Faculty of Medicine

Permanent URI for this communityhttps://repository.ukim.mk/handle/20.500.12188/14

Browse

Settings

Language: search.filters.language.EnglishSubject: search.filters.subject.spinal

Search Results

Now showing 1 - 2 of 2
  • Loading...
    Thumbnail Image
    Some of the metrics are blocked by your 
    consent settings
    Item type:Publication,
    SPINAL ANESTHESIA IN PARTURIENT WITH SEVERELY SCOLIOTIC SPINE
    (Department of Anaesthesia and Reanimation, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, R.N. Macedonia, 2018-12)
    ;
    Ivanov, Emilija
    ;
    ;
    Veninov, Filip
    ;
    Spasovski, Sasho
    The choice of anesthesia in parturients with severe scoliosis undergoing an elective cesarean section (C-section) is associated with potential risks for both mother and fetus and presents a challenge for the anesthesiologist when considering the type of anesthesia that should be used. Alterations in the maternal physiology and potential perioperative complications associated with this comorbidity can cause difficulties when both general and spinal anesthesia are used. After reviewing all risk factors associated with both types of anesthesia, we consider that a single shot spinal anesthesia can be a successful type of anesthesia in severely scoliotic individuals, especially in those with pulmonary compromise. Here we present a successful case of parturient undergoing а spinal anesthesia for C-section performed at the University Hospital for Genecology in Skopje.
  • Loading...
    Thumbnail Image
    Some of the metrics are blocked by your 
    consent settings
    Item type:Publication,
    DISC HERNIATIONS AND NEURAL STRUCTURES COMPRESSION IN DIFFERENT LUMBOSACRAL TRANSITIONAL ANATOMY TYPES
    (Faculty of Medicine, Ss.Cyril and Methodius University in Skopje, R. North Macedonia, 2021)
    ;
    Chabukovska Radulovska Jasmina
    ;
    Petrovska Tanja
    ;
    ;
    Introduction. Several studies describe the relationship between different lumbosacral transitional vertebra (LSTV) types, disc herniations and neural structures compression in the central and nerve root canal. The objective of this study was to evaluate the relationship between different LSTV groups and disc herniations associated with the grade of neural structures compression in the central and nerve root canal at transitional and at adjacent proximal to LSTV level. Material and methods. A total of 145 patients with lumbosacral radicular syndrome who underwent MRI examination of the lumbar spine were retrospectively analyzed. The study group comprised 75 patients who presented with LSTV, divided into four subgroups based on Castellvi classification. Seventy patients without LSTV were assigned to the control group. Results. There were significantly more disc herniations at the L/S junction in the study LSTV group compared to the control group (78.7 % vs 59.4%, p=.012). In the LSTV group more severe cauda equina and bilateral subarticular nerve root compression at the L/S junction was found (9%, p=.002) compared to the control group. Among the LSTV subgroups, more cauda equina compression was observed mainly in bilateral osseus and bilateral combined fusion group (57%, 54% vs 26%; p=.009, p=.012). At the adjacent proximal level severe cauda equina compression was significantly increased in the LSTV compared to the control group (34.7% vs 21.4%; p=.038). Among the LSTV subgroups severe cauda equina compression was most prevalent in bilateral articular fusion subgroup (42% vs 21%; p=.028). Conclusion. LSTV restrict the spinal segment mobility and transfer the external stress factors to the ipsilateral anomalous articulation, to the contralateral facet joint at the level of unilateral transition and to the spine fully mobile segments proximal to bilateral osseous or articulated fusion. These levels become high stress zones predisposing the occurrence of massive, large disc herniations associated with severe neural structures compression.