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Biomedical subjects

A I Osna

Publications and source records attributed to A I Osna.

21 records · Page 2Linked to original sources

[Fenestration of intervertebral disks in the treatment of cervical osteochondritis].

The results of 30 operations of disk fenestration in instability of spinal segments in cervical osteochondritis are generalized. Most operations were conducted on disks CIII-IV and CIV-V whose impaired fixation capacity caused the syndromes of cervicalgia and vertebral artery affection. The operative technique comprised the formation of an opening in the anterior parts of the fibrous ring the nucleus pulposus was not removed. An immobilizing cotton-gauze Schanz's collar was then applied for 4 to 6 weeks. Stabilization of the spinal segment due to fibrotization of the operated on disk occurred in 80% of cases. It brought complete relief from the reflex pain syndromes of cervical osteochondrosis.

Adult↗

[Debatable questions concerning the surgery of lumbar osteochondrosis].

Three tendencies exist at present in the surgical management of lumbar osteochondrosis: orthopedic treatment aimed at stabilizing the vertebral segment (the procedure of choice being anterior total disectomy with vertebral intercorporal spondilodesis), neurosurgical treatment striving to decompress the nervous structures clinched by the disc, osteal growth, scars, and a combined management achieving both of the above purposes. Proceeding from an analysis of two thousand operations performed within 20 years the author concludes that each of the mentioned methods has its merits and indications depending on the stage of osteochondrosis. The neurosurgical procedures appear to be most often used.

Humans↗