Surgical treatment of complicated spinal injury in the acute period

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Abstract

Analysis of surgical treatment of 193 patients with complicated injury of cervical, thoracic and lumbar spine was performed. Optimum time for surgery, approaches, operation stages as well as necessity of injured segments fixation are considered. In cervical spine injuries decompression, spondylodesis with autobone and CSLP (AO) plate fixation were performed. In thoracic and lumbar spine injuries decompressive laminectomy, revision, meningomyeloradiculosis when indicated, suturing of injured radicis with following transpedicular fixation using USS (AO) system were carried out. High efficacy of surgical treatment for complicated spine injuries is proved in availability of minimum time after injury, rational preoperative planning, adequate anesthesiologic provision, wide decompression, and accurate choice of implanted metal device.

About the authors

A. G. Aganesov

Russian Scientific Center for Surgery of the Russian Academy of Medical Sciences; Moscow Medical Academy. I. M. Sechenov

Email: info@eco-vector.com
Russian Federation, Moscow; Moscow

K. T. Meskhi

Russian Scientific Center for Surgery of the Russian Academy of Medical Sciences; Moscow Medical Academy. I. M. Sechenov

Email: info@eco-vector.com
Russian Federation, Moscow; Moscow

A. P. Nikolaev

Russian Scientific Center for Surgery of the Russian Academy of Medical Sciences; Moscow Medical Academy. I. M. Sechenov

Email: info@eco-vector.com
Russian Federation, Moscow; Moscow

E. P. Kostiv

Russian Scientific Center for Surgery of the Russian Academy of Medical Sciences; Moscow Medical Academy. I. M. Sechenov

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow; Moscow

References

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Supplementary files

Supplementary Files
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2. Fig.1. Patient E. 16 years old. a — X-ray at admission: complicated compression fracture of C 5 vertebra; b — radiographs after surgery: anterior decompression, C4-6 fusion, CSLP fixation.

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3. Fig.2. Patient 3. 37 years old. a — radiograph on admission: complicated compression fracture L1—2; b — MRI at admission: compression of the roots of the cauda equina by the L2 body; c — decompression of the dural sac; d — USS fixation; e — radiographs after surgery; f — MRI after surgery: complete reconstruction of the spinal canal.

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