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Abstract. Forty-six patients with lumbar spondylolysis and mild isthmic spondylolisthesis were managed with direct repair of the defect with or without facet joint fusion in the affected segment. There were 24 males and 22 females, ranging in age from 15 to 56 years (average, 38.2 years). These patients had experienced clinical symptoms due to spondylolysis for between 4 months and 20 years (average,...
Abstract Fifty-seven consecutive patients treated surgically for nonunited fractures of the odontoid process were reviewed. All patients presented late, exhibiting neurological deficits subsequent to nonunion. Delay in presentation was between 6 and 120 months (mean 32 months) after the original injury, due to missed diagnosis or inappropriate management. Seven patients who were reduced in traction...
Forty-seven patients with multiple non-contiguous injuries of the spine were reviewed retrospectively, giving an incidence of 5.4 per cent of 875 spinal injuries. Thirty-three were men and 14 women with an age range of between 16 and 78 years. Twenty-three were treated operatively. The multiple non-contiguous injuries had a more complicated mechanism of injury and tended to be more severe injuries...
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