Email this article Rehabilitation of children at the inpatient stage after surgical treatment of unstable fractures of the thoracolumbar and lumbar spine
- Authors: Ovechkina A.V.1, Baindurashvili A.G.1, Zaletina A.V.1, Kozyrev A.S.1
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Affiliations:
- The Turner Scientific Research Institute for Children’s Orthopedics
- Issue: Vol 5, No 4 (2017)
- Pages: 53-59
- Section: Articles
- URL: https://journals.rcsi.science/turner/article/view/7674
- DOI: https://doi.org/10.17816/PTORS5453-59
- ID: 7674
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Abstract
Introduction. The modern approach to the treatment of unstable fractures of the thoracolumbar and lumbar spine in children is surgical stabilization at the early stages after trauma by using metal structures that quickly restore vertical functionality to the patient and shorten the period of inpatient treatment. However, the issues related to restorative treatment have not been sufficiently addressed.
Aim. To develop an algorithm for restorative treatment of children at the inpatient stage after surgical treatment of unstable uncomplicated fractures of the thoracolumbar and lumbar spine.
Material and methods. Based on the results of treatment of 73 patients aged 9 to 17 years with unstable uncomplicated vertebral fractures, an algorithm of stage-by-stage rehabilitation by means of therapeutic gymnastics depending on the severity of the injury, method of surgical stabilization of the spine, physical condition of the child, and time passed after the operation was developed.
Results and discussion. The use of differentiated groups of respiratory gymnastics and isometric and dynamic exercises for muscle groups restored vertical functionality to patients in 1–3 days after surgery, restored spine and motor functions, and shortened the duration of inpatient treatment to a range of 10–14 days.
Conclusion. The developed algorithm for physical rehabilitation of children after surgical treatment of unstable injuries of the thoracic and lumbar spine by using metal structures at the inpatient stage contributed to the selection of the most rational and effective program of restorative treatment.
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##article.viewOnOriginalSite##About the authors
Alla V. Ovechkina
The Turner Scientific Research Institute for Children’s Orthopedics
Author for correspondence.
Email: turner01@mail.ru
MD, PhD, associate professor, academic secretary
Russian Federation, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Alexei G. Baindurashvili
The Turner Scientific Research Institute for Children’s Orthopedics
Email: turner01@mail.ru
MD, PhD, professor, member of RAS, honored doctor of the Russian Federation, director of The Turner Scientific Research Institute for Children’s Orthopedics; head of the Chair of Pediatric Traumatology and Orthopedics of North-Western State Medical University n.a. I.I. Mechnikov
Russian Federation, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Anna V. Zaletina
The Turner Scientific Research Institute for Children’s Orthopedics
Email: omoturner@mail.ru
MD, PhD, head of the Scientific-organizational Department. The Turner Scientific Research Institute for Children’s Orthopedics
Russian Federation, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Alexandr S. Kozyrev
The Turner Scientific Research Institute for Children’s Orthopedics
Email: turner01@mail.ru
MD, PhD, anesthesiologist-resuscitator of the Department of Anesthesiology and Intensive Care. The Turner Scientific Research Institute for Children’s Orthopedics
Russian Federation, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603References
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