Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 26
Filtrar
1.
Meteorit Planet Sci ; 55(2): 352-375, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-32214784

RESUMO

NASA's Genesis Mission returned solar wind (SW) to the Earth for analysis to derive the composition of the solar photosphere from solar material. SW analyses control the precision of the derived solar compositions, but their ultimate accuracy is limited by the theoretical or empirical models of fractionation due to SW formation. Mg isotopes are "ground truth" for these models since, except for CAIs, planetary materials have a uniform Mg isotopic composition (within ≤1‰) so any significant isotopic fractionation of SW Mg is primarily that of SW formation and subsequent acceleration through the corona. This study analyzed Mg isotopes in a bulk SW diamond-like carbon (DLC) film on silicon collector returned by the Genesis Mission. A novel data reduction technique was required to account for variable ion yield and instrumental mass fractionation (IMF) in the DLC. The resulting SW Mg fractionation relative to the DSM-3 laboratory standard was (-14.4‰, -30.2‰) ± (4.1‰, 5.5‰), where the uncertainty is 2Æ¡ SE of the data combined with a 2.5‰ (total) error in the IMF determination. Two of the SW fractionation models considered generally agreed with our data. Their possible ramifications are discussed for O isotopes based on the CAI nebular composition of McKeegan et al. (2011).

2.
Meteorit Planet Sci ; 54(5): 1069-1091, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31080342

RESUMO

In a consortium analysis of a large particle captured from the coma of comet 81P/Wild 2 by the Stardust spacecraft, we report the discovery of a field of fine-grained material (FGM) in contact with a large sulfide particle. The FGM was partially located in an embayment in the sulfide. As a consequence, some of the FGM appears to have been protected from damage during hypervelocity capture in aerogel. Some of the FGM particles are indistinguishable in their characteristics from common components of chondritic-porous interplanetary dust particles (CP-IDPs), including glass with embedded metals and sulfides (GEMS) and equilibrated aggregates (EAs). The sulfide exhibits surprising Ni-rich lamellae, which may indicate that this particle experienced a long-duration heating event after its formation but before incorporation into Wild 2.

3.
Astrophys J Lett ; 851(No 1)2017 Dec 10.
Artigo em Inglês | MEDLINE | ID: mdl-29657703

RESUMO

We compare element and isotopic fractionations measured in solar wind samples collected by NASA's Genesis mission with those predicted from models incorporating both the ponderomotive force in the chromosphere and conservation of the first adiabatic invariant in the low corona. Generally good agreement is found, suggesting that these factors are consistent with the process of solar wind fractionation. Based on bulk wind measurements, we also consider in more detail the isotopic and elemental abundances of O. We find mild support for an O abundance in the range 8.75 - 8.83, with a value as low as 8.69 disfavored. A stronger conclusion must await solar wind regime specific measurements from the Genesis samples.

4.
Nat Commun ; 7: ncomms11851, 2016 06 14.
Artigo em Inglês | MEDLINE | ID: mdl-27299793

RESUMO

From mid-Ordovician ∼470 Myr-old limestone >100 fossil L-chondritic meteorites have been recovered, representing the markedly enhanced flux of meteorites to Earth following the breakup of the L-chondrite parent body. Recently one anomalous meteorite, Österplana 065 (Öst 65), was found in the same beds that yield L chondrites. The cosmic-ray exposure age of Öst 65 shows that it may be a fragment of the impactor that broke up the L-chondrite parent body. Here we show that in a chromium versus oxygen-isotope plot Öst 65 falls outside all fields encompassing the known meteorite types. This may be the first documented example of an 'extinct' meteorite, that is, a meteorite type that does not fall on Earth today because its parent body has been consumed by collisions. The meteorites found on Earth today apparently do not give a full representation of the kind of bodies in the asteroid belt ∼500 Myr ago.

5.
Opt Express ; 20(10): 10750-60, 2012 May 07.
Artigo em Inglês | MEDLINE | ID: mdl-22565699

RESUMO

We experimentally and numerically investigated the impact of input pump pulse duration on the near-infrared bandwidth of supercontinuum generation in a photonic crystal fiber. We continuously stretched the temporal duration of the input pump laser (centered at 1030 nm) pulses from 500 fs up to 10 ps, while keeping fixed the pump peak power. We observed that the long-wavelength edge of the supercontinuum spectrum is increased by 200 nm as the pump pulse duration grows from 500 fs to 10 ps. We provide a quantitative fit of the experimental results by means of numerical simulations. Moreover, we have explained the observed spectral broadening enhancement induced by pump pulse energy by developing an approximate yet fully analytical model for soliton energy exchange through a series of collisions in the presence of stimulated Raman scattering.


