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J Ugrinovski

Publications and source records attributed to J Ugrinovski.

15 recordsLinked to original sources

[Posterior lumbar fusion using spongious-metal pins in lumbar instability and spondylolisthesis].

A new technique of posterior lumbar interbody fusion (PLIF) using a cast cancellous metal blade is presented. A new shape of the metal implant which insures an immediate lumbar fusion is designed by the authors. This technique is used in 8 patients with spondylolisthesis and in 11 patients with lumbar instability. In all patients good and immediate fusion is achieved as well as satisfactory clinical effect. The operative technique is presented and advantages of this technique are discussed.

Adult

[Emergency management of intracerebral hematoma of nontraumatic origin].

A series of 78 consecutive non-traumatic intracerebral hematomas operated upon between 1972 and 1981 is presented; the authors analysed the etiology, age, sex, clinical manifestation and state of consciousness as well as timing of surgery as factors potentially influencing the outcome. The mortality rate before introducing of C. T. scan (before 1978) as a main diagnostic procedure, was over 50% and decreased to 25% after its use. Patients operated on in the first 24 hours after the bleeding, have mortality of 50%, on the second day 16%, and since the third day there was no mortality. The mortality rate in patients with moderate neurological deficiencies and slight disturbances of consciousness was under 10%, reached full 91% in patients with severe neurological deficiencies and deep coma. The etiology as a possible factor determining the outcome in non-traumatic intracerebral hematomas is also analysed and discussed. In patients with AVM as a cause of compressive hematoma there was no mortality, while in hematomas due to aneurysmal rupture, mortality was over 42%. Mortality in hypertensive patients was 53% and in spontaneous hematomas it was 35%.

Cerebral Hemorrhage

[Anastomosis of the facial and hypoglassal nerve using coagulated plasma. Our first experiences].

The authors present their first experience in the construction of an anastomosis between the facial and hypoglassal nerves. This anastomosis was made in 3 patients; in one of them who had a lesion of n. facialis, the anastomosis was made 8 months following the time of the lesion, and the result was very good. In the other 2 patients the results were satisfactory, even though the procedure was carried out 9-10 years following the injury to this nerve. The authors stress the importance of the promptness of the operation, and the postoperative rehabilitation course.

Adult

[Scanographic picture of development of spontaneous intracerebral hematoma (report of a case)].

The authors present a case of a 25 old male with spontaneous left temporal intracerebral haematoma. The first brain scan (In-113) performed on the 8th day after the onset of symptoms was normal. The second one, on the 12th day showed an abnormal accumulation of Tc-99m in the left temporal lobe. The clinical findings completed with such scanographic evolution suggested a preoperative diagnosis of intracerebral haematoma. The real diagnosis was confirmed during the surgery with the removal of a haematoma consisting of 100 ccm partly fluid, partly coagulated blood.

Adult

Initial state, outcome, and autopsy findings in a series of 200 consecutive traumatic comas. A computerised analysis.

Based on 200 nonselected consecutive cases of primary traumatic coma a preliminary mathematical model--computed, multiple linear regression analysis--has been developed, which seems to be suitable for calculating the prognosis from some initial anamnestic and clinical data. It is to be expected that the analysis of greater material will help to establish an even better model, e.g. by a more detailed age subdivision and choice of more or other factors. It is the aim of this report to encourage further work in this field.

Adolescent