Surgical treatment of cervical spinal stenosid

100 patients involving Cervical Spinal Stenosis have been operated on from 10/1995- 9/1999 in the Spinal Surgery Dep. A Centre for Trauma- orthopedics in HCM city. The clinical data was as following: 32 cases involving Cervical Spondylosis; 63 cases involving Cervical Disc Herniation; 5 OPLL and CDH. Mean age: 49, 95 (29-76). Men: 69. Women: 31. 85 surgical interventions for 81 patients using Anterior Decompression and Fusion for one to three stages (4 reoperated cases: 2 epidural hematomas and 2 graf dislocations). 19 cases operated by posterior Approaches: two laminectomy, 17 using the KUROKAWA technique with four technical failure (turned to ITOH in two cases and lamiectomy in two cases). Grafting technique used: argenson 1, Bailey-Badgley 5, Bohlman 11, Bohlman and Kokubun 1, Kokubun 45, Kokubun for 2 different stages 1, Smith-Robinson and Kokubun for two different stages 1. Good fusion was obtained in all of the cases using the Anterior Decompression and Grafting. The recovery rate for whole group was 71% following the Scale of JOA. 71/87 cases accompanied by the neurological deficits recovered from motor weakness. Among them, there were 60,56% complete recovery, 39.44% partial recovery. 52/81 cases with anterior decompression and arthrodesis were followed between 3 to 39 months. 35 of them have been reviewed further 12 months. 11 of 19 cases operated by laminaplasty have been reviewed from 9 to 29 months. 9 of them with follow-up more than 12 months. Surgical treatment is really an effective method for Cervical Spinal stenosis. The skillfull surgical decompression techniques should be practiced.

Fixation and posterior bone fusion for surgical treatment of the lumbar vertebral slip due to degeneration

11 patients with the lumbar vertebral slip due to degeneration (male: 1; female: 10) ages of 39-70 received the surgical treatment by using fixation and posterior bone fusion. The results have shown that the average time for monitoring was 23.27 months; pain free (90.91%) pain relief (9.09%), out door normal walking (90.91%) home walking (9.09%). Technique of bone fusion: postero lateral fusion (81.82%), fusion of bony head (70%) posterobalteral fusion and fusion of bony head (70%), without fusion of bony head 30% and without posterolateral (18.18%). The conclusion: the fixation with instrument and bone fusion for treatment of lumbar vertibral slip due to the degeneration found the good and encoraged results