[Treatment of pain in vertebral-spinal cord injury by functional operations on the spinal cord]. / Lechenie boli pri pozvonochno-spinnomozgovoi travme funktsional'nymi operatsiiami na spinnom mozge.

The article analyses the experience in operative interventions on the pain-conducting tracts of the spinal cord in 24 patients with pain consequent upon injury to the spine and spinal cord. Inferior commissurotomy was performed on 13 patients. It proved effective in cases in which the spinal cord was injured below the level of the 12th thoracic segment. Bilateral chordotomy was conducted in 7 patients with an intensive central pain syndrome. The effect of the operation was positive in sufficiently deep transection of the anterolateral fasciculus. Coagulation of the entry of the posterior roots of the spinal cord was carried out in 4 patients. Preference should be given to it in high affections of the spinal cord.

[Correction of intracranial pressure in patients with traumatic intracranial hemorrhages]. / Korrektsiia vnutricherepnogo davleniia u bol'nykh s travmaticheskimi vnutricherepnymi krovoizliianiiami.

Therapeutical correction of intracranial pressure changes were conducted in 14 patients suffering from traumatic intracranial hematomas by endolumbar administration of physiological solution. The distinguishing feature of this method is the possibility of continuous control of the intracranial pressure level by means of long-term graphic recording of epidural pressure. This makes it possible to perform endolumbar administration of physiological solution in a dose which is determined by the initial level of epidural intracranial pressure. Therapeutic correction of intracranial pressure by endolumbar injection of physiological solution proved successful in the initial stages of dislocation of the brain and in stable intracranial hypotension.

[Treatment of neurogenic micturition disorders by section of the pudendal nerves in patients with spinal and spinal cord injuries]. / Lechenie neirogennykh rasstrovistv mochespuskaniia putem peresecheniia sramnykh nervov u bol'nykh s povrezhdeniem pozvonochnika i spinnogo mozga

Surgical interventions on the pudendal nerves were undertaken in 16 patients with neurogenic disorders in micturition due to spinal cord injuries on different levels of the latter. The operations were performed after careful examinations of the patients and a preliminary novacain block of the nerves in question. A modified approach to the pudendal nerves was employed. Satisfactory results were achieved in 14 patients: spontaneous micturition was restored, the volume of residual urine was significantly reduced. A stable good result in the late follow-up period was observed in 12 patients.