EARLY AND LONG-TERM RESULTS OF SURGICAL TREATMENT OF THE THORACIC AND LUMBAR VERTEBRAL AND SPINAL TRAUMA

Abstract

The article demonstrates the outcomes of operative treatment of 190 patients with spinal cord injuryof thoracic and lumbar spine for 10 years. Associated injuries were revealed in 96 patients, the mean ISS score being27.5. All patients underwent decompressive and stabilizing interventions using a transpedicular system of “Synthes” production (Saint Petersburg). Ventral interventions were performed in 27 (14.2%) patients. In all cases, decompression of the spinal canalcontents at the level of damage was achieved. In those patients who were operated within two weeks after trauma, transpedicular system allowed for recovery of a form and size of the spinal canal and the damaged vertebral body. The fractures of transpedicular system were observed in patients operated both with only rear and with combined access. The errors and complications, which happened during surgery, did not influence the outcomes of treatment. The outcomes of treatment were assessed according to the neurological statusdynamics (ASIA score), recovery of support ability of the spine, the presence of pain, and patients’ recovery (Е Denis score). Favorable outcomes were achieved in 114 (61.3%) patients, satisfactoryin 53 (28.5%),and poor in 19 (10.2 %).

Keywords

• позвоночно-спинномозговая травма
• хирургическое лечение
• vertebral and spinal trauma
• surgical treatment
• mistakes and complications