back to vol. 15, b. 1, 2009

Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312-773X (Online)
Issue: Volume 15, book 1, 2009
Subject Collection: Medicine
Page: 84 - 88
DOI: 10.5272/jimab.1512009_84
Online date: Sept. 29, 2009,

Tony Avramov, G. Kyuchukov, I. Kiryakov, N. Obreshkov, D. Handjiev, R. Nedelko,
Clinic of Neurosurgery and Neurology, St. Anna Hospital, Varna; Department of  Neurosurgery, Eye diseases and ENT, Medical University „Prof. P. Stoyanov”, Varna, Bulgaria;
SUMMARY: The clinical files of 122 operated patients in our Clinic of neurosurgery St. Anna Hospital – Varna during 5-year period were retrospectively reviewed. 68 had significant episodes of radicular pain, 100 - motor deficit and 62 - bladder disfunction. X-ray, bone CT and MRT were performed in 56, 23, 79 patients, respectively. 112 episodes of laminectomy and spinal cord compression were treated surgically. MRI effectively showed intra- extravertebral mass lesions. Overall treatment led to improvements in pain and motor deficit of 45 % of patients. Vertebral metastases strongly alter QL in all 51 patients. Radicular pain, neurological deficit, infection, venous thrombosis, pneumonia and other complications  before and after surgery are the major problems. The mortality rate in our series is 7,3 %. Is needed to determine the optimal timing of treatment strategies  chemotherapy, radiation therapy and especially of surgery.
Key words: spinal tumors. spinal cord compression. surgical treatment. laminectomy. transpedicular fixation. postoperative complications.

Page: 84-88; FULL TEXT PDF (278 KB)

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