Discussion sur dossiers

Présentation au sujet: "Discussion sur dossiers"— Transcription de la présentation:

1 Discussion sur dossiers
6/16/2018 6:52 AM Discussion sur dossiers Dossiers envoyés aux membres du GES © 2007 Microsoft Corporation. Tous droits réservés. Microsoft, Windows, Windows Vista and other product names are or may be registered trademarks and/or trademarks in the U.S. and/or other countries. The information herein is for informational purposes only and represents the current view of Microsoft Corporation as of the date of this presentation. Microsoft devant répondre à des conditions de marché en perpétuelle évolution, ces informations ne doivent en aucun cas être interprétées comme un engagement de la part de Microsoft, et Microsoft ne saurait garantir leur exactitude au-delà de la date de cette présentation. MICROSOFT MAKES NO WARRANTIES, EXPRESS, IMPLIED OR STATUTORY, AS TO THE INFORMATION IN THIS PRESENTATION.

2 Dossier 1 : 14 ans , Risser 2, VN = T12, Lenke 1B Courbure principale T6-T11 = 62°, bending = 41°
Contre courbure distale T12-L4 = 41°, bending = 15° Contre courbure proximale: T1-T5 = 18°, bending = 18°

3 Instrumentation T4-L1 FIV =VN +1
T6-T11 = 27° (56%) T6-T11= 19° (69%) T12-L4 = 15° FUV = 10° T12-L4 = 3° FUV= 8° Amélioration courbure lombaire 1 mois post op ans post op

4 Dossier 2 : 14 ans, Risser 3, VN = T11, Lenke 1C Courbure principale T5-T10 = 45°, Bending = 31° Contre courbure distale T11-L3 = 35°, bending = 16° Contre courbure proximale T1-T4 = 26°, bending = 6°

5 Instrumentation T4-T11 FIV = VN
T5-T10 = 10° (78%) T5-T10 = 13° (71%) T11-L3 = 30° FUV = 6° T11-L3 = 11° FUV= 4° Amélioration courbure lombaire 1 mois post op ans post op

6 Dossier 3 : 15 ans, Risser 4 VN = T12,. Lenke 2B
Dossier 3 : 15 ans, Risser 4 VN = T12, Lenke 2B Courbure principale T6-T11 = 61°, Bending = 42° Contre courbure distale T12-L4 = 41°, bending = 16° Contre courbure proximale T1-T5 = 29°, bending = 29°

7 Instrumentation T3-L1 FIV = VN+1. T6-T11 = 21° (66%)
Instrumentation T3-L1 FIV = VN+1 T6-T11 = 21° (66%) T6-T11 = 32° (47%) T12-L4 = 11° FUV = 2° T12-L4 = 3° FUV = 11° Perte angulaire Adding on 1 mois post op ans post op

8 Dossier 4 : 13 ans, Risser 3, VN = L1, Lenke 1 (ou 3)B
Dossier 4 : 13 ans, Risser 3, VN = L1, Lenke 1 (ou 3)B Courbure principale T6-T12 = 63°, suspension = 33° Contre courbure distale L1-L5 = 42°, suspension = 26° Contre courbure proximale T1-T5 = 38°, suspension = 20°

9 Instrumentation T6-L1 FIV = VN
T6-L1 = 18° (71%) T7-L1= 32° (48%) L2-L5 = 10° FUV = 6° L2-L4 = 27° FUV= 21° Perte angulaire Augmentation FUV 1 mois post op ans post op

10 Dossier 5 : 12 ans, Risser 3, VN = L3 Lenke 2A Courbure principale T7-L1 = 49°, bending = 41° Contre courbure distale L2-L5 = 20°, bending = 1° Contre courbure proximale T1-T6 = 36°, bending = 31°

11 Instrumentation T3-L1 FIV =VN -2
T7-L1 = 29° (40%) T7-L1= 27° (45%) L2-L4 = 7° FUV = 8° L2-L4 = 15° FUV= 16° Adding on Augmentation FUV 1 mois post op ans post op

12 Discussion sur dossiers
6/16/2018 6:52 AM Discussion sur dossiers Dossiers avec évolution en cyphose jonctionnelle distale (DJK) © 2007 Microsoft Corporation. Tous droits réservés. Microsoft, Windows, Windows Vista and other product names are or may be registered trademarks and/or trademarks in the U.S. and/or other countries. The information herein is for informational purposes only and represents the current view of Microsoft Corporation as of the date of this presentation. Microsoft devant répondre à des conditions de marché en perpétuelle évolution, ces informations ne doivent en aucun cas être interprétées comme un engagement de la part de Microsoft, et Microsoft ne saurait garantir leur exactitude au-delà de la date de cette présentation. MICROSOFT MAKES NO WARRANTIES, EXPRESS, IMPLIED OR STATUTORY, AS TO THE INFORMATION IN THIS PRESENTATION.

