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Hermiated intervertebral lumbar disc in the teen-ager
ABSTRACTS
150
who has x-rays in lateral projection documenting a displacement of C-l on C-2. Trauma was not seen as an inciting factor. Treatment started with traction for a suggested period of 6 wk. followed by immobilization in a Minerva cast or equivalent for another 6 wk. In three patients, the dislocation could not be reduced by this technique and they still had symptoms at the end of 6 wk of traction. One patient was treated with a decompression laminectomy of the arch of C-l and the rim of the foramen magnum with a fusion. A second patient had a fusion alone in the reduced position. Both recovered uneventfully. The third patient died 48 hr postoperatively.-Anthony H, Alter Treatment
of Defects of the Ulna in Children
btablishing
Cross-union
Lloyd-Roberts. J. Bone
with
the Radius.
by G.L.
Joint Surg. (Br) 55327-330
(May), 1973. This operation is suggested for patients in whom one growing forearm bone has been destroyed by disease, develops imperfectly, or lacks stability because of pseudoarthrosis or dislocation at either end. The operation is fully described and consists of division of the radius at a level depending on the amount of ulna available. The distal fragment is opposed to a rawed surface and fixed in position with a pin. The effect is to restore stability and to enable growth to occur without distortion. Rotation is, of course, sacrificed but as it is always reduced already in these cases, little is lost. Three patients in whom the procedure was done are fully reported and x-rays presented. In all three, improvement was impressive.--J. Aitken Herniated
Intervertebml
Teen-Age?.
S. &/OS. 1. Bone
Lumbar
Disc in
the
Joint $urg. (Br). 55:
273-278 (May), 1973. Eight adolescents, ages 14 through 19, were treated for herniated intervertebral disc, with five requiring operation, two refusing operation, and one treated with bedrest. Myelography was done in seven of the patients. All patients were treated conservatively initially. Six surgical patients were found to have a tightly bulging disc without disc degeneration, and one patient had a rupture and sequestration of a fragment. Laminectomy was the procedure of choice for surgery. The most common level was at the L-4-5 interspace. The results were uniformly good.-Anthony
H. Alter
The Orthopedic
Surgery
of Spina
Shorrord. Clin. Orthop. 92:195-213
Bifida.
W.J.
(May), 1973.
This article reviewed the author’s extensive experience with orthopedic problems related to spina bifida and its resultant paraparesis, as well as a discussion of surgical techniques he has found useful for dealing with the deformities. No end-result data are provided.Anthony H. Alter Hereditary presacrol 271-274
Sacral tumors.
Agenesis
Associated
J.S. Ken&k.
with
Br. J. Surg. 60:
(April), 1973.
This paper reports a family extending over four generations of nine females and six males in which six females and three males have similar congenital abnormality of the sacrum, absence of whole or half of the lower three segments of the sacrum. Four of the female members of the family have associated presacral tumors, one meningocele, one dermoid cyst; two have tumors measuring 5 cm in diameter. The nature of these is not determined. The authors suggest that, in this family, this condition may be transmitted as a dominant trait. The presacral lesions, being only in the female members affected, may be a sex-linked dominant trait.--J. Lari NEOPLASMS Carcinoma
H.A.
Obermon
30:470-474
(August),
of Breast in Childhood.
and P.J. Sfefbens. Cancer 1972.
This is a case report of a 4-yr old girl with carcinoma of the breast treated by simple excision with local recurrences 4 and 21 yr later. The authors feel that the secretory histologic pattern seen in this and other long-term survivors connotes a benign course with only local recurrence possible.-S. Kim leiomyomotous
Hamartoma
R. Bogdm,
Taylor,
31:462-467
D.E.M.
and
of
the
F.K. Most06
Kidney. Cancer
(February), 1973.
