SURGICAL TREATMENT OF A PATIENT WITH POSTTRAUMATIC SYRINGOMYELIA ASSOCIATED WITH COMPLEX POSTTRAUMATIC DEFORMITY OF THE SPINE
https://doi.org/10.14531/ss2017.4.39-44
Abstract
A clinical case of surgical treatment of a female patient with posttraumatic syringomyelia which led to tetraparesis and dissociated sensory loss in the trunk and upper and lower limbs is presented.
Clinical manifestations of these spinal cord changes occurred 21 years after complicated fracture of the L1 vertebra associated with complex posttraumatic spinal deformity.
Multistage surgical intervention made it possible to restore liquorodynamics, perform the necessary correction of severe kyphotic deformity of the spine, and reduce the risk of torso imbalance. As a result, the syrinx practically disappeared at all levels of the study.
About the Authors
Andrey A. Zuev
Pirogov National Medical and Surgical Center
Russian Federation
Russian Federation
MD, PhD, neurosurgeon, head of the 2nd neurosurgical department, Pirogov National Medical and Surgical Center
Nizhnyaya Pervomajskaya str., 70, Moscow, 105203
Valery B. Lebedev
Pirogov National Medical and Surgical Center
Russian Federation
Russian Federation
MD, PhD, traumatologist-orthopaedist, Pirogov National Medical and Surgical Center
Nizhnyaya Pervomajskaya str., 70, Moscow, 105203
Dmitry S. Epifanov
Pirogov National Medical and Surgical Center
Russian Federation
Russian Federation
neurosurgeon, Pirogov National Medical and Surgical Center
Nizhnyaya Pervomajskaya str., 70, Moscow, 105203
Renat M. Nurmukhametov
Pirogov National Medical and Surgical Center
Russian Federation
Russian Federation
resident physician, Pirogov National Medical and Surgical Center
Nizhnyaya Pervomajskaya str., 70, Moscow, 105203
Gleb V. Kostenko
Pirogov National Medical and Surgical Center
Russian Federation
Russian Federation
postgraduate student, Pirogov National Medical and Surgical Center
Nizhnyaya Pervomajskaya str., 70, Moscow, 105203
Nikita V. Pedyash
Pirogov National Medical and Surgical Center
Russian Federation
Russian Federation
neurosurgeon, Pirogov National Medical and Surgical Center
Nizhnyaya Pervomajskaya str., 70, Moscow, 105203
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Review
For citations:
Zuev A.A., Lebedev V.B., Epifanov D.S., Nurmukhametov R.M., Kostenko G.V., Pedyash N.V. SURGICAL TREATMENT OF A PATIENT WITH POSTTRAUMATIC SYRINGOMYELIA ASSOCIATED WITH COMPLEX POSTTRAUMATIC DEFORMITY OF THE SPINE. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2017;14(4):39-44. https://doi.org/10.14531/ss2017.4.39-44
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