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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Format: | Article |
Language: | English |
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Romodanov Neurosurgery Institute
2007-03-01
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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. |
first_indexed | 2024-03-08T06:44:20Z |
format | Article |
id | doaj.art-72f10f5844ff4d63af443062afb209ff |
institution | Directory Open Access Journal |
issn | 2663-9084 2663-9092 |
language | English |
last_indexed | 2024-03-08T06:44:20Z |
publishDate | 2007-03-01 |
publisher | Romodanov Neurosurgery Institute |
record_format | Article |
series | Ukrainian Neurosurgical Journal |
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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