Assuntos
Espectroscopia de Luz Próxima ao Infravermelho , Análise Espectral Raman/métodos , Cristalização , Desenho de Equipamento , Tecnologia de Fibra Óptica , Raios Infravermelhos , Lasers , Modelos Estatísticos , Fibras Ópticas , Fótons , Espalhamento de Radiação , Fatores de Tempo
6.
Int J Biomed Imaging ; 2008: 752340, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18385813

RESUMO

Spectroscopic optical coherence tomography (spectroscopic OCT) is an echographic-like optical method for biomedical functional imaging. Current spectroscopic optical coherence tomography (OCT) methods rely on a posteriori numerical calculation. We present an alternative for optically accessing the spectroscopic information in OCT, that is, without postprocessing, by using a grating-based correlation and a wavelength demultiplexing system. Spectrally resolved A-scan is directly recorded on the image sensor. Due to the grating-based system, no correlation scan is necessary. The signal is registered in the wavelength-depth plane on a 2D camera that provides a large number of resolved points. In the frame of this paper, we present the principle of the system as well as demonstration results. Advantages and drawback of this system compared to others are discussed.

7.
Opt Lett ; 26(11): 768-70, 2001 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-18040444

RESUMO

We report laboratory tests of an all-guided stellar interferometer used for optical aperture synthesis. In anticipation of use of the interferometer in space missions, this research is focused especially on compactness of the recombining device. The coherent transport and delay lines are implemented with polarization-maintaining fiber. Beam recombination is achieved by means of an integrated optics component. This two-arm interferometer operates at 670-nm mean wavelength and allows for a 24-cm correction for the differential air path.

8.
Spine (Phila Pa 1976) ; 25(14): 1795-802, 2000 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-10888948

RESUMO

STUDY DESIGN: A radiographic assessment has been developed to include coronal, sagittal, and axial parameters. OBJECTIVE: To determine the correlation of postoperative radiographic results and percentage postoperative radiographic improvement with patient clinical self-assessment. SUMMARY OF BACKGROUND DATA: With the increasing interest in outcome studies, the authors wanted to determine whether Scoliosis Research Society clinical questionnaire results would correlate with objective radiographic improvement. INCLUSION CRITERIA: adolescent idiopathic scoliosis treated with anterior or posterior instrumentation, a solid fusion, minimum 2-year follow-up, and a completed postoperative Scoliosis Research Society questionnaire. Seventy-eight patients met the criteria. Measurements included in the radiographic score: Cobb angles of the coronal curve, C7 to the center sacral vertical line, apical translation, apical vertebral rotation, T1 rib angle, end-instrumented vertebrae angulation, angulation of the disc below the end-instrumented vertebra, and curve type. Sagittal measurements included T2-T12, T5-T12, T2-T5, T12-L2, and L1-S1. RESULTS: The preoperative radiographic score of these 78 patients was mean 60.1 +/- 9.7 (range 41-88, maximum radiographic score, 100). The 2-year postoperative radiographic score was mean 83.8 +/- 8.8 (range, 65-100). The median Scoliosis Research Society questionnaire score was 98 +/- 12.3 (range, 58-116, maximum score, 125, showing that the patient is highly satisfied and asymptomatic). The postoperative radiographic score versus the questionnaire score showed a Spearman rank correlation of 0.04 (P = 0.68, little or no correlation throughout). Percentage improvement of the radiographic score versus the questionnaire score showed a Spearman rank correlation of 0.1 (P = 0.38, little or no correlation throughout). CONCLUSION: In this initial group of patients, the radiographic assessment shows a significant improvement between preoperative and 2-year postoperative scores. However, little correlation between the radiographic assessment and the questionnaire scores was found in this adolescent population, suggesting that separate analyses of radiographic and clinical outcome data are required when evaluating results of postoperative scoliosis surgery.


