RESULTS OF DIAGNOSIS AND SURGICAL TREATMENT OF SPINAL CORD INJURY
DOI:
https://doi.org/10.54890/1694-8882-2024-3-163Abstract
The work examines the features of the clinical and neurological symptoms of spinal cord injury, a comparative analysis of the effectiveness of various diagnostic methods is carried out, the structure of postoperative complications and ways of their prevention are studied.
Material and methods. An analysis of the results of surgical treatment in a total of 102 subjects showed that improvement was noted in 49 (48.0%) patients, while 53 (52.0%) of the victims had no improvement. The highest percentage of improvement was observed in patients under the age of 20 - 4 (80.0%), and the highest percentage of poor results was observed in the older age group (60 years and older) - 6 (66.7%).
Results. An analysis of the results of surgical treatment and the outcomes of various levels of damage showed the following data: among 38 patients with cervical injury, 11 (28.9%) improved, 22 (57.9%) remained unchanged, 5 (13.2%) victims died. In 12 patients with thoracic injury, 8 (66.7%) improved, 4 (33.3%) remained unchanged, and no mortality was noted. Improvement among 40 patients with damage to the thoracolumbar region was noted in 21 (52.5%), without changes - 19 (47.5%), there were no deaths. Among patients with lumbar injury, improvement was noted in 7 (58.3%) cases, in 5 (41.7%) – without changes, there were no fatal cases.
Keywords:
spinal cord injury, diagnosis, spinal fracture, complicated spinal trauma, conservative and surgical treatmentReferences
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