[Peripheral anesthesia techniques in surgery of the arm].

Background: This report deals with the techniques of peripheral anaesthesia used by the Authors for surgical treatment of lesions of the upper extremity.

Methods: Plexus brachial block anaesthesia using a supraclavicular approach was performed for arm, forearm and hand surgery, axillary block anaesthesia for forearm and hand surgery, while block anaesthesia was employed for wrist and hand injuries. Local anaesthetics as Bupivacaine 0.

Surgical treatment of traumatic spinal injuries with cord damage. Clinical review of 12 years of experience with the Roy-Camille technique.

The authors critically review 135 cases of traumatic injuries of the spine with cord damage (75 cervical, 60 thoracolumbar) treated by posterior osteosynthesis using the Roy-Camille technique at the authors' institution from 1978 to 1989. The follow-up ranged from 6 months to 12 years. In addition to fracture and/or dislocation, most patients had severe spinal cord injury resulting in either complete or incomplete paraplegia or quadriplegia.

A rare case of primary lymphoma of bone of cervical localization.

A rare case of primary lymphoma of bone localized in the epistropheus is reported. After emphasizing the difficulty of diagnosis based solely on clinical, radiographic and laboratory data, the authors stress that biopsy is essential to diagnosis. The excellent clinical result, followed up after 5 years, was obtained with surgical excision followed by antiblastic treatment with repeated cycles of VBD, and local and regional lymph node radiotherapy.

Spinal subdural haematoma: a rare complication of lumbar puncture. Case report and review of the literature.

The Authors describe a case of spinal subdural haematoma presenting as a cyst. It ist noted that cerebrospinal fluid parameters were normal, in contrast to what is usually found in similar cases; furthermore, no sensorimotor impairment was seen. Histological examination showed an organised haematoma; that explains why CT scan was not diagnostic in this case.

Posterior-approach osteosynthesis of the lower cervical spine by the R. Roy-Camille technique. (Indications and first results).

Four cases are reported of traumatic myelic lesions to the lower cervical spine (C3-C7) using the Roy-Camille technique. Three were complicated by tetraplegia, the fourth by upper right monoparesis. The optimal application for this technique is in stabilization of predominantly posterior lesions, which are far the most frequent: pure dislocations, fractures and fracture-dislocations of the articular apophysis, fractures with separation of the articular mass, most of the tear-drop patterns, some compound fractures, cervical distortions with lesion to the mobile segment of the spine.