Evaluation of functional outcomes in individuals 10 years after posterior lumbar interbody fusion with corundum implants and decompression: a comparison of 2 surgical techniques.

Background: The purpose of this study was to evaluate lumbar spine-related functional disability in individuals 10 years after lumbar decompression and lumbar decompression with posterior lumbar interbody fusion (PLIF) with corundum implants surgery for degenerative stenosis and to compare the long-term outcome of these 2 surgical techniques.

Material/methods: From 1998 to 2002, 100 patients with single-level lumbar stenosis were surgically treated. The patients were randomly divided into 2 groups that did not differ in terms of clinical or neurological symptoms.

Return to work after spinal stenosis surgery and the patient's quality of life.

Introduction: The return to work of patients who undergo spinal surgery poses important medical and social challenge.

Objectives: 1) To establish whether patients who undergo spinal stenosis surgery later return to work. 2) To establish the patient's attitude towards employment.

Diagnostic and therapeutic problems of back pain syndromes and their distribution according to a colour coding system of flags.

Background: Back pain poses a serious clinical problem in some cases, because under the clinical symptoms of back pain might be other hidden diseases. The aim of this study was to present difficulties in diagnosis and treatment of various diseases of the spine and 2. description to the flagship division, based on the traffic lights.

Digital computed tomography evaluation of spinal canal and dural sac before and after surgical decompression of lumbar stenosis.

Introduction: Advances in digital computed tomography prompted the authors to use this technique to measure correlations between the lumbar spinal canal and the dural sac. The aim of the study was to: 1. Evaluate the value of surgical decompression of neural structures using digital computed tomography.

Assessment of spinal canal shape and intervertebral joint angles in lumbar spine.

Background: Publications concerning the shape of the spinal canal and degenerative changes in the intervertebral joints have not described this issue in full detail to date, especially with regard to the causes of pain syndromes associated with degenerative changes in intervertebral joints. The aim of the study was to assess the shape of the spinal canal and joint surface angles at L3, L4 and L5.

Material And Methods: The study involved 176 patients with clinical and radiological evidence of spinal canal stenosis confirmed by computed tomography.

Assessment of lumbar spinal canal morphology with digital computed tomography.

Background: The study of lumbar spine pathology requires adequate preparation and knowledge of the normal structure of this part of the spine. The main goal of the study was to assess spinal canal morphology with computed tomography. The sagittal and interpedicular dimensions and surface area were considered the most important measurements.

Digital computed tomography affords new measurement possibilities in lumbar stenosis.

Introduction: The problem of lumbar stenosis has been analysed at length in the literature as the number of patients with low back pain of this aetiology continues to increase. The aim of this study was:1. to carry out a prospective study assessing the dimensions of spinal canal on the basis of CT data and to compare patient data with a control group.

Differential diagnosis of post-surgery scars and recurrent lumbar disc herniation in MRI.

Background. Spine MR had a significant progress on disc disease diagnosis, reasons of operative treatment failure, and reccurrence of pain.
The aim of the study was to estimate by the use of MRI the causes of pain among patient after discectomy, and to compare them with intraoperative findings.

MRI of the intervertebral disc in lumbar disc disease.

Background. MRI of the intervertebral disc in discopathy of the lumbar spine have been presented.
Material and methods.

Value of diagnostic methods in diagnosis of the disc disease.

Background. Injury of the intravertebral disc after precise clinical evaluation should be confirmed by different radiographic methods. Although diagnostic methods have recently progressed, there are still problems with proper diagnosis concerning the level of pain provocation.

Pain in the spine in the context of discopathy and degenerative changes, with particular attention to post-traumatic lesions.

Pain of the cervical spine is either directly or indirectly dependent on degenerative changes in the cervical dinks. Traumatic injury to the cervical spine may result in a cervical syndrome some years later as a result of degenerative changes. Cervical disk protrusuion or degenerative changes can be compared to a similar condition which occurs in the lumbar spine.

Outcome in the treatment of discopathy by interbody fusion with the posterior approach using metal cages.

Background. Discopathy most often occurs in persons from 20 to 50 years old, in the period of greatest physical and intellectual capacity, and thus poses a major social problem. The goal of our research was to evaluation the outcome of interbody fusion performed with metal cages.

Correlation between centralization or peripheralization of symptoms in low back pain and the results of magnetic resonance imaging.

Background. One of the main reasons for low back pain is displacement of the nucleus pulposus within the intervertebral disc and spinal canal. In the diagnosis of low back pain a clinical examination is essential, supplemented by magnetic resonance imaging (MRI).

[Arthroscopy scapulothoracic articulation (introduction of this method)].

The authors have introduced arthroscopy of scapulothoracic. They have treated 37 years old patient who suffer from bursitis with pain and crepitus. They have used arthroscopy procedure.

[Analysis of different constitutional, clinical, radiographic factors of 160 patients with low back pain based on own studies, observations and literature].

Background: Low back pain has both different etiopatogenesis and clinical symptoms. The most common reason of pain is degeneration of intervertebral disc. Development of civilisation causes an increase in prevalence and treatment's costs.

[Osteosarcoma of the lumbar spine--a case report].

Primary osteogenic sarcoma of the spine is a very rare tumor. A case of osteosarcoma of the lumbar spine in a 22-year-old man is presented. Diagnosis was obtained by an open biopsy.

[Results of surgical treatment for the intervertebral disc protrusion within thoracic spine].

Results of surgical treatment for intervertebral disc protrusion within thoracic spine in 4 cases are presented. Protrusion had caused spinal compression resulting in neurological impairment (plegia). There were 3 females and 1 male, all in their forties or fifties.

[A rare case of tuberculosis of the spine].

A case of rare form of tuberculosis of the spine localized within arches and articular processes complicated by neurological deficits is presented. Diagnostic difficulties, surgical treatment and postoperative management resulting in complete resolution of the disease is described.

[Tuberculosis of the spine: diagnosis and treatment].

The diagnosis and treatment for tuberculosis of the spine, based on own material from years 1992-97 (CMKP Orthopedic Department, Otwock) is presented. One hundred twenty nine patients were treated in these years, 85 of them surgically. The disease appeared usually in 4th, 5th or 6th decade of life, two adjacent vertebral bodies within lower thoracic spine were involved.

[Results of treatment for infective osteomyelitis of the spine with neurological impairment].

From among 35 cases of spinal osteomyelitis 2 were treated conservatively and 21 surgically. Minor neurological deficits were managed conservatively. Deep spastic or flaccid paresis and plegia were treated surgically with focal excision and anterior stabilization.

[Results of surgical treatment for inveterate thoraco-lumbar and lumbar spine injuries with neurologic complications].

The method and results of surgical treatment for inveterate thoraco-lumbar spine injuries with neurological impairment in 31 patients are presented. All the patients were operated on. The mainstay of the procedure was anterior decompression from posterior-lateral approach.

[Management of old cervical spine injuries].

Fifty-two cases of inveterate cervical spine injury have been presented. Nearly all the injury types are represented. Neurological complications were present in sixty-nine percent of the cases.

Pyogenic infection of the spine.

In a review of 442 patients in all age groups with pyogenic infection of the spine, the disease seldom involved one vertebra, as usually two or more vertebral bodies were affected. Most frequently the lumbar spine was involved, next most frequently thoracic, then cervical spine. The sacrum rarely was involved.