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Maurice Klippel and Andre Feil first to describe syndrome in 1912 -Characterized by patients with: Short neck Low...

- scoliosis occurs in the majority of patients w/ Marfan's syndrome, (over 60%) but curvatures significant enough to require treatment occur in only 20% of pts; - risk of progression: ...

Michael Vitale, MD
Surgical treatment of spinal conditions is changing at a rapid pace--perhaps more than any other field of orthopaedics. Minimally invasive techniques, new spinal implants, and genetically engineered biologic agents have already altered the practice of spinal surgery and promise to improve patient outcomes. Many studies...

Use of epidural analgesia for pain management after major spinal surgery Kumar et al JOS 2003 11(1) 67-72

Wheeless' Textbook of Orthopaedics
- cardiopulmonary problems (thoracic curves> 60-65 deg alter PFT's; - curves> 90 deg may cause myelopathy & may affect mortality; - progression is unlikely in curves <30 deg ...

Spine fusion remains a common means of achieving stability in spinal surgery. Methods for obtaining fusion involve decortication of the host bed and introduction of a grafting material. Autologous bone has served as the standard material for these procedures in that its three cardinal properties encourage effective bone healing: osteogenic...

Bone Healing and Spinal Fusion from Neurosurgical Focus Posted 02/10/2003 Julie G. Pilitsis, M.D., Ph.D., David R. Lucas, M.D., Setti R. Rengachary, M.D. Abstract Bone is a tissue that constantly undergoes deposition, resorption of stromal matrix, and remodeling. These processes may be altered by a variety of chemical, mechanical, cellular, and pathological mechanisms. Understanding the...

Wheeless' Textbook of Orthopaedics
bracing has been the mainstay of non operative treatment of significant curves which have a potential to progress; - progression is related to size of curve, area of spine involved, & physiologic age of child;

Wheeless' Textbook of Orthopaedics
- vital capacity <75% (of predicted values) is seen in thoracic curves> 75 deg; - significant reductions in pulmonary function are seen in curves> 80 deg; - although some effect on pulmonary function can...

Wheeless' Textbook of Orthopaedics
are most frequent at C 6-7 level but also occur at C 5-6 & to a lesser extent at C4-5 & other levels; - in relatively younger persons soft disk protrussion is more common than hard disk protrussion;

Wheeless' Textbook of Orthopaedics
Notes on treatment and references

Wheeless' Textbook of Orthopaedics
See also: - Crankshaft Phenomenon: - Epiphysiodesis - Hemivertebrae: - Pathogenesis -...

Wheeless' Textbook of Orthopaedics
Sciolosis: - w/ a mobile lumbar or thoracolumbar curve, CD instrumentation can provide permanent derotation and restoration of lumbar lordosis and thoracic kyphosis; - in other...

Wheeless' Textbook of Orthopaedics
in skeletally immature pt, isolated posterior arthrodesis w/ instrumentation of a lordotic curve may act as a posterior tethering bar, producing lordosis & bending of the fusion mass as the unfused anterior vertebral bodies continue to grow;

Wheeless' Textbook of Orthopaedics
also known as Forestier's disease; - disease involves non-marginal syndesmophytes present at at three successful vertebral levels; - commonly there will be no disc & joint narrowing & nor osteoarthritis; ...