Assuntos
Satisfação do Paciente , Escoliose/diagnóstico por imagem , Adolescente , Adulto , Criança , Feminino , Seguimentos , Humanos , Masculino , Radiografia , Escoliose/cirurgia , Fusão Vertebral/instrumentação , Fusão Vertebral/métodos , Inquéritos e Questionários , Resultado do Tratamento
9.
Spine (Phila Pa 1976) ; 24(8): 795-9, 1999 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-10222531

RESUMO

STUDY DESIGN: For this retrospective study, preoperative and postoperative radiographs of posterior spinal fusions for idiopathic scoliosis were reviewed. OBJECTIVES: To determine the prevalence and possible causes of proximal kyphosis after posterior spinal fusion for idiopathic scoliosis. SUMMARY OF BACKGROUND DATA: Proximal kyphosis has been anecdotally noted after the insertion of Harrington rods and after use of the new posterior multisegmented hook/rod systems. In this study no attempt was made to determine whether this condition is painful or an adverse outcome for the patient or just a radiographic abnormality; however, it is suspected that this may be a problem in the long term, and it may be worthwhile to try to avoid it if predictive values can be ascertained. METHODS: Patients with adolescent idiopathic scoliosis who had undergone posterior spinal fusion not extending above T3 with good-quality radiographs of the proximal thoracic spine and a minimum 2-year follow-up were studied. Of the 106 patients who underwent posterior spinal fusion from 1990 through 1994, 69 met the inclusion criteria. Abnormal kyphosis from T2 to the proximal level of the instrumented fusion was defined as kyphosis of more than 5 degrees above the summed normal angular segments. RESULTS: Of 69 patients, 37 (54%) had normal proximal kyphosis, and 32 (46%) of the 69 were defined as having abnormal proximal kyphosis. In the 32 patients with abnormal proximal kyphosis, the measurement from T2 to the fusion was 10.3 degrees before surgery and 21.2 degrees after surgery. The normal group had kyphosis measuring 2.7 degrees from T2 to fusion before surgery and 5.3 degrees after surgery (P < 0.00001). Junctional kyphosis in the kyphosis group measured 6.5 degrees before surgery and 12.6 degrees after surgery, compared with normal kyphosis of 1.7 degrees and 2.6 degrees, respectively (P < 0.00001). When analyzing who would develop proximal kyphosis, preoperative one-level junctional kyphosis of more than 5 degrees above the proposed proximal instrumented vertebrae was shown to have the highest sensitivity (78%) and specificity (84%). CONCLUSIONS: In this study, 32 (46%) of 69 patients had abnormal proximal kyphosis after undergoing posterior spinal fusion. A preoperative junctional kyphosis of more than 5 degrees above the proposed proximal instrumented vertebrae indicates that extending the fusion to a higher level in the thoracic spine would be beneficial in avoiding this problem.


Assuntos
Cifose/etiologia , Escoliose/cirurgia , Fusão Vertebral/efeitos adversos , Vértebras Torácicas , Adolescente , Progressão da Doença , Feminino , Seguimentos , Humanos , Cifose/diagnóstico por imagem , Cifose/epidemiologia , Masculino , Prevalência , Radiografia Torácica , Estudos Retrospectivos , Vértebras Torácicas/diagnóstico por imagem , Vértebras Torácicas/cirurgia
10.
Science ; 282(5392): 1284-9, 1998 Nov 13.
Artigo em Inglês | MEDLINE | ID: mdl-9812886

RESUMO

On the basis of anomalous isotopic compositions of oxygen and magnesium, 14 oxide grains from two primitive meteorites (Bishunpur and Semarkona) have been identified as circumstellar condensates. One corundum grain has a high 18O/16O ratio and isotopic compositions of magnesium, calcium, and titanium that are compatible with a formation in ejecta of a type II supernova that was about 15 times the mass of the sun. The other grains have oxygen, magnesium, and titanium compositions that are consistent with a formation around asymptotic giant branch (AGB) stars with a range of mass and initial composition. The large range of aluminum/magnesium in circumstellar corundum and spinel is considered to reflect various stages of back-reaction between condensed corundum and gaseous magnesium in cooling stellar ejecta.


