Subject(s)
Calcitonin/administration & dosage , Complementary Therapies/methods , Cyclodextrins/administration & dosage , Exercise Therapy/methods , Glucocorticoids/administration & dosage , Spinal Stenosis/therapy , Animals , Bone Density Conservation Agents/administration & dosage , Humans , Injections, Epidural , Lumbar Vertebrae , Treatment OutcomeABSTRACT
The use of vertebrectomy in 9 patients with long-standing complicated dislocation fractures of vertebrae and defects of tissues of the spinal cord from 1 up to 12 cm has shown that the operation of removal of up to 3 vertebrae is technically quite realizable. Clinical results however are yet minimum, which requires further search for methods of stimulation of regenerative processes in the zone of connection of the spinal cord stumps. The use of the method for treatment of 4 patients with tumors of the vertebrae has revealed a number of problems requiring a somewhat different approach both to the performance of the operation and to the following fixation of the backbone. Possible variants to settle the problems are proposed. Good prospects of this trend are noted.
Subject(s)
Spinal Injuries/surgery , Spinal Neoplasms/surgery , Spine/surgery , Animals , Blood Loss, Surgical , Dogs , Humans , Joint Dislocations/complications , Joint Dislocations/surgery , Methods , Spinal Cord Compression/etiology , Spinal Cord Compression/surgery , Spinal Fractures/complications , Spinal Fractures/surgery , Spinal Injuries/complications , Spinal Neoplasms/complicationsABSTRACT
On the basis of experimental and clinical investigations the authors consider the removal of the vertebra body as the whole block to be the optimal variant. Shortening of the vertebral column is permissible for the approximation of ends of the spinal cord or its roots for suturing without intention. The use of vertebrectomy in 9 patients with long-standing dislocation fractures and defects of the spinal cord tissues from 1 to 12 cm and in 4 patient without tumors of the vertebrae has shown that the operation with removal of as many as 3 vertebrae is quite realizable technically. However, positive clinical results are minimal for the present which requires further researches by stimulation of regenerative processes.
Subject(s)
Spinal Injuries/surgery , Spinal Neoplasms/surgery , Spine/surgery , Animals , Dogs , Follow-Up Studies , Fracture Fixation, Internal/instrumentation , Fracture Fixation, Internal/methods , Humans , Joint Dislocations/surgery , Methods , Spinal Fractures/surgery , Spinal Injuries/complicationsABSTRACT
The results are presented of pathomorphological studies and clinical examinations of 572 patients with lumbar zygo-apophyseal joint arthrosis using arthrography, intraarticular treatment- and- diagnostic blockades, intracutaneous joint denervation and surgical treatment of arthrogenous lumbar canal stenosis. Based on the data obtained, the pathogenetic classification of lumbar spondyloarthrosis has been elaborated and presented in the given paper.
Subject(s)
Lumbar Vertebrae , Spondylitis , Adult , Arthrography , Humans , Middle Aged , Spondylitis/diagnostic imaging , Spondylitis/therapyABSTRACT
The article includes the description of successful case of surgical treatment of a patient (53 years old) with VC plasmocytoma, complicated with upper paraparesis, tetanoid paraplegia and pelvic disturbances. The patient has been subjected to complete removal of VC in one stage of 2 accesses. The patient's spine has been fixed by means of implant, made of corundum porous ceramic, metal plate and lavsan band. A year after the operation--no tumor recurrence, the patient walks without additional support. In the process of discussion of the given observation the authors suggest that the technical difficulties of the operation are quite surmountable and its expediency is obvious.
Subject(s)
Arm/innervation , Ceramics , Cervical Vertebrae/surgery , Multiple Myeloma/surgery , Paraplegia/surgery , Prostheses and Implants , Spinal Fusion/methods , Spinal Neoplasms/surgery , Humans , Male , Middle Aged , Multiple Myeloma/complications , Paraplegia/etiology , Spinal Neoplasms/complicationsABSTRACT
The data of pathomorphologic investigations of intervertebral ++ joints of the lumbar++ part of spine in case of osteochondrosis and in connection with age are presented in the article. 32 arthrograms of ++ intervertebral++ joint, taken in the patients' lifetime, have been analyzed. The special features of morphologic changes have been revealed and their connection with the clinical signs of osteochondrosis has been determined.
Subject(s)
Cartilage, Articular/diagnostic imaging , Lumbar Vertebrae/diagnostic imaging , Osteochondritis/diagnostic imaging , Adult , Arthrography , Humans , Middle AgedABSTRACT
The authors give an account of their investigation into the strength characteristics of the vertebrae preparations depending on a number of geometric characteristics of the vertebral bodies, the biological state of the bone tissue (osteoporosis, degenerative and dystrophic changes) and their group belonging. A number of factors has been revealed in some parameters of which it is possible to determine the dynamics of the state of the support function of the injured segment in the modelling of compressive fractures of the vertebral bodies. The results obtained by the authors allow to specify the literature data concerning the strength properties of the compressed vertebral body.
