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Tactics of surgical treatment for thoracic and lumbar spinal injuries
- Authors: Usikov V.D.1, Kuftov V.S.2, Ershov N.I.2
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Affiliations:
- Vreden Russian Research Institute of Traumatology and Orthopedics
- Bryansk City Hospital No. 1
- Issue: Vol 19, No 3 (2013)
- Pages: 103-112
- Section: EXPERIENCE EXCHANGE
- URL: https://journal.rniito.org/jour/article/view/361
- DOI: https://doi.org/10.21823/2311-2905-2013--3-103-112
- ID: 361
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Abstract
The analysis of results of surgical treatment of 154 patients with a vertebral and spinal trauma of chest and lumbar departments of a backbone aged from 16 till 75 years is carried out. All patients were operated in Bryansk city hospital N 1. The volume and sequence of surgeries, and existence were defined with the combined damages, character of an injury of a backbone and a spinal cord or absence free part bone bodies of the injured vertebra compressing a spinal cord defined different accesses on a backbone. So, surgeries at 125 (81,2 %) patients were carried out from one back access, at 23 (14,9 %) patients - to the combined back and lobbies and at 6 (3,9 %) patients - front and back access. In all cases for fixing of a spine implants “Sintez” firm (St. Petersburg) were used. Results of treatment were estimated on neurologic dynamics, restoration of an axis of a backbone, a gleam of the vertebral channel and restoration possibility of a support of a backbone. Good results of treatment are received at 87 (56,5 %), satisfactory - at 55 (35,7 %) and unsatisfactory - at 12 (7,8 %) patients.
About the authors
V. D. Usikov
Vreden Russian Research Institute of Traumatology and Orthopedics
Author for correspondence.
Email: sintez@rambler.ru
Russian Federation
V. S. Kuftov
Bryansk City Hospital No. 1
Email: kuftov@mail.ru
Russian Federation
N. I. Ershov
Bryansk City Hospital No. 1
Email: nick.ershov@yandex.ru
Russian Federation
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