[Experience with 60 frontal myelotomies in treatment of spastic manifestations in patients with injuries of the spine and spinal cord].

A 10-year experience gained in the surgical treatment of spastic manifestations in patients with the injured vetebral column and spinal cord is summarized. In 57 cases a total of 60 modified Bischof's operations were performed. A clinical classification has been worked out, at the basis of which there are the intensity and frequency of synergies. Spasticity disappeared in 54 of the patients operated upon. The elimination of the synergy, hypertonicity, mono- and pplysynaptic reflexes created favourable conditions for a subsequent rehabilitative therapy, which included walking and self-service training. Myelotomy proved quite effective irrespective of the time lapsed from the moment of injury.