Surgical treatment of spinal cord cavitation Patients with spinal cord cavitation often show loss of pain sensation in the trunk and limbs, which brings great pain to life and work. As the disease progresses, muscle atrophy and limb contracture gradually appear, which seriously affects the quality of life of patients. With the popularization of MRI, the detection rate of Chiari malformation is increasing. In recent years, our department has conducted a series of researches and explorations on the pathogenesis and surgical treatment of cerebellar subm tonsillar herniation combined with spinal cord cavity, and put forward a In recent years, our department has conducted a series of researches and explorations on the pathogenesis and surgical treatment of subungual herniation of the cerebellum and spinal cord cavity, and made unique insights. We have achieved satisfactory results in stopping the development of the disease and improving the symptoms. The diagnosis and treatment of this disease in our department are at the advanced level in China. Spina bifida and spinal cord embolism syndrome Spina bifida and spinal cord embolism syndrome is a congenital neural tube malformation formed during embryonic development due to harmful factors, which may be accompanied by abnormal spinal cord cone hypoplasia, shortening of the terminal filaments, thickening or intradural lipoma, as well as intradural and extradural lipoma, or spinal cord longitudinal bifida malformation, mostly seen in spinal cord spinal cord bulge. There are two types of spina bifida: dominant spina bifida is a cystic mass that can be seen in the midline of the back at birth, ranging from a date palm to a huge mass that is round or oval in shape, mostly with a wide base, called spinal bulge or spinal cord spondylolisthesis. Although the mass is not visible on the body surface, occult spina bifida often manifests locally with hair, pigmented spots, lamellar capillary hemangiomas, small skin dimples, and skin fistulas. This congenital malformation often causes spinal cord embolism syndrome, although the early stage can be no obvious symptoms, with the growth of age and height, the spinal cord cone will be stretched ischemia and hypoxia, resulting in urinary and fecal disorders, perineal and bilateral lower limb sensorimotor disorders and foot deformity. It can be life-threatening in severe cases. Therefore, early diagnosis and treatment of the disease should be achieved. In some patients, the skin of the back is not abnormal and the symptoms appear later or are not obvious. If symptoms appear, surgery should be performed as soon as possible to resolve the embolism and prevent progressive aggravation of symptoms. Asymptomatic spinal cord hypoplasia found incidentally may be left untreated. Our neurosurgery department has extensive experience in the surgical treatment of spinal cord embolism, and the majority of patients can have their symptoms improved or no longer progress after surgery. Intraspinal tumors Intraspinal tumors, also known as spinal cord tumors, are a general term for primary or metastatic tumors that occur in the spinal cord itself and in the various tissues adjacent to the spinal cord. The annual incidence of primary intraspinal tumors is 3-10 per 100,000 population and can occur at any age, but is more common between the ages of 20-50. The nature of the tumor is most common in adults with nerve sheath tumors, accounting for approximately 35% of adult intraspinal tumors, followed by spinal meningiomas, accounting for 20%. The tumor compresses the spinal cord and nerve tissue causing pain and neurological dysfunction in patients. Unlike intracranial tumors, intravertebral tumors are mostly benign and have a good prognosis after total surgical resection. Our department has more than one thousand cases of intravertebral canal tumor surgery experience, with good surgical results and satisfactory clinical outcomes in the near and long term after surgery. With the increase in the number of surgical cases, we have continued to improve the surgical methods, from total laminectomy to hemilaminectomy, and the surgery is becoming more and more minimally invasive. The surgery is less harassing to the spine and the tissues along the way, which greatly reduces the alteration of spinal biomechanics, avoids possible spinal instability, pain and limited spinal mobility, and thus prevents degenerative changes in the spine. Less blood loss during surgery, shorter postoperative hospital stay, less postoperative analgesia, and faster postoperative recovery; reduced hospital costs and no cases of spinal instability.
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