{"id":{"repo_id":"greece","oai_identifier":"oai:10442/1642"},"canonical_url":"https://search.dev.ndltd.org/etd/greece/oai:10442/1642","repository":{"repo_id":"greece","name":"Greek National Archive of PhD Theses","base_url":"https://phdtheses.ekt.gr/eadd_oai/request"},"display":{"title":"Ανάλυση 50 σπονδυλοδεσιών: Ιδιαιτερότητες του υλικού μας: Τεχνικές τροποποιήσεις","abstract":"The aim of this doctorate is to analyze 51 surgical stabilizations of the spine and to refer the special peculiarities of our material and the technical modifications which were done. We refer 51 surgical stabilizations that have been done in two orthopaedic departments under the same direction. The men were 32 and the women 19. The 7 stabilizations concerned pathological instabilities of the spine and the 44 traumatic ones. The two pathological (infection - chordoma) and the 14 traumatic conditions concerned the cervical spine, while the 5 pathological ones (2 echinococcus, 2 spondylolisthesis, 1 chordoma) and the 30 traumatic ones concerned the dorsal and lumbar spine. Sixteen anterior (11 in the cervical and 5 in the dorsal and lumbar spine) and 34 posterior stabilizations (5 in the cervical and 29 in the dorsal and lumbar spine) were done. An anterior as well as a posterior stabilization was done in one patient. In the anterior stabilization of the cervical spine, plate-screws-graft was used six times; graft once, screws - graft twice, and screws-graft was used five times. In the dorsal and lumbar spine, in the anterior fusions, plate-screws-graft was used four times and graft twice while in the posterior stabilization plate-screws was used twice, wire-graft twice and Harrington's rods either alone or with wire or graft or petalectomy 26 times. The results are considered satisfactory without peculiarities and correspond to the international data. The type of stabilization chosen, depended on lesion and varied according to the case. Surgeon's experience is a critical factor. The pathological conditions which are referred constitute rare cases of stabilization in the injuries of the spine, the undertaking of the responsibility from the same medical team towards the patient at all stages of hospitalization, surgery, rehabilitation till social reinsertion in the same General Hospital, constitute the first Greek experience. The surgery shortens and facilitates the nursing and contribute in avoidance of complications from recumbency. Interconnection medicine in Greece can confront the problematic cases of diseases and injuries of the spine.","abstract_html":"The aim of this doctorate is to analyze 51 surgical stabilizations of the spine and to refer the special peculiarities of our material and the technical modifications which were done. We refer 51 surgical stabilizations that have been done in two orthopaedic departments under the same direction. The men were 32 and the women 19. The 7 stabilizations concerned pathological instabilities of the spine and the 44 traumatic ones. The two pathological (infection - chordoma) and the 14 traumatic conditions concerned the cervical spine, while the 5 pathological ones (2 echinococcus, 2 spondylolisthesis, 1 chordoma) and the 30 traumatic ones concerned the dorsal and lumbar spine. Sixteen anterior (11 in the cervical and 5 in the dorsal and lumbar spine) and 34 posterior stabilizations (5 in the cervical and 29 in the dorsal and lumbar spine) were done. An anterior as well as a posterior stabilization was done in one patient. In the anterior stabilization of the cervical spine, plate-screws-graft was used six times; graft once, screws - graft twice, and screws-graft was used five times. In the dorsal and lumbar spine, in the anterior fusions, plate-screws-graft was used four times and graft twice while in the posterior stabilization plate-screws was used twice, wire-graft twice and Harrington's rods either alone or with wire or graft or petalectomy 26 times. The results are considered satisfactory without peculiarities and correspond to the international data. The type of stabilization chosen, depended on lesion and varied according to the case. Surgeon's experience is a critical factor. The pathological conditions