Results of posterior and posterolateral decompressive approaches in thoraco-lumbar spine traumatic injures

The retrospective analysis of medical records of 91 patients with traumatic thoracolumbar spine injury, whom operative decompression from posterior and posterolateral approaches was performed is done. The neurological status and neurological deficiency were identified according to Frankel...

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Main Authors: E. I. Slihnko, A. Yu. Leontiyev, S. A. Panferov
Format: Article
Language:English
Published: Romodanov Neurosurgery Institute 2007-03-01
Series:Ukrainian Neurosurgical Journal
Online Access:https://theunj.org/article/view/130895
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author E. I. Slihnko
A. Yu. Leontiyev
S. A. Panferov
author_facet E. I. Slihnko
A. Yu. Leontiyev
S. A. Panferov
author_sort E. I. Slihnko
collection DOAJ
description The retrospective analysis of medical records of 91 patients with traumatic thoracolumbar spine injury, whom operative decompression from posterior and posterolateral approaches was performed is done. The neurological status and neurological deficiency were identified according to Frankel scale, Denis and AO/ASIF classification fractures, methods of decompression and fixations were estimated. Indications for application of decompression-stabilization operations through posterior and lateroposterior approaches were the next: heavy and heaviest state of the injured person at spinal cord compression, spinal cord cross-section injury and at compression substratum localization behind and by side the spinal cord. For nervous structures decompression we applied: anulotaxis, laminectomy, facetectomy, corporectomy, hematomas and traumatic hydromas removal, and their combinations. The decompression stage should be finished by injured spine segment fixation in position of deformation correction. After the operation improvement of bladder and bowel functions was achieved at the majority of patients. Neurological deficit significantly regressed.
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spelling doaj.art-72f10f5844ff4d63af443062afb209ff2024-02-03T08:16:06ZengRomodanov Neurosurgery InstituteUkrainian Neurosurgical Journal2663-90842663-90922007-03-011505810.25305/unj.130895Results of posterior and posterolateral decompressive approaches in thoraco-lumbar spine traumatic injuresE. I. Slihnko0A. Yu. Leontiyev1S. A. Panferov2Romodanov Neurosurgery Institute, Kiev, UkraineKherson Regional Hospital, Kherson, UkraineKiev City Clinical Hospital № 17, Kiev, Ukraine The retrospective analysis of medical records of 91 patients with traumatic thoracolumbar spine injury, whom operative decompression from posterior and posterolateral approaches was performed is done. The neurological status and neurological deficiency were identified according to Frankel scale, Denis and AO/ASIF classification fractures, methods of decompression and fixations were estimated. Indications for application of decompression-stabilization operations through posterior and lateroposterior approaches were the next: heavy and heaviest state of the injured person at spinal cord compression, spinal cord cross-section injury and at compression substratum localization behind and by side the spinal cord. For nervous structures decompression we applied: anulotaxis, laminectomy, facetectomy, corporectomy, hematomas and traumatic hydromas removal, and their combinations. The decompression stage should be finished by injured spine segment fixation in position of deformation correction. After the operation improvement of bladder and bowel functions was achieved at the majority of patients. Neurological deficit significantly regressed.https://theunj.org/article/view/130895
spellingShingle E. I. Slihnko
A. Yu. Leontiyev
S. A. Panferov
Results of posterior and posterolateral decompressive approaches in thoraco-lumbar spine traumatic injures
Ukrainian Neurosurgical Journal
title Results of posterior and posterolateral decompressive approaches in thoraco-lumbar spine traumatic injures
title_full Results of posterior and posterolateral decompressive approaches in thoraco-lumbar spine traumatic injures
title_fullStr Results of posterior and posterolateral decompressive approaches in thoraco-lumbar spine traumatic injures
title_full_unstemmed Results of posterior and posterolateral decompressive approaches in thoraco-lumbar spine traumatic injures
title_short Results of posterior and posterolateral decompressive approaches in thoraco-lumbar spine traumatic injures
title_sort results of posterior and posterolateral decompressive approaches in thoraco lumbar spine traumatic injures
url https://theunj.org/article/view/130895
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