Email this article Treatment and prophylaxis of scarry and comissural lumbosacral radiculopathies
- Authors: Kholodov S.A.1,2
-
Affiliations:
- City neurosurgical center
- Hospital of war veterans number 2
- Issue: Vol XXXIII, No 1-2 (2001)
- Pages: 25-28
- Section: Articles
- URL: https://journal-vniispk.ru/1027-4898/article/view/79730
- DOI: https://doi.org/10.17816/nb79730
- ID: 79730
Cite item
Full Text
Abstract
Aiming at treatment of compressive-comissural radiculopathies in patients with lumbar damage with discs involvement surgical treatment was used including set of procedures, directed to minimization of scarry and comissural process and its consequences in microsurgery of lumbar disease with discs damage. Peculiarities of surgical approach to the structures of vertebral canal, reconstructive elements of surgery, and also techniques of implantation of silicon microneuroprotectors and polytetrafluoroethylenic spinal membranes into neural structures zones are discussed. The proposed complex of surgical measures provides maximal decompression of neural structures of vertebral cord, their protection from the effect of musculocutaneous scars and fibrous tissues and positive results of treatment.
Keywords
Full Text
##article.viewOnOriginalSite##About the authors
S. A. Kholodov
City neurosurgical center; Hospital of war veterans number 2
Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow; Moscow
References
- Мусалатов Х.А., Аганесов А.Г. Хирургическая реабилитация корешкового синдрома при остеохондрозе поясничного отдела позвоночника.—М.: Медицина, 1998.
- Юмашев Г.С., Фурман М.Е. и соавт. Остеохондрозы позвоночника.—М.: Медицина, 1984.
- Ahmad S., Coker J.T., Silver J. et. al. ADCON-L is a potent and long inhibitor of surgical adhesions //J. Investigative Surg.—1992.—Vol. 5.—P.247.
- Bundschuh С.V., Modic M.T., Ross J.S. et. al. Epidural fibrosis and recurrent disc herniation in the lumbar spine: MR-imaging assessment //AJNR.—1988.— Vol. 9. —P. 169—178.
- DiFazzio F.A., Nichols J.B., Pope M.H. et. al. The use of expanded polytetrafluoroethylene as an interpositional membrane after lumbar Laminectomy //Spine.— 1995.-Vol. 20.-P.986-991.
- Gill G.G., Scheck M., Kelley E.T. et. al. Pedicle fat grafts for the prevention of scar in low-back surgery //Spine.-1985.-Vol. 10.-P.662-667.
- Hiraizumi Y., Transfeldt E.E., Fujimaki E. et. al. Application of polyvinyl alcohol hydrogel membrane as anti-adhesive interposition after spinal surgery //Spine.—Vol. 20.-P.2272-2277.
- Hueftle M.G., Modic M.T., Ross J.S. et. al. Lumbar spine: Postoperative imaging with Gd-DPTA //Radiology. 1988.—Vol. 167.—P.817—824.
- Key J.A., Ford L.T. Experimental intervertebral disc lesions //J. Bone Joint. Surg.—1948. Vol. 30.— P.621-630.
- Kiviluoto O.P. Use of free fat transplantats to prevent epidural scar formation //Acta Orthop. Scand.— 1976.—Vol. 164 (suppl).—P.3—75.
- LaRocca H., Macnab I. The laminectomy membrane: Studies on its evolution, characteristics, effects and prophylaxis in dogs //J. Bone Joint. Surg. —1974.— Vol. 56B.—P.545—550.
- McCulloch J.A., Young P.H. Essentials of spinal microsurgery //Philadelphia, 1998.
- Modic M.T., Ross J.S. Magnetic resonance imaging in the evaluation of low back pain //Orthop. Clin. North. Am.—1991.—Vol. 22.-P.283-301.
- Robertson J.T., Meric A.L., Dohan F.C. et. al. The reduction of postlaminectomy peridural fibrosis in rabbits by a carbohydrate polymer //J. Neurosurg. —1993.— Vol. 79.—P.89—95.
Supplementary files
