Læknablaðið - 01.04.1971, Blaðsíða 64

64
LÆKNABLAÐIÐ
verið teknir úr hrygg þeirra, og þau tvö tilí'elli, sem hér er lýst.
Er allur hópurinn aðeins 13 manns, cnda árangur aðgerðanna
ckki uppörvandi. Ef til vill væri betur hægt að halda liryggj-
unum í skorðum með aðferð Harringtons,23 sem hann sagði frá
1962. En líklegust til árangurs sýnist mér aðferð Hodgson, sem
hann liefur raunar notað við berkla í hrygg i allmörg ár, að
nema burtu liðbolinn, en fella rifjabúta í geilina. Og vist má
ekki örvænta um, að einhvern tíma verði unnt að hjálpa sjúkling-
um al' þessu tagi, þó bögulega liafi tekizt til fram að þessu.
SUMMARY
A report of two cases of scoliosis caused by hemivertebrae treated by
operation.
The first case was an eleven year old girl with thoracic hemivertebra
causing an acute angulation of the spine complicated by paraplegia. The
hemivertebra was removed in 1957 and she recovered from the paralysis.
Now thirteen years later the patient has no spinal cord involvement, the
purvature, however, remains essentially unchanged.
The second case was a six year old girl with two hemivertebrae,
one in the thoracic region and the second at the dorso lumbar junction,
both on the right side, causing a severe kypho-scoliosis. Both hemivertebrae
were removed in 1958. Now, twelve years later, the curvature has in-
creased and she has a severe deformity.
HEIMILDIR
1) Smith, Alan DeForest, Lackum, William H. von and Wylie Robert:
An Operation for Stapling Vertebral Bodies in Congenital Scoliosis.
J. Bone & Joint Surg. 36A:342; 1954.
2) Wenger, Leslie H.: Transversectomy for Scoliosis. J. Bone & Joint
Surg. 33A:253; 1951.
3) Wenger, Leslie H. and Hermann, Myron: The Role of the Transverse
Process in Thoracogenic Scoliosis. Quart. Bull. Sea View Hosp. 7:45;
1941.
4) Cleveland, Mather: Lateral Curvature of the Spine Following
Thoracoplasty in Children. J. Thoracic Surg. 6:595; 1937.
5) Kerr, John G.: Scoliosis with Paraplegia. J. Bone & Joint Surg.
45A:769; 1953.
6) McKenzie, K. G. and Dewar, F. P.: Scoliosis with Paraplegia. J. Bone &
Joint Surg. 31B:162; 1949.
7) Kleinberg, Samuel and Kaplan, Abraham; Scoliosis Complicated by
Paraplegia. J. Bone & Joint Surg. 34A:162; 1952.
8) Kleinberg, Samuel: Structural Scoliosis Complicated by Paralysis of
the Lower Limbs. Report of a Case. J. Bone & Joint Surg. 5:104; 1923.
9) Kleinberg, Samuel: Scoliosis with Paraplegia. J. Bone & Joint Surg.
33A:225; 1951.
10) Ruhlin, Carl W. and Albert, Seymour: Scoliosis Complicated by
Spinal Cord Involvement. J. Bone & Joint Surg. 23:877; 1941.