[The treatment of dislocation fractures in the thoracic and lumbar spine by means of the Weiss-spring and its modifications].
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Biomedical subjects
Publications and source records attributed to U Bötel.
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During first 6 months of 1978 skin lesions of 22 patients suffering from paraplegia were treated with Debrisorb at the Dept. of spinal cord injuries of Bergmannsheil, Bochum. Contrary to the earlier used treatment (wet dressings, necrectomy and fibrinolytic ointments) it appeared that under Debrisorb treatment edema around expanded lesions was quickly reduced. Thereby this infections no longer had a sufficient nutrient. The necessary plastic surgery could be performed earlier than in the past. Debrisorb represent an essential help in the treatment of pressure sores. The common methods of treating pressure sores especially in paraplegic patients may not be changed. The load capacity of the scar is attained faster through Debrisorb. However, Debrisorb cannot replace plastic surgery.
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In order to determine the frequency of neck vessel injuries, Doppler investigations were performed in 60 patients following either severe head injury (n = 29), cervical spine injury (n = 26), or combined head and cervical spine injury (n = 5). The majority of patients were referred to our hospital for early rehabilitation; before admission Doppler investigations had been performed in only 2 patients. Clinically, 3 patients sustained severe cerebral ischemia due to neck vessel trauma: 1 patient with left-sided ICA dissection after head trauma revealed Doppler abnormalities only in the early phase of the disease; the second patient demonstrated persistent Doppler abnormalities due to traumatic right-sided ICA and VA occlusion. The third patient sustained a fatal vertebral and basilar artery thrombosis following cervical spine injury. In 57 patients without clinical signs suspicious of neck vessel trauma, sonography revealed abnormalities in 3 patients (11%) with severe head injury and in 6 patients (20%) with cervical spine or combined head and spine injury, in both groups mainly related to the vertebrobasilar system. Neck vessel injury is probably an underdiagnosed complication of severe head or cervical spine trauma. Although interpretation of Doppler findings may be difficult, particularly in the vertebrobasilar system, Doppler investigations can be recommended as a screening method to exclude neck vessel injuries.