电邮这篇文章 Rehabilitation of children at the inpatient stage after surgical treatment of unstable fractures of the thoracolumbar and lumbar spine
- 作者: Ovechkina A.V.1, Baindurashvili A.G.1, Zaletina A.V.1, Kozyrev A.S.1
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隶属关系:
- The Turner Scientific Research Institute for Children’s Orthopedics
- 期: 卷 5, 编号 4 (2017)
- 页面: 53-59
- 栏目: Articles
- URL: https://journals.rcsi.science/turner/article/view/7674
- DOI: https://doi.org/10.17816/PTORS5453-59
- ID: 7674
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详细
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.
作者简介
Alla Ovechkina
The Turner Scientific Research Institute for Children’s Orthopedics
编辑信件的主要联系方式.
Email: turner01@mail.ru
MD, PhD, associate professor, academic secretary
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Alexei 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
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Anna 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
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Alexandr 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
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603参考
- Баиндурашвили А.Г., Виссарионов С.В., Александров Ю.С., Пшениснов К.В. Позвоночно-спинномозговая травма у детей. – СПб.: Онли-Пресс, 2016. – 87 с. [Baindurashvili AG, Vissarionov SV, Aleksandrov YuS, Pshenisnov KV. Pozvonochno-spinnomozgovaya travma u detei. Saint Petersburg: Onli-Press; 2016. 87 p. (In Russ.)]
- Виссарионов С.В., Баиндурашвили А.Г., Мушкин А.Ю., Ульрих Э.В. Хирургическое лечение взрывных переломов тел позвонков грудного и поясничного отделов у детей // Травматология и ортопедия России. – 2006. – Т. 39. – № 1. – С. 10–15. [Vissarionov SV, Baindurashvili AG, Mushkin AJu, Ulrikh EV. The surgical treatment of burst compression fractures of thoracic and lumbar parts of spine in children. Traumatology and Orthopedics of Russia. 2006;39(1):10-15. (In Russ.)]
- Виссарионов С.В., Мушкин А.Ю., Белянчиков С.М., Кокушин Д.Н. Хирургическое лечение множественных нестабильных неосложненных переломов позвоночника у детей // Хирургия позвоночника. – 2010. – № 3. – С. 8–13. [Vissarionov SV, Mushkin AYu, Belyanchikov SM, Kokushin DN. Surgical Treatment for Multiple Unstable Uncomplicated Spinal Fractures in Children. Spine Surgery. 2010;(3):8-13. (In Russ.)]. doi: 10.14531/ss2010.3.8-13.
- Виссарионов С.В., Белянчиков С.М. Оперативное лечение детей с осложненными переломами позвонков грудной и поясничной локализации // Травматология и ортопедия России. – 2010. – Т. 56. – № 2. – С. 48–50. [Vissarionov SV, Bel’anchikov SM. The surgical treatment of children with complicated fractures of thoracic and lumbar vertebrae. Traumatology and Orthopedics of Russia. 2010;56(2):48-50. (In Russ.)]. doi: 10.21823/2311-2905-2010-0-2-48-50.
- Древинг Е.Ф. Лечебная физкультура в травматологии. – М.: Медгиз, 1942. – 175 с. [Dreving EF. Lechebnaja fizkul’tura v travmatologii. Moscow: Medgiz; 1942. 175 p. (In Russ.)]
- Куксов В.Ф., Измалков С.Н. Повреждения позвоночника у детей: диагностика и лечение: Методические рекомендации для врачей. – Самара: Самарский государственный медицинский университет, 2000. – 24 c. [Kuksov VF, Izmalkov SN. Povrezhdenija pozvonochnika u detej: diagnostika i lechenie. Metodicheskie rekomendacii dlja vrachej. Samara: Samarskij gosudarstvennyj medicinskij universitet; 2000. 24 p. (In Russ.)]
- Виссарионов С.В., Баиндурашвили А.Г., Кузьминова Т.А. Компрессионные переломы грудного и поясничного отделов позвоночника у детей (клиника, диагностика и современный подход к лечению средствами физической реабилитации). – М.: Кристалл-Л, 2014. – 165 с. [Vissarionov SV, Baindurashvili AG, Kuz’minova TA. Kompressionnye perelomy grudnogo i pojasnichnogo otdelov pozvonochnika u detej (klinika, diagnostika i sovremennyj podhod k lecheniju sredstvami fizicheskoj reabilitacii). Moscow: Kristall-L; 2014. 165 p. (In Russ.)]
- Виссарионов С.В., Павлов И.В., Гусев М.Г., Леин Г.А. Комплексное лечение пациента с множественными переломами позвонков в грудном отделе позвоночника // Травматология и ортопедия России. – 2012. – Т. 64. – № 2. – С. 91–95. [Vissarionov SV, Pavlov IV, Gusev MG, Lein GA. Complex treatment of patient with multiple fractures of the vertebrae in the thoracic spine. Traumatology and Orthopedics of Russia. 2012;64(2):91-95. (In Russ.)]. doi: 10.21823/2311-2905-2012-2-91-95.
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