which are referred constitute rare cases of stabilization in the injuries of the spine, the undertaking of the responsibility from the same medical team towards the patient at all stages of hospitalization, surgery, rehabilitation till social reinsertion in the same General Hospital, constitute the first Greek experience. The surgery shortens and facilitates the nursing and contribute in avoidance of complications from recumbency. Interconnection medicine in Greece can confront the problematic cases of diseases and injuries of the spine.","abstract_has_math":false,"creators":["Beltsios, Michail","Μπέλτσιος, Μιχαήλ"],"institution":"University of Patras","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":[],"year":1991,"date_issued":"1991","date_published":"1991","updated_at":"2026-07-24T02:25:02Z","subjects":["Εχινόκοκκος της σπονδυλικής στήλης","Παραπληγία","Ράβδοι Harrington","Σπονδυλοδεσία","Σπονδυλολίσθηση","Σταθεροποίηση της σπονδυλικής στήλης","Τετραπληγία","Τραυματισμός της σπονδυλικής στήλης","Τραυματισμός νωτιαίου μυελού","Χόρδωμα","Chordoma","Echinococcus of the spine","Fusion of the spine","Harrington rods","Injuries of the spine","Paraplegia","Spinal cord injury","Spondylolisthesis","Stabilization of the spine","Tetraplegia","Ιατρική και Επιστήμες Υγείας","Κλινική Ιατρική","Medical and Health Sciences","Clinical Medicine"],"languages":["gre"],"rights":[],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["10.12681/eadd/1642"],"render_values":[{"text":"10.12681/eadd/1642","href":"https://doi.org/10.12681/eadd/1642","code":true}]}]},"links":{"outbound_url":"http://hdl.handle.net/10442/hedi/1642","outbound_label":"Handle","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:creator","label":"Author","values":["Beltsios, Michail","Μπέλτσιος, Μιχαήλ"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["1991"]},{"key":"dc:publisher","label":"Institution","values":["University of Patras","Πανεπιστήμιο Πατρών"]},{"key":"dc:type","label":"Dc Type","values":["PhD Thesis"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Εχινόκοκκος της σπονδυλικής στήλης","Παραπληγία","Ράβδοι Harrington","Σπονδυλοδεσία","Σπονδυλολίσθηση","Σταθεροποίηση της σπονδυλικής στήλης","Τετραπληγία","Τραυματισμός της σπονδυλικής στήλης","Τραυματισμός νωτιαίου μυελού","Χόρδωμα","Chordoma","Echinococcus of the spine","Fusion of the spine","Harrington rods","Injuries of the spine","Paraplegia","Spinal cord injury","Spondylolisthesis","Stabilization of the spine","Tetraplegia","Ιατρική και Επιστήμες Υγείας","Κλινική Ιατρική","Medical and Health Sciences","Clinical Medicine"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["gre"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["10.12681/eadd/1642","http://hdl.handle.net/10442/hedi/1642"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["The aim of this doctorate is to analyze 51 surgical stabilizations of the spine and to refer the special peculiarities of our material and the technical modifications which were done. We refer 51 surgical stabilizations that have been done in two orthopaedic departments under the same direction. The men were 32 and the women 19. The 7 stabilizations concerned pathological instabilities of the spine and the 44 traumatic ones. The two pathological (infection - chordoma) and the 14 traumatic conditions concerned the cervical spine, while the 5 pathological ones (2 echinococcus, 2 spondylolisthesis, 1 chordoma) and the 30 traumatic ones concerned the dorsal and lumbar spine. Sixteen anterior (11 in the cervical and 5 in the dorsal and lumbar spine) and 34 posterior stabilizations (5 in the cervical and 29 in the dorsal and lumbar spine) were done. An anterior as well as a posterior stabilization was done in one patient. In the anterior stabilization of the cervical spine, plate-screws-graft was used six times; graft once, screws - graft twice, and screws-graft was used five times. In the dorsal and lumbar spine, in the anterior fusions, plate-screws-graft was used four times and graft twice while in the posterior stabilization plate-screws was used twice, wire-graft twice and Harrington's rods either alone or with wire or graft or petalectomy 26 times. The