DIAGNOSIS AND SURGICAL TREATMENT OF ADVERSE CONSEQUENCES OF SPINAL TRAUMA

Objective. To analyze the content and results of specialized medical care delivered to patients with adverse consequences of spine and spinal cord injury.

Material and Methods. The retrospective analysis included 307 patients treated for adverse consequences of the spine and spinal cord injury. Main reasons for low quality of life of patients and basic pathological conditions causing poor anatomical and functional results in them were studied.

Results. Rational volume of surgery based on the clinical and X-ray data included decompression of the spinal cord and its roots, the spine release, correction of post-traumatic spinal deformities, anterior column reconstruction, and spinal fusion. Out of 257 patients with neurological disorders the regression was achieved in 156 (60.6 %) cases. Correction of posttraumatic deformity was 28.2° in the thoracic, 17.7° in the cervical, and 23.4° in the lumbar spine.

Conclusion. Surgical treatment of the spine and spinal cord injury, even in its late period, is very effective and allows achieving partial or complete regression of neurological deficit and pain, permanent stabilization of the spine, correction of posttraumatic deformity, and significant improve in the function and quality of life of patients. Hir. Pozvonoc. 2014;(1):71-77.

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