ORGANIZATION OF SPECIALIZED MEDICAL CARE TO PATIENTS WITH URGENT SURGICAL PATHOLOGY OF THE SPINE
https://doi.org/10.14531/ss2011.2.67-73
Abstract
Objective. Scientific-practical and economical substantiation of the expedience of urgent spine surgery centre organization in megalopolises for the admittance of patients not only with acute spine and spinal cord trauma, but also with other urgent spinal pathologies.
Material and Methods. Authors performed retrospective analysis of work of neurosurgical departments in large municipal hospitals of St. Petersburg during the last two years.
Results. It was found out that almost all neurosurgical departments in municipal multi-field hospitals, except for the St. Petersburg Research Institute of the First Aid n.a. I.I. Dzhanelidze, do not provide a modern level of specialized medical care to patients with urgent surgical pathology of the spine.
Conclusion. Working experience of the Centre for Urgent Spine Surgery created on the base of St. Petersburg Research Institute of the First Aid n.a. I.I. Dzhanelidze demonstrated that such organizational pattern allows for improving the quality of specialized medical care and more effective municipal healthcare utilization.
About the Authors
Yury Aleksandrovich Shcherbuk
St.Petersburg State University
Russian Federation
Russian Federation
Sergey Fyodorovich Bagnenko
Research Institute of Emergency Care n.a. I.I.Dzhanelidze
Russian Federation
Russian Federation
Aleksandr Kaisinovich Dulaev
Research Institute of Emergency Care n.a. I.I.Dzhanelidze
Russian Federation
Russian Federation
Natalya Mikhailovna Dulaeva
Research Institute of Emergency Care n.a. I.I.Dzhanelidze
Russian Federation
Russian Federation
Znaur Yuryevich Alikov
Research Institute of Emergency Care n.a. I.I.Dzhanelidze
Russian Federation
Russian Federation
References
1. Ардашев И.П. Повреждения позвоночника при кататравме // Теория и практика травм и хирургии повреждений. Томск, 2000. С. 7–8.
2. Гэлли Р.Л., Спайт Д.У., Симон Р.Р. Неотложная ортопедия. Позвоночник. М., 2003.
3. Исламов С.А., Никитин В.В., Файзуллин А.А. Оказание помощи пострадавшим с сочетанной позвоночно-спинальной травмой в условиях травмоцентров первого уровня на федеральных трассах М5, М7 // Травматол. и ортопед. России. 2010. № 2 (56). С. 59–61.
4. Щербук Ю.А., Багненко С.Ф., Дулаев А.К. и др. Организация специализированной медицинской помощи пострадавшим и больным с неотложной хирургической патологией позвоночника в условиях мегаполиса // IX съезд травматологов-ортопедов: Тез. докл. Саратов, 2010. С. 717.
5. Hierholzer C., Buhren V., Woltmann A. Operative timing and management of spinal injuries in multiply injured patients // Eur. J. Trauma Emerg. Surg. 2007. Vol. 33. P. 488–500.
6. Laurer H., Maier B., El Saman A., et al. Distribution of spinal and associated injuries in multiple trauma patients // Eur. J. Trauma Emerg. Surg. 2007. Vol. 33. P. 476–481.
Review
For citations:
Shcherbuk Yu.A., Bagnenko S.F., Dulaev A.K., Dulaeva N.M., Alikov Z.Yu. ORGANIZATION OF SPECIALIZED MEDICAL CARE TO PATIENTS WITH URGENT SURGICAL PATHOLOGY OF THE SPINE. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2011;(2):067-073. (In Russ.) https://doi.org/10.14531/ss2011.2.67-73
Email this article 