A Clinical Analysis of Treatment of Cervical Fracture and Dislocation

Recently, the authors experienced the thirty-one cases of cervical fracture and dislocation. Among them, nineteen cases underwent surgical treatment and remained conservative treatment. There are three ways in operation ; 1) anterior approach(Cloward, Smith-Robinson method). 2) posterior approach. 3) combined approach(modified Smith-Robinson and posterior fusion). We did a combined approach and the results were excellent.

Anterior Cervical Discectomy

Between February-1, 1977 and August-31, 1981, 46 patients underwent anterior cervical discectomy without interbody fusion for the treatment of the cervical disc protrusion. Of these patients, 40 patients who were followed up for more than 6 months after surgery were analyzed. 1. 87.5% of patients had good or excellent clinical results(93.3% in soft disc patients and 84% in hard disc patients). 2. 92.5% of patients revealed good or excellent alignment of the cervical spine and none were worsen. 3. The incidence of anatomical fusion was 20% by a year and 30% by 1-2 years. Comparing with the anterior interbody fusion, the simple discectomy is technically simpler and show similar clinical results.

A Case of Oligodendroglioma Attached to the Leptomeninges and Falx Cerebri

We have experienced a case of oligodendroglioma which was similar to a falx meningioma. The oligodendroglioma arose in the medial surface(paracentral lobule) of the right frontal lobe and firmly attached to the falx cerebri. The tumor was found in early life(16 year old) and it had no roentgenographic calcification. So histological confirmation was possible after the operation. We report this uncommon oligodendroglioma with a review of literatures.