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Copyright of Acta Ortopédica Mexicana is the property of Sociedad Mexicana de Ortopedia, AC and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Acta Ortopédica Mexicana is the property of Sociedad Mexicana de Ortopedia, AC and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Many patients who present at the hospital with cervical spinal cord injury are initially treated in different ways and may have complications leading to death. It is therefore important to document them and disseminate them among surgeons so that they consider treatment alternatives and prevent complications. Material and methods: A cross-sectional descriptive retrospective study conducted from January to August 2005; case series, non-probabilistic sample. Cases were identified from the spine surgery service records by means of their clinical and radiographic files. Results: A total of 20 patients were included; with a 3:1 female-to-male ratio, mean age 39.3 years, with an ASIA motor deficit of 29.5, sensory deficit of 51, seen previously at a mean of 1.7 hospitals, and a mean injury-to-surgery time of 34 hours. Three received proper neuroprotective management, 15 patients had a mean spinal canal invasion of 42.6 %, four underwent corpectomy, two were circumferential, and 13 underwent diskectomy. Eight pneumonias, 4 STDA, one CSF fistula, and 2 deaths were reported. Conclusions: The paper provides relevant clinical evidence of patients with acute spinal cord injury. The ASIA was available for all of them; they received poor neuroprotective management, and underwent late surgery due to referral. [ABSTRACT FROM AUTHOR]

The purpose of this paper is to present the experience of the hospital using the Ponseti method in patients with congenital adduct clubfoot. Material and methods: The study was conducted between January 2007 and December 2009. Children of both sexes were included; the Dimeglio classification was applied before surgery and their course was later assessed with the Simons scale when they resumed gait. Patients with postural clubfoot (Dimeglio I) and those with neuromuscular disease (Dimeglio IV) were excluded. Casts were placed as of 15 days of age using the Ponseti technique and then percutaneous tenotomy of the calcaneous tendon was performed in the operating room. Results: Twenty patients (9 girls, 11 boys) and 28 feet were included in the study; they were Dimeglio II (8 children) and III (12 children). Mean age at the time of surgery was 2 months, and mean age at the time of gait assessment was 2 years. Upon applying the Simons scale, 25 feet (89.3%) had satisfactory results and 3 feet (10.7%) unsatisfactory results. Two of the latter underwent percutaneous tenotomy again and in one case the cast was applied again; they evolved properly. Conclusions: We found in our series that the Ponseti technique is appropriate as definitive treatment for Dimeglio II and III congenital adduct clubfoot. [ABSTRACT FROM AUTHOR]