Assuntos
Astronomia , Meteoroides , Oxigênio/análise , Alumínio/análise , Fenômenos Astronômicos , Magnésio/análise , Óxidos/análise , Isótopos de Oxigênio/análise , Titânio/análise
11.
Stroke ; 26(8): 1399-403, 1995 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-7631344

RESUMO

BACKGROUND AND PURPOSE: We sought to examine the frequency and clinical relevance of intracranial artery stenoses in patients with bacterial meningitis in whom the occurrence of stroke has angiographically been reported to be associated with stenoses or occlusions of the large basal cerebral arteries. METHODS: Thirty-five unselected patients (24 men, 11 women; mean age, 51 +/- 18 years) with bacterial (n = 33) or fungal (n = 2) meningitis prospectively underwent serial transcranial Doppler sonography recordings of mean blood velocity (MBV) and pulsatility index in the middle (MCA) and anterior (ACA) cerebral arteries, as well as recordings of the ratio of the MBV of the MCA and internal carotid artery (MCA/ICA ratio) on days 1, 3, 5, 8, 14, and 21 after admission. The results were correlated with the Glasgow Coma Scale (days 1 to 14), the occurrence of focal cerebral signs, and the Glasgow Outcome Scale (short-term outcome, day 21). An MCA stenosis was diagnosed by an MBV of 120 cm/s or more or an MCA/ICA ratio of more than 3. An ACA stenosis was diagnosed by an MBV of 100 cm/s or more. RESULTS: Transient stenoses occurred most frequently between days 3 and 5 and were detected in 18 patients (51%). Seventeen patients remained without a stenosis. Patients with stenoses showed a significantly poorer mean Glasgow Coma Scale score from day 3 (9 +/- 4) to day 14 (11 +/- 4) than patients without a stenosis (day 3: 13 +/- 4, P < .01 by t test; day 14: 14 +/- 1, P < .05). The mean Glasgow Outcome Scale score was not significantly different between both groups. The occurrence of mainly transient focal cerebral signs was significantly related to the number of narrowed vessels per patient (P < .05, chi 2 test). CONCLUSIONS: Stenoses of the intracranial arteries occur frequently in bacterial meningitis and are associated with a complicated course of the disease.


Assuntos
Doenças Arteriais Cerebrais/etiologia , Meningites Bacterianas/complicações , Meningite Fúngica/complicações , Adulto , Idoso , Doenças Arteriais Cerebrais/diagnóstico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Ultrassonografia Doppler
12.
Arch Neurol ; 52(5): 451-5, 1995 May.
Artigo em Inglês | MEDLINE | ID: mdl-7733838

RESUMO

OBJECTIVE: To determine whether treatment with the levorotatory form of hydroxytryptophan (L-5-hydroxytryptophan), a controversial experimental drug, can improve the conditions of patients with ataxia. DESIGN: A double-blind crossover study with the levorotatory form of hydroxytryptophan was performed in 39 patients with degenerative cerebellar diseases. SETTING: Patients were selected from an ongoing prospective follow-up study at two university hospitals. PATIENTS: We studied 19 patients with Friedreich's ataxia, 13 with cerebellar atrophy, and seven with olivoponto-cerebellar atrophy. INTERVENTION: The levorotatory form of hydroxytryptophan was given orally in a dose of 1000 mg/d. Each treatment phase, with the levorotatory form of hydroxytryptophan or the placebo, lasted 10 months, after which the treatment of patients was crossed over to the other phase. MAIN OUTCOME MEASURES: Ataxia was documented and quantified by using a clinical score, posturography, and measurement of grip force and the rapid-syllable repetition rate. RESULT: The levorotatory form of hydroxytryptophan had no significant effect on cerebellar symptoms. CONCLUSION: Long-term treatment with a high dose of the levorotatory form of hydroxytryptophan does not improve the conditions of patients with ataxia.


Assuntos
5-Hidroxitriptofano/uso terapêutico , Ataxia Cerebelar/tratamento farmacológico , 5-Hidroxitriptofano/análogos & derivados , Ataxia Cerebelar/fisiopatologia , Estudos Cross-Over , Método Duplo-Cego , Força da Mão , Humanos , Postura , Desempenho Psicomotor , Fala
14.
Spine (Phila Pa 1976) ; 18(12): 1593-8, 1993 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-8235837

