Ultrastructure of the glial cells after spinal cord compression in rabbits.
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Biomedical subjects
Publications and source records attributed to W Jarmundowicz.
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Calcifications and ossification in the spinal arachnoid are usually asymptomatic and are revealed accidentally during neurosurgical operations or autopsy. A case is described of ossification of the arachnoid developing after vertebral trauma and causing chronic pain.
In 1971-1985 surgical treatment was carried out of 29 patients in the Neurosurgery Department WAM in Lódź and 5 in the Rehabilitation Centre in Konstancin for spondylolisthesis complicated with signs of cauda equina damage. In the surgical treatment the technique used was that of a combination of neurosurgical approach (full decompression of the nervous elements in the vertebral canal by laminectomy with foraminectomy or facetectomy, removal of protruding discs and osteophytes and parts of the vertebral bodies narrowing the vertebral canal), and orthopaedic procedures (spondylodesis between vertebral bodies posterior spondylodesis and a combination of both techniques). In one case spring alloplasty was done and in one case Harrington's rods were used. The operation was carried out at one time from the same posterior approach. The follow-up was from 1 to 15 years. A very good result was obtained in 20.6% of cases, good in 55.9%, satisfactory in 23.5%. In no case of worsening or lack of improvement were observed.
In the Department of Neurosurgery, Medical Academy in Lódź in the years 1971-1986 out of 356 injuries to the spine and spinal cord 6 cases (1.7%) were shot wounds. The indications to surgical treatment were: high-grade posttraumatic spinal instability, intense liquorrhoea with threatening meningitis, and violent pains in lower extremities. The clinical material and the tactics of neurosurgical management are described.
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The authors report the clinical material from the Department of Neurosurgery, WAM in Lódź from the last 11 years including cases of damage to the deep branch of the ulnar nerve. In view of the importance of this branch for the function of the hand, damage to it requires very careful surgical management with autogenous graft. Sometimes this is technically difficult in view of the topographic conditions in this area. Damage to the deep branch of this nerve is usually associated with damage to the sensory part of the ulnar nerve, to the median nerve and tendons of finger flexors.
Glomangiomas are most frequently situated on fingers and toes, especially in the vicinity of the ungual plate. The authors report five cases of glomangiomas of atypical location/in the knee joint, in the vicinity of femoral and tibial epiphyses, and in the subcutaneous tissue on the forearm. The clinical findings are described, stressing the lack of parallelism between the intensity of symptoms and the size of the tumour which rarely exceeds the size of a millet grain. Complete removal of the tumour produces complete disappearance of pain and recurrences are not observed.
The authors present the first in the Polish literature group of 320 cases of autogenic nerve cable grafts. The overall results of this treatment are: very good and good in 43.3%, satisfactory in 29.1%, poor in 18.2%, bad in 9.4%. Nearly all bad results were obtained in grafting nerves in the lower extremity. A comparison of the results obtained with the classic nerve suture and short cable grafts shows a decidedly evident superiority of grafts over the classic suture. The advantages of grafts are discussed, particularly with respect to nerve blood supply. The importance of early surgical treatment and prolonged heat treatment is stressed.
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In the years 1971-1981 in the Department of Neurosurgery, Military Medical Academy 293 patients were treated surgically for cervical spondylosis. The author describes the methods of surgical treatment calling particular attention to the necessity of wide decompression of the nervous structures and vessels of the vertebral canal and good stabilization of the cervical spine using osseous grafts. In severe cervical myelopathy it is necessary to decompress the spinal cord and its vessels, both anterior and posterior. This is achieved in a two-stage operation. The operation from anterior approach is always done in the first stage of the treatment. The results of surgical treatment of cervical spondylosis are reported. Good and very good results were obtained in 49.7% of cases, improvement in 46.6%, no improvement in 3.7%. Worsening of the neurological status was never observed.
The introduction of tissue adhesives in neurosurgery for treating cerebrospinal fluid fistulas has been a major advance in the operative technique. The authors describe the use of gelatin-resorcin-formaldehyde adhesive (GRF) in the surgical treatment of cerebrospinal fluid fistulas. The method of preparation of GRF, the technique of adhesive application, its clinical use and advantages are described.
The authors present a method of surgical treatment of progressive paresis of the ulnar nerve by means of transposition of this nerve to the anterior aspect of the cubital fossa. This method was used in 35 cases. The most frequent cause of the paresis was old fracture or contusion of the region of the cubital joint. In all cases the therapeutic result was good.