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[Surgical treatment of sequelae of burns of the anterior abdominal wall and lumbosacral region].

The proposed method of surgical treatment of patients with scar deformations and defects of soft tissues of the anterior abdominal wall and lumbosacral zone was used in 30 patients. The method is based on large mobilization and acute distention of undamaged dermal flaps in neighboring with the scar defects zones. Acute dermotension permits to remove large scar defects and restore natural integument in patients with burn trauma.

Abdominal Muscles↗

[The rehabilitation of patients with acute pain in the lumbosacral region].

77 patients with acute pain in the lumbosacral area, exposed to adverse occupational factors prevalent in aircraft industry, were examined. Group I patients (control) received several types of curative therapy (medicamentous, physiotherapeutic, balneological). Group II patients (test) underwent, in addition to the treatments above, manual therapy to the vertebrogenic zone and "trigger points", injections of antireticular cytotoxic serum as recommended by A. A. Bogomolets. The degree of the pain syndrome was assessed by four grades. Grade I was diagnosed in 62 (80.51%) patients, grade II was present in 13 (10.68%), grade III in 2 (3.61%) patients. The fourth grade was not identified. Positive results were recorded in 64.86% and in 87.95% of patients in group I and group II respectively. The suggested multimodality treatment for controlling pains in the lumbosacral area is an effective, cost-saving method, easy to use.

Acute Disease↗

Interdural cyst of the lumbosacral region.

The purpose of this report is to call attention to the clinical, myelographic, and computed tomographic appearance of a very rare type of dural cyst within the lumbosacral spinal canal. We report this condition in three unrelated boys who presented with symptoms of cauda equina compression. Our experience suggests that these cysts are congenital in origin. Anatomically, the cyst wall consisted of a dura-like layer without arachnoid. There was a small ventral defect allowing incomplete communication with the compressed subarachnoid space. Cerebrospinal fluid-like fluid accumulated within the interdural cyst as a result of this communication. Treatment consisted of obliteration of the point of entry between cyst and subarachnoid space in all cases and partial cyst wall excision in one case. After operation, the two patients who had presented with long-standing sphincter disturbance had partial improvement in function and the child with a pain syndrome was completely relieved of symptoms.

Cauda Equina↗