Avaliação tomográfica dos pedículos vertebrais no tratamento cirúrgico dos pacientes com escoliose idiopática do adolescente

OBJETIVO: Determinar através de cortes tomográficos e reconstrução tridimensional a incidência de mal posicionamento de parafusos em pacientes submetidos ao tratamento cirúrgico da Escoliose idiopática do adolescente. MÉTODOS: Foram analisados exames tomográficos de 8 pacientes, tratados cirurgicamente no Hospital de Base de São José do Rio Preto-SP, realizada instrumentação posterior partindo de T2 /T4 a L4/L5 totalizando 164 parafusos. RESULTADOS: 32,9% (n=54) apresentavam posicionamento com risco potencial,ou seja desvio acima de 2 milímetros, sendo 20,1% (n=33) com invasão lateral, 9,1% (n=15) com invasão medial, 3,6 %(n=6) com invasão anterior. Dos parafusos que ofereciam risco potencial a relação com aspecto da curva foi de 46% (n=25) na concavidade, 35% (n=19) na convexidade e 19% (n=10) em vértebras adjacentes a curva. CONCLUSÃO: Os limites de penetração aceitáveis, assim como os métodos de mensuração ainda não foram padronizados, a técnica free hand' mostrou-se segura, apesar da violação dos pedículos. A tomografia computadorizada pré-operatória, auxilia no planejamento cirúrgico e na redução das complicações.

Memória e identidade nos romances de Milton Hatoum

This article deals with how Milton Hatoum explores aspects of the memory, through the convergence of voices in his four Lusophone novels Tale of a Certain Orient, The Brothers, Ashes of the Amazon and Orphans of Eldorado. A profile of complex characters is constructed through a synthesis of accounts, letters and depositions, as different faces of individuals and society at large are interspersed through memory.

Origami e kirigami: arte e cultura como recurso lúdico e educativo

We can know a people through their cultural and artistic assets. One of the many aspects of Japanese culture is origami, a fusion of the verb “oru”, which means folding, with the word “kami” meaning paper. In this communication, we describe the course “Origami and Kirigami: art and culture as a recreational and educational resource”. The course aimed to present these two oriental techniques based on paper and its potential as a source of entertainment and education, at the same time seeking to introduce cultural aspects of these arts of folding and/or cutting paper. This practice is more common than we realize, and is present in our day-to-day life when we perform actions such as folding clothes and papers, and making packages, amongst others. However, few are aware of the benefits that this folding brings to the fields of Arts, Mathematics, and Science, besides its recreational characteristics. Kirigami is a mixed technique that in addition to using folds in the paper (as in origami) also uses cuts (“kiru” – meaning, “cut”). It can be performed with heavier paper than origami, and by introducing some cuts, the paper can be folded to form the desired shape. It is a simple technique, with impressive results. We conducted eight weekly meetings, each lasting four hours, totaling 32 hours of coursework. In addition to the classes, a visit was made to the Okinawa Club in Bauru (São Paulo), where it was possible for the students of the course and the elderly group (fujinkai) of origamists of the club to exchange experiences. Finally, an exhibition was organized to display the artifacts produced by the course participants and disseminate the work of the students.