Peculiarities of vertebro-spinal cord injuries in the polytrauma patients

Keywords: polytrauma; vertebral column; injury; miniinvasive methods

Abstract

Objective. Elaboration of diagnostic criteria and qualitative methods of treatment in the polytrauma patients.

Маterials and methods. The results of miniinvasive surgical and conservative treatment of 379 polytrauma and vertebral injuries patients on the base of the Clinic of Surgery and Orthopedics of the Medical Faculty in 2010 - 2018 yrs were analyzed. Characteristics of vertebral injuries in accordance to its segments and severity, as well as to other systems and abdominal organs were adduced.

Results. Following strict indications for operative intervention and its conduction in the first 6 - 8 h in cases of complicated vertebral fractures constitutes a guarantee for improvement of the patient’s state and restoration of some functions of a spinal cord functions.

Conclusion. The measures, directed towards early activization of the injured persons, must include primarily performance of surgical intervention on the injured organs, аnd then, when the possibility appears (if an adequate anesthesiological support is affordable) - the one-staged intervention on the injured vertebral column, especially in the patients, suffering complicated trauma, together - in its anterior and posterior segments.

Author Biographies

V. М. Shymon, Uzhgorod National University

Shymon Vasil M. - MD, Doctor of Sci (Med), Professor,
Cyair of the Department of General Surgery,
Medical Faculty, Uzhgorod National University
3 Narodna sq. 88000, Uzhgorod, Ukraine.
e-mail: kaftravm@rambler.ru
https://orcid.org/0000-0001-9964-2000

S. S. Filip, Uzhgorod National University

Filip Stepan S. - MD, Doctor of Sci (Med), Professor,
Department of General Surgery,
Medical Faculty, Uzhgorod National University
3 Narodna sq. 88000, Uzhgorod, Ukraine.
e-mail: kaftravm@rambler.ru
https://orcid.org/0000-0002-6549-3892

А. А. Sheregiy, Uzhgorod National University

Shereghy Andriy A. - PhD(Med), Docent (Associate Professor),
Department of General Surgery,
Medical Faculty, Uzhgorod National University"
3 Narodna sq. 88000, Uzhgorod, Ukraine.
e-mail: kaftravm@rambler.ru
https://orcid.org/0000-0002-0088-5473

М. V. Shymon, Uzhgorod National University

Shimon Mikhailo V. - PhD(Med), Docent (Associate Professor),
Department of General Surgery,
Medical Faculty, Uzhgorod National University
3 Narodna sq. 88000, Uzhgorod, Ukraine.
e-mail: kaftravm@rambler.ru

V. V. Lytvak, Uzhgorod National University

Litvak Vasil V. - PhD (Med),
Department of General Surgery,
Medical Faculty, Uzhgorod National University
3 Narodna sq. 88000, Uzhgorod, Ukraine.
e-mail: kaftravm@rambler.ru

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Published
2019-06-27
How to Cite
ShymonV. М., Filip, S. S., SheregiyА. А., ShymonМ. V., & Lytvak, V. V. (2019). Peculiarities of vertebro-spinal cord injuries in the polytrauma patients. Klinicheskaia Khirurgiia, 86(6), 43-46. https://doi.org/10.26779/2522-1396.2019.06.43
Section
General Problems of Surgery