A report from the Air Force Institute Of Pathology in which 20 cases originally submitted as Wilms’ tumor or renal sarcoma were later diagnosed as leiomyomatous hamartoma histologically. The ages at presentation range from the newborn to 10 yr. Six patients presented with an abdominal mass, and four of the tumors were found incidentally at
150
who has x-rays in lateral projection documenting a displacement of C-l on C-2. Trauma was not seen as an inciting factor. Treatment started with traction for a suggested period of 6 wk. followed by immobilization in a Minerva cast or equivalent for another 6 wk. In three patients, the dislocation could not be reduced by this technique and they still had symptoms at the end of 6 wk of traction. One patient was treated with a decompression laminectomy of the arch of C-l and the rim of the foramen magnum with a fusion. A second patient had a fusion alone in the reduced position. Both recovered uneventfully. The third patient died 48 hr postoperatively.-Anthony H, Alter Treatment
of Defects of the Ulna in Children
btablishing
Cross-union
Lloyd-Roberts. J. Bone
with
the Radius.
by G.L.
Joint Surg. (Br) 55327-330
(May), 1973. This operation is suggested for patients in whom one growing forearm bone has been destroyed by disease, develops imperfectly, or lacks stability because of pseudoarthrosis or dislocation at either end. The operation is fully described and consists of division of the radius at a level depending on the amount of ulna available. The distal fragment is opposed to a rawed surface and fixed in position with a pin. The effect is to restore stability and to enable growth to occur without distortion. Rotation is, of course, sacrificed but as it is always reduced already in these cases, little is lost. Three patients in whom the procedure was done are fully reported and x-rays presented. In all three, improvement was impressive.--J. Aitken Herniated
Intervertebml
Teen-Age?.
S. &/OS. 1. Bone
Lumbar
Disc in
the
Joint $urg. (Br). 55:
273-278 (May), 1973. Eight adolescents, ages 14 through 19, were treated for herniated intervertebral disc, with five requiring operation, two refusing operation, and one treated with bedrest. Myelography was done in seven of the patients. All patients were treated conservatively initially. Six surgical patients were found to have a tightly bulging disc without disc degeneration, and one patient had a rupture and sequestration of a fragment. Laminectomy was the procedure of choice for surgery. The most common level was at the L-4-5 interspace. The results were uniformly good.-Anthony
H. Alter
The Orthopedic
Surgery
of Spina
Shorrord. Clin. Orthop. 92:195-213
Bifida.
W.J.
(May), 1973.
This article reviewed the author’s extensive experience with orthopedic problems related to spina bifida and its resultant paraparesis, as well as a discussion of surgical techniques he has found useful for dealing with the deformities. No end-result data are provided.Anthony H. Alter Hereditary presacrol 271-274
Sacral tumors.
Agenesis
Associated
J.S. Ken&k.
with
Br. J. Surg. 60:
(April), 1973.
This paper reports a family extending over four generations of nine females and six males in which six females and three males have similar congenital abnormality of the sacrum, absence of whole or half of the lower three segments of the sacrum. Four of the female members of the family have associated presacral tumors, one meningocele, one dermoid cyst; two have tumors measuring 5 cm in diameter. The nature of these is not determined. The authors suggest that, in this family, this condition may be transmitted as a dominant trait. The presacral lesions, being only in the female members affected, may be a sex-linked dominant trait.--J. Lari NEOPLASMS Carcinoma
H.A.
Obermon
30:470-474
(August),
of Breast in Childhood.
and P.J. Sfefbens. Cancer 1972.
This is a case report of a 4-yr old girl with carcinoma of the breast treated by simple excision with local recurrences 4 and 21 yr later. The authors feel that the secretory histologic pattern seen in this and other long-term survivors connotes a benign course with only local recurrence possible.-S. Kim leiomyomotous
Hamartoma
R. Bogdm,
Taylor,
31:462-467
D.E.M.
and
of
the
F.K. Most06
Kidney. Cancer
(February), 1973.
A report from the Air Force Institute Of Pathology in which 20 cases originally submitted as Wilms’ tumor or renal sarcoma were later diagnosed as leiomyomatous hamartoma histologically. The ages at presentation range from the newborn to 10 yr. Six patients presented with an abdominal mass, and four of the tumors were found incidentally at