Spine Injuries and Their Surgical Treatment
Keywords:
trauma, spine, spinal cord, revision, metal structure, tpf systemAbstract
injuries of the spine are a severe type of injury, accompanied in most cases by the disability of patients. Objective of the study: to improve the results of surgical treatment of injuries and diseases of the spine using tpf systems. The results of 114 patients with injuries of the thoracic and lumbar spine were analyzed. Mechanism of injury: fall from a height - 88 patients, road injury - 33 patients. Of the total number of examined patients, 53 patients underwent conservative treatment and 61 patients underwent surgical treatment. 1 fixation of the damaged segment of the spine with various types of metal structures (tpf) - 22 patients. 2 decompressive laminectomy with revision of the spinal canal and spinal cord at the level of injury (without fixation of the spinal column) – 20 patients. 3 decompressive laminectomy at the level of damage + revision of the epi- and subdural spaces of the spinal cord and, as the final stage of the operation, fixation with metal structures - 19 patients. Results: during the surgical interventions, during the revision, a complete anatomical rupture of the spinal cord was found in 9 patients, in 27 cases, a picture of hematomyelia and spinal cord contusion at the level of damage. Conclusions: 1 in the presence of symptoms of spinal cord injury, it is necessary to perform le, revision of the spinal canal and spinal cord. 2, the most reliable fixation is achieved when using a construct for tpf, which makes it possible to activate the patients early.
References
Aganesov A.G., Meskhi K.T., Kheilo A.L. Surgical treatment of spinal injuries // 9th Congress of Traumatologists and Orthopedists of Russia: Proceedings. report Saratov, 2010, p. 567.
Borzykh K.O., Roerich V.V., Rakhmatillaev Sh.N. Surgical treatment of uncomplicated burst fractures of the thoracic and lumbar vertebrae, accompanied by a critical displacement of fragments into the spinal canal. report Saratov, 2010, p. 585
Vetrile S.T., Kuleshov A.A., Shvets V.V. Surgical treatment of fractures of the thoracic and lumbar spine with the use of modern technologies // 9th congress of traumatologists and orthopedists of Russia: Proceedings. report Saratov, 2010. pp. 596-597.
Gaidar B.V., Dulaev A.K., Orlov V.P. Surgical treatment of patients with injuries of the thoracic and lumbar spine // Surgery of the spine. 2004. No. 3. S. 40-45.
Kelmakov V.P. Complex neurosurgical treatment of patients with post-traumatic spinal cord cysts associated with spinal canal deformity: Abstract of the thesis. dis. ... cand. honey. Sciences. Novosibirsk, 2005.
Ramikh E.A. Injuries of the thoracic and lumbar spine // Surgery of the spine. 2008. No. 1. S. 86-106.
Roerich V.V., Borzykh K.O., Rakhmatillaev Sh.N. Surgical treatment of burst fractures of the thoracic and lumbar vertebrae, accompanied by narrowing of the spinal canal. 2007. No. 2. S. 8-15.
Cigliano A, Scarano E, De Falco R, et al. The posterolateral approach in the 9. Dai LY. Remodeling of the spinal canal after thoracolumbar burst fractures. ClinOrthopRelat Res. 2001;(382):119-123.
Denis F. The three column spine and its significance in the classification of acute thoracolumbar spinal injuries. Spine. 1983;8(8):817-831.
Morrison RH, Thierolf A, Weckbach A. Volumetric changes of iliac crest autografts used to reconstruct the anterior column in thoracolumbar fractures: a follow-up using CT scans. Spine. 2007;32(26):3030-3035.
Mumford J, Weinstein JN, Spratt KF, et al. Thoracolumbar burst fractures. The clinical efficacy and outcome of nonoperative management. Spine. 1993;18(8):955-970.
Razak M, Mahmud M, Mokhtar SA, et al. Thoracolumbar fracture-dislocation results of surgical treatment. Med J Malaysia. 2000;55(Suppl. C):14-17.
Zdeblick TA, Sasso RC, Vaccaro AR, et al. Surgical treatment of thoracolumbar fractures. Instr. Course Lect. 2009;58:639-644.
