Surgical tactics and results of posttraumatic syringomyelia treatment
Introduction. The purpose of the research was to study features of posttraumatic cysts flow and rational tactics for their treatment was developed.
Materials and methods. The research is based on results of 280 patients treatment. Surgical intervention was performed in 78 cases, in 69 — middle myelotomy with cysts opening, in 8 — different variants of subarachnoid shunt and in one — cyst-peritoneal shunt was applied.
Results. In 54 cases directly after surgery regression of neurological symptoms was observed. In these patients the period from post-traumatic cyst emergence to surgery performing did not exceed 3 years.Conclusions. Simple cyst opening is possible only at adequate recovery of liquor circulation in the area of spinal cord injury. If you failed to restore liquor circulation, shunting of cysts is needed.
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