Email this article Analysis of the influence of various factors on the course of neurological disorders in children with spinal cord injury
- Authors: Baindurashvili A.G.1, Solokhina I.Y.1, Kokushin D.N.1, Belyanchikov S.M.1
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Affiliations:
- The Turner Scientific and Research Institute for Children’s Orthopedics
- Issue: Vol 3, No 4 (2015)
- Pages: 12-21
- Section: Articles
- URL: https://journals.rcsi.science/turner/article/view/961
- DOI: https://doi.org/10.17816/PTORS3412-21
- ID: 961
Cite item
Abstract
Background. The study of the influence of various factors on the course of recovery of neurological disorders in children with spinal cord injuries is an important and relevant problem. The main causes of thoracic and lumbar injuries of the spine in children are road accidents and catatraumas. Anatomical and physiological features of the spine and spinal cord in children have a significant influence on the nature of spinal cord injury, clinical manifestations of the injury, and method of treatment. The degree of spinal canal deformity at the level of the damaged segment is directly proportional to the severity of the neurological disorder. The time between injury to when surgery is performed will strongly influence the nature and course of recovery of motor functions. Aim. To assess the influence of different factors in pediatric patients with complicated injuries of the spine at the thoracic and thoracolumbar levels on the recovery of neurological disorders. Materials and methods. The analysis of results of the surgical treatment of 36 children (24 boys and 12 girls) aged 3-17 years with damage to the spine and spinal cord in the thoracic spine and thoracolumbar junction, accompanied with neurological deficit in the form of central or peripheral paresis and paralysis, was performed. All patients underwent surgical intervention depending on the type and extent of damage. Clinical methods (i.e., detailed neurological examination) as well as X-ray, CT, and MRI were used as diagnostic methods. Results. The study revealed that the most severe damage concerning neurological disorders in children with spinal cord injury occurs in the thoracic spine. The extent of neurological changes depends not only on the level of damage to the spinal column but also on the magnitude of spinal canal stenosis. Surgery performed in the first hours of the injury leads to a more rapid and full recovery of the neurological deficit. Conclusion. Therefore, this study found that several factors influence the recovery of neurological disorders in children with spinal cord injury: timing of surgery, localization of the injury, spinal stenosis, the nature of lesions of the spinal cord, and the elements involved.
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##article.viewOnOriginalSite##About the authors
Alexei Georgievich Baindurashvili
The Turner Scientific and Research Institute for Children’s Orthopedics
Author for correspondence.
Email: turner01@mail.ru
MD, PhD, professor, corresponding member of RAS, honored doctor of the Russian Federation, Director of The Turner Scientific and Research Institute for Children’s Orthopedics Russian Federation
Irina Yurievna Solokhina
The Turner Scientific and Research Institute for Children’s Orthopedics
Email: belijanchikov@list.ru
MD, neurologist, research associate of the department of spinal pathology and neurosurgery. The Turner Scientific and Research Institute for Children’s Orthopedics Russian Federation
Dmitriy Nikolaevich Kokushin
The Turner Scientific and Research Institute for Children’s Orthopedics
Email: belijanchikov@list.ru
MD, research associate of the department of spinal pathology and neurosurgery. The Turner Scientific and Research Institute for Children’s Orthopedics Russian Federation
Sergei Mikhailovich Belyanchikov
The Turner Scientific and Research Institute for Children’s Orthopedics
Email: belijanchikov@list.ru
MD, PhD, chief of the department of spine pathology and neurosurgery. The Turner Scientific and Research Institute for Children’s Orthopedics Russian Federation
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