Surgical tactics and results of posttraumatic syringomyelia treatment

Eugene Slynko, Andrey Dyadechko, Iyad Al-Kashkish

Abstract


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.

Keywords


posttraumatic cyst of the spinal cord; syringomyelia; shunting of cysts

References


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GOST Style Citations


1. Decompressive surgery in a patient with posttraumatic syringomyelia / M.S. Byun, J.J. Shin, Y.S. Hwang, S.K. Park // J. Korean Neurosurg. Soc. — 2010. — V.47, N3. — P.228–231.

2. Posttraumatic syringomyelia — a serious complication in tetra- and paraplegic patients / H. Jaksche, M. Schaan, J. Schulz, B. Bosczcyk // Acta Neurochir. — 2005. — N93, suppl. — P.165–167.

3. Syringo-subarachnoid-peritoneal shunt using T-tube for treatment of post-traumatic syringomyelia / S.H. Kim, S.W. Choi, J.Y. Youm, H.J. Kwon // J. Korean Neurosurg. Soc. — 2012. — V.52, N1. — P.58–61.

4. Shields C.B. Post-traumatic syringomyelia: CSF hydrodynamic changes following spinal cord injury are the driving force in the development of PTSM / C.B. Shields, Y.P. Zhang, L.B. Shields // Handb. Clin. Neurol. — 2012. — N109. — P.355–367.

5. Surgical management of post-traumatic syringomyelia / C.M. Bonfield, A.D. Levi, P.M. Arnold, D.O. Okonkwo // Spine. — 2010. — V.35, N21, suppl. — P.245–258.

6. Cordectomy for post-traumatic syringomyelia / Y. Kasai, E. Kawakita, K. Morishita, A. Uchida // Acta Neurochir. (Wien). — 2008. — V.150, N1. — P.83–86.

7. Factors associated with early onset post-traumatic syringomyelia / H.Y. Ko, W. Kim, S.Y. Kim, M.J. Shin, Y.S. Cha, J.H. Chang, Y.B. Shin // Spinal Cord. — 2012. — V.50, N9. — P.695–698.

8. Surgical treatment of post-traumatic syringomyelia / S.O. Ushewokunze, Y.C. Gan, K. Phillips, K. Thacker, G. Flint // Spinal Cord. — 2010. — V.48, N9. — P.710–713.




Copyright (c) 2013 Eugene Slynko, Andrey Dyadechko, Iyad Al-Kashkish

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