Pathological breaks of spine at patients with vertebral - spinal trauma in sharp and early periods

  • А. М. Янковский City Hospital № 17. Saint Petersburg
Keywords: Spinal injuries, athological fractures, surgical treatment

Abstract

In the article the results of surgical treatment are examined 25 patients with the pathological breaks of spine entering sharp period of vertebral-spinal trauma (VST) in city permanent establishments for period from 1995 to 2000 years. The I group is chronic inflammatory diseases of spine (11 patients - 44,0%). The II group is by volumes formations of bodies of vertebrae are 8 patients (32,0%). The III group is the tumours offabrics round a spine with the germination and presence of the second disintegration of bodies of vertebrae are 6 patients (24,0%). On etiology of VST: 8 patients (72,0%) suffered as a result of road traffic accidents, as a result falling from a height suffered 3 patients (12,0%), falling on the back or buttocks - 4 patients (16,0%).The estimation of neurological was conducted on classification of ASIA and adaptation scale. Surgical classification of tumours of K Tomita was used.et.al.(1997).Efficiency of surgical treatment was estimated on the formula of et Lassal.al.(1985).Results: Excellent (complete renewal) - 48%; good (renewal more than 50%) - 36%; satisfactory (from 10 to 50%) - 8,0%; bad (to 10%) - 8,0%.Remote results to 5 years: Lethality in II and the III groups made 24% (6 patients) in terms from 15 months to 3 years ( middle index of 1,8 year). As results showed surgical classification of K Tomita.(1997) can with success be used for the choice of surgical tactic at patients with the pathological breaks in different etiologic groups.

References

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Tomita K, Kawahara N., Baba H., et.al. Total en block spondylectomy // Spine.- 1997.-3.-P.324-333.

Lassale B., Deburge A., Benoist M. Resultats a long termed u treitement chirurgical des stenises lombales // Rev.Rhum Mal Osteoartic.-1985.-52.-P.27-33.
Published
2006-05-31
How to Cite
Янковский, А. (2006). Pathological breaks of spine at patients with vertebral - spinal trauma in sharp and early periods. Bulletin of the International Scientific Surgical Association, 1(3), 43-44. Retrieved from http://surgjournal.ru/index.php/BISSA/article/view/114
Section
Original Articles