Treatment of pain in vertebral-spinal cord injury by functional operations on the spinal cord
Virozub, I.D.; Bublik, L.A.; Chernovskiĭ, V.I.
Zhurnal Voprosy Neirokhirurgii Imeni N. N. Burdenko 1: 11-13
1990
ISSN/ISBN: 0042-8817 PMID: 2164293 Document Number: 365699
The article analyses the experience in operative interventions on the pain-conducting tracts of the spinal cord in 24 patients with pain consequent upon injury to the spine and spinal cord. Inferior commissurotomy was performed on 13 patients. It proved effective in cases in which the spinal cord was injured below the level of the 12th thoracic segment. Bilateral chordotomy was conducted in 7 patients with an intensive central pain syndrome. The effect of the operation was positive in sufficiently deep transection of the anterolateral fasciculus. Coagulation of the entry of the posterior roots of the spinal cord was carried out in 4 patients. Preference should be given to it in high affections of the spinal cord.