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Familial scoliosis
283
ABSTRACTS Children. R. 6. Pitkow. Clin Orth No. 110:139-145
produced
(July-August),
is not considered as proven that positions adopted in infancy has any significance though further surveys of this fact are awaited; however should the prone position prove to be significant it should not be difficult to prevent the deformity.-J. Airken
1975.
The author reviewed five-hundred private out-patients, ranging in age from birth to 10 yr and documented that youngsters are normally born with an “external rotation contracture” of the hip. This article gives documentation to the fact that, as the contracture clears spontaneously, with the youngster achieving an upright position, the masked internal femoral rotational as well as increased femoral anteversion problems become apparent.-Anthony H. Alter Tuberculosisof the Hip: Treatment with Closed irrigation and Suction, Using Streptomycin. B. V.
Polo and C. C. Coradin. Clin Orth No. 110:154-l% (July-August), 1975. Nineteen tubercular hips, treated with irrigation and ‘I-lo-day perfusion with streptomycin as part of the surgical procedures, were compared to thirty-two hips not treated with irrigation and suction. The authors conclude that the perfused hips had better functional results when Streptomycin perfusion was included in the surgical regimen. -Anthony H. Alter. Infantile Idiopathic Scoliosis.Ruth Wynne-Dovies.
J Bone J Surg 578:138-141
(May), 1975.
In this paper an attempt is made to determine the etiologic factors in idiopathic scoliosis from an epidemiological, clinical, and genetic point of view. The survey was of 134 infants attending the Edinburgh Scoliosis Clinic from 1958 to 1971, 97 of whom developed a curve in the first 6 mo of life. Plagiocephaly was present in all 97 infants, other common anomalies being mental retardation, congenital heart disease and congenital dislocation of the hips. Three per cent of parents and 3% of siblings had the same deformity, which was found to be thirty times the general population frequency for the Edinburgh area. Only three children habitually lay prone in early infancy, in contrast to North America where this position is usual. The authors conclude that there may be some relation between this and the fact that infantile scoliosis is almost completely absent in North America. They also postulate that the etiology may be multifactoral with a genetic tendancy to the deformity possibly triggered off by some external factor either genetic, social, or medical. Thus a child with a strong genetic tendancy would need little triggering action whereas in a child with no genetic tendancy the deformity would be
by adverse
environmental
factors.
It
Familial Scoliosis. Gordon C. Robin and Tirza Cohen. J Bone J Surg 578:146-147 (May), 1975.
This report concerns a family in whom scoliosis was present in 15 members in three generations. Eight members were examined and all had an idiopathic-type scoliosis. The family tree is depicted and shows father to son transmission on several occasions. The authors consider that the concept of polygenic inheritance could explain the inheritance in this family.J. Aitken Combined Stage Anterior and Posterior Correction and Fusion of the Spine in Scoliosis, Following
Poliomyelitis. J. P. O’Brien, Y. C. M. Youo, G. S. Gerizbein, and A. R. Hodgson. Clin Orth No. 110:81-89 (July-August), 1975.
The complications of respiratory insufficiency, multiple structural abnormalities, and a high incidence of pseudarthrosis following surgical fusions have led the authors to the consideration of an anterior Dwyer instrumentation type approach and a secondary posterior procedure, using Harrington rods. Seventeen patients were subjected to first preliminary traction and secondly Dwyer instrumentation anterior and subsequently, several weeks later, a Harrington rod posterior spine fusion. The anterior procedure achieved an average correction of 770/,, (to 21’). with the subsequent posterior procedure correcting an average of 82O;, (19”). The secondary posterior fusion was found to achieve a higher fusion rate, with much less loss of correction, once fusion had been achieved. The main complication was a peritoneal lacusing the halo-pelvic traction aperation, paratus. The authors stress that these paralytic curves pose significant problems in terms of a dysplastic pelvis, not accepting the pelvis portion of the halo-pelvic instrumentation for preoperative correction. No pseudarthroses occurred with this combined procedure.-Anthony H. Alter Stabilization of the Spine in the Surgical Treatment of Severe Spinal Tuberculosis in Children. D. H. Jenkins, A. R. Hodgson,
A. C. N. You. A. P.
ABSTRACTS Children. R. 6. Pitkow. Clin Orth No. 110:139-145
produced
(July-August),
is not considered as proven that positions adopted in infancy has any significance though further surveys of this fact are awaited; however should the prone position prove to be significant it should not be difficult to prevent the deformity.-J. Airken
1975.
