EXPERIENCE OF SURGICAL TREATMENT OF INJURIES OF MIDDLE AND LOWER CERVICAL SPINE WHILE DIVING
Objective - to analyze the long-term results of surgical treatment of patients with injuries of middle- and lower cervical spine in diving. Materials and methods. An analysis of surgical treatment of 27 patients and assessment of the long-term results of 20 patients in a period of 6 months to 6 year...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | Russian |
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Vreden Russian Research Institute of Traumatology and Orthopedics
2012-09-01
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| Series: | Travmatologiâ i Ortopediâ Rossii |
| Subjects: | |
| Online Access: | https://journal.rniito.org/jour/article/view/262 |
| _version_ | 1818642329493307392 |
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| author | I. P. Ardashev V. R. Gatin E. I. Ardasheva M. S. Shpakovskiy A. A Grishanov I. Y. Veretelnikova O. I. Petrova M. A. Katkova |
| author_facet | I. P. Ardashev V. R. Gatin E. I. Ardasheva M. S. Shpakovskiy A. A Grishanov I. Y. Veretelnikova O. I. Petrova M. A. Katkova |
| author_sort | I. P. Ardashev |
| collection | DOAJ |
| description | Objective - to analyze the long-term results of surgical treatment of patients with injuries of middle- and lower cervical spine in diving. Materials and methods. An analysis of surgical treatment of 27 patients and assessment of the long-term results of 20 patients in a period of 6 months to 6 years were performed with analysis of clinical, neurological, radiographic data and mortality. Results. Mostly the C5 vertebra was damaged - in 17 patients (63%). Compression fractures of vertebral bodies met in 6 (22%), compression-comminuted fractures - in 16 (59%) patients, dislocations - in 5 (19%). All patients had neurological disorders. All observations noted rigid stabilization of the spine with an implant made of porous nickel-titanium, the presence of bone-metal block at the level of the damaged vertebral body Mortality in the postoperative period was 26%. In the long-term period the initial neurological symptoms were observed in 7 (30%) patients, 13 (48%) patients had marked regression of neurological symptoms. Full functional maladjustment was observed in 6 patients with no motor function below the damaged segment, originally belonging to groups A and B on the classification of H.L. Frankel. Moderate and mild degree of functional adaptation disorders were present in 5 and 4 patients respectively. In the remaining patients we did not reveal a functional maladjustment. Range of motion in the cervical spine in all patients was considered as good. Conclusions. Anterior decompressive-stabilizing surgeries on the spine with an implant made of porous nickel-titanium and metal plate CSLP allows reliably stabilization of the injured spine and the rehabilitation of this severe category of patients. |
| first_indexed | 2024-12-16T23:41:20Z |
| format | Article |
| id | doaj.art-2a11f2e93387436f8b12a1b8e189d935 |
| institution | Directory Open Access Journal |
| issn | 2311-2905 2542-0933 |
| language | Russian |
| last_indexed | 2024-12-16T23:41:20Z |
| publishDate | 2012-09-01 |
| publisher | Vreden Russian Research Institute of Traumatology and Orthopedics |
| record_format | Article |
| series | Travmatologiâ i Ortopediâ Rossii |
| spelling | doaj.art-2a11f2e93387436f8b12a1b8e189d9352022-12-21T22:11:35ZrusVreden Russian Research Institute of Traumatology and OrthopedicsTravmatologiâ i Ortopediâ Rossii2311-29052542-09332012-09-0103354010.21823/2311-2905-2012--3-35-40256EXPERIENCE OF SURGICAL TREATMENT OF INJURIES OF MIDDLE AND LOWER CERVICAL SPINE WHILE DIVINGI. P. Ardashev0V. R. Gatin1E. I. Ardasheva2M. S. Shpakovskiy3A. A Grishanov4I. Y. Veretelnikova5O. I. Petrova6M. A. Katkova7Kemerovo State Medical AcademyPodgorbunskiy Municipal Clinical Hospital N 3, KemerovoKemerovo State Medical AcademyKemerovo State Medical AcademyKemerovo State Medical AcademyKemerovo State Medical AcademyKemerovo Clinical Diagnostic CenterPodgorbunskiy Municipal Clinical Hospital N 3, KemerovoObjective - to analyze the long-term results of surgical treatment of patients with injuries of middle- and lower cervical spine in diving. Materials and methods. An analysis of surgical treatment of 27 patients and assessment of the long-term results of 20 patients in a period of 6 months to 6 years were performed with analysis of clinical, neurological, radiographic data and mortality. Results. Mostly the C5 vertebra was damaged - in 17 patients (63%). Compression fractures of vertebral bodies met in 6 (22%), compression-comminuted fractures - in 16 (59%) patients, dislocations - in 5 (19%). All patients had neurological disorders. All observations noted rigid stabilization of the spine with an implant made of porous nickel-titanium, the presence of bone-metal block at the level of the damaged vertebral body Mortality in the postoperative period was 26%. In the long-term period the initial neurological symptoms were observed in 7 (30%) patients, 13 (48%) patients had marked regression of neurological symptoms. Full functional maladjustment was observed in 6 patients with no motor function below the damaged segment, originally belonging to groups A and B on the classification of H.L. Frankel. Moderate and mild degree of functional adaptation disorders were present in 5 and 4 patients respectively. In the remaining patients we did not reveal a functional maladjustment. Range of motion in the cervical spine in all patients was considered as good. Conclusions. Anterior decompressive-stabilizing surgeries on the spine with an implant made of porous nickel-titanium and metal plate CSLP allows reliably stabilization of the injured spine and the rehabilitation of this severe category of patients.https://journal.rniito.org/jour/article/view/262повреждения средне- и нижнешейного отделов позвоночникамежтеловой спондилодезлетальностьныряниеinjures of the middle- and lower cervical spineinterbody fusionmortalitydiving |
| spellingShingle | I. P. Ardashev V. R. Gatin E. I. Ardasheva M. S. Shpakovskiy A. A Grishanov I. Y. Veretelnikova O. I. Petrova M. A. Katkova EXPERIENCE OF SURGICAL TREATMENT OF INJURIES OF MIDDLE AND LOWER CERVICAL SPINE WHILE DIVING Travmatologiâ i Ortopediâ Rossii повреждения средне- и нижнешейного отделов позвоночника межтеловой спондилодез летальность ныряние injures of the middle- and lower cervical spine interbody fusion mortality diving |
| title | EXPERIENCE OF SURGICAL TREATMENT OF INJURIES OF MIDDLE AND LOWER CERVICAL SPINE WHILE DIVING |
| title_full | EXPERIENCE OF SURGICAL TREATMENT OF INJURIES OF MIDDLE AND LOWER CERVICAL SPINE WHILE DIVING |
| title_fullStr | EXPERIENCE OF SURGICAL TREATMENT OF INJURIES OF MIDDLE AND LOWER CERVICAL SPINE WHILE DIVING |
| title_full_unstemmed | EXPERIENCE OF SURGICAL TREATMENT OF INJURIES OF MIDDLE AND LOWER CERVICAL SPINE WHILE DIVING |
| title_short | EXPERIENCE OF SURGICAL TREATMENT OF INJURIES OF MIDDLE AND LOWER CERVICAL SPINE WHILE DIVING |
| title_sort | experience of surgical treatment of injuries of middle and lower cervical spine while diving |
| topic | повреждения средне- и нижнешейного отделов позвоночника межтеловой спондилодез летальность ныряние injures of the middle- and lower cervical spine interbody fusion mortality diving |
| url | https://journal.rniito.org/jour/article/view/262 |
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