RESUMO

In adolescent idiopathic scoliosis the cosmetically unacceptable rib prominence is one of the main reasons patients seek treatment. Ninety-eight patients were reviewed with Cotrel-Dubousset (CD) instrumentation (average follow-up, 27 months; average preoperative curve, 53 degrees) and 27 patients with Harrington instrumentation and rib resection (average follow-up, 43 months; average preoperative curve, 52 degrees). Of the 98 patients who had CD instrumentation, 15 underwent concomitant rib resection. Of the 83 patients without rib resection, 71 (72%) were rated satisfactory and 12 unsatisfactory by cosmetic criteria based on residual rib deformity. These results were compared to those of 27 patients receiving Harrington rod instrumentation and rib resection, of whom 23 (85%) were rated as satisfactory. All 15 patients with CD and rib resection were rated satisfactory. The CD patients were then redivided into two groups (rib resection indicated or rib resection not indicated) as follows: the 12 unsatisfactory CD patients without rib resection (in whom a rib resection should have been done) were grouped with the 15 CD patients who underwent rib resection, for a total of 27 rib resections indicated, or 28%. This group was compared to the 71 satisfactory CD patients without rib resection (rib resection not indicated). Patients with a rib prominence of > 15 degrees preoperatively had or should have had a rib resection. Patients with a higher chance of needing rib resection included those with a curve severity greater than 60 degrees, curve flexibility less than 20%, a preoperative rib prominence > 10 degrees, or intraoperative curve correction of less than 50%.


Assuntos
Dispositivos de Fixação Ortopédica , Costelas/cirurgia , Escoliose/terapia , Adolescente , Adulto , Criança , Feminino , Seguimentos , Humanos , Masculino , Complicações Pós-Operatórias , Radiografia Torácica , Costelas/diagnóstico por imagem , Escoliose/diagnóstico por imagem
15.
J Neurol ; 240(3): 168-76, 1993.
Artigo em Inglês | MEDLINE | ID: mdl-8482990

RESUMO

The follow-up of neurophysiological tests (brain-stem auditory evoked potentials; blink reflex; sensory, motor and visual evoked potentials) and CT was investigated in 21 patients with late-onset cerebellar ataxia (CA) or multiple system atrophy. The study included an initial investigation and a follow-up examination on average 25.3 months later (minimum 8, maximum 36). Patients were divided into four groups: (1) those with pure CA after a minimum course of 5 years; (2) those with pure CA with pathological neurophysiological findings at the last examination; (3) those who at the first examination clinically presented with pure CA, but at the last examination were seen to have developed a multisystem disorder; (4) those with multiple system atrophy (mostly olivopontocerebellar atrophy) presenting additional non-cerebellar signs of involvement. Conforming to a strict interpretation of pure CA, group 1 patients invariably exhibited normal neurophysiological findings at all examinations. All patients in group 4, except for 2 only at the first examination, showed pathological changes in at least one of the neurophysiological tests. The main conclusion of this paper is that individuals who according to clinical criteria were initially classified as having CA but finally developed a multisystem disorder already had pathological neurophysiological findings at the initial examination (group 3). The increasing frequency of pathology in the several neurophysiological tests together with the progression of the disease is obviously of prognostic significance. CT revealed cerebellar atrophy without apparent involvement of brain-stem structures in all patients with CA; the majority of patients with multiple system atrophy also had atrophy of the brain-stem, pointing to olivopontocerebellar atrophy.(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Encéfalo/patologia , Ataxia Cerebelar/fisiopatologia , Adulto , Atrofia/diagnóstico por imagem , Atrofia/fisiopatologia , Piscadela/fisiologia , Encéfalo/fisiopatologia , Ataxia Cerebelar/diagnóstico por imagem , Potenciais Evocados/fisiologia , Feminino , Seguimentos , Humanos , Masculino , Estudos Prospectivos , Fatores de Tempo , Tomografia Computadorizada por Raios X
16.
Nervenarzt ; 63(6): 352-8, 1992 Jun.
Artigo em Alemão | MEDLINE | ID: mdl-1635618

RESUMO

The value of brain CT-scan, magnetic resonance imaging (MRI) and angiography for diagnosis, differential diagnosis and follow up in Neuro-Behçet-Syndrome is assessed in 5 cases. Three of the patients presented with clinical signs of encephalitis. Further investigations led to the diagnosis of Behçet-Syndrome. CT-scan was negative in two of these cases, but MRI showed multiple, predominantly periventricular lesions with high signal intensity on T2-weighted spin-echo images in all three. Clinical symptoms improved with steroid and chlorambucil therapy in all three cases. In two patients the MRI-lesions resolved at least partially after 1.5 and 3 years of treatment respectively. In one patient the initial MRI-findings were still present after 7 months of treatment. The other two patients presented with headache, papilledema and increased CSF-pressure. The cause was superior sagittal sinus thrombosis, confirmed by angiography in both cases. Additional symptoms appeared later and led to the diagnosis of Behçet syndrome. One patient died of pulmonary aneurysms 28 months after the diagnosis had been established. The course of disease of the remaining patient is so far favorable.


