PREVALENCE OF EARLY CERVICAL OSTEOCHONDROSIS RISK ASSESSMENT SCALE OF THE NEUROLOGICAL COMPLICATIONS OF SURGICAL TREATMENT IN PATIENTS WITH THE POST-TRAUMATIC DEFORMATIONS OF THE THORACIC AND LUMBAR SPINE

Abstract

The aim is to develop and propose a scale for assessing the risk of neurological complications as a result of surgical treatment in patients with the post-traumatic deformations of the thoracic and lumbar spine.Materials and methods. An analysis of the treatment of 124 patients (70 men and 54 women) aged 18–54 with post-traumatic deformations of the thoracic and lumbar spine was carried out. The patients were operated during the 2003–2017 period. Repeated surgeries were performed after the period from 6 months to 14 years after injury. In 63 cases, spinal deformation was the result of unsuccessful surgical treatment, while 61 cases were due to diagnostic errors and/or inadequate conservative treatment.Results. The analysis of the clinical data identified factors affecting the manifestation of neurological complications, as well as 46 assessment options for risk gradation.Conclusion.The proposed scale can be used for a rapid assessment of the risk of neurological complications of surgical treatment of patients with the post-traumatic deformations of the thoracic and lumbar spine.'Conflict of interest: the authors declare no conflict of interest.

Keywords

• spine
• complications
• post-traumatic deformation
• classification
• neurologic deficit
• scale