Spinal Kord'un Stereotaksis Cerrahisi

Year 1971, Volume: 24 Issue: 5, 963 - 971, 31.10.1971

Nurhan Avmon

Abstract

This article presents 20 percutaneous cordotomy procedures performed on 16 patients suffering from intractable pain. The technique described is the Modified Rosomoff Percutaneous Radiofrequency Cervical Cordotomy. The method, reasons for failure, and comparisons with literature are discussed. A 75% success rate was achieved. During the procedure, continuous sensory testing was used to attain the desired level of analgesia. The potential benefits of using electrical stimulation and impedance measurements to improve outcomes were highlighted. This technique was implemented for the first time in Turkey in this clinic, and its role in the literature is emphasized.

Keywords

Spinal cord, stereotaxic surgery, percutaneous cordotomy, radiofrequency lesion, Rosomoff technique, intractable pain, analgesia, neurosurgery

Ethical Statement

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Supporting Institution

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Project Number

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Thanks

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Stereotaxic Surgery of the Spinal Cord (The Technique of Modified Rosomoff Percutaneous Cordotomy)

Abstract

Bu makalede, dayanılmaz ağrıları olan 16 hastaya uygulanan toplam 20 perkütan kordotomi vakası sunulmaktadır. Tanımlanan teknik, Modifiye Rosomoff Perkütan Servikal Radyo Frekans Kordotomi tekniğidir. Müdahalenin başarı oranı, komplikasyonlar ve diğer yazarların deneyimleri ile karşılaştırmalı olarak değerlendirilmiştir. Vakaların %75’inde başarı elde edilmiştir. Girişim esnasında uygulanan his muayenesiyle istenilen analjezi seviyeleri sağlanmaya çalışılmıştır. Elektriksel stimülasyon ve direnç ölçüm tekniklerinin başarıya katkı sağlayabileceği belirtilmiştir. Bu teknik, Türkiye’de ilk kez bu klinikte uygulanmış olup, literatürdeki yeri vurgulanmıştır.

Keywords

Spinal kord, stereotaksik cerrahi, perkütan kordotomi, radyo frekans lezyonu, Rosomoff tekniği, inatçı ağrı, analjezi, nöroşirürji

Project Number

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References

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