results are considered satisfactory without peculiarities and correspond to the international data. The type of stabilization chosen, depended on lesion and varied according to the case. Surgeon's experience is a critical factor. The pathological conditions which are referred constitute rare cases of stabilization in the injuries of the spine, the undertaking of the responsibility from the same medical team towards the patient at all stages of hospitalization, surgery, rehabilitation till social reinsertion in the same General Hospital, constitute the first Greek experience. The surgery shortens and facilitates the nursing and contribute in avoidance of complications from recumbency. Interconnection medicine in Greece can confront the problematic cases of diseases and injuries of the spine.","Σκοπός της διατριβής είναι η ανάλυση 51 σπονδυλοδεσιών και η καταγραφή των ιδιαιτεροτήτων του υλικού μας και των τεχνικών τροποποιήσεων που έγιναν. Αναφερόμαστε σε 51 σπονδυλοδεσίες, που έγιναν από δύο κλινικές με την ίδια διεύθυνση. Οι άνδρες ήσαν 32 και οι γυναίκες 19. Οι 7 αφορούσαν παθολογικές αστάθειες και οι 44 τραυματικές. Οι 2 παθολογικές (φλεγμονή-χόρδωμα) και οι 14 τραυματικές αστάθειες αφορούσαν την AM ενώ οι 5 παθολογικές (2 εχινόκοκκοι, 2 σπονδυλολισθήσεις, 1 χόρδωμα) και οι 30 τραυματικές αφορούσαν τη ΘΜ και την ΟΜ της ΣΣ. Έγιναν 16 πρόσθιες σπονδυλοδεσίες (11 στην AM και 5 στην ΘΜ και ΟΜ της ΣΣ) και 34 οπίσθιες (5 στην AM και 19 στη ΘΜ και ΟΜ της ΣΣ). Σε 1 ασθενή έγινε και πρόσθια και οπίσθια σπονδυλοδεσία. Στις πρόσθιες σπονδυλοδεσίες της AM έγινε 1 φορά χρήση μοσχεύματος, 6 φορές χρήση πλάκας - βιδών - μοσχεύματος, 2 πλάκας-βιδών και 2 βιδών-μοσχεύματος, ενώ στις οπίσθιες 5 φορές χρήση μοσχεύματος και σύρματος. Στην ΘΜ και ΟΜ στις πρόσθιες σπονδυλοδεσίες χρησιμοποιήθηκαν 4 φορές μόσχευμα-πλάκα-βίδες και 2 φορές μόσχευμα ενώ στις οπίσθιες, 2 φορές πλάκες-βίδες, 2 φορές μόσχευμα-σύρμα και 26 φορές ράβδοι Harrington. Οι ράβδοι Harrington συνδυάσθηκαν ενίοτε με σύρμα ή και μόσχευμα ή και πεταλεκτομή. Τα αποτελέσματα κρίνονται ικανοποιητικά χωρίς να παρουσιάζουν ιδιαιτερότητες σε σχέση με τα διεθνή δεδομένα. Η μέθοδος εξατομικεύεται ανάλογα με την πάθηση και προσαρμόζεται σε κάθε ασθενή. Η εμπειρία του χειρουργού είναι καθοριστικός παράγοντας επιλογής της μεθόδου. Οι παθολογικές καταστάσεις που αναφέρονται είναι σπάνιες περιπτώσεις σπονδυλοδεσιών. Στις τραυματικές καταστάσεις, η νοσηλεία και αποκατάσταση στον ίδιο χώρο και η ανάληψη της ευθύνης από την ίδια ιατρική ομάδα, σ' όλα τα στάδια που διέρχεται ο άρρωστος, αποτελεί την πρώτη Ελληνική εμπειρία. Το χειρουργείο συντομεύει και διευκολύνει τη νοσηλεία και συντελεί στην αποφυγή των επιπλοκών του κλινοστατισμού. Η διασυνδετική ιατρική στην Ελλάδα είναι σε θέση ν' αντιμετωπίσει τις προβληματικές περιπτώσεις παθήσεων και κακώσεων της Σπονδυλικής Στήλης."]},{"key":"dc:title","label":"Title","values":["Ανάλυση 50 σπονδυλοδεσιών: Ιδιαιτερότητες του υλικού μας: Τεχνικές τροποποιήσεις","Analysis of 50 surgical stabilizations of the spine: Pecullarities of our material: Technical modifications"]}]}],"canonical_facts":{"dc:creator":["Beltsios, Michail","Μπέλτσιος, Μιχαήλ"],"dc:date":["1991"],"dc:description":["The aim of this doctorate is to analyze 51 surgical stabilizations of the spine and to refer the special peculiarities of our material and the technical modifications which were done. We refer 51 surgical stabilizations that have been done in two orthopaedic departments under the same direction. The men were 32 and the women 19. The 7 stabilizations concerned pathological instabilities of the spine and the 44 traumatic ones. The two pathological (infection - chordoma) and the 14 traumatic conditions concerned the cervical spine, while the 5 pathological ones (2 echinococcus, 2 spondylolisthesis, 1 chordoma) and the 30 traumatic ones concerned the dorsal and lumbar spine. Sixteen anterior (11 in the cervical and 5 in the dorsal and lumbar spine) and 34 posterior stabilizations (5 in the cervical and 29 in the dorsal and lumbar spine) were done. An anterior as well as a posterior stabilization was done in one patient. In the anterior stabilization of the cervical spine, plate-screws-graft