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Browsing ORT - Artigos by Subject "Aged, 80 and over"
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- Adjacent Bi-Level Bilateral Pedicle Stress Fractures After Instrumented Posterolateral Lumbar Fusion - a Case Report and Review of the LiteraturePublication . Jorge, JP; Carvalho, NIsolated bilateral pedicle stress fractures of the lumbar spine are rare events, and few cases are reported in the literature. Their occurrence is commonly related to post-operative complications of spine instrumentation but can also be associated with stress-related activities, degenerative spine conditions, trauma and other miscellaneous causes. The authors report a case of adjacent bi-level bilateral pedicle fracture that developed 5 years after an instrumented posterolateral lumbar fusion. We believe that this has never been described before, and we reviewed the current literature pertaining this subject.
- Complications Relating to Accuracy of Reduction of Intertrochanteric Fractures Treated with a Compressive Hip ScrewPublication . Guerra Pinto, F; Dantas, P; Moreira, R; Mamede, R; Amaral, LIntertrochanteric fracture is the most frequent type of fracture in the proximal femur and the compressive hip screw is one of the most popular methods of treatment. The reduction criteria for this type of fracture are ill-defined. The purpose of this study was to validate 3 reduction criteria: displacement, alignment in the anteroposterior and in the lateral plane. We reviewed a cohort of 430 intertrochanteric fractures treated with a compression hip screw. The type of fracture, quality of reduction and technical complications were noted. We observed a relationship between accuracy of reduction and the incidence of complications, even among fractures of the same severity. A displacement bigger than 4mm and failure to accomplish correct alignment (a neck-shaft angle over 125 masculine and less than 20 degrees angulation on the lateral view) was considered a poor reduction and was associated with more complications.