ABSTRACT
Diagnosis and treatment of neck pain still remains a therapeutic challenge. Basing on available literature and their own experience the authors present an algorithm for the management of neck pain in daily orthopaedic practice. It is crucial to correlate correctly the patient's complaints, the physical examination and the laboratory findings (including conventional imaging modes and neurodiagnostic procedures). The chronologically organised algorithm should help the physician in find the optimal therapeutic solution for his patient. The use of this algorithm should also lead to a decrease in the number of unnecessarily performed surgical procedures.
Subject(s)
Algorithms , Musculoskeletal Diseases/diagnosis , Neck Pain/therapy , Cervical Vertebrae , Diagnostic Imaging/methods , Humans , Musculoskeletal Diseases/complications , Musculoskeletal Diseases/therapy , Neck Pain/etiology , Physical Examination , Shoulder Pain/etiology , Shoulder Pain/therapy , Spinal Osteophytosis/complications , Spinal Osteophytosis/diagnosisABSTRACT
The authors present an overview of the principles of surgical treatment of lumbar disc herniation which are currently applied at spinal surgery ward by the Orthopedic Department of the Poznan School of Medical Sciences. Most of these principles are valid in spinal surgery centres in USA and most European countries. The authors reviewed surgical technique, indications, contrindications and complications related to discectomy in the lumbar spine. Although the articles deals mainly with "classical" discectomy, other surgical techniques (microdiscectomy, percutaneous discectomy, chemonucleolysis, and endoscopy-assisted discectomy) are also briefly reviewed. Careful selection of patients, meticulous analysis of radiographic findings and proper surgical technique yield good results which allow most patients to improve their life conditions and lead a pain-free existence.
Subject(s)
Diskectomy/methods , Intervertebral Disc Displacement/surgery , Lumbar Vertebrae/surgery , Contraindications , Humans , Postoperative Care , Postoperative Complications , Preoperative CareABSTRACT
The aim of this paper was to assess the results of short-segment internal fixation of the spine in posttraumatic instability. A group of 53 cases of spinal trauma was analysed using both Magerl's and Frankel's classifications. Spinal instability was assessed according the Sagittal Index (SI). The metaanalysis of the clinical material demonstrated that early decompression of the spinal cord and the spinal roots following trauma allows either total or partial restitution of their physiological functions.
