Comparative retro- and prospective analysis of treatment outcomes in patients with SCI and cervical spine injuries in acute and early periods of traumatic disease

<p>The aim: to conduct comparative retro- and prospective study of treatment outcomes in patients with cervical spine and SC injuries on the basis of assessment scale analysis. Material and Methods. 217 patients with closed cervical spine and SC injuries commeasurable by age, degree of neurolo...

Full description

Bibliographic Details
Main Authors: Bazhanov S.P., Ulyanov V.Yu., Chibrikova Yu.A., Biryukova A.V., Norkin I.A., Gulyaev D.A., Salihu H.
Format: Article
Language:Russian
Published: Saratov State Medical University 2017-09-01
Series:Саратовский научно-медицинский журнал
Subjects:
Online Access:http://www.ssmj.ru/system/files/2017_03-2_710-714.pdf
_version_ 1819102484797325312
author Bazhanov S.P.
Ulyanov V.Yu.
Chibrikova Yu.A.
Biryukova A.V.
Norkin I.A.
Gulyaev D.A.
Salihu H.
author_facet Bazhanov S.P.
Ulyanov V.Yu.
Chibrikova Yu.A.
Biryukova A.V.
Norkin I.A.
Gulyaev D.A.
Salihu H.
author_sort Bazhanov S.P.
collection DOAJ
description <p>The aim: to conduct comparative retro- and prospective study of treatment outcomes in patients with cervical spine and SC injuries on the basis of assessment scale analysis. Material and Methods. 217 patients with closed cervical spine and SC injuries commeasurable by age, degree of neurological deficit, acute physiological and chronic state disorders were enrolled into the study. 177 patients comprised the main group (prospective study) and 40 — comparison group (retrospective study). To compare treatment outcomes we used Karnofsky score (Karnofsky, 1949), a quantitative assessment score for general patient status scales, APACHE II, Acute Physiology and Chronic State Evaluations (Knaus — Draper, 1985) and SCIM II, Spinal Cord Independence Measure Scale. Results. Comparative analysis based on the quantitative values of assessment scales, indicates an improvement of short-term treatment outcomes in patients with SC and cervical spine injuries in the main group. Conclusion. Complex approach to differentiated surgical treatment management and unique neuroprotection methods significantly improves short-term treatment outcomes having positive effect on general patient status, severity of acute physiological and chronic state disorders and patients' independence in the post-surgical period.</p>
first_indexed 2024-12-22T01:35:18Z
format Article
id doaj.art-a6899239e051480992efcf16247fb00f
institution Directory Open Access Journal
issn 2076-2518
language Russian
last_indexed 2024-12-22T01:35:18Z
publishDate 2017-09-01
publisher Saratov State Medical University
record_format Article
series Саратовский научно-медицинский журнал
spelling doaj.art-a6899239e051480992efcf16247fb00f2022-12-21T18:43:24ZrusSaratov State Medical UniversityСаратовский научно-медицинский журнал2076-25182017-09-011337107154838Comparative retro- and prospective analysis of treatment outcomes in patients with SCI and cervical spine injuries in acute and early periods of traumatic diseaseBazhanov S.P.0Ulyanov V.Yu.1Chibrikova Yu.A.2Biryukova A.V.3Norkin I.A.4Gulyaev D.A.5Salihu H.6Saratov State Medical UniversitySaratov State Medical UniversitySaratov State Medical UniversitySaratov State Medical UniversitySaratov State Medical UniversitySaratov State Medical UniversitySaratov State Medical University<p>The aim: to conduct comparative retro- and prospective study of treatment outcomes in patients with cervical spine and SC injuries on the basis of assessment scale analysis. Material and Methods. 217 patients with closed cervical spine and SC injuries commeasurable by age, degree of neurological deficit, acute physiological and chronic state disorders were enrolled into the study. 177 patients comprised the main group (prospective study) and 40 — comparison group (retrospective study). To compare treatment outcomes we used Karnofsky score (Karnofsky, 1949), a quantitative assessment score for general patient status scales, APACHE II, Acute Physiology and Chronic State Evaluations (Knaus — Draper, 1985) and SCIM II, Spinal Cord Independence Measure Scale. Results. Comparative analysis based on the quantitative values of assessment scales, indicates an improvement of short-term treatment outcomes in patients with SC and cervical spine injuries in the main group. Conclusion. Complex approach to differentiated surgical treatment management and unique neuroprotection methods significantly improves short-term treatment outcomes having positive effect on general patient status, severity of acute physiological and chronic state disorders and patients' independence in the post-surgical period.</p>http://www.ssmj.ru/system/files/2017_03-2_710-714.pdfcomplex neuromodulationlocal hypothermyaoutcomesspinal cordspinesurgical treatmenttrauma
spellingShingle Bazhanov S.P.
Ulyanov V.Yu.
Chibrikova Yu.A.
Biryukova A.V.
Norkin I.A.
Gulyaev D.A.
Salihu H.
Comparative retro- and prospective analysis of treatment outcomes in patients with SCI and cervical spine injuries in acute and early periods of traumatic disease
Саратовский научно-медицинский журнал
complex neuromodulation
local hypothermya
outcomes
spinal cord
spine
surgical treatment
trauma
title Comparative retro- and prospective analysis of treatment outcomes in patients with SCI and cervical spine injuries in acute and early periods of traumatic disease
title_full Comparative retro- and prospective analysis of treatment outcomes in patients with SCI and cervical spine injuries in acute and early periods of traumatic disease
title_fullStr Comparative retro- and prospective analysis of treatment outcomes in patients with SCI and cervical spine injuries in acute and early periods of traumatic disease
title_full_unstemmed Comparative retro- and prospective analysis of treatment outcomes in patients with SCI and cervical spine injuries in acute and early periods of traumatic disease
title_short Comparative retro- and prospective analysis of treatment outcomes in patients with SCI and cervical spine injuries in acute and early periods of traumatic disease
title_sort comparative retro and prospective analysis of treatment outcomes in patients with sci and cervical spine injuries in acute and early periods of traumatic disease
topic complex neuromodulation
local hypothermya
outcomes
spinal cord
spine
surgical treatment
trauma
url http://www.ssmj.ru/system/files/2017_03-2_710-714.pdf
work_keys_str_mv AT bazhanovsp comparativeretroandprospectiveanalysisoftreatmentoutcomesinpatientswithsciandcervicalspineinjuriesinacuteandearlyperiodsoftraumaticdisease
AT ulyanovvyu comparativeretroandprospectiveanalysisoftreatmentoutcomesinpatientswithsciandcervicalspineinjuriesinacuteandearlyperiodsoftraumaticdisease
AT chibrikovayua comparativeretroandprospectiveanalysisoftreatmentoutcomesinpatientswithsciandcervicalspineinjuriesinacuteandearlyperiodsoftraumaticdisease
AT biryukovaav comparativeretroandprospectiveanalysisoftreatmentoutcomesinpatientswithsciandcervicalspineinjuriesinacuteandearlyperiodsoftraumaticdisease
AT norkinia comparativeretroandprospectiveanalysisoftreatmentoutcomesinpatientswithsciandcervicalspineinjuriesinacuteandearlyperiodsoftraumaticdisease
AT gulyaevda comparativeretroandprospectiveanalysisoftreatmentoutcomesinpatientswithsciandcervicalspineinjuriesinacuteandearlyperiodsoftraumaticdisease
AT salihuh comparativeretroandprospectiveanalysisoftreatmentoutcomesinpatientswithsciandcervicalspineinjuriesinacuteandearlyperiodsoftraumaticdisease