In such procedures as the Harrington operation for idiopathic scoliosis, evaluation of spinal cord function is advisable immediately after the back is straightened. The authors have used hypnosis for this procedure, as an adjunct to anesthetic management. Patients are awakened on the table, given lower extremity tests, and are then reanesthetized. The incidence of postoperative pain and other discomfort is also reduced by hypnosis.
Acta Chirurgiae Orthopaedicae Et Traumatologiae Cechoslovaca
The case of a female patient with conversion scoliosis is described. At 24 years, the patient underwent surgery for herniated disks in the L4-L5 and L5-S1 regions and a short-time relief was achieved. At age 28, she was admitted to our department because of severe pain and antalgic posture. Because radiographs of her spine showed no findings corresponding to her symptoms, psychological examination was indicated. This revealed traumatic emotional experience in her family of origin and later also in her foster family, which unfavorably affected her married life.
In this study we compared the effects of propofol, small-dose isoflurane, and nitrous oxide (N(2)O) on cortical somatosensory evoked potentials (SSEP) and bispectral index (BIS) monitoring in adolescents undergoing spinal fusion. Twelve patients received the following anesthetic maintenance combinations in a randomly determined order: treatment #1: isoflurane 0.4% + N(2)O 70% + O(2) 30%; treatment #2: isoflurane 0.6% + N(2)O 70% + O(2) 30%; treatment #3: isoflurane 0.6% + air + O(2) 30%; treatment #4: propofol 120 microg . kg(-1) . min(-1) + air + O(2) 30%.
Scoliosis is a deformity of the spine known since Hippocrates times. The value of certain methods of conservative treatment remains controversial. Some of them have only a psychological value both for the physician and his or her caregivers.
Scoliosis is a deformity of the spine known since Hippocrates times. The value of certain methods of conservative treatment remains controversial. Some of them have only a psychological value both for the physician and his or her caregivers.
Scoliosis is a deformity of the spine known since Hippocrates times. The value of certain methods of conservative treatment remains controversial. Some of them have only a psychological value both for the physician and his or her caregivers.
In 70 children with mild idiopathic scoliosis I degree by the method of Cobb, participating in two or several rehabilitation camps, and in the control group of 22 healthy children ventilatory lung parameters: vital capacity--FVC, FVC%pred., Maximal forced expiratory volume one sec.--FEV1, FEV1%pred., FEV1% FVC, and Maximal Mid Expiratory Flow--MMEF, MMEF%pred. and Maximal Voluntary Ventilation--MVV were determined. Tests were carried out with use of the Vitalograph and Jaeger Spirometer after several four-week rehabilitation camps.
