The authors present data from 150 cases of traumatic dorsolumbar spinal injuries operated on by Roy- Camille method. There was prevalence of male patients: 80%. The majority of patients belongs to the labour age group: from 20 to 50 years of age: 87.3%. The youngest was 16, the oldest: 71. The most frequent causes are labour accidents: 71.3%, fall having the highest percentage: 48.6%. The machanism of injury is compression with decreased vertebral body in height: 52%. There were extraspinal lesion in 13.3% of cases. Pain at the lesion level was found in 13.3% of cases. Pain at the lesion level was found in 100%- 91.3% of the patients had disturbaces; 82.7% these was hyposensibility under the level of the lesion, in 76.7% there was complete. In 66% fracture of the spine was found and 52% had dislocation. most often surgery was done in emergency. 82% had laminectomy, 94.7% had three spinal bodies fixed. Mean hospitalization: 9.6 days. 20 patients recovered from neurological funtions during hospitalization.
Spinal Injuries ; surgery

The authors presented the data from 73 cases of spinal cord surgery at Cho Ray hospital from 6/1994 to 6/1996. The incidence of different tomours was equivalent in male and female patients. The most frequent cases were Schwannoma (47.9%); the highest number of tumours was at the dorsal level (58.9%); the most frequent site was epidural (53.4%), higher than intradural and extramedullary (43.8%); the percentage of intramedullary tumours was very low (1/73 cases).
Spinal Cord ; Surgery

Humans ; Lumbar Vertebrae ; surgery ; Spinal Diseases ; surgery ; Spinal Fusion

Spine and spinal cord injuries represent one of the most survivable, yet disabling injuries known to man. Many countries and governments have contributed great resources to study on it. With the rapid development of modern basic and clinical medicine, many effective methods can be selected to restore the mechanical stability of damaged spinal column, including several minimal invasive surgical operations. Unfortunately, up to now, there are few effective therapeutic tools for the treatment of severe spinal cord injury. But new discoveries in basic research field and progress in modern rehabilitation medicine bring us great prospects.
Humans ; Spinal Cord Injuries ; rehabilitation ; surgery ; Spinal Injuries ; rehabilitation ; surgery

Background: Vertebral column injuries are severe and common injuries in sugical emergencies. In vertebral column injuries, thoracolumbar location damages commonly because of its anatomic features. Objective: To describe clinical, subclinical features, and results of treatment in patients with vertebral column injuries who operated by combined two incisions; To discuss operative indications for thoracolumbar Burst fracture injuries. Subjects and method: The prospective study was performed in patients with thoracolumbar vertebral column injuries who operated at Viet Duc, from January to December 2005. All patients were evaluated about clinical, subclinical features, operative indications and techniques, and results. Results: The time from the accident to the operation was 24-72 hours (54.8%), over 6 days (25.8%), 3-6 days (12.9%), and 6-24 hours (6.5%). 13 of 31 cases damaged in L2, and 12 cases damaged in L1. The average time of operation was 5 hours 43 minutes (ranged 4 hours to 8 hours 30 minutes). The average transfused blood amount was one unit (ranged from 0 to 4 units). For complete paralysis, most patients recovered fully. For thoracolumbar Burst fracture injuries with incomplete paralysis, it should operate by front incision. In Burst fracture injuries with clear-off vertebra, no paralysis; it also should operate by front incision. Conclusions: The operation with combined two incisions (front and behind) was safe and effective technique for thoracolumbar vertebral column fixation.
Spinal Injuries/ surgery ; pathology ; therapy ;

Humans ; Spinal Fusion ; Spine ; surgery

Humans ; Spinal Diseases/surgery* ; Spine/surgery*

The multidisciplinary treatment model led by surgery has become a comprehensive strategy and overall concept for the treatment of spinal metastatic tumors. But the surgical treatment of spinal metastatic tumors is different from primary malignant tumors of the spine. Surgery is only a part of the multidisciplinary comprehensive treatment. Therefore, the following aspects need to be evaluated comprehensively based on the survival assessment, evaluation of spinal stability damage, nerve dysfunction, and oncological characteristics of the metastatic tumors with a reasonable surgical intervention. The attention should be paid to the minimally invasive treatment of spinal metastases, progress of new radiotherapy technology, neoadjuvant chemotherapy, targeted drug therapy and other medical treatment to make a comprehensive and individualization decision which is benefit to relieve patients ' pain, reconstruct spinal stability and avoid paralysis. While improving patient survival, increasing local tumor control rate and possibly prolonging survival time, avoiding excessive surgery as much as possible.
Humans ; Spine/surgery* ; Spinal Neoplasms/surgery*

PURPOSETo investigate the usefulness of three-dimensional (3D) printing in complex spinal surgery.

METHODSThe study was conducted from October 2014 to March 2015 in Shenzhen Second Peoples' Hospital and 4 cases of complex severe spinal disorders were selected from our department. Among them one patient combined with congenital scoliosis, one with atlas neoplasm, one with atlantoaxial dislocation, and the rest one with atlantoaxial fracture-dislocation. The data of the diseased region was collected from computerized tomography scans for 3D digital reconstruction and rapid prototyping to prepare photosensitive resin models, which were applied in the treatment of these cases.

RESULTSThe use of 3D models reduced operating time and intraoperative blood loss as well as the risk of postoperative complications. Furthermore, no pedicle penetrations or screw misplacement occurred according to the postoperative planar radiographic images.

CONCLUSIONThe tactile models from 3D printing allow direct observation and measurement, helping the orthopedists to have accurate morphometric information to provide personalized surgical planning and better communication with the patient and coworkers. Moreover, the photosensitive resin models can also guide the actual surgery with the drilling of pedicle screws and safe resection of tumor.

Aged ; Child ; Humans ; Male ; Precision Medicine ; Printing, Three-Dimensional ; Scoliosis ; surgery ; Spinal Diseases ; surgery ; Spinal Fractures ; surgery ; Spinal Neoplasms ; surgery

COVID-19/epidemiology* ; Humans ; Singapore/epidemiology* ; Spinal Diseases/surgery* ; Spinal Injuries/surgery* ; Spine/surgery*