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Orthopaedic Proceedings
Vol. 96-B, Issue SUPP_19 | Pages 6 - 6
1 Dec 2014
Bomela L Dunn R
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Background:

Severe kyphosis in myelomeningocoele patients results in seating problems, early satiety and ultimately pressure sores over the prominence. Kyphectomy and sagittal correction can improve these morbidities.

Aim:

To evaluate the outcome of kyphectomy surgery in meningomyelocoele children.


Orthopaedic Proceedings
Vol. 95-B, Issue SUPP_29 | Pages 50 - 50
1 Aug 2013
Bomela L Motsitsi S
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Objective:

To observe the incidence of intra-operative vascular injuries during anterior cervical decompression and fusion (ACDF). Secondly, management and monitoring of the outcome post vascular injury during ACDF.

Methods:

This a prospective study. A review of all spinal patients' records was performed from June 2006 to April 2011. A comprehensive literature review was also utilized. Inclusion criteria – all patients had ACDF post trauma. All non-traumatic cases were excluded.


Orthopaedic Proceedings
Vol. 95-B, Issue SUPP_14 | Pages 76 - 76
1 Mar 2013
Ngcelwane M Kruger T Bomela L
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Background and objectives

Positron emission tomography (PET) is a technology widely used in oncology. It is now being increasingly used in orthopaedics, especially in diagnosing bone infection. Diagnosis of bone infection is still a challenge, especially after surgery. Bone scintigraphy, Gallium-67 scintigraphy, and radiolabelled leucocyte scintigraphy are not specific. MRI has problems with definition in the presence of metal. PET uses 18-F Fluoro deoxyglucose(FDG) as a radiotracer. Inflammatory cells use glucose for energy, and the 18F-Fluoride component of FDG is a positron-emitting radionucleotide. We undertook this study to show our experience with the FDG-PET –CT in diagnosing bone infection and to highlight its superiority in diagnosing infected spine implants.

Material and Methods

Medical records of orthopaedic patients referred to the nuclear medicine department in our hospital were retrospective reviewed. We looked at the clinical records, radiographs, bone scintigraphs, MRI and FDG-PET, assessing their diagnostic accuracy, and their value in helping the surgeon plan treatment.