Late laminectomy in traumatic paraplegia

Ramamurthi, B. ; Ramamurthi, Ravi ; Narayanan, R. (1983) Late laminectomy in traumatic paraplegia Surgical Neurology, 20 (5). pp. 414-416. ISSN 0090-3019

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Long-term observation in cases of spinal injury with sub-arachnoid block, treated by laminectomy and removal of compressing elements, shows worthwhile results in a good percentage. Twenty-seven cases of fractures of the spine at the dorsolumbar and lumbar levels with conus and cauda equina injury were treated by laminectomy and decompression from 6 to 12 weeks after the injury, and have been followed for periods of 3-27 years. Surgical intervention was offered only in those cases in which myelography demonstrated a subarachnoid block. Most of the cases were operated on at 6-12 weeks after the injury. Displaced laminae, thickened ligamentum flavum, and arachnoidal adhesions were the common causes of compression. In six cases there was also an arachnoid cyst. Long-term follow-up showed improvement in bladder function in 14 of 27 patients, and in motor function in 8 of 27. In dorsolumbar and lumbar injuries in which there is a subarachnoid block, decompressive laminectomy is a worthwhile procedure.

Item Type:Article
Source:Copyright of this article belongs to Elsevier Science.
Keywords:Trauma; Spinal-cord Injury; Laminectomy
ID Code:60322
Deposited On:08 Sep 2011 13:42
Last Modified:08 Sep 2011 13:42

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