was used six times; graft once, screws - graft twice, and screws-graft was used five times. In the dorsal and lumbar spine, in the anterior fusions, plate-screws-graft was used four times and graft twice while in the posterior stabilization plate-screws was used twice, wire-graft twice and Harrington's rods either alone or with wire or graft or petalectomy 26 times. The results are considered satisfactory without peculiarities and correspond to the international data. The type of stabilization chosen, depended on lesion and varied according to the case. Surgeon's experience is a critical factor. The pathological conditions which are referred constitute rare cases of stabilization in the injuries of the spine, the undertaking of the responsibility from the same medical team towards the patient at all stages of hospitalization, surgery, rehabilitation till social reinsertion in the same General Hospital, constitute the first Greek experience. The surgery shortens and facilitates the nursing and contribute in avoidance of complications from recumbency. Interconnection medicine in Greece can confront the problematic cases of diseases and injuries of the spine.","Σκοπός της διατριβής είναι η ανάλυση 51 σπονδυλοδεσιών και η καταγραφή των ιδιαιτεροτήτων του υλικού μας και των τεχνικών τροποποιήσεων που έγιναν. Αναφερόμαστε σε 51 σπονδυλοδεσίες, που έγιναν από δύο κλινικές με την ίδια διεύθυνση. Οι άνδρες ήσαν 32 και οι γυναίκες 19. Οι 7 αφορούσαν παθολογικές αστάθειες και οι 44 τραυματικές. Οι 2 παθολογικές (φλεγμονή-χόρδωμα) και οι 14 τραυματικές αστάθειες αφορούσαν την AM ενώ οι 5 παθολογικές (2 εχινόκοκκοι, 2 σπονδυλολισθήσεις, 1 χόρδωμα) και οι 30 τραυματικές αφορούσαν τη ΘΜ και την ΟΜ της ΣΣ. Έγιναν 16 πρόσθιες σπονδυλοδεσίες (11 στην AM και 5 στην ΘΜ και ΟΜ της ΣΣ) και 34 οπίσθιες (5 στην AM και 19 στη ΘΜ και ΟΜ της ΣΣ). Σε 1 ασθενή έγινε και πρόσθια και οπίσθια σπονδυλοδεσία. Στις πρόσθιες σπονδυλοδεσίες της AM έγινε 1 φορά χρήση μοσχεύματος, 6 φορές χρήση πλάκας - βιδών - μοσχεύματος, 2 πλάκας-βιδών και 2 βιδών-μοσχεύματος, ενώ στις οπίσθιες 5 φορές χρήση μοσχεύματος και σύρματος. Στην ΘΜ και ΟΜ στις πρόσθιες σπονδυλοδεσίες χρησιμοποιήθηκαν 4 φορές μόσχευμα-πλάκα-βίδες και 2 φορές μόσχευμα ενώ στις οπίσθιες, 2 φορές πλάκες-βίδες, 2 φορές μόσχευμα-σύρμα και 26 φορές ράβδοι Harrington. Οι ράβδοι Harrington συνδυάσθηκαν ενίοτε με σύρμα ή και μόσχευμα ή και πεταλεκτομή. Τα αποτελέσματα κρίνονται ικανοποιητικά χωρίς να παρουσιάζουν ιδιαιτερότητες σε σχέση με τα διεθνή δεδομένα. Η μέθοδος εξατομικεύεται ανάλογα με την πάθηση και προσαρμόζεται σε κάθε ασθενή. Η εμπειρία του χειρουργού είναι καθοριστικός παράγοντας επιλογής της μεθόδου. Οι παθολογικές καταστάσεις που αναφέρονται είναι σπάνιες περιπτώσεις σπονδυλοδεσιών. Στις τραυματικές καταστάσεις, η νοσηλεία και αποκατάσταση στον ίδιο χώρο και η ανάληψη της ευθύνης από την ίδια ιατρική ομάδα, σ' όλα τα στάδια που διέρχεται ο άρρωστος, αποτελεί την πρώτη Ελληνική εμπειρία. Το χειρουργείο συντομεύει και διευκολύνει τη νοσηλεία και συντελεί στην αποφυγή των επιπλοκών του κλινοστατισμού. Η διασυνδετική ιατρική στην Ελλάδα είναι σε θέση ν' αντιμετωπίσει τις προβληματικές περιπτώσεις παθήσεων και κακώσεων της Σπονδυλικής Στήλης."],"dc:identifier":["10.12681/eadd/1642","http://hdl.handle.net/10442/hedi/1642"],"dc:language":["gre"],"dc:publisher":["University of Patras","Πανεπιστήμιο Πατρών"],"dc:subject":["Εχινόκοκκος της σπονδυλικής στήλης","Παραπληγία","Ράβδοι Harrington","Σπονδυλοδεσία","Σπονδυλολίσθηση","Σταθεροποίηση της σπονδυλικής στήλης","Τετραπληγία","Τραυματισμός της σπονδυλικής στήλης","Τραυματισμός νωτιαίου μυελού","Χόρδωμα","Chordoma","Echinococcus of the spine","Fusion of the spine","Harrington rods","Injuries of the spine","Paraplegia","Spinal cord injury","Spondylolisthesis","Stabilization of the spine","Tetraplegia","Ιατρική και Επιστήμες Υγείας","Κλινική Ιατρική","Medical and Health Sciences","Clinical Medicine"],"dc:title":["Ανάλυση 50 σπονδυλοδεσιών: Ιδιαιτερότητες του υλικού μας: Τεχνικές τροποποιήσεις","Analysis of 50 surgical stabilizations of the spine: Pecullarities of our material: Technical modifications"],"dc:type":["PhD Thesis"]},"updated_at":"2026-07-24T02:25:02Z"}