[Segmental posterior spinal osteosynthesis using the Luque-Dove technic].
The Hartshill frame is method for segmental osteosynthesis of the spine. It is attached at each vertebral level by sub-laminal metal wires. This frame therefore ensures immediate stability and avoids the need for a post-operative corset. It enables correction of frontal deformities (scoliosis) whilst retaining sagittal physiological curves (lumbar lordosis--dorsal kyphosis). It ensures the fixation of posterior spinal instability (destruction of posterior ligaments and bone tissue, spondylolisthesis, etc.). The Hartshill frame can thus be seen to be a posterior brace. It has been used in 92 patients, (53 lumbar disorders, 10 cases of scoliosis, 4 of kyphosis, 19 tumors, 6 fractures). Results are generally entirely satisfactory in the mid term apart from fractures (recurrence of initial displacement). Specific complications are of a neurological nature (cases of cutaneous hyperesthesia, one severe motor deficit) long-term problems with device and material are uncommon; rupture of sub-laminar wire 8 cases; secondary incurving of frame 1 case.
Kerboul
B
B
Clinique St Michel et Ste Anne, Brest.
Courtois
B
B
D006801:Humans; D007738:Kyphosis / Q000601:surgery; D009984:Orthopedic Fixation Devices; D012600:Scoliosis / Q000601:surgery; D013122:Spinal Diseases / Q000601:surgery*; D013125:Spinal Neoplasms / Q000601:surgery; D013168:Spondylolisthesis / Q000601:surgery
Ostéosynthèse rachidienne postérieure segmentaire par la technique de Luque-Dove.