[Errors and difficulties in the surgical treatment of injuries of the cervical portion of the spine and spinal cord].
On the basis of clinical observations, the authors distinguish organizational, tactical, and technical errors. Problems of transportation and hospitalization of the injured persons in clinics not specializing in this branch of surgery underlie the organizational errors. The authors relate improper choice of the operative method (laminectomy, reduction of dislocations, or anterior decompression with corporodesis) to the tactical errors; they recommend a strictly differential approach to this problem and suggest definite indications for each of them. The technical errors include resection of the articular processes in reduction of dislocations and excessive skeletization which leads to destabilization of the spinal segments.
D002574:Cervical Vertebrae / Q000293:injuries*; D005392:First Aid; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D007796:Laminectomy; D008297:Male; D008722:Methods; D008875:Middle Aged; D013119:Spinal Cord Injuries / Q000601:surgery*; D013123:Spinal Fusion; D013514:Surgical Procedures, Operative / Q000009:adverse effects; D014187:Transportation of Patients
Oshibki i trudnosti pri khirurgicheskom lechenii travmy sheĭnogo otdela pozvonochnika i spinnogo mozga.