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Biomedical subjects

A Solini

Publications and source records attributed to A Solini.

At least 73 records · Page 4Linked to original sources
PubMedDate not supplied

The surgical treatment of thoracic and lumbar fractures by posterior approach.

A review of large case series, biomechanical studies and the development of surgical approaches and various types of instrumentation have led to different orientations in the surgical treatment of vertebral fractures. The authors present their experience in 67 cases treated by posterior approach using segmental fixation for the instability of the lesion and the possible association of neurologic deficit (Magerl A in 35 cases, B in 25, C in 7; Frankel A in 21 cases, B in 15, C in 9, D in 6). At a mean follow-up of 3 years, treatment by posterior approach allowed us to suitably treat most of the vertebral fractures observed with clinically satisfactory results, but without observing a definite correlation between neurologic recovery and quality of the reduction. The overall realignment of the spine with extension synthesis and adequate geometry and the development of good bone callus allowed us to obtained a stable spine, protecting consolidation of the fractured metamere.

Adolescent↗
PubMedDate not supplied

Lumbar stenosis surgery: "recalibrage" according to Senegas.

In the treatment of lumbar stenosis the method known as "recalibrage" proposed by Senegas is the most recent alternative to extended traditional laminectomy. Posterior decompression, which is obtained by removal of the cephalic half of the laminae, the yellow ligaments and the intraforaminal part of the facet joint, reduces the risk of postsurgical instability and makes it possible to proceed with fusion which is not just posterolateral. In cases where there is intersegmental instability we applied the Hartshill rectangle, proposed by Doce, stabilized to the residual laminar and associated with genous grafting. Our experience is based on 48 cases treated with this method over the last three years. In 19 cases Hartshill fixation was used to complete "recalibrage". Results are generally satisfactory, although follow-up is short. The "relative gain" method proposed by Lassale and Garcon was used for evaluation.

Adult↗
PubMedDate not supplied

Surgical management of spinal cord lesions due to metastases.

The authors having operated on 358 cases of metastatic lesions, 112 involving the spinal cord, explain their aim and surgical techniques. The importance of an early operation is emphasized. The main purpose is to improve the quality of the patient's life.

Adolescent↗
PubMedDate not supplied

Giant cell tumor of the spine. Surgical findings.

The authors report 5 cases of giant cell tumor surgically treated. After a mean follow-up of 7 years posterior stabilization alone in the latent form, and wide intralesional curettage in the four aggressive forms allowed for suitable treatment of the lesion, with remission of symptoms leaving stability of the spine intact. Radiation therapy was used successfully in only 1 case of local recurrence occurring 4 months after surgical treatment. Unlike localizations of giant cell tumor in other skeletal segments, whether or not margins are left intact does not seem to influence clinical results.

Adult↗