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.
Open subacromial decompression was performed in 40 patients. Surgical treatment with arthroscopy technique was carried out in 130 patients. Assessment of ultimate results Kvas performed in the period of 6 months to 4 years with UCLA system - in 30 patients with open and in 65 patients - with subacromial decompression. With open surgical operations excellent results were obtained in 6 (20 %), good ones - 16 (53 %), satisfactory - 5 (17 %) and unsatisfactory - 3 (10 %). On arthroscopy subacromial decompression were obtained in 30 (46 %), good ones - 25 (39 %), satisfactory - 8 (12 %) and unsatisfactory - 2 (3 %).
The authors present their analysis of stability of the "scoliotic arch--Tarrington's distractor" system in various versions of surgical stabilization. A modification of Tarrington's technique is suggested which improves the initial fixation strength and reduces the risk of complications.