MEANS OF ORTHOPEDIC CARE IMPROVEMENT IN PATIENTS WITH SPINAL TRAUMA

Abstract

146 cases with vertebral column fractures (97 males and 49 females) were carefully assessed and results were analyzed. The majority of patients suffered from home or traffic traumas, including falls from heights as a most frequent reason (36.1%). Depending on severity and complications all the spinal trauma cases were divided on major (69.2%) and minor (30.8%) injuries in accordance with E Denis classification. The mentioned above follow up of the spinal trauma patients resulted in well defined recommendations, such as contemporary standard approach to diagnosis and management, mandatory X-ray diagnosis and bone scan, substantiation of reconstructive and decompressive surgical techniques with preoperative modeling (a surgery can be performed in one or two steps), selection of surgical techniques in non stable vertebral injuries should be based on principles of early recovery of the blood-brain barrier and persistent physiotherapy, surgical techniques with transpedicular pivotal systems should be applied in patients with acute spinal trauma. In the distant period two-step surgery is an indication for stabilization of the damaged segment and anterior decompression with spondilodezis. Therefore, contemporary strategies in orthopedic surgical care of the spinal trauma patients will undoubtedly lead to reduction of the disablement time and length of a sick leave.