Assuntos
Síndrome de Behçet/diagnóstico , Encefalite/diagnóstico , Imageamento por Ressonância Magnética , Exame Neurológico , Trombose dos Seios Intracranianos/diagnóstico , Tomografia Computadorizada por Raios X , Adulto , Síndrome de Behçet/tratamento farmacológico , Diagnóstico Diferencial , Seguimentos , Humanos , Imunossupressores/uso terapêutico , Masculino , Pessoa de Meia-Idade
18.
Nervenarzt ; 63(2): 95-100, 1992 Feb.
Artigo em Alemão | MEDLINE | ID: mdl-1565175

RESUMO

Twenty patients diagnosed as suffering from autosomal dominant or idiopathic late onset cerebellar ataxia were investigated clinically, by means of neurophysiological tests (blink reflex, BAEP, SEP, MEP, VEP) and CT scan. Twelve patients presented with a pure cerebellar ataxia (CA) after a disease duration of at least five years (mean disease duration ten years). Eight patients presented with additional non-cerebellar signs of involvement; hence the disease was classified as olivo-ponto-cerebellar atrophy (OPCA). Eight of the twelve patients with CA already exhibited pathological results in at least one of the neurophysiological tests as subclinical evidence of a lesion beyond the cerebellum. Three of these patients showed an atrophy of brainstem structures in addition to the cerebellar atrophy. The ongoing prospective follow-up study will show whether these signs of subclinical involvement of non-cerebellar pathways are predictive for the development of a multi-system disorder in terms of OPCA. In cases of CA with subclinical signs of a lesion beyond the cerebellum there may be no clinical, non-cerebellar signs for a multisystem disorder even within a disease duration of up to fifteen years.


Assuntos
Ataxia Cerebelar/diagnóstico , Eletroencefalografia , Atrofias Olivopontocerebelares/diagnóstico , Degenerações Espinocerebelares/diagnóstico , Tomografia Computadorizada por Raios X , Adulto , Idoso , Ataxia Cerebelar/fisiopatologia , Cerebelo/diagnóstico por imagem , Cerebelo/fisiopatologia , Potenciais Evocados/fisiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Exame Neurológico , Atrofias Olivopontocerebelares/fisiopatologia , Prognóstico , Degenerações Espinocerebelares/fisiopatologia
19.
Spine (Phila Pa 1976) ; 16(7): 769-77, 1991 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-1925753

RESUMO

From 1985 to 1987, 82 patients with idiopathic scoliosis followed 12 to 44 months underwent selective fusion and correction of their right thoracic curves by Cotrel-Dubousset instrumentation using the "derotation" maneuver. Preoperative, postoperative, and follow-up standing anteroposterior roentgenograms of the spine were analyzed. For curves in which there was deviation from the midline (plumb line) and rotation of the lumbar segments, an increased incidence of decompensation was produced after surgery, when posterior Cotrel-Dubousset instrumentation and fusion were carried to the "stable" vertebra with one rod bend and hook alignment on the left sided derotation rod. Previous guidelines established for selective fusion with conventional posterior instrumentation (Harrington or Luque rods) may not be applicable to derotation with Cotrel-Dubousset instrumentation.


Assuntos
Fixadores Internos , Escoliose/cirurgia , Fusão Vertebral/métodos , Adolescente , Feminino , Humanos , Masculino , Radiografia , Escoliose/diagnóstico por imagem , Fusão Vertebral/instrumentação
20.
Spine (Phila Pa 1976) ; 15(9): 921-6, 1990 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-2259982

RESUMO

One hundred sixty patients with idiopathic scoliosis underwent preoperative and postoperative sagittal plane analysis of the thoracic spine, thoracolumbar junction, and lumbar spine. The data suggest that mild to moderate improvements in thoracic hypokyphosis are possible. When crossing the thoracolumbar junction, reversal of rod bend and reversal of hooks on the derotation rod appears to provide the most physiologic sagittal contour. Cotrel-Dubousset instrumentation to the mid and distal lumbar spine can preserve and, at times, enhance lumbar lordosis.


Assuntos
Vértebras Lombares/cirurgia , Dispositivos de Fixação Ortopédica , Escoliose/cirurgia , Fusão Vertebral/instrumentação , Vértebras Torácicas/cirurgia , Adolescente , Adulto , Seguimentos , Humanos , Radiografia , Escoliose/diagnóstico por imagem , Fatores de Tempo
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...