Diagnostics, pathogenesis and treatment of damage to the dura mater in spinal injury-Reference-Cited by-同舟云学术

Diagnostics, pathogenesis and treatment of damage to the dura mater in spinal injury

Published:2018-07-20 Issue:2 Volume:20 Page:74-82
ISSN:2587-7569
Container-title:Russian journal of neurosurgery
language:
Short-container-title:Nejrohirurgiâ (Mosk.)

Author:

Martikyan A. G.,Grin A. A.^ORCID

Abstract

The study objectiveis to discuss the issues concerning to pathogenesis, diagnostics and treatment of dura mater tear in spinal injuries. The issues regarding to the risk factors for dura mater tears and complications of surgical treatment in spinal injuries were considered.Results.It is established that the frequency of dural tears in spinal trauma varies from 7.7 to 65.0 %. The most informative and safe method of diagnosis is magnetic resonance myelography, but its specificity does not reach 100 %. To prevent the development of early and late complications in the postoperative period is mainly used dura mater sealing, preferably expanding plastic.Conclusion.The absence of the “gold standard” of dura mater defect closure in spinal trauma is associated with a variety of forms of dura mater damages and the difficulties of its plasticity and sealing.

Publisher

Publishing House ABV Press

Reference64 articles.

1. Leont’yev M. A. Epidemiology of spinal injury and frequency of complete anatomical spinal cord injury. In: Actual problems of rehabilitation of disabled people. Novokuznetsk, 2003. Pp. 37–38. (In Russ.).

2. Krylov V. V., Konovalov A. N., Dash’yan V.G. et al. The current state of neurosurgery in Russian Federation. Neyrokhirurgiya = Russian Journal of Neurosurgery 2016;(3):3–44. (In Russ.).

3. Grin’ A. A. Surgical treatment of patients with the spine and spinal cord injuries in concomitant trauma: abstract of dis. ... of doctor of med. sciences. Moscow, 2008. 48 p. (In Russ.).

4. Mironov E. M. An anаlysis of the primary disablement among patients with aftermaths of the vertebro-spinal trauma. Medikosotsial’naya ekspertiza i reabilitatsiya = Medico-Social Expert Evaluation and Rehabilitation 2004;(1):33–4. (In Russ.).

5. Spine surgery: techniques, complication avoidance, and management. Ed. by E. C. Benzel. 2nd ed. Philadelphia: Elsevier Churchill Livingstone, 2005. P. 1600.