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In this study 11 ambulatory patients (mean 10.8 years) with spastic cerebral palsy were each evaluated with instrumented gait analysis at four different centers. After review of the data, each medical director chose from a list of treatment options. The average variability in static range of motion from physical examination ranged from 25 degrees to 50(More)
INTRODUCTION Children with cerebral palsy undergoing soft tissue and bony procedures often experience pain and spasticity postoperatively. Differentiation of pain from spasticity complicates management, so controlling spasticity with a continuous infusion of baclofen, an antispasmodic, through an already present indwelling epidural catheter holds interest.(More)
AIMS Spinal deformity surgery is one of the most complicated procedures performed in pediatric orthopedics. These surgeries can account for long operative times and blood losses. Finding ways to limit patient morbidity undergoing these procedures may benefit many. We hypothesized that utilizing two fellowship trained pediatric spinal deformity surgeons(More)
We review the results of varus osteotomy in 17 patients older than 9 years of age with 18 hips affected by Perthes disease. Seventeen hips were judged as Catterall 3 or 4, and 14 hips had partial or complete loss of the lateral pillar. At an average follow-up of 10 years (4.2-17.8 years), 3 hips were rated Stulberg 1, 3 were Stulberg 2, 4 were Stulberg 3,(More)
Magnetic resonance (MR) imaging is often used to assess the location and degree of ligamentous or cartilage damage in the knee following acute traumatic injury. Occasionally, these studies will also document abnormal signal within the adjacent subchondral bone. These "bone bruises" are considered incidental findings by some, while others suggest possible(More)
The purpose of this study is to review the results of varus osteotomy in patients with cerebral palsy and to determine factors that influence the rates of residual hip displacement. A retrospective chart review of 65 patients who underwent 79 varus osteotomies was performed. Preoperative, postoperative and follow-up radiographs were analyzed for routine(More)
To define the contributions of changes in cell, matrix compartment, and fibrillar collagen volumes to longitudinal bone growth, we measured the differences in cell, pericellular/territorial matrix and interterritorial matrix volumes, and fibrillar collagen concentrations between the upper proliferative and lower hypertrophic zones of the proximal tibial(More)
STUDY DESIGN A biomechanical comparison of a novel spondylolysis repair technique method to established spondylolysis repair constructs accompanied by a case series of 5 adolescent patients with spondylolysis treated with this technique. OBJECTIVES To provide retrospective data on these patients treated with an intralaminar link construct, as well as(More)
Psychosocial characteristics of 95 female patients treated with Milwaukee bracing for idiopathic scoliosis were examined using a battery of five psychosocial scales. Sixty-five patients treated with bracing alone and 30 patients who also underwent arthrodesis for curve progression were compared with 49 age-matched female controls. At an average follow-up of(More)
One hundred and two (92 per cent) of 111 immature patients in whom idiopathic scoliosis had been treated with a Milwaukee brace were followed to determine the effectiveness of the brace in preventing progression of the scoliosis. The average time from cessation of bracing until the latest radiographs were made for the patients who were managed(More)