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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1-2
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pubmed:dateCreated |
1980-3-27
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pubmed:abstractText |
Fracture of the distraction rod is one of the complications following operative treatment of scoliosis by the device of Harrington. It is reported to occur in about 7% of cases. We found this complication twice in our own number of 41 patients during a follow up period of 1 to 4 years. The rods had broken 18 and 23 months after operation, but we never saw a breakage in the 1st postoperative year during the time of cast fixation. The fracture surfaces of each rod were examined under the scanning electron microscope. In one case a fatigue fracture with two beginnings at the opposite sides of the rod was found in combination with a forced fracture in the middle. The number of alterations of load from the beginning of the fracture to the complete breakage was about 10,000. The X-ray showed a loss of correction in the curve of 20 degrees with a pseudoarthrosis visible in the fusion. In the other case a typical pure fatigue fracture was seen 23 months after the operation with 18,000 alterations of load. The X-ray showed only a slight loss of correction of less than 5 degrees and no pseudoarthrosis was visable, neither in the X-ray nor in the operative exploration of the fusion. The breakage of the distraction rod results not only from a pseudoarthrosis but also from other explained facts of the procedure. Further treatment depends on a proven pseudoarthrosis.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0344-8444
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
95
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
113-22
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pubmed:dateRevised |
2008-2-21
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pubmed:meshHeading |
pubmed-meshheading:526122-Adolescent,
pubmed-meshheading:526122-Adult,
pubmed-meshheading:526122-Casts, Surgical,
pubmed-meshheading:526122-Child,
pubmed-meshheading:526122-Humans,
pubmed-meshheading:526122-Male,
pubmed-meshheading:526122-Microscopy, Electron, Scanning,
pubmed-meshheading:526122-Orthopedic Fixation Devices,
pubmed-meshheading:526122-Scoliosis,
pubmed-meshheading:526122-Spinal Fusion
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pubmed:year |
1979
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pubmed:articleTitle |
Damage analysis of the Harrington rod fracture after scoliosis operation.
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pubmed:publicationType |
Journal Article,
Case Reports
|