ABSTRACT
The diagnosis of herniated disks with the use of lumbar epidural phlebography is discussed. Fifty patients were examined. The diagnosis was verified during the operation in 38 of 44 patients. Proper technical performance of the procedure provides the possibility for localizing the herniated disk with high precision, which is very important in surgical management. The relatively simple techniques, the absence of serious complications, and the exactness of the diagnosis provide the grounds for recommending transfemoral lumbar epidural phlebography for wide use.
Subject(s)
Femoral Vein/diagnostic imaging , Intervertebral Disc Displacement/diagnostic imaging , Intervertebral Disc/diagnostic imaging , Adult , Aged , Catheterization, Peripheral/methods , Diagnostic Errors , Diatrizoate Meglumine , Female , Humans , Intervertebral Disc/surgery , Intervertebral Disc Displacement/surgery , Intraoperative Care , Lumbar Vertebrae/diagnostic imaging , Lumbar Vertebrae/surgery , Male , Middle Aged , RadiographyABSTRACT
Data concerning surgical intervention at the craniovertebral junction in 20 patients with the communicating form of syringomyelia are discussed. The method of a reconstructive operation is described. Positive changes of sensory and motor disorders were recorded in 14 patients after surgery, no changes occurred in 5 patients, one patient died. The expediency of maximum reconstruction of the posterior fossa with restoration of c.s.f. circulation from the cavity of the fourth ventricle is substantiated.