STAGED SURGICAL TREATMENT OF POSTTRAUMATIC DEFORMITIES IN THE THORACIC AND LUMBAR SPINE
https://doi.org/10.14531/ss2016.4.21-27
Abstract
Objective. To analyze corrective opportunities of staged combined surgical treatment of posttraumatic deformities in the thoracic and lumbar spine.
Material and Methods. A total of 106 patients (58 men and 48 women) were operated on for posttraumatic kyphosis of the thoracic and lumbar spine using staged operations at the same session. The study included the assessment of radiological parameters, the analysis of clinical outcomes using Oswestry Disability Index (ODI) and Visual Analogue Scale (VAS), and the estimation of intraoperative blood loss and complications.
Results. Segmental kyphotic deformity was on average corrected from 24.0° ± 8.7° to 10.5° ± 1.3° (P = 0.17), the mean deformity correction was 23.1°. The ODI and VAS scores changed significantly. The duration of multi-stage interventions was 227.5 ± 623 minutes, with blood loss of 407.5 ± 258.2 ml. There was no appearance of neurological symptoms or their worsening in the postoperative period. Complications were noted in 6 (5.6 %) patients.
Conclusion. Staged surgical treatment of posttraumatic deformities ensures high correction capability combined with the safety of interventions and low complication rates.
About the Authors
Victor Viktorovich Rerikh
Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan; Novosibirsk State Medical University
Russian Federation
Russian Federation
Konstantin Olegovich Borzykh
Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan
Russian Federation
Russian Federation
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Review
For citations:
Rerikh V.V., Borzykh K.O. STAGED SURGICAL TREATMENT OF POSTTRAUMATIC DEFORMITIES IN THE THORACIC AND LUMBAR SPINE. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2016;13(4):21-27. https://doi.org/10.14531/ss2016.4.21-27
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