Subject(s)
Craniocerebral Trauma/therapy , Traumatology/organization & administration , Adolescent , Adult , Aged , Brain Injuries/surgery , Brain Injuries/therapy , Craniocerebral Trauma/diagnosis , Craniocerebral Trauma/surgery , Critical Care , Female , Humans , Male , Middle Aged , Neurosurgical Procedures/methods , Skull Fractures/therapy , Trauma Severity IndicesABSTRACT
In the present report there has been pursued an object of studying the efficiency of the preparation dalargine (synthetic preparation, analogous to encephaline) in case of unstable spine and spinal cord injuries. Under the observation there were 32 operated patients. Dalargine was administered endolumbally by 2 mg, dissolved in 2 ml of physiologic salt solution. The results were evaluated by several categories: locomotive function, sensitivity, pelvic organ function, pain, spasticity, trophic disturbances.
Subject(s)
Enkephalin, Leucine-2-Alanine/analogs & derivatives , Fractures, Bone/surgery , Lumbar Vertebrae/injuries , Multiple Trauma/surgery , Thoracic Vertebrae/injuries , Adolescent , Adult , Enkephalin, Leucine-2-Alanine/administration & dosage , Female , Fracture Fixation/methods , Fracture Fixation/rehabilitation , Fractures, Bone/complications , Fractures, Bone/rehabilitation , Humans , Injections, Spinal , Laminectomy/methods , Laminectomy/rehabilitation , Lumbar Vertebrae/drug effects , Lumbar Vertebrae/surgery , Male , Middle Aged , Multiple Trauma/rehabilitation , Thoracic Vertebrae/drug effects , Thoracic Vertebrae/surgery , Wound Healing/drug effects , Wound Healing/physiologyABSTRACT
The clinical material presented by the authors includes 24 observations of patients with ossification of the posterior longitudinal ligament. In all cases there was a cervical spine injury in the patients', past history. The diagnosis was confirmed roentgenologically and by the method of computer tomography. The treatment is surgical and consists in anterior decompression of the spinal cord. Recovery was observed in 10 patients (42 +/- 10%), partial regress of myelopathy in 9 patients (29 +/- 10%) and discontinuation (12 +/- 6%); there was no effect in 2 patients of progress of the disease in 3 patients (8 +/- 6%) patients. The authors consider it is necessary to make a careful examination of the patients with myelopathy having a cervical spine injury in their past history in order to reveal ossification of the posterior longitudinal ligament and carry on timely surgical treatment.
