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Ultima descărcare din IBN: 2022-12-31 18:17 |
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616.711.1-002-089 (1) |
Patologia organelor de locomoţie. Sistemul osos şi locomotor (490) |
![]() PULBERE, Oleg. Soluţionarea chirurgicală a leziunilor traumatice polisegmentare a coloanei cervicale pe fundal de degenerescenţe avansate: (Prezentare de caz). In: Buletinul Academiei de Ştiinţe a Moldovei. Ştiinţe Medicale, 2014, nr. 2(43), pp. 29-31. ISSN 1857-0011. |
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Buletinul Academiei de Ştiinţe a Moldovei. Ştiinţe Medicale | ||||||
Numărul 2(43) / 2014 / ISSN 1857-0011 | ||||||
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CZU: 616.711.1-002-089 | ||||||
Pag. 29-31 | ||||||
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We are presenting the results of treatment performed on a 43-year-old patient with traumatic subluxation of C3 vertebra and a traumatic rupture of the C5 disc complicated by hernia with compression of the CVI spinal nerve and upper mono-paresis. These changes were observed on the background of severe spondylotic changes of the cervical spine and kyphotic deformity. Pacient was consulted by orthopedists and neurosurgeon, the above-mentioned symptoms was appreciated as insignificant and conservative immobilization treatment was recommended despite the painful condition and neurologic deficit. An appropriate surgical treatment was carried out by way of interbody fusion of C3-4 and C5-6 segments and anterior fixation C3-6 by plate. After surgery the radicular syndrome and instability in the cervical spine was eliminated, the patient embarked on a early recuperation treatment. In the author’s opinion, patients with this type of pathology undergoing such active processes recuperate more effectively and tend to recover from functional and social rehabilitation much sooner. |
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Cuvinte-cheie cervical spine, fusion, plate, cage, deformity |
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Cerif XML Export
<?xml version='1.0' encoding='utf-8'?> <CERIF xmlns='urn:xmlns:org:eurocris:cerif-1.5-1' xsi:schemaLocation='urn:xmlns:org:eurocris:cerif-1.5-1 http://www.eurocris.org/Uploads/Web%20pages/CERIF-1.5/CERIF_1.5_1.xsd' xmlns:xsi='http://www.w3.org/2001/XMLSchema-instance' release='1.5' date='2012-10-07' sourceDatabase='Output Profile'> <cfResPubl> <cfResPublId>ibn-ResPubl-40884</cfResPublId> <cfResPublDate>2014-07-01</cfResPublDate> <cfVol>43</cfVol> <cfIssue>2</cfIssue> <cfStartPage>29</cfStartPage> <cfISSN>1857-0011</cfISSN> <cfURI>https://ibn.idsi.md/ro/vizualizare_articol/40884</cfURI> <cfTitle cfLangCode='RO' cfTrans='o'>Soluţionarea chirurgicală a leziunilor traumatice polisegmentare a coloanei cervicale pe fundal de degenerescenţe avansate: (Prezentare de caz)</cfTitle> <cfKeyw cfLangCode='RO' cfTrans='o'>cervical spine; fusion; plate; cage; deformity</cfKeyw> <cfAbstr cfLangCode='RO' cfTrans='o'>We are presenting the results of treatment performed on a 43-year-old patient with traumatic subluxation of C3 vertebra and a traumatic rupture of the C5 disc complicated by hernia with compression of the CVI spinal nerve and upper mono-paresis. These changes were observed on the background of severe spondylotic changes of the cervical spine and kyphotic deformity. Pacient was consulted by orthopedists and neurosurgeon, the above-mentioned symptoms was appreciated as insignificant and conservative immobilization treatment was recommended despite the painful condition and neurologic deficit. An appropriate surgical treatment was carried out by way of interbody fusion of C3-4 and C5-6 segments and anterior fixation C3-6 by plate. After surgery the radicular syndrome and instability in the cervical spine was eliminated, the patient embarked on a early recuperation treatment. In the author’s opinion, patients with this type of pathology undergoing such active processes recuperate more effectively and tend to recover from functional and social rehabilitation much sooner. </cfAbstr> <cfAbstr cfLangCode='RU' cfTrans='o'>Представлен результат лечения пациента 43 лет с травматическим подвывихом С3 позвонка и травматическим разрывом диска С5 с компремирующей грыжей спинального нерва СVI, верхним монопарезом. Эти изменения имели место на фоне выраженных спондилезных изменений шейных сегментов и кифотической деформацией. На предыдущих консультациях у специалистов ортопедов и нейрохирургов совокупность указанных симптомов была признана несущественной и рекомендовано консервативное лечение иммобилизацией, несмотря на боли и неврологический дефицит. Проведено хирургическое лечение – межтеловой спондилодез сегментов С3-4 и С5-6 и корригирующая фиксация передней пластиной С3-6. Корешковый синдром и нестабильность устранены, восстановлены физиологические взаимоотношения в шейном отделе, пациент начал восстановительное лечение в раннем послеоперационном периоде. По мнению автора подобная активная тактика у больных с такого рода патологией более эффективна и приводит к раннему функциональному и социальному восстановлению. </cfAbstr> <cfResPubl_Class> <cfClassId>eda2d9e9-34c5-11e1-b86c-0800200c9a66</cfClassId> <cfClassSchemeId>759af938-34ae-11e1-b86c-0800200c9a66</cfClassSchemeId> <cfStartDate>2014-07-01T24:00:00</cfStartDate> </cfResPubl_Class> <cfResPubl_Class> <cfClassId>e601872f-4b7e-4d88-929f-7df027b226c9</cfClassId> <cfClassSchemeId>40e90e2f-446d-460a-98e5-5dce57550c48</cfClassSchemeId> <cfStartDate>2014-07-01T24:00:00</cfStartDate> </cfResPubl_Class> <cfPers_ResPubl> <cfPersId>ibn-person-11520</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2014-07-01T24:00:00</cfStartDate> </cfPers_ResPubl> </cfResPubl> <cfPers> <cfPersId>ibn-Pers-11520</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-11520-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2014-07-01T24:00:00</cfStartDate> <cfFamilyNames>Pulbere</cfFamilyNames> <cfFirstNames>Oleg</cfFirstNames> </cfPersName_Pers> </cfPers> </CERIF>