The results of treatment in 27 cases of achalasia carried out in the Tehidy Thoracic Surgical Unit are reviewed. The value of air insufflation of the oesophagus to assist in the division of the muscle and to ensure that the mucosa is not damaged is stressed. The advantages of early operation using a modified Heller's procedure are shown, and the results demonstrate that a poor outcome is most common in cases with a long history and that usually these cases have been treated by conservative measures.
Aneurysmal bone cysts have an unclear etiology and are most common during childhood. To our knowledge, a comprehensive review comparing adult and childhood aneurysmal bone cysts has, to date, not been performed. Using standard search engines, a review of aneurysmal bone cysts was conducted. Many differences were found comparing adult and pediatric ABC patients. For example, females were much more commonly affected than males in children and tumors were commonly idiopathic however, they were found after cervical spine trauma in children. Pediatric patients are significantly more likely to be affected by ABC than adults. The incidence of primary tumors is much higher than that of secondary tumors in both adults and children but there is no significant difference between the two groups. Radicular pain is more significantly associated with children with cervical ABC. Pediatric patients are at a significantly higher risk for tumor reoccurrence and suffer from more postoperative symptoms. Spine Scholar 1:21-29, 2017.
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