Circular anchorage of the spine in the correction of scoliotic deformity.

Aim: to demonstrate clinical case of surgical treatment of scoliotic deformity of the spine in a 17-year-old child. It is shown that the correction of sagittal profile achieved by 2-stage intervention and normalized global balance parameters in combination with circular spine anchorage allows providing earliest and fullest rehabilitation of a child.</p

Treatment Results of Injuries of Thoracic and Lumbar Backbone Departments at Osteoporosis Patients

Information relates to radiologic (computer tomography) manifestations providing the visualization of thoracic and lumbar backbone department injuries at osteoporotic patients. Contemporary methods of transcutaneous and trans-pedicle vertebroplasty with bone cement allows to obtain a stable positive healing effect against such pathologies

Surgical treatment of vertebral body splintered fractures

The given report concerns the method of surgical treatment of vertebral body splintered fractures. The surgery is presented by transpedicular fixation of an injured part and allows to perform reduction of body fragments of the injured vertebra. Simplicity of technical performance and efficiency of the technique explain its practical valu

Dorsal correction of rigid posttraumatic deformities of thoracic spine in spinal cord injury

Aim: the analysis of the outcomes of dorsal remedial operation in patients with rigid posttraumatic deformities in thoracic spine accompanied by spinal cord injury. Material and Methods. We analyzed surgical outcomes of transpe-dicular anchorage of 28 patients aged 34.5±19.5 with rigid posttraumatic deformities of thoracic spine: 12 patients with acute injury (1st group), 16 patients with long-term deformities (2nd group). The results were estimated by the severity of neurological deficit, pain intensity,the grade of deformity correction as well as by the LQ indexes. All interventions were performed from&nbsp;lateral medial approach with transpedicular anchorage. Results. There were no changes of neurological&nbsp;deficit in both patient groups, however we managed to obtain sufficient spine deformity correction. Pain&nbsp;intensity in patients of 1st group was 6 (5.3-7.8), function — 46.5 (42.5-49.8); 12 months postsurgically&nbsp;pain intensity corresponded to the score of 0 (0.0-0.1); function — 82 (79.0-86.0). The intensity of&nbsp;pain syndrome was significantly reduced in 2nd group patients (VAS reduced from 6 (4.0-7.0) to 1&nbsp;(0.0-2.0), which in turn allowed for earliest rehabilitation of patients in sedentary position, thus&nbsp;increasing their mobility and functional independence (FIM increased from 70 (65.0-76.0) to 92&nbsp;(89.0-95.0). Conclusion. Single-step dorsal surgical interventions in patients with rigid deformities of&nbsp;thoracic spine allow restoring normal spinal column axis, performing reconstruction of spinal cord&nbsp;column and safely stabilize injured locomotor segments both in acute and in late periods of spinal cord&nbsp;injury.</p

On the issue of surgical reconstruction in complicated aggressive hemangiomas of sacrolumbar transitional spine

We presented surgical results of complicated aggressive hemangioma treatment in transitional sacrolumbar spine. It has been stated that individual peculiarities of decompressive stabilizing surgery depend on the volume of vertebral lesions and their results improve in the combination with presurgical X-ray therapy.</p

Perspectives for vertebrology teaching development in higher medical schools

The article deals with the issues on improving the efficiency of vertebrology teaching in specialist training at pre-and postgraduate stages. Modern epidemiologic trends for spine traumas and diseases form the increasing interest to the problems of care and prevention of the considered pathology and define the necessity of single-skilled specialists training. Developing vertebrology into a separate discipline that is studied at medical universities at both pre- and postgraduate stages is one of the topic issues for higher medical schools where the search of effective ways of its realization is stressed

A competency-based model for training of specialists in vertebrology at higher medical school

The field of medicine facing the issues of diagnosis and treatment of spine diseases and injuries requires training of specialists in vertebrology taking into consideration the modern standards of higher professional education and medical care conditions. The article deals with the training of the specialists using a competency-based mode

Towards the causes of secondary post-traumatic deformations of thoracic and lumbar spine

The purpose of the study is to analyze and systematize main causes of secondary spine deformations forming in patients who had operations due to thoracic and lumbar spine damages. Material and Methods. The analysis of poor surgical results of 155 patients previously operated due to various thoracic and lumbar spine damages has been conducted. All patients had complications associated with secondary spinal column deformations at various time after the intervention. Standard investigation included the analysis of patients' complaints, their previous history, somatic, neurological and orthopedic status. Results. The intensity of spinal column deformation was defined due to the character and level of primary trauma structurally characterized predominantly by unstable damages. However as it has been found in this research the main cause of this complicated pathology lied in the number of tactical and technical pitfalls of primary surgical treatment. Conclusion. Surgical operations due to secondary post-traumatic deformations in most cases are laborious and are accompanied by significant surgical trauma therefore systematization and analysis of the main causes of poor results of primary spine surgery may contribute to the preventive treatment of this type of pathology

Transpedicular fixation in comminuted fractures of bodies of thoracic and lumbar vertebrae

Research Objective: improvement of transpedicular fixation technique in cases with spine injuries accompanied by vertebral body splintering. Material and Methods. Transpedicular spondylosynthesis was performed in 52 patients aged 18-49 years with comminuted fractures of thoracic and lumbar vertebral bodies. Individual peculiarities of the operation depended on the character of the injury ascertained during the preoperative examination. Standard roentgenography and computer tomography were used. Results. Lasting antalgic effect was observed in 94,2% of the operated patients. In cases with type A3 fractures according to F. Magerl the rate of the surgical correction of the pathologic posttraumatic kyphotic deformity averages 87%. Injuries classified as type A2, B2 or C2 were the indication for transpedicular os-teosynthesis by advanced techniques. Conclusion. Transpedicular spondylosynthesis is one of the effective methods of treatment of patients with comminuted fractures of thoracic and lumbar vertebral bodies, and the choice of carrying out of the procedure depends on the injury character. In cases with comminuted fractures of type A2, B2, C2 it is reasonable to perform transpedicular spondylosynthesis with introduction of the transpedicular screws into the injured vertebral body, and the technique of their use depends on the injury character

Differentiated approach to surgical treatment of patients with rigid posttraumatic deformities of thoracic and lumbar spine

The aim: to investigate the outcomes of surgical treatment of patients with rigid posttraumatic deformities in thoracic and lumbar spine on the basis of the comparative analysis of different approaches to the planning of operative intervention management. Material and Methods. A comparative analysis of the results of surgical treatment of 138 patients (main group) with old injuries of thoracic and lumbar spine was carried out with the help of the proposed surgery managing algorithm and 86 patients (comparison group) — without taking the given algorithm into account. The choice of surgery managing in the main group of patients was based on the study of the spinal deformity degree, pain syndrome intensity and life quality indices of patients before and after surgery. Results. In the main group in 122 (88,4%) patients after the surgery spinal deformity correction exceeding 80% was achieved, pain syndrome regressed in accordance with the visual analog scale up to 3 points and less, life quality indices improved up to the level of 0-25%. Conclusion. The application of the proposed algorithm approach enables surgeons to get persistent positive outcomes in the majority of cases.</p