Early Therapeutic, Social and Vocational Problems in the by Bolesław Bielicki (auth.), Marian Weiss M.D. (eds.)

By Bolesław Bielicki (auth.), Marian Weiss M.D. (eds.)

Dr. Marian Weiss' textbook reviewing the etiology, pathophysiology, philosophy and conservative vs. surgical administration of spinal and spinal wire damage is an important contribution to the realm literature. The feedback which persist with are meant to serve the reader as a surgeon's 'thumb nail' caricature of the text's contents, in addition to short reviews on parts of contract or light variance of the evaluations expressed. Dr. \Veiss' assertion that the common surgical workforce usually turns into extra emotionally concerned with the great or uncertain analysis case on the rate of the sufferer with a hopeless analysis, is completely legitimate. the share variety of surgical spinal instances are insignificant compared to the variety of surgical admis­ sions. for that reason, little applicable wisdom is accrued by means of the typical health practitioner to permit for competence or self belief within the administration of the spinal injured patient's overall difficulties. The opinion is true that spinal trauma could be controlled in Spinal harm facilities the place entry to the total array of experts required by means of quadriplegic or paraplegic sufferers is offered. Such accomplished courses are so much appro­ priately affiliated with collage clinical Centers.

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The flexion mechanism alone is not sufficient for fractures of the articular processes to occur [166]. In the event of rupture Fig. 8. Explosion type of injury with fragmentation of the body of L2 . Fig. 9. Fragmentation of L4 with lateral dislocation. of the posterior ligaments and fracture of both articular processes, the upper part of the vertebra and disk are usually dislocated. g. in fracture-dislocation by a flexion-torsion mechanism (Fig. 6). Injury to the dorsolumbar segment by an 22 extension mechanism (Fig.

Unstable injury with flexion -torsion mechanism. Cerclage with wire. Figs. 28, 29. Fixation of the spine with two Harrington bars. Unstable injury. The mistake was made of using, instead of compression, distraction which must lead finally to an unstable injury resulting in dislocation of the metal bars and secondary dislocation. 40 Figs. 30, 31. Metal plate with bone bar. by the action of mixed, flexion-rotation forces. Dislocation in th e thoracic segment is less frequent. Conservative treatment is ineffective, and operative treatment is absolutely indicated .

In 1958 PERRYMAN, NOBLE and BRAGDAN reported results in 28 patients [54], [103]. At the Conference on Neurosurgery in Leningrad in 1964, FRANKEL presented results of scintigraphic gas radiomyelography in 48 patients with acute spinal cord injuries, including 24 localized in the cervical segment, 16 in the thoracic segment, and 6 in the lumbar segment, employing radion Rh-222. At the Burdenko Institute of Neurosurgery in Moscow, up to 1962, 194 gas myelographies were done, mostly using radioactive xenon Xe-133, and at first radion Rh-222 (F.

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