Raphael Vialle

..This anatomical study of the ninth, tenth, and eleventh intercostal nerves in posterior intercostal space and lateral intercostal space appears to us to allow the realization of a reliable surgical harvesting...

..However, the high rates of neurological and infectious complications preclude recommendation of this technique in its present form...

..These vascular landmarks make it easier to locate the muscular cleavage plane and reach the articular and transverse processes during the paraspinal approach...

..We report our experience of five cases in adolescents with spastic quadriplegia who had primarily sagittal plane deformity with hyperlordosis of the lumbar spine, an uncommon condition in cerebral palsy spinal deformity...

..The authors studied the anatomy of the ninth, 10th, and 11th intercostal nerves to obtain descriptive and topographic anatomical data to aid in establishing optimal conditions for harvesting...

..These surgical procedures made according to strict rules, give excellent functional results and make it possible to carry out a strictly normal adult life...

..This validated measurement technique could be now used to measure the main parameters of the sagittal balance of the spine in further studies on spondylolisthesis patients...

..Retrospective case series...

..Continuous retrospective series...

..In case of L5 anterior slipping, it is crucial to assess the L5S1 disc by MRI or surgical exploration for disc disruption. In such case, we recommend to perform circumferential fusion to prevent lumbosacral pseudarthrodesis...

..Finally, rapid intrusion of this extraspinal tumor into the dural sheath resulted in a confusing clinical picture and delayed the diagnosis and treatment of the tumor...

..Reduction must be carried out as soon as possible and is achieved easily, although if the labrum is involved, surgery may be required to achieve complete reduction...

..Then, the location of the muscular cleft can be found by identifying the perforating vessels leaving the anatomical inter-muscular space...

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..One case of partial necrosis had a satisfactory outcome. Epiphyseal necrosis, though uncommon, appeared to be inconsistent to prevent and hard to predict. Bone scan seems to be more effective than MRI for the detection of necrosis...

..At final follow-up, the patient was asymptomatic and resumed all his activities. In skeletally immature patients, we think that conservative treatment should be considered as a treatment option for this unusual injury...

..Lateral traumatic lumbosacral dislocation is a rare and severe lesion of the lumbosacral junction. Only one case has been reported in the literature. We report a new case of pure lateral lumbosacral dislocation...

..Retrospective study...

..Other spinal locations are described in the literature, and frequency of recurrence is stressed. A vertebrectomy is advised to reduce the risk of local recurrence...

..We also clarify the clinical and radiographic correlates of a new parameter for S1 dystrophy, the "S1 index"...

..Specific axonal tracing holds promise of being a useful technique for examining sensory and motor pathway recovery after neurotization in the sheep model...

..Descriptive anatomy. OBJECTIVE.: To describe the anatomy associated with the extensive transmuscular paraspinal approach required to perform multiple intercosto-lumbar neurotizations...

..Further studies are needed to precise the exact location of most frequent vertebral deformities...

..The results of a prospective series of 62 patients treated for neuromuscular spinal deformities with spinopelvic fixation using iliosacral screws are presented and discussed...

..The anatomical feasibility of such neurotizations in humans has already been reported. We propose to assess axonal regrowth after intercostal to lumbar neurotization in a sheep model...

..A well-defined morphological criterion, the "S1 index," strongly correlated with the severity and stiffness of lumbosacral spondylolisthesis...

..Results were compared to a prospective cohort of 62 patients treated for neuromuscular spinal deformities by spinopelvic fixation using iliosacral screws...

..We performed spinal fusion by posterior approach only, after a preoperative period of halo-traction. The final correction depends on the preoperative reducibility. We noted a functional and respiratory improvement in all the cases...

..The result is not optimal but a satisfactory global sagittal balance of the trunk, even in the most severe grade of slipping...

..The objective of this study was to report a multicentric study of nine cases of children presenting with a birth-related spinal injury...

..Surgical correction is a demanding procedure which can be performed by a posterior approach. It is mandatory to analyse the spino-pelvic balance to avoid iliac retroversion and the loss of the role of the ischia in the sitting position...

..Magnetic resonance imaging (MRI) quantification of the rotation of the spinal cord in patients with thoracic idiopathic scoliosis could also be used to detect different spinal cord rotational patterns...

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..The Caton-Deschamps index to measure patellar height has been described for adults. Our goal was to determine Caton-Deschamps index values in a pediatric population...

..The role of the posterior talofibular ligament (PTFL) in the clubfoot deformity remains unclear. We conducted an anatomical study to precise its topography and role in maintaining tibiotalar equinus in patients with clubfoot deformity...

..The rapid and complete reduction of the epiphysis displacement was shown to be responsible for this complication. We present the preliminary results of a progressive reduction technique of epiphysis displacement...

..This vascular lesion caused considerable disturbances of proprioception. The course was favorable with regard to the deformity after correction and fusion by posterior approach...

..The results of this approach are presented and discussed...

..Intervertebral calcifications are rare in the paediatric population. Two cases of children with symptomatic intervertebral calcifications responsible for spinal cord compression and neurological compromise are presented...

..To report a multicenter study of nine cases of children presenting with a birth-related spinal injury...

..Experimental animal study...

..Application and assessment of the usefulness of image transfer through a mobile telephone in pediatric orthopaedic practice was investigated...

..Traumatic transepiphyseal separation of the upper femoral epiphysis is a rare lesion of the hip in children...

..We present the results of the use of a protocol of inhalational oxygen/nitrous oxide mixtures associated with oral opioids on a prospective cohort of 33 children undergoing local care for acute but limited burned skin lesions...

..Anatomical landmarks for sciatic nerve blockade are poorly described in children. In adults, the site of puncture of the high approach is located at least 10 cm above the popliteal skin crease...

..Various treatment options are in use to address severe knee flexion contractures in children. Their success depends on an adequate selection of the proper one applying to each individual anatomical situation...

..Retrospective review of three cases.Objectives:Severe trauma can be responsible for a complete spinal anterior dislocation with a 100% anterior slip of the vertebral body. Three cases of this uncommon lesion are reported...