Injuries of the Thoracic and Lumbar Spine
DOI:
https://doi.org/10.51699/ijhsms.v2i8.2393Keywords:
spine, trauma, stenosis, decompression, transpedicular fixationAbstract
Determination of the clinical efficacy of transpedicular fixation (TPF) in the treatment of injuries of the thoracic and lumbar spine.
Material and methods. 87 patients with injuries of the thoracic and lumbar spine were operated on. 56 (64.3%) of them had a spinal cord injury accompanied by a neurological deficit. In all patients, TPF was used to stabilize the damaged spinal segment.
Results. Differentiated use of various options for eliminating compression of the dural sac when using TPF for the treatment of patients with spinal injuries made it possible to obtain good treatment results in 63 (72.4%) patients, satisfactory - in 23 (26.4%), unsatisfactory - in 2 (2.2%). %).
Conclusion. In case of traumatic stenosis of the spinal canal in the thoracic and lumbar regions, the choice of the method of decompression of the dural sac should be planned individually for each patient, taking into account the time since the injury, the severity and dynamics of neurological disorders, and the localization of damage to the spinal column.
Downloads
References
Aganesov A.G., Meskhi K.T., Kheilo A.L. Surgical treatment of spinal injuries // 9th Congress of Traumatologists and Orthopedists of Russia: Proceedings. report Saratov, 2010, p. 567.
Borzykh K.O., Roerich V.V., Rakhmatillaev Sh.N. Surgical treatment of uncomplicated burst fractures of the thoracic and lumbar vertebrae, accompanied by a critical displacement of fragments into the spinal canal. report Saratov, 2010, p. 585
Vetrile S.T., Kuleshov A.A., Shvets V.V. Surgical treatment of fractures of the thoracic and lumbar spine with the use of modern technologies // 9th congress of traumatologists and orthopedists of Russia: Proceedings. report Saratov, 2010. pp. 596-597.
Gaidar B.V., Dulaev A.K., Orlov V.P. Surgical treatment of patients with injuries of the thoracic and lumbar spine // Surgery of the spine. 2004. No. 3. S. 40-45.
Kelmakov V.P. Complex neurosurgical treatment of patients with post-traumatic spinal cord cysts associated with spinal canal deformity: Abstract of the thesis. dis. ... cand. honey. Sciences. Novosibirsk, 2005.
Ramikh E.A. Injuries of the thoracic and lumbar spine // Surgery of the spine. 2008. No. 1. S. 86-106.
Roerich V.V., Borzykh K.O., Rakhmatillaev Sh.N. Surgical treatment of burst fractures of the thoracic and lumbar vertebrae, accompanied by narrowing of the spinal canal. 2007. No. 2. S. 8-15.
Cigliano A, Scarano E, De Falco R, et al. The posterolateral approach in the treatment of post-traumatic canalar stenosis of the thoraco-lumbar spine. J Neurosurg Sci. 1997;41(4):387-393.
Dai LY. Remodeling of the spinal canal after thoracolumbar burst fractures. ClinOrthopRelat Res. 2001;(382):119-123.
Denis F. The three column spine and its significance in the classification of acute thoracolumbar spinal injuries. Spine. 1983;8(8):817-831.
Morrison RH, Thierolf A, Weckbach A. Volumetric changes of iliac crest autografts used to reconstruct the anterior column in thoracolumbar fractures: a follow-up using CT scans. Spine. 2007;32(26):3030-3035.
Mumford J, Weinstein JN, Spratt KF, et al. Thoracolumbar burst fractures. The clinical efficacy and outcome of nonoperative management. Spine. 1993;18(8):955-970.
Razak M, Mahmud M, Mokhtar SA, et al. Thoracolumbar fracture-dislocation results of surgical treatment. Med J Malaysia. 2000;55(Suppl. C):14-17.
Zdeblick TA, Sasso RC, Vaccaro AR, et al. Surgical treatment of thoracolumbar fractures. Instr. Course Lect. 2009;58:639-644.
