Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Spine
Abstract number: 26064
NEUROORTHOPAEDIC ASPECTS OF THE SURGICAL CORRECTION OF
LIQUOR CIRCULATION DISORDERS IN PATIENTS WITH SPINAL CORD INJURY
Alexander BELETSKY, Oleg DULUB, Andrey BABKIN, Sergey KORCHEVSKY,
Inessa ILYASEVICH
Republic Scientific Practical Center of Traumathology and Orthopaedics, Minsk
(BELARUS)
The main cause of the spinal cord distant lesions with traumatic brain disease is
posttraumatic syringohydromielia (28 patients). Patients were divided into 3 groups
with posttraumatic syringohydromielia by its extent: local, extended and total forms.
The main reasons of its formation are: liquor circulation violations (adhesive process),
primary cystic cord lesions process progress, the combined liquor production
violation. Active surgical treatment is indicated in patients with extended and total
forms. In cases of liquor circulation violation meningomyeloradikulolys,
decompression surgery, cysterno-spine grafting were carried out. No block liquor
spaces, syringohydromielia total forms demanded the implementation of the
cysterno-peritoneal valve grafting. The primary positive dynamic was reached in all
operated patients. Long-term positive neurological recovery dynamic was reached in
10 patients (useful motor activity development, a significant decrease in
uppersegmentary neurological symptoms). However, the achievement of full recovery
lost functions was failed in any of the observations. That reflects not only the need for
the prompt decision to perform the surgery, but the impossibility full correction of
mechanisms leading to the pathological condition.
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