Randall R McCafferty | PubMed Health

PubMed2002

Common chemical agent threats.

The events of September 11, 2001, highlight the fact that we live in precarious times. National and global awareness of the resolve and capabilities of terrorists has increased. The possibility that the civilian neurosurgeon may confront a scenario involving the use of chemical warfare agents has heightened. The information reported in this paper serves as a primer on the recognition, decontamination, and treatment of trauma patients exposed to chemical warfare agents.

Chemical Warfare↗

PubMed2002

Neural function preservation and early mobilization after resection of metastatic sacral tumors and lumbosacropelvic junction reconstruction. Report of three cases.

The management of tumors that metastasize to the sacrum remains controversial. Typically, resection of such tumors and reconstruction of the lumbopelvic junction requires sacrifice of neural elements resulting in neurological dysfunction and prolonged periods of bed rest. This severely affects the quality of life in patients in whom there is frequently a limited life expectancy. The authors describe three patients who underwent subtotal resection of metastatic sacral tumors. Postoperatively, good outcome was demonstrated in all patients. The authors present a technique for debulking and reconstruction that provides immediate spinopelvic junction stability and allows for early mobilization. Quality of life is significantly improved compared with that resulting from either medical treatment or traditional surgery.

Early Ambulation↗