title: Commissural myelotomy.
abstract: The effect of commissural myelotomy in 24 cases with intractable pain is described. The operative technique employed with the operating microscope or magnifying glasses and a special myelotome is outlined. The results suggest an outstanding advantage in patients with bilateral metastases from malignancies except intrapelvic metastases. Patients with lumbar arachnoiditis showed a total failure of pain relief after 2 to 5 years, in spite of good relief temporarily.
mesh_terms: D005260:Female; D006801:Humans; D008722:Methods; D009362:Neoplasm Metastasis; D010148:Intractable Pain / Q000601:surgery*; D010386:Pelvic Neoplasms / Q000150:complications; D013116:Spinal Cord / Q000601:surgery*; D013525:Surgical Instruments