Hável János, Göböl László, Görömbey Zoltán, Kiss Tibor, Lajkó Albert, Valálik István, Viola Arpád, Julow Jenó
Fóvárosi Onkormányzat Szent János Kórház, Idegsebészeti Osztály, Budapest.
Ideggyogy Sz. 2003 Jan 20;56(1-2):14-9.
With the aim to compare results to those found in the literature, authors present a retrospective overview of the spinal stabilizations carried out in the Neurosurgical Department at the St. John's Hospital, Budapest, Hungary between 1989 and 2002. This 37 bed department provides neurosurgical services to the Buda region with its one million inhabitants. Out of 156,000 injuries in total in the past 13 years, the department has dealt with 9360 neurotraumatologic cases, 560 of them suffering from spinal injuries. In parallel, non-traumatic cases were also treated for tumour, infections, degenerative diseases and for the instability of the spine. The 224 stabilised cases were classified into three groups: cervical, thoracic, lumbar. The authors enumerate the type of operation in each level and they present the number of cases belonging to each type. Septic complications occurred in 2.5% of cases. Screw breaking or slackening of the implanted devices was observed in 2% of the cases. The types of spinal operations applied provide satisfactory method for controlling the problems caused by the instability the spinal trauma, degenerative and tumourous cases. These results do not diverge from those found in the literature.
为了将结果与文献中的结果进行比较,作者对1989年至2002年期间在匈牙利布达佩斯圣约翰医院神经外科进行的脊柱固定手术进行了回顾性概述。这个拥有37张床位的科室为拥有100万居民的布达地区提供神经外科服务。在过去13年总共15.6万例损伤中,该科室处理了9360例神经创伤病例,其中560例患有脊柱损伤。与此同时,还对肿瘤、感染、退行性疾病和脊柱不稳等非创伤性病例进行了治疗。224例接受固定手术的病例分为三组:颈椎、胸椎、腰椎。作者列举了每个节段的手术类型,并给出了每种类型的病例数。2.5%的病例出现了感染性并发症。2%的病例观察到植入装置的螺钉断裂或松动。所应用的脊柱手术类型为控制脊柱创伤、退行性和肿瘤性病例的不稳所引起的问题提供了令人满意的方法。这些结果与文献中的结果没有差异。