13 Lenke 1A, 14 ans Risser 1. T2-T6 = 26° T7-T11 = 34° T12-L4 = 23° VN = T11 DJK = -4°

14 Instrumentation T3-T12 T2-T6 = 10°, T7-T11 = 14° (58%), T12-L4 = 15° DJK = -13° FUV = 4° T2-T6 = 14°, T7-T11 = 16° (58%), T12-L4 = 12° DJK = +7° FUV = 4.5° 1 mois post op ans post op

15 Dossier 2 14 ans, Risser 3 Lenke 1C T1-T4 = 26° T5-T10 = 45° T11-L3 = 35° VN = T11 DJK = 13°

16 Instrumentation T4-T11 T1-T4 = 13°, T5-T10 = 10° (78%), T11-L4 = 30°
DJK = + 15° FUV = 6° T1-T4 = 14°, T5-T10 = 13° (71%), T11-L4 = 11° DJK = + 29° FUV = 4° 1 mois post op ans post op

17 14 ans, Risser 3 Lenke 1B T1-T4 = 19° T5-T11 = 58° T12-L4 = 34° VN = T11 DJK = + 4°

18 T1-T4 = 18°, T5-T11 = 13° (78%), T12-L4 = 10° DJK = +16 ° FUV = 4°
Instrumentation T4-T11 T1-T4 = 24°, T5-T11 = 17° (71%), T12-L4 = 12° DJK = + 9° FUV = 5° T1-T4 = 18°, T5-T11 = 13° (78%), T12-L4 = 10° DJK = +16 ° FUV = 4° 1 mois post op ans post op

19 13 ans Risser 1 Lenke 1C T1-T4 = 18° T5-T11 = 37° T12-L3 = 36° VN = T11 DJK = -17°

20 T1-T4 = 4°, T5-T11 = 8°, T12-L3 = 12° DJK = +1° FUV = 4,8°
Instrumentation T3-T12 T1-T4 = 4°, T5-T11 = 5° (86%), T12-L3 = 14° DJK = - 4° FUV = 3° T1-T4 = 4°, T5-T11 = 8°, T12-L3 = 12° DJK = +1° FUV = 4,8° 1 mois post op ans post op

21 4 cas de DJK 4 bons résultats de face : FUV < 5° 4 vertèbres d'appui en T11ou T12. 2 cas avec DJK déjà en cyphose en pré opératoire. +4° +16° +13° +29°

22 Discussion sur dossiers
6/16/2018 6:52 AM Discussion sur dossiers Autres dossiers… des bons et surtout des moins bons © 2007 Microsoft Corporation. Tous droits réservés. Microsoft, Windows, Windows Vista and other product names are or may be registered trademarks and/or trademarks in the U.S. and/or other countries. The information herein is for informational purposes only and represents the current view of Microsoft Corporation as of the date of this presentation. Microsoft devant répondre à des conditions de marché en perpétuelle évolution, ces informations ne doivent en aucun cas être interprétées comme un engagement de la part de Microsoft, et Microsoft ne saurait garantir leur exactitude au-delà de la date de cette présentation. MICROSOFT MAKES NO WARRANTIES, EXPRESS, IMPLIED OR STATUTORY, AS TO THE INFORMATION IN THIS PRESENTATION.

23 14 ans, Risser 3, Lenke 1C T6-T10 = 45° T11-L3 = 35° T1-T5 = 31° VN = T12

24 Instrumentation T4-L1 FIV = VN+1 T6-T10 = 12° (73%) T6-T10 = 4° (91%)
T11-L3 = 7° FUV = 8° T11-L3 = 1° FUV= 1° 1 mois post op ans post op

25 14 ans Risser 4 Lenke 2B T6-T11 = 65° T12-L4 = 48° T1-T5 = 42° VN = T12

26 Instrumentation T2-L1 FIV = VN +1
T6-T11 = 25° (62%) T6-T11 = 20° (69%) T12-L4 = 31° FUV = 3° L1-L4 = 17° FUV= -1° 1 mois post op ans post op Amélioration courbure lombaire et FUV

27 15 ans, Risser 3, Lenke 1C VN = T12 T8-T12 = 41° L1-L4 = 33° T3-T7 = 22°

28 Instrumentation T2-L1 FIV = VN +4
T8-T12 = 31° (24%) T8-T12 = 29° (29%) L1-L4 = 5° FUV = 5° L1-L4 = 4° FUV= 2° 1 mois post op ans post op Bon résultat, stable mais à quel prix !

29 13 ans, Risser 2, Lenke 2B T5-T11 = 70° T12-L4 = 39° T1-T4 = 36° VN = T11

30 Instrumentation T4-L1 FIV = VN+2 T5-T11 = 5° (92%) T5-T11 = 14° (80%)
T12-L4 = 10° FUV = 4° T12-L4 = 6° FUV= 0° 1 mois post op ans post op

31 16 ans, Risser 5, Lenke 1A T7-T12 = 48° L1-L4 = 23° T1-T6 = 29° VN = L1

32 Instrumentation T5-L1 FIV = VN T7-T12 = 25° (48%) T7-T12 = 42° (13%)
L1-L4 = 17° FUV = 9° L1-L4 = 24° FUV= 15° post op ans post op

33 14 ans, Risser 0, Lenke 2A T7-L1 = 61° L2-L5 = 25° T1-T6 = 48° VN = L3

34 Instrumentation T2-L2 FIV = VN-1 T7-L1 = 23° (62%) T7-L1 = 32° (48%)
L2-L5 = 13° FUV = 9° L2-L5 = 9° FUV= 18° 1 mois post op ans post op

35 15 ans Risser 3 Lenke 1A T1-T4 = 39° T5-T11 = 74° T12-L4 = 30° VN = T12

36 Instrumentation T3-T11, FIV = VN-1
T5-T11 = 27° (64%) T5-T11 = 46° (38%) T12-L45 = 9° FUV = 5° T12-L4 = 23° FUV= 21° 1 mois post op ans post op