The Method of Multilevel Decompression of Thoracic Spine with the Durotomy and the Local Administration of Cortexin in the Setting in Intradural Space in the Patients with Spinal Cord InjurySalkov M*, Tsymbaliuk V and Dzyak L
Dnipropetrovsk State Medical Academy, Neurology and Neurosurgery, Dnipropetrovsk, Ukraine
- Corresponding Author:
- Mykola Salkov
Dnipropetrovsk State Medical Academy
Neurology and Neurosurgery, Dnipropetrovsk, Ukraine
E-mail: [email protected]
Received Date: June 19, 2015; Accepted Date: July 14, 2015; Published Date: July 20, 2015
Citation: Salkov M, Tsymbaliuk V, Dzyak L (2015) The Method of Multilevel Decompression of Thoracic Spine with the Durotomy and the Local Administration of Cortexin in the Setting in Intradural Space in the Patients with Spinal Cord Injury. Int J Neurorehabilitation 2:173.doi:10.4172/2376-0281.1000173
Copyright: © 2015 Salkov M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Introduction: We developed the method of the spinal cord decompression and analyzed its efficacy. The essence of the operation lies in the performance of multilevel laminectomy and mandatory durotomy of spinal cord with the local administration of Cortexin.
Purpose: To develop the most efficient tactics of the decompression laminectomy and to study efficacy of the durotomy and local administration of Cortexin in patients with spinal cord injury.
Methods: As of from January 2013 to June 2015 we performed 24 decompression operations in the thoracic spine in the patients with spinal cord injury. In 12 patients the decompression laminectomy was performed without durotomy of spinal cord. In 12 patients the durotomy of spinal cord with the local administration of Cortexin in the setting in intradural space was performed.
Results: The first group of study consisted of 12 patients submitted to the decompression laminectomy without durotomy. Efficacy in the first group of study corresponded to 50 %. In the group 2 we performed the durotomy and local administration of Cortexin in the setting in intradural space (12 patients). The efficacy in the second group corresponded to - 83 %.
Conclusion: The performance of multilevel decompression laminectomy, durotomy and local administration of cortexin is preferable for the full-scale decompression of spinal cord and prevention of the extension of edema. The method makes it possible to improve efficiency of the decompression operations.