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  • 1
    ISSN: 1433-0350
    Keywords: Key words Infant ; Spinal epidural abscess ; Anterior approach
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Spinal epidural abscess (SEA) is rare in children, especially in newborns and infants, groups in which only very few cases have been reported. Because of the nonspecificity of presenting symptoms in children the diagnosis may be delayed, resulting in major permanent neurological deficits. In this paper, we report a case of cervical SEA in a 6-week-old infant who initially presented with fever and developed quadriparesis 19 days prior to admission. After emergency anterior decompression of the abscess the neurological function was improved immediately. Five months after surgery the neurological status was normal, an MR study showing disappearance of the epidural abscess and spinal cord indentation, and progressive fusion of the C3, C4 and C5 vertebral bodies. Anterior decompression without bone graft can provide an excellent prognosis in case of an anterior cervical SEA in infants.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-5195
    Keywords: Child ; Foot ; Mobile flat foot
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Les résultats d'une étude clinique et radiologique de pieds plats réductibles chez l'enfant sont présentés. Dans cette série, 50 enfants suivis pendant 4 ans ont été traités en combinant de façon variée les chaussures, les semelles orthopédiques et les contreforts. Les auteurs concluent que l'enfant présentant un pied plat réductible sera bien soutenu au début par le port de bottines lacées, armées d'une empeigne en acier et de contrefort solide. Un contrefort scaphoïdien fait sur mesure doit être ajouté, si le tableau douloureux n'est pas amendé par les souliers préconisés. Les pelotes scaphoïdiennes paraissent être inefficaces.
    Notes: Summary A clinical and radiological study in 50 children with symptomatic mobile flat feet treated with varying combinations of shoes, custom-made arch supports, and pads over a period of four years is presented. It was concluded that children with symptomatic mobile flat feet should be fitted initially with laced high top shoes containing a steel shank and firm counter. A custom-made navicular pad should be added if adequate symptomatic relief is not obtained from the recommended shoes. Navicular cookies were found to be ineffective.
    Type of Medium: Electronic Resource
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