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Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika)

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CAUSES OF ANATOMICAL AND FUNCTIONAL FAILURE OF TREATMENT IN PATIENTS WITH THORACIC AND LUMBAR SPINE FRACTURES

https://doi.org/10.14531/ss2009.2.17-24

Abstract

Objective. To analyze treatment results of patients with acute spinal injury in thoracic and lumbar spine and to determine the causes of low quality of life and disability.

Material and Methods. Results of surgical treatment of 76 patients who underwent revision surgery for sequelae and complications after spinal trauma of thoracic and lumbar localization were analyzed.

Results. The causes of insufficient results after primary surgeries in patients with acute spinal trauma were determined. Pathological conditions responsible for low quality of life in patients after spinal trauma were identified as posttraumatic myelo-, caudo-, and radiculopathy, severe spinal deformity, chronic spinal instability, pseudoarthrosis of injured vertebral bodies, posttraumatic degenerative changes in injured and adjacent vertebral segments, and posttraumatic (postoperative) osteomyelitis.

Conclusion. The pathologic condition development was caused not only and not so much by the trauma severity, as by insufficient implementation of urgent surgical interventions including spinal cord and nerve root decompression, posttraumatic deformity correction, and stabilization of the spine.

About the Authors

Aleksandr Kaisinovich Dulaev
3rd Central Military Clinical Hospital n.a. A.A. Vishnevsky, Moscow
Russian Federation


Ikbal Shabir Khan
Military Medical Academy n.a. S.M. Kirov, St. Petersburg
Russian Federation


Natalya Mikhailovna Dulaeva
Federal Centre of Hearth, Blood, and Endocrinology n.a. V.A. Almazov, St. Petersburg
Russian Federation


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Review

For citations:


Dulaev A.K., Khan I.Sh., Dulaeva N.M. CAUSES OF ANATOMICAL AND FUNCTIONAL FAILURE OF TREATMENT IN PATIENTS WITH THORACIC AND LUMBAR SPINE FRACTURES. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2009;(2):017-024. (In Russ.) https://doi.org/10.14531/ss2009.2.17-24



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ISSN 1810-8997 (Print)
ISSN 2313-1497 (Online)