[ORT-L] Spine injury-1 - Orthopedics Forum


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[ORT-L] Spine injury-1

hselhi at gmail
New User

Sep 30, 2007, 11:59 AM

Post #1 of 4 (858 views)
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[ORT-L] Spine injury-1	Can't Post

Dear All,

I seek your opinion for management of this 16 yr old girl, having suffered
the dislocation of L5-S1 in a road traffic accident. She has partial motor
function, grade 3 in EHL, EDL, Ankle movements, hip flexion and knee flexion
is also Grade 3, anal tone is lax although she has perianal and inner thigh
sensations.

X-ray and MR images are attached for your perusal.

Please ;let me know if u need any further details on evaluation or clinical
or investigations.

Regards

Harpal

Dr Harpal Singh Selhi

(Adult Joint Recon, Sports and Hand Surgery)

Associate Prof of Ortho Surgery,

DMC & Hospital, Ludhiana (INDIA)

Resi:

527-L, Model Town, Ludhiana-141002 (Punjab)

Attachments:

Lateral.jpg (25.9 KB)

lateral-1.jpg (22.6 KB)

mri-4.jpg (64.9 KB)

mri-1.jpg (71.5 KB)

mri-2.jpg (75.9 KB)

mri-3.jpg (71.9 KB)

frg at myfastmail
New User

Sep 30, 2007, 12:52 PM

Post #2 of 4 (858 views)
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Re: [ORT-L] Spine injury-1 [In reply to]	Can't Post

Is a dramatic picture
This patient need anterior boarding, reduction and ALIF surgery.
If the patient have a Frankel C and an ASIA impairment C the surgery is
an imperative goal.
Good look

----- Original message -----
From: "Dr Harpal Singh Selhi" <hselhi@gmail.com>
To: ORT-L@www2.aaos.org
Date: Mon, 1 Oct 2007 00:29:46 +0530
Subject: [ORT-L] Spine injury-1

Dear All,

I seek your opinion for management of this 16 yr old girl, having
suffered
the dislocation of L5-S1 in a road traffic accident. She has partial
motor
function, grade 3 in EHL, EDL, Ankle movements, hip flexion and knee
flexion
is also Grade 3, anal tone is lax although she has perianal and inner
thigh
sensations.

X-ray and MR images are attached for your perusal.

Please ;let me know if u need any further details on evaluation or
clinical
or investigations.

Regards

Harpal

Dr Harpal Singh Selhi

(Adult Joint Recon, Sports and Hand Surgery)

Associate Prof of Ortho Surgery,

DMC & Hospital, Ludhiana (INDIA)

Resi:

527-L, Model Town, Ludhiana-141002 (Punjab)

---
[This E-mail scanned for viruses by Declude Virus]

wdburman at frontiernet
New User

Sep 30, 2007, 1:59 PM

Post #3 of 4 (858 views)
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Re: [ORT-L] Spine injury-1 [In reply to]	Can't Post

For previous OTA List discussions of upper sacral transverse "U"
Roy-Camille Type 2 fxs - i.e.
http://www.hwbf.org/hwb/conf/koer1/rca2.gif

see:
http://www.hwbf.org/hwb/conf/koer1/sacfx.htm
http://www.hwbf.org/hwb/conf/schm1/schm1.htm

Bill Burman, MD
HWB Foundation
http://www.hwbf.org

>Dear All,
>I seek your opinion for management of this 16 yr old girl, having
>suffered the dislocation of L5-S1 in a road traffic accident. She
>has partial motor function, grade 3 in EHL, EDL, Ankle movements,
>hip flexion and knee flexion is also Grade 3, anal tone is lax
>although she has perianal and inner thigh sensations.
>X-ray and MR images are attached for your perusal.
>Please ;let me know if u need any further details on evaluation or
>clinical or investigations.
>Regards
>Harpal
>Dr Harpal Singh Selhi
>(Adult Joint Recon, Sports and Hand Surgery)
>
>Associate Prof of Ortho Surgery,
>DMC & Hospital, Ludhiana (INDIA)
>
>Resi:
>527-L, Model Town, Ludhiana-141002 (Punjab)
---
[This E-mail scanned for viruses by Declude Virus]

paul.kacz at yahoo
New User

Oct 1, 2007, 11:10 AM

Post #4 of 4 (823 views)
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Re: [ORT-L] Spine injury-1 [In reply to]	Can't Post

----- Original Message ----
From: Dr Harpal Singh Selhi <hselhi@gmail.com>
To: ORT-L@www2.aaos.org
Sent: Sunday, September 30, 2007 1:59:46 PM
Subject: [ORT-L] Spine injury-1

Re: [ORT-L] Stoppa Approach Hints?



Dear All,

I seek your opinion for management of this 16 yr old girl, having
suffered the dislocation of L5-S1 in a road traffic accident. She has partial
motor function, grade 3 in EHL, EDL, Ankle movements, hip flexion and knee
flexion is also Grade 3, anal tone is lax although she has perianal and inner
thigh sensations.

X-ray and MR images are attached for your perusal.

Please ;let me know if u need any further details on evaluation or
clinical or investigations.

Regards

Harpal

Dr Harpal Singh Selhi

(Adult Joint Recon, Sports and Hand
Surgery)

Associate Prof of Ortho Surgery,

DMC & Hospital, Ludhiana
( INDIA )

Resi:

527-L, Model
Town , Ludhiana-141002 (
Punjab )

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