INTRACANAL METHOD FOR SPINAL CANAL WIDENING IN COMPLICATED INJURIES OF THE THORACOLUMBAR SPINE AND THEIR CONSEQUENCES

Abstract

Objective. To analyze results of surgical treatment of patients with complicated injury of thoracolumbar spine using effective techniques of anterior spinal cord decompression and the injured spine stabilization with the account for economic possibilities of the Kyrgyzstan health system. Material and Methods. The paper presents results of surgical treatment of 43 patients with complicated injuries of the spine who have undergone reconstructive surgery in thoracolumbar spine including widening of the spinal canal and supporting stabilization with bone autofraft. Results. The treatment results were assessed on the basis of clinical information and radiological findings and considered as good and satisfactory in 95.7% of cases. The method of anterior decompression with intracanal widening of the spinal canal has been proved effective in the treatment of thoracolumbar spine. Conclusion. In situation when the choice of optimal surgical method is limited by economic conditions the developed technique may be sufficiently effective in the treatment of complicated fractures of the thoracolumbar spine.