Peculiarities of vertebro-spinal cord injuries in the polytrauma patients
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.
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