ABSTRACT
PURPOSE: Spondylolisthesis is a spinal disease revealed by lombalgia and/or lombosciatalgia, which may persist under medical treatment and physiotherapy. Indications for surgery are impairing symptoms and emergency conditions. We report outcome in 21 patients (14 women, 7 men, aged from 30 to 60 years old) who underwent surgery for isthmic (n = 10) and degenerative (n = 11) spondylolisthesis. Radiographic staging was: I in seven patients, II in ten, and III in four. METHOD: Many techniques were used: simple laminectomy (n = 4), Gill's operation (n = 4), Lapras' technique (n = 4), and Roy-Camille instrumentation (n = 9). RESULTS: Immediate and long-term postoperative follow-up of sixteen patients confirm good results: excellent outcome in eleven patients, good in four, and fair in one. CONCLUSION: Considering social and economic factors, we prefer Lapras' technique which provides very satisfactory results.
Subject(s)
Spondylolisthesis/surgery , Adult , Female , Gabon , Humans , Male , Middle Aged , Treatment OutcomeABSTRACT
Pleuropericardic cysts represent 5 to 7 per cent of tumours of the mediastinum. Their origin is a defect in development of pericardic coelomic cavities. They are located in the right and cardio-phrenic corner in 70 per cent of cases. They are generally asymptomatic. They are best treated by a thin needle puncture under scanography. Surgery is needed only when the cyst wall is thick. We have treated surgically 2 cases of large cysts, because of their sizes (10 cm and 13 cm of diametres respectively), and, mostly, because of their calcification. Symptomatology was dominated by respiratory signs, such as dyspnea. In one case, there were manifestations of inferior vena cava compression. Diagnosis was done by roentgenography of the thorax. The surgical procedure, using right thoracotomy, revealed a calcified cyst in both cases, with a tough wall, which was resected. In one case, the removal of adhesion to the inferior vena cava injured this vessel which was sutured after partial clamping. Hemorrhage was severe and 2.51 blood transfusion was necessary. The post operative course was uneventful. Clinical signs of compression disappeared in both cases.
