RESUMO
The method of spondylodesis of the cervical spine by a metal-polymer design was used in operations on 54 patients with cerebrospinal trauma. The control group was formed of 15 patients in whom spondylodesis was performed by an autograft. Double fixation of the vertebral bodies by a metal design and protacryl ensures reliable stabilization and supporting function of the damaged spinal segment, requires no skeletal traction or additional external immobilization in the postoperative period, allows conduction of early rehabilitation therapy with activation of the patient himself, and is conducive to reduction of the terms of the restorative period of treatment.
Assuntos
Vértebras Cervicais/cirurgia , Fusão Vertebral/instrumentação , Adolescente , Adulto , Transplante Ósseo , Vértebras Cervicais/diagnóstico por imagem , Vértebras Cervicais/lesões , Desenho de Equipamento , Feminino , Fraturas Ósseas/diagnóstico por imagem , Fraturas Ósseas/cirurgia , Humanos , Luxações Articulares/diagnóstico por imagem , Luxações Articulares/cirurgia , Masculino , Metilmetacrilatos , Pessoa de Meia-Idade , Dispositivos de Fixação Ortopédica , Radiografia , Fusão Vertebral/métodos , Transplante AutólogoRESUMO
Direct contrasting of the anterior epidural space with 9-10% verografin solution was conducted in 123 patients (120 with discogenic radiculitis, 2 with tumors, and 1 with injury to the spine). The epidural space was contrasted for a distance of 3-4 intervertebral spaces and no stimulation of the epidural structures occurred. The epidurograms demonstrated convincing information concerning the character of the protrusion and prolapse of the intervertebral discs and the existence of block of the epidural space in tumors. Phenomena of "spinal epilepsy" occurred in 5 cases, which regressed rapidly after a complex of measures was applied. Anterior epidurography with water-soluble contrast media of low concentration is an informative and safe method.