ON PROGNOSIS OF INFLAMMATORY COMPLICATION AFTER EXTERNAL FIXATION OF THE SPINE
https://doi.org/10.14531/ss2008.2.14-17
Abstract
Objective. To analyze the method of laboratory prognosis of inflammatory complications of the spine osteosynthesis with external fixation apparatus.
Material and Methods. Blood analysis was performed in 92 patients. Out of them 29 (32 %) patients had a soft tissue inflammation around screw rods of the external fixation apparatus. Clinical blood test parameters, phenotyping of lymphocytes, functional-metabolic activity of neutrophiles, immunoglobulin level, cytokine concentration, and acute phase proteins were assessed before operation and at different postoperative terms.
Results. Multivariate linear regression analysis identified the function, which allows for prognosis of inflammatory complications before and on the second to fourth days after operation. Analysis of preoperative prognosis results revealed the method efficiency being 91.1 %.
Conclusion. Suggested method allows identification of prognostic function of inflammatory complications and optimization of treatment protocol at the stages of surgical treatment of patients with spine fractures.
About the Authors
Olga Viktorovna BerduginaRussian Federation
Kirill Aleksandrovich Berdugin
Russian Federation
References
1. Драйпер Н., Смит Г. Прикладной регрессионный анализ. М., 1987.
2. Лавруков А.М., Томилов А.Б. Остеосинтез аппаратом внешней фиксации у больных с повреждениями и заболеваниями позвоночника. Екатеринбург, 2002.
3. Маянский А.Н., Маянский Д.Н. Очерки о нейтрофиле и макрофаге. Новосибирск, 1989.
4. Мустафина Ж.Г., Краморенко Ю.С., Кобцева В.Ю. Интегральные гематологические показатели в оценке иммунологической реактивности организма у больных с офтальмопатологией // Клиническая лабораторная диагностика. 1999. № 5. С. 47–49.
5. Реброва О.Ю. Статистический анализ медицинских данных. Применение пакета прикладных программ STATISTICA. М., 2006.
6. Удовицина Т.И. Методы определения индивидуальных белков. Красноярск, 1991.
Review
For citations:
Berdugina O.V., Berdugin K.A. ON PROGNOSIS OF INFLAMMATORY COMPLICATION AFTER EXTERNAL FIXATION OF THE SPINE. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2008;(2):014-017. (In Russ.) https://doi.org/10.14531/ss2008.2.14-17