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Complex Deformity: Revision Scoliosis Surgery in an Adult Patient with Previous Fusion in Aden 5b9fd

Majed Al-Azani
Jul 24, 2025
446 views
5 replies
M
Majed Al-Azani
Member
Joined Jul 2025
Jul 24, 2025 4:25 PM
Original Post
Dear Pediatric Orthopedists, I'm seeking guidance on the management of pediatric supracondylar humerus fractures, specifically regarding the decision-making process for when to manage non-operatively versus when to refer for surgical fixation in Yemeni hospitals. What are the critical radiographic signs or clinical parameters that tip the balance towards intervention? Any tips for closed reduction techniques in challenging cases? Thank you for your insights.
S
Salah Salem
Member
Jul 24, 2025 4:25 PM
#2
The new guidelines for osteoporosis screening are excellent. We've started implementing universal screening for women over 65 and post-menopausal women with risk factors, leading to earlier diagnosis and initiation of treatment, hopefully reducing fragility fractures, which are a growing concern in Yemen.
A
Abdul Salam Al-Janid
Member
Jul 24, 2025 4:25 PM
#3
My general rule for pediatric supracondylar fractures is immediate closed reduction and pinning for any displaced or unstable fracture. Neurovascular status must be assessed meticulously before and after reduction. Don't hesitate to involve a pediatric orthopedic specialist, especially if resources are limited.
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Anwar Al-Fadhl
Member
Jul 24, 2025 4:25 PM
#4
From a public health perspective in Yemen, such dilemmas highlight the need for stronger primary prevention programs to reduce the burden of preventable orthopedic conditions, thereby freeing up resources for more urgent cases. Advocacy for increased healthcare funding is also crucial.
A
Abdul Hadi Nasr
Member
Jul 24, 2025 4:25 PM
#5
From a public health perspective in Yemen, such dilemmas highlight the need for stronger primary prevention programs to reduce the burden of preventable orthopedic conditions, thereby freeing up resources for more urgent cases. Advocacy for increased healthcare funding is also crucial.

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