The author reviewed five-hundred private out-patients, ranging in age from birth to 10 yr and documented that youngsters are normally born with an “external rotation contracture” of the hip. This article gives documentation to the fact that, as the contracture clears spontaneously, with the youngster achieving an upright position, the masked internal femoral rotational as well as increased femoral anteversion problems become apparent.-Anthony H. Alter Tuberculosisof the Hip: Treatment with Closed irrigation and Suction, Using Streptomycin. B. V.
Polo and C. C. Coradin. Clin Orth No. 110:154-l% (July-August), 1975. Nineteen tubercular hips, treated with irrigation and ‘I-lo-day perfusion with streptomycin as part of the surgical procedures, were compared to thirty-two hips not treated with irrigation and suction. The authors conclude that the perfused hips had better functional results when Streptomycin perfusion was included in the surgical regimen. -Anthony H. Alter. Infantile Idiopathic Scoliosis.Ruth Wynne-Dovies.
J Bone J Surg 578:138-141
(May), 1975.
In this paper an attempt is made to determine the etiologic factors in idiopathic scoliosis from an epidemiological, clinical, and genetic point of view. The survey was of 134 infants attending the Edinburgh Scoliosis Clinic from 1958 to 1971, 97 of whom developed a curve in the first 6 mo of life. Plagiocephaly was present in all 97 infants, other common anomalies being mental retardation, congenital heart disease and congenital dislocation of the hips. Three per cent of parents and 3% of siblings had the same deformity, which was found to be thirty times the general population frequency for the Edinburgh area. Only three children habitually lay prone in early infancy, in contrast to North America where this position is usual. The authors conclude that there may be some relation between this and the fact that infantile scoliosis is almost completely absent in North America. They also postulate that the etiology may be multifactoral with a genetic tendancy to the deformity possibly triggered off by some external factor either genetic, social, or medical. Thus a child with a strong genetic tendancy would need little triggering action whereas in a child with no genetic tendancy the deformity would be
by adverse
environmental
factors.
It
Familial Scoliosis. Gordon C. Robin and Tirza Cohen. J Bone J Surg 578:146-147 (May), 1975.
This report concerns a family in whom scoliosis was present in 15 members in three generations. Eight members were examined and all had an idiopathic-type scoliosis. The family tree is depicted and shows father to son transmission on several occasions. The authors consider that the concept of polygenic inheritance could explain the inheritance in this family.J. Aitken Combined Stage Anterior and Posterior Correction and Fusion of the Spine in Scoliosis, Following
Poliomyelitis. J. P. O’Brien, Y. C. M. Youo, G. S. Gerizbein, and A. R. Hodgson. Clin Orth No. 110:81-89 (July-August), 1975.
The complications of respiratory insufficiency, multiple structural abnormalities, and a high incidence of pseudarthrosis following surgical fusions have led the authors to the consideration of an anterior Dwyer instrumentation type approach and a secondary posterior procedure, using Harrington rods. Seventeen patients were subjected to first preliminary traction and secondly Dwyer instrumentation anterior and subsequently, several weeks later, a Harrington rod posterior spine fusion. The anterior procedure achieved an average correction of 770/,, (to 21’). with the subsequent posterior procedure correcting an average of 82O;, (19”). The secondary posterior fusion was found to achieve a higher fusion rate, with much less loss of correction, once fusion had been achieved. The main complication was a peritoneal lacusing the halo-pelvic traction aperation, paratus. The authors stress that these paralytic curves pose significant problems in terms of a dysplastic pelvis, not accepting the pelvis portion of the halo-pelvic instrumentation for preoperative correction. No pseudarthroses occurred with this combined procedure.-Anthony H. Alter Stabilization of the Spine in the Surgical Treatment of Severe Spinal Tuberculosis in Children. D. H. Jenkins, A. R. Hodgson,
A. C. N. You. A. P.