[Aspects of surgery, rehabilitation treatment and medical expert evaluation of spinal cord injuries]. / Aspekty khirurgii, reabilitatsionnogo lecheniia i vrachebno- trudovoi ékspertizy spinnomozgovoi travmy.

The authors examined 794 patients which endured nonpenetrating backbone traumata at different levels (cervical part--367 patients, thoracal part--186 patients and lumbar part--231 patients). The authors indicate total invalidism of patients with grave injures of spinal cord. Provision of employment of patients with less severe traumata depends, for the most part, upon social activity of invalids. In case of cervical part of vertebral column trauma without spinal cord damage and with surgical treatment the working ability of persons, not engaged in physical labour, can be restored in 4-6 months. Physical labour persons suffer from disablement during 1 year. It is not expedient to extend their doctor's certificate but they should be appointed the 11 group of invalidism by medical and labour examination commission. The same tactics for medical and labour examination should be followed in case of noncomplicated traumata of thoracal part of vertebral column. In case of stable fractures of lumbar part of vertebral column it is recommended to determine temporary disablement with brain work persons up to 6-8 months, and in case of nonstable fractures--8-10 months by doctor's certificate. Occupational employment of physical labour persons is contra-indicated during 2-3 years and therefore in case of difficulties with identical employment provision they are appointed the 3 group of invalidism.

[The surgical treatment of tunnel neuropathies]. / Khirurgicheskoe lechenie tunnel'nykh neiropatii.

Operations were performed on 138 patients with tunnel neuropathies. Multiple microtraumas were found to be the most frequent causes of affection of the peripheral nerves. The indications for operative intervention are determined. It is most effective in sensory and mixed forms of neuropathies. The formation of a new seat from flaps of fatty tissue is important in prevention of recurrencies.

[Surgical treatment of tumors of the spine with compression of the spinal cord]. / Khirurgicheskoe lechenie opukholei pozvonochnika s kompressiei spinnogo mozga.

The long-term results of surgical treatment of various tumors of the vertebral column in 53 patients are analysed. Treatment of malignant tumors, both primary and solitary metastatic, should be combined. Porous allografts filled with a chemical agent are suggested for use. Radio- and chemotherapy can be applied both before and after the operation. Primary decompression and stabilization, and if necessary--radiotherapy, are recommended in benign spinal tumors.

[Errors and difficulties in the surgical treatment of injuries of the cervical portion of the spine and spinal cord]. / Oshibki i trudnosti pri khirurgicheskom lechenii travmy sheinogo otdela pozvonochnika i spinnogo mozga.

On the basis of clinical observations, the authors distinguish organizational, tactical, and technical errors. Problems of transportation and hospitalization of the injured persons in clinics not specializing in this branch of surgery underlie the organizational errors. The authors relate improper choice of the operative method (laminectomy, reduction of dislocations, or anterior decompression with corporodesis) to the tactical errors; they recommend a strictly differential approach to this problem and suggest definite indications for each of them. The technical errors include resection of the articular processes in reduction of dislocations and excessive skeletization which leads to destabilization of the spinal segments.

[Comparative evaluation of the results of surgical treatment of lumbar osteochondrosis by different methods]. / Sravnitel'naia otsenka rezul'tatov khirurgicheskogo lecheniia poiasnichnogo osteokhondroza raznymi metodami.

The results of operative treatment of 307 patients, with lumbar osteochondrosis by means of 3 different methods allow the conclusion that operation for removal of the intervertebral disk through a posterior laminar approach because of additional destabilization should end without fail by stabilizing the segment operated on by one of the known methods or by the method suggested by the author. The author's method consists in autoplastics of the defect in the arches and the wedging of an autograft into the intervertebral space instead of the disk removed through the posterior approach.

[Treatment of complicated thoracic and lumbar spinal injuries and prevention of the sequelae of laminectomy]. / Lechenie oslozhnennoi spinal'noi travmy grudnogo i poiasnichnogo otdelov i profilaktika posledstvii laminéktomii.

The operation of choice in complicated trauma of the vertebral column with compression of the spinal cord (especially in the thoracic and the thoracicolumbar segments) is laminectomy (as the first stage of the intervention) performed in the earliest period. It is obligatory to conduct extensive inspection of the spinal cord and its roots, perform its anterior and posterior decompression and subsequent reliable stabilization of the spine, which may prevent recurrent compressions of the spinal cord in the residual period.

[Intramedullary cholesteatomas]. / Intramedulliarnye kholesteatomy.

Four cases are described of intramedullary cholesteatomas in the thoracic segment of the spine in patients from 14 to 42 years of age. Clinical observations noted the slow increase of symptoms of spinal compression in the form of asymmetric motor disorders and disturbances of sensibility. CSF blocks were found in all patients. Operations were performed on all female patients in whom a firm bulb-shaped thickening of the spine was determined. The spinal cord was dissected longitudinally and the tumour removed radically. The patients' movements were restored in periods ranging from 3 months to 2 years.