Spinal arterio-venous malformations: the classification, differentiated surgical tactics, treatment results
Results of 91 patients with spinal arterio-venous malformations and fistulas investigations and treatment since 1995 to 2005 are analyzed. The age of patients varied from 9 to 83 years, middle age was 42,9 years. A new classification of spinal arterio-venous malformation was developed. On...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Romodanov Neurosurgery Institute
2005-06-01
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| Series: | Ukrainian Neurosurgical Journal |
| Online Access: | https://theunj.org/article/view/132284 |
| _version_ | 1797327833443336192 |
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| author | Yu. P. Zozulya E. I. Slynko |
| author_facet | Yu. P. Zozulya E. I. Slynko |
| author_sort | Yu. P. Zozulya |
| collection | DOAJ |
| description |
Results of 91 patients with spinal arterio-venous malformations and fistulas investigations and treatment since 1995 to 2005 are analyzed. The age of patients varied from 9 to 83 years, middle age was 42,9 years. A new classification of spinal arterio-venous malformation was developed. On the basis of anatomic features vascular malformations are divided on intramedullary, intradural perimedullary (located on a surface of a spinal cord), dural, epidural, intravertebral, and mixed — covering some adjacent areas. Angiostructural features of malformations, feeding and draining vessels have been analyzed. Surgical treatment was performed in all 91 patients, in endovascular interventions 13 were applied, in 70 — microsurgical operations and in 8 — combination of endovascular and microsurgical techniques. At open interventions we mainly applied posterior approaches. Anterior or anterolateral approaches were used in 8 patients. In 11 patients operative interventions were completed by spine stabilization. In all 91 patients vascular malformations were switched off from a blood-circulation totally. The following up period was from 4 months to 8,2 years. 32 patients after operation had a significant improvement, at 43 we observed partial improvement, at 10 — the neurological signs essentially have not changed, and at 6 — the neurological signs aggravated. |
| first_indexed | 2024-03-08T06:44:07Z |
| format | Article |
| id | doaj.art-3d47747e19d846349f32e23d8c9cec2a |
| institution | Directory Open Access Journal |
| issn | 2663-9084 2663-9092 |
| language | English |
| last_indexed | 2024-03-08T06:44:07Z |
| publishDate | 2005-06-01 |
| publisher | Romodanov Neurosurgery Institute |
| record_format | Article |
| series | Ukrainian Neurosurgical Journal |
| spelling | doaj.art-3d47747e19d846349f32e23d8c9cec2a2024-02-03T08:16:07ZengRomodanov Neurosurgery InstituteUkrainian Neurosurgical Journal2663-90842663-90922005-06-01241910.25305/unj.132284Spinal arterio-venous malformations: the classification, differentiated surgical tactics, treatment resultsYu. P. Zozulya0E. I. Slynko1Romodanov Neurosurgery Institute, Kiev, UkraineRomodanov Neurosurgery Institute, Kiev, Ukraine Results of 91 patients with spinal arterio-venous malformations and fistulas investigations and treatment since 1995 to 2005 are analyzed. The age of patients varied from 9 to 83 years, middle age was 42,9 years. A new classification of spinal arterio-venous malformation was developed. On the basis of anatomic features vascular malformations are divided on intramedullary, intradural perimedullary (located on a surface of a spinal cord), dural, epidural, intravertebral, and mixed — covering some adjacent areas. Angiostructural features of malformations, feeding and draining vessels have been analyzed. Surgical treatment was performed in all 91 patients, in endovascular interventions 13 were applied, in 70 — microsurgical operations and in 8 — combination of endovascular and microsurgical techniques. At open interventions we mainly applied posterior approaches. Anterior or anterolateral approaches were used in 8 patients. In 11 patients operative interventions were completed by spine stabilization. In all 91 patients vascular malformations were switched off from a blood-circulation totally. The following up period was from 4 months to 8,2 years. 32 patients after operation had a significant improvement, at 43 we observed partial improvement, at 10 — the neurological signs essentially have not changed, and at 6 — the neurological signs aggravated.https://theunj.org/article/view/132284 |
| spellingShingle | Yu. P. Zozulya E. I. Slynko Spinal arterio-venous malformations: the classification, differentiated surgical tactics, treatment results Ukrainian Neurosurgical Journal |
| title | Spinal arterio-venous malformations: the classification, differentiated surgical tactics, treatment results |
| title_full | Spinal arterio-venous malformations: the classification, differentiated surgical tactics, treatment results |
| title_fullStr | Spinal arterio-venous malformations: the classification, differentiated surgical tactics, treatment results |
| title_full_unstemmed | Spinal arterio-venous malformations: the classification, differentiated surgical tactics, treatment results |
| title_short | Spinal arterio-venous malformations: the classification, differentiated surgical tactics, treatment results |
| title_sort | spinal arterio venous malformations the classification differentiated surgical tactics treatment results |
| url | https://theunj.org/article/view/132284 |
| work_keys_str_mv | AT yupzozulya spinalarteriovenousmalformationstheclassificationdifferentiatedsurgicaltacticstreatmentresults AT eislynko spinalarteriovenousmalformationstheclassificationdifferentiatedsurgicaltacticstreatmentresults |