Читать книгу Neurosurgery Outlines - Paul E. Kaloostian - Страница 67
Indications for Surgical Intervention
Оглавление• Spinal stenosis
• No improvement after nonoperative therapy (physical therapy, pain management)
• Partial paraplegia
• Residual spinal compression (see ▶Fig. 2.1)
• Existence of blunt chest trauma or potential hemorrhagic lesions
• Unstable patterns of fracture
• Sufficient disruption of supporting ligaments
Fig. 2.1 A patient with thoracic trauma and cord compression received decompression of the intercostal nerves (T5–T8). After decompression was achieved, the nerves were transected in preparation for nerve looping. (Source: Patient 12. In: Mackinnon S, ed. Nerve Surgery. 1st ed. Thieme; 2015).