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1

Sacral root and spinal conus stimulation in scrotal pain – case report

100%
Sokal P., Harat M.
Ból
|
2010
|
vol. 11
|
issue 2
EN
Pelvic pain can be caused by several disorders. Frequently it is a chronic and neuropathic pain following spine or pelvic surgery, or has traumatic origin. It can be a part of Failed-Back-Surgery Syndrome which is the indication for spinal cord stimulation. We present 5 cases of patients with chronic perianal and rectal pain treated with spinal cord and sacral root stimulation. Surgeries were performed under general anaesthesia and electrodes were implanted through flavectomy on appropriate level under fluoroscopic control percutaneously through sacral hiatus. In 2 cases we used conus medullaris stimulation, in other 2 cases sacral root stimulation. In one patient these two methods were applied. Satisfactory result has been achieved.
PL
Bóle zlokalizowane w okolicy miednicy mniejszej ze szczególnym uwzględnieniem bólów krocza mają różnorodną etiologię. Często związane są ze schorzeniami i przebytymi interwencjami ginekologicznymi, urologicznymi, chirurgicznymi lub neurochirurgicznymi oraz urazami. Są to bóle oporne na leczenie farmakologiczne. Obiecującymi sposobami walki z tego typu bólami stanowią metody neuromodulacji. Artykuł opisuje 5 przypadków pacjentek z neuropatycznym, przewlekłym bólem miednicy opornym na leczenie farmakologiczne, u których zastosowano stymulację stożka rdzenia lub stymulację korzeni krzyżowych uzyskując zadowalające efekty analgetyczne. Przedstawiono chirurgiczne metody implantacji stymulatora rdzenia kręgowego z umieszczeniem elektrod w kanale kości krzyżowej oraz na wysokości stożka rdzenia. U dwóch pacjentek zastosowano stymulację stożka rdzenia, u kolejnych dwóch stymulację korzeni krzyżowych, u jednej obie te metody. Uzyskano satysfakcjonujące efekty stymulacji.
2
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Comparison of the O-arm and C-arm guided pedicle screws placement

81%
Krakowiak M., Sokal P., Rusinek M., Rudaś M.
European Journal of Translational and Clinical Medicine
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2022
|
vol. 5
|
issue 2
31-36
EN
Background Transpedicular screw placement remains the gold standard technique for destabilization of the lumbar spine. Material and methods This is a retrospective study that analyzes patients that underwent the spinal stabilization surgical procedure. We compared results from two independent neurosurgical centers. At the turn of years 2012-2015, O-arm and StealthStation neuronavigation system was used for implantation of transpedicular screws. In 2018 to 2020 transcutaneous pedicle screw placement procedure was performed using standard C-arm device. Results In 208 procedures performed with the O-arm device, the accuracy of the positioning of the screws was 98.08 %. Screw repositioning was necessary in 1.92 % of all cases. In 30 procedures that were performed using the C-arm, the accuracy of the screws was 86.7% and the screw reposition procedure accounted for 10% (in one case crews were not replaced due to clinical sequelae). Conclusions Our data show that the spinal fusion with the O-arm tool has more accuracy, thus might be more indicated in procedures that require minimally invasive spinal stabilization.
3
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The application of 3D printing in neurosurgery: present and future

81%
Dzierżanowska N., Krakowiak M., Sokal P., Myszkowska B.
European Journal of Translational and Clinical Medicine
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2023
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vol. 6
|
issue 1
70-78
EN
Background: For about 20 years we have been observing the development of three-dimensional (3D) printing. The aim of this study was to systematize the current knowledge on the use of 3D printing technology in neurosurgery and to aetmpt an outline the future paths of its development. Material and methods: The analysis was based on English-language literature from 2017-2021 indexed in the Mendeley and Scopus databases. Results: The application of 3D printing in neurosurgery concerns: 1) teaching students, 2) training of residents neurosurgeons, 3) individualized surgery planning, 4) dedicated cranial and spinal implants, 5) the future of 3D printing in neurosurgical implantology. There were 5 main neurosurgery subtopics in which 3D printing was used: “vascular neurosurgery” (31%), “skull, cranial neurosurgery” (22.4%), “neuro-oncology” (19.3%), “spine” (14.3%) and “others” (13%). The number of published articles has been steadily increasing by 11-33% annually. Conclusion: 3D printing has an enormous potential for clinical use and in the we will continue to observe its dynamic development. In neurosurgery 3D prints are currently most commonly used for didactic purposes as detailed anatomical models, for training residents and young surgeons and by specialists for the simulation of complex or innovative surgeries. The future of the use of additive 3D printing in neurosurgery lies in the biological 3D printing, the creation of artifcial organs and the development of biological implants in tissue engineering. Dzierżanowska N, Krakowiak M, Sokal P. The application of 3D printing in neurosurgery: present and future. Eur J Transl Clin Med. 2023;6(1):70-78.
4
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Interdisciplinary interventional and physiotherapy management of facet joint syndrome

61%
Broda M., Miler J., Jankowski K., Rogowski B., Krakowiak M., Sokal P.
European Journal of Translational and Clinical Medicine
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2023
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vol. 6
|
issue 2
78-84
EN
Low back-pain is the most common pain syndrome. Radiofrequency facet denervation (RFD) is a minimally invasive method of treatment of chronic low back pain caused by facet joint syndrome. In this procedure electric current with frequency of radio waves are used to cause thermal injury to a small branch nerve that innervates painful facets. There are numerous studies confirming the effectiveness of this therapy. A good outcome of RFD can be sustained by appropriate and regular exercise. The aim of this article is to recommend such a program of exercises focused on strengthening the muscles and improving stabilization of the lumbar spine.
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