DECOMPRESSION AND RECONSTRUCTION OF THE SPINAL CANAL IN COMPLICATED INJURY OF THE THORALUMBAR SPINE.

Abstract

Spinal injuries occur in up to 20% of cases among all skeletal injuries, of which up to 55% of injuries occur in the thoracolumbar spine. Disability due to complicated spinal injuries has high rates and reaches 89.8%. Purpose of the study: to improve the results of surgical treatment of patients with complicated trauma of the thoracolumbar spine.

Examination and surgical treatment of 85 patients with complicated injuries of the thoracolumbar spine, aged from 25 to 65 years, were carried out. The level of damage is Th10 – L2, the number of injuries at the level of Th12, LI – 67 patients. Surgical treatment consisted of decompression and stabilization of the spine with the TPF system.

  We assessed the possibilities of repositioning the injured SAM and decompressing the dural sac with various displacement options, taking into account the time that has passed since the injury, regression of post-traumatic neurological deficit, as well as the stability of fixation of the injured SAM. The results of treatment were monitored in all operated patients: good results were obtained in 49 (69.4%), satisfactory - in 33 (38.8%), unsatisfactory - in 3 (3.5%). Conclusions: patients with complicated spinal injuries require DLE at the level of 2-3 vertebrae. In case of unstable fractures, stabilization of the damaged segment with the TPF system.