TOTAL INTRADURAL DISK PROLAPSE IN THE LUMBAR REGION

Penetration of the intervertebral disk material into the intradural space in the lumbar region is a clinical and neurosurgical casuistic. According to literature data available, this pathology occurs in less than 0,3 per cent of the operated patients with lumbar disk herniation. The few clinical reports aim at forming a typical clinical syndrome. The authors presented two own clinical observations of operatively verified patients with total intradural disk protrusion in the lumbar region at the level of L4-L5 vertebrae. The unexpected operative finding required a revision of the intradural space. Good surgical results could be obtained in early decompression of the flattened nerve roots

Ochronosis of hip joint; a case report

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History of Spinal Neurosurgery and Spine Societies

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Reply to commentary on "History of spinal neurosurgery and spine societies"

Scientific Assessment and Innovation in Neurosurgical Treatment Strategie

Severe head injury associated with multisystem injuries

The incidence of severe head injury (SHI) varies between 20-30/100000. In the developed countries, the SHI contributes for over 50% of the dead outcomes among the trauma patients. Many investigations statistically prove that associated with SHI multisystem injuries negatively affect the outcome. In the present study we aim to investigate which organs and system having concomitant injury with SHI have a maximal negative influence to the outcome. We also aim to systematize the influencing factors, also to revise the treatment strategy. Our investigation is based on a cohort of 57 consecutive patients with dead outcome admitted to `St. Anna` Hospital for the period 2004 - 2006 year. The patients are classified according the localization of the associated injuries. A clinical-therapeutic classification was also made based on the severity of the patient`s condition, also according to the necessary urgent management.Scripta Scientifica Medica 2009; 41(1): 17-19

Trends and influencing factors regarding the incidence of brain metastases in Varna and Dobritch region

According the data published for 2005 year by World Health Organization (WHO), Among 58 million dead outcomes worldwide, 7.6 million are due to malignant neoplastic diseases. By the prognosis of WHO, for 2015 year we should expect 9 million dead outcomes due to malignancies, for 2020 WHO predicts 10.3 million and for 2030 - 11.4 million. Investigations for Bulgaria, in accordance with the prognoses of WHO, show marked tendency toward significant increase of the incidence of the malignancies. In the present study we collected and eval u ated sta tis ti cal in for ma tion for the pa tients di ag nosed with ma lig nan cies in Varna and Dobritch region for a period 1983 - 2006. For the period 1993 - 2006 we collected and evaluated statistical information for the patients with brain metastases (BMs) and primary brain tumors, admitted in the Neurosurgical Clinic of ‘St. Anna` District Hospital of Varna. Based on the data analysis from the available publications concerning the problem BMs, also the data acquired in our investigation we conclude that, despite the tremendous advancement of the modern medicine, the number of the patients with malignant diseases, also patients in the final IV stage (TNM) constantly and steady increases. The majority of the patients in IV TNM stage suffer from neurologic complications that are primarily attributable to BMs.Scripta Scientifica Medica 2009; 41(2): 123-127

The current state of the evidence for the use of drains in spinal surgery: systematic review.

Search for evidence pertaining to the effectiveness of drains used in spinal surgeries