RESUMO
Thoracic disc herniation is difficult to recognize. Diagnosis is easily made when the patient has a paraparesis, but at this point the disc herniation is usually large, and the result of the disc removal is less certain. Most of the 7 patients discussed had an early diagnosis made. Six patients were treated by the transthoracic anterolateral approach, and improvement occurred in all.
Assuntos
Deslocamento do Disco Intervertebral/cirurgia , Adulto , Feminino , Humanos , Deslocamento do Disco Intervertebral/diagnóstico , Deslocamento do Disco Intervertebral/diagnóstico por imagem , Laminectomia , Masculino , Pessoa de Meia-Idade , Prognóstico , Radiografia , Vértebras Torácicas/diagnóstico por imagem , Vértebras Torácicas/cirurgiaRESUMO
Four years (1973-1973) of experience in the management of fractured cervical spine from diving accidents is examined with reference to clinical findings, radiology, prognosis, and socioeconomic aspects.
Assuntos
Acidentes , Traumatismos em Atletas , Mergulho , Lesões do Pescoço , Adulto , Traumatismos em Atletas/cirurgia , Vértebras Cervicais/lesões , Humanos , Masculino , Quadriplegia/etiologia , Radiografia , Canal Medular/diagnóstico por imagem , Traumatismos da Medula Espinal/complicações , Traumatismos da Medula Espinal/cirurgiaRESUMO
Diving accidents result in more than 1,800 cases of paralysis from injury to the spinal cord each year. Studies have been made of underwater deceleration during diving. The mechanisms involved in spinal injury are discussed.
Assuntos
Mergulho , Quadriplegia/etiologia , Traumatismos da Medula Espinal/etiologia , Adolescente , Adulto , Fenômenos Biomecânicos , Vértebras Cervicais/lesões , Fraturas Ósseas/complicações , Fraturas Ósseas/etiologia , Humanos , Traumatismos da Medula Espinal/complicações , Traumatismos da Coluna Vertebral/complicações , Traumatismos da Coluna Vertebral/etiologiaRESUMO
Fractures of the cervical spine associated with ankylosing spondylitis are rare. Relatively minor injury can cause a fracture of the vertebral body or through the ossified intervertebral space, because of the loss of normal flexibility, mobility, and elasticity in the rigid spine. Sixty-six per cent of the fracture subluxations of the ankylosed spine are associated with injury to the spinal cord, and the mortality rate is 40%. Because of the complete nature of fracture and instability, there is a high risk of neurologic deterioration. Immobilization of the cervical spine in a Halo cast appears to be the treatment of choice. If skull traction is applied the cervical spine should be immobilized in the neutral position, and overzealous traction exceeding 10 pounds should be avoided. Callus formation and fracture healing following immobilization is rapid. Four new cases are described and 44 previously reported cases in the literature have been reviewed.
Assuntos
Traumatismos da Coluna Vertebral/complicações , Espondilite Anquilosante/complicações , Vértebras Cervicais/lesões , Humanos , Masculino , Pessoa de Meia-Idade , Traumatismos da Coluna Vertebral/terapiaRESUMO
A 14 year old male was hospitalized with pansinusitis complicated by intracranial spread of the infection. He developed a unilateral obstruction of the ventricular system of the foramen of Monro and a secondary mass effect revealed by radiological investigation.
