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Ideggyógyászati Szemle Proceedings
Szöveg nagyítása:
Aim: The purpose of this study is the cauterization and strong criticism of the many and pointless surgeries performed on the spine. We hope that this reckless treatment of various spine problems will stop, for the benefit of both, patients and doctors.
Material and methods: We analyzed the results of the treatment in 581 pts., where admitted in our hospital due to the compression of the spinal cord or of the nerve roots. 394 pts. (68%), where male and 186 (32%) female. 33-84 y/old. The cause of the compression it was as follow: degenerative changes 400, epidural tumors 20, subdural tumors 5, epidural hematomas 3, epidural AVM2, fractures 35, infections 10, disc hernia 79, synovial cyst 20, heredity 3, irregular growths of soft tissue2, lipomatosis1, Hirayama disease 1 pts.
In cervical area they had compression 168 pts, in dorsal 83 and in lumbar 330 pts. 150 pts had a previous operation on the spine and they readmitted due to the failed back surgery 479 pts had surgical treatment and 102 conservative.
Results: 3 pts were deteriorated neurologically postoperative. Recovery period 1-2 years (sign of ischemic problem during the surgery). 3 pts with post-operative CSF leaking (Conservative treatment). 150 pts with implants fusion were re-operated in order to remove the implants (6 months-6 years p/op.). 8 patients had post-operative infection (antibiotics for 3-6 months. 2 of them re-operated, removing the implants). 80 pts had 2nd surgery in adjusted segment. 290 pts declared satisfy from the treatment. 102 pts with conservative treatment declared satisfy.
Conclusions: in order to avoid any bad sequences in spine surgery we have to find strong indications for surgical treatment and the kind of the surgery. The compression of the spinal cord or of the nerve roots is the consequence problem from different disease. The main cause of that is the degenerative change of the spine, especially in age 60-70 y/old. If the spinal cords and nerve roots compression are in stage II and III, the gold standard of treatment is the surgery. The age is not contra-indication for surgical treatment (without operation the patient will stay on the wheelchair until his death). The fusion is not the scope of the spine surgery.
AFFILIÁCIÓK
- Blue Cross Medical Center, Pafos, Cyprus
A kiadvány további cikkei
Ideggyógyászati Szemle Proceedings
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Ideggyógyászati Szemle Proceedings
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Ideggyógyászati Szemle Proceedings
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Ideggyógyászati Szemle Proceedings
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Kapcsolódó anyagok
Ideggyógyászati Szemle Proceedings
A microsurgical arteriovenous malformation model on the saphenous vessels in the rat
Arteriovenous malformation (AVM) is an anomaly of blood vessel formation. Numerous models have been established to understand the nature of AVM.
Ideggyógyászati Szemle Proceedings
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Ideggyógyászati Szemle Proceedings
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Ideggyógyászati Szemle Proceedings
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Ideggyógyászati Szemle Proceedings
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The solitary osseous plasmacytoma (SOP) is a rare bone tumor characterized by the monoclonal proliferation of malignant plasma cells without systemic involvement. We present a case of an 11-year-old patient having a right frontal tumoral mass with a normal neurological exam.
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