a hemopathy having been excluded. Both were cured, one by saphenocavernous anastomosis, the other by anticoagulative treatment. Prognosis concerning erectile
function
remains
unknown.-Claire
Jaussi-Bovet Congenital Absence of the Penis. W. G. John-
ston, Jr., G. W. Yeotman, and J. W. Weigel. J. Ural 117:508-512 (April), 1977. Congenital absence of the penis is a rare condition which should be diagnosed at birth. If the patient is immediately and unequivocally assigned the female gender, she can develop into a well adjusted women who is emotionally and sexually functional. Early castration is advised and the median raphe of the scrotum should be fixed to the underlying fascia to resemble labia. The scrotal skin is thus preserved for vaginoplasty, which may be performed at puberty.--George Holcomb
MUSCULOSKELETAL
SYSTEM
Simpson. J Bone Joint Surg 598:143-151 1977.
A study of 40 children with spinal tumors revealed the difficulties of diagnosis. The most common complaints were weakness of a limb, pain in the back with or without radiation to a limb, and sphincter disturbance. Physical findings of muscle weakness, pathologic reflexes, sensory loss, the presence of a mass, and spinal muscle spasm were common. Radiologic changes of neural arch and vertebral erosion were the most common findings, but in only 55?; were there changes in the plain films. Myelography was carried out in 25 children in all but two of whom the lesion or a block was ‘demonstrated. Manometric tests on the CSF were of limited value, but a raised protein level was a most significant finding. Laminectomy was carried out in 29 children, and in 10 of these children spinal instability developed, giving rise to deformity most severe in the cervical and thoracic spine in the form of “swan neck” deformity or scoliosis. Attempted prevention and treatment of these deformities is discussed.--M. G. H. Smith Sub-Capital Coxa Valga After Varus Osteotomy for Congenital
Joint Surg 598:159-165
A.
In a review of 47 patients treated for congenital dislocation of the hip by varus osteotomy, 6 cases of coxa valga were subsequently found. This appears to be related to the development of a relatively horizontal growth plate, but an analysis of the 6 cases does not reveal a cause for this. The production of a partially uncovered femoral head as a result of the sub-capital coxa valga must be regarded as a serious long term complication.-_. G. H.
Aspects of
NERVOUS
F. Afves. J Bone Craniopagur
A technique is described in which a stainless steel rod is placed on the convex side of the spinous processes of a scoliosis curve, and to which the spinous processes and posterior elements are then wired. This device as a reduction and stabilizing device accompanied by spinal fusion was used in 100 children, the average correction of the curves obtained being 45 per cent.-M. G. H. Smith Olthopaedic
Spinal
Turnours and
D. A. (May), 1977.
Smith
(May), 1977.
Children. R. D. Fraser, D. C. Paterson,
Dislocation of the Hip.
Jones. J Bone Joint Surg 598:152-158
A Technique of Correction and Internal Fixation for Scoliosis. J. Resino and
(May),
in
D. A.
Twins:
Embryology and
O’Connell. 1976
SYSTEM Surgical
Anatomy
and
Their Implications. J. E. A.
J Neural Neurosurg
Psychiatr
39:1-22,
Craniopagus can be “partial,” which can be separated to produce survival of both children (the fusion being superficial), or “total,” the two brains being contained in a common cranium, separation resulting in only one survivor. In the total form, the heads are joined at the vertex and three varieties occur, depending on the rotation of the heads about the long axis: (1) both faces in the same direction, (2)