Secondary changes in spinal cord due to prolonged compression at trauma of cervical spine

Introduction. One of the reasons for secondary changes in spinal cord at spinal trauma — is it’s tissue alteration by vertebrae bone fragments and dura mater. Study of morphogenesis in tissues of damaged spinal cord in different periods of trauma let us to estimate severity of secondary a...

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Main Authors: Vitaliy Tsymbaliuk, Waldemar Nevodnik, Mykola Salkov
Format: Article
Language:English
Published: Romodanov Neurosurgery Institute 2013-12-01
Series:Ukrainian Neurosurgical Journal
Online Access:https://theunj.org/article/view/55416
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author Vitaliy Tsymbaliuk
Waldemar Nevodnik
Mykola Salkov
author_facet Vitaliy Tsymbaliuk
Waldemar Nevodnik
Mykola Salkov
author_sort Vitaliy Tsymbaliuk
collection DOAJ
description Introduction. One of the reasons for secondary changes in spinal cord at spinal trauma — is it’s tissue alteration by vertebrae bone fragments and dura mater. Study of morphogenesis in tissues of damaged spinal cord in different periods of trauma let us to estimate severity of secondary alterations and influence of early decompression.Materials and methods. Comparative morphological study of macro- and micropreparations in 4 patients, died because of cervical spine contusion on the 4, 8, 10th and 71st day was provided.Results. Secondary alterations in spinal cord at prolonged compression were revealed. Secondary trauma is less expressed after early decompression performing.Conclusions. 1. The initial trauma of the spinal cord at prolonged compression is accompanied by progressive secondary changes of it’s tissue — ischemia, oedema, inflammation, and as a consequence by irreversible changes of spinal cord structure and function. 2. Early surgery may prevent secondary alteration spreading and is promising in treatment of such patients.
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spelling doaj.art-cd9eedbbf5ce41478219d9f8b9695c602024-01-27T08:08:45ZengRomodanov Neurosurgery InstituteUkrainian Neurosurgical Journal2663-90842663-90922013-12-014545910.25305/unj.55416Secondary changes in spinal cord due to prolonged compression at trauma of cervical spineVitaliy Tsymbaliuk0https://orcid.org/0000-0001-7544-6603Waldemar Nevodnik1Mykola Salkov2Department of Restorative Neurosurgery, Romodanov Neurosurgery Institute, Kiev, UkraineDnepropetrovsk State Medical Academy, Dnepropetrovsk, UkraineMechnikov Dnepropetrovsk Regional Clinical Hospital, Dnepropetrovsk, Ukraine Introduction. One of the reasons for secondary changes in spinal cord at spinal trauma — is it’s tissue alteration by vertebrae bone fragments and dura mater. Study of morphogenesis in tissues of damaged spinal cord in different periods of trauma let us to estimate severity of secondary alterations and influence of early decompression.Materials and methods. Comparative morphological study of macro- and micropreparations in 4 patients, died because of cervical spine contusion on the 4, 8, 10th and 71st day was provided.Results. Secondary alterations in spinal cord at prolonged compression were revealed. Secondary trauma is less expressed after early decompression performing.Conclusions. 1. The initial trauma of the spinal cord at prolonged compression is accompanied by progressive secondary changes of it’s tissue — ischemia, oedema, inflammation, and as a consequence by irreversible changes of spinal cord structure and function. 2. Early surgery may prevent secondary alteration spreading and is promising in treatment of such patients.https://theunj.org/article/view/55416
spellingShingle Vitaliy Tsymbaliuk
Waldemar Nevodnik
Mykola Salkov
Secondary changes in spinal cord due to prolonged compression at trauma of cervical spine
Ukrainian Neurosurgical Journal
title Secondary changes in spinal cord due to prolonged compression at trauma of cervical spine
title_full Secondary changes in spinal cord due to prolonged compression at trauma of cervical spine
title_fullStr Secondary changes in spinal cord due to prolonged compression at trauma of cervical spine
title_full_unstemmed Secondary changes in spinal cord due to prolonged compression at trauma of cervical spine
title_short Secondary changes in spinal cord due to prolonged compression at trauma of cervical spine
title_sort secondary changes in spinal cord due to prolonged compression at trauma of cervical spine
url https://theunj.org/article/view/55416
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