Objective - to analyze the long-term results of surgical treatment of patients with injuries of middle- and lower cervical spine in diving. Materials and methods. An analysis of surgical treatment of 27 patients and assessment of the long-term results of 20 patients in a period of 6 months to 6 years were performed with analysis of clinical, neurological, radiographic data and mortality. Results. Mostly the C5 vertebra was damaged - in 17 patients (63%). Compression fractures of vertebral bodies met in 6 (22%), compression-comminuted fractures - in 16 (59%) patients, dislocations - in 5 (19%). All patients had neurological disorders. All observations noted rigid stabilization of the spine with an implant made of porous nickel-titanium, the presence of bone-metal block at the level of the damaged vertebral body Mortality in the postoperative period was 26%. In the long-term period the initial neurological symptoms were observed in 7 (30%) patients, 13 (48%) patients had marked regression of neurological symptoms. Full functional maladjustment was observed in 6 patients with no motor function below the damaged segment, originally belonging to groups A and B on the classification of H.L. Frankel. Moderate and mild degree of functional adaptation disorders were present in 5 and 4 patients respectively. In the remaining patients we did not reveal a functional maladjustment. Range of motion in the cervical spine in all patients was considered as good. Conclusions. Anterior decompressive-stabilizing surgeries on the spine with an implant made of porous nickel-titanium and metal plate CSLP allows reliably stabilization of the injured spine and the rehabilitation of this severe category of patients.

Городская больница № 1 им. М.Н. Горбуновой, КемеровоПредставлены клинические случаи лечения оперативными способами нейрофибромы поясничного отдела позвоноч-ника с его последующей задней и передней стабилизаци-ей. Отдаленные результаты лечения прослежены в течение пяти и двенадцати лет.Ключевые слова: нейрофиброма, хирургическое лечение, стабилизация позвоночника.Neurofibroma of the lumbar spineI.P. Ardashev, V.R. Gatin, O.A. Statsenko, V.P. Noskov, O.A. Kalish, T.N. Starikov, E.I. ArdashevaThe paper presents clinical cases of neurofibroma of the lum-bar spine treated surgically with consequent posterior and anterior stabilization of the spinal column. Long-term treat-ment outcomes were analyzed for follow-up periods of five and twelve years.Key Words: neurofibroma, surgical treatment, stabilization of the spine.Hir. Pozvonoc. 2008;(3):56–60.

Parallel with cliniconeurological diagnostics radial (including roentgenography, contrast myelography, CT scanning, MRI - tomography), laboratory and pathomorphological research methods were being used. All the patients were operated on the front and back parts of the spine with stabilization to follow. Two-phase spondylactomy was being carried out in case of the whole vertebra segment being affected. To stabilize the front parts of the spine prosthetic devices made of titanium and porous nickelide of titanium were being used. The stabilization of the back parts of the spine was made by means of metal plates and by transpaedicular fixation. Surgical treatment of patients having benign tumors allows to achieve complete recovery. Surgical treatment of patients having malignant growth allows to prevent neurological complications, to improve quality of patients' life.