ON PROGNOSIS OF INFLAMMATORY COMPLICATION AFTER EXTERNAL FIXATION OF THE SPINE | Zendy

O. V. Berdyugina | Zendy; Kirill Berdyugin | Zendy

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ON PROGNOSIS OF INFLAMMATORY COMPLICATION AFTER EXTERNAL FIXATION OF THE SPINE

Author(s) -

O. V. Berdyugina,

Kirill Berdyugin

Publication year - 2008

Publication title -

russian journal of spine surgery (khirurgiya pozvonochnika)

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.138

H-Index - 3

eISSN - 2313-1497

pISSN - 1810-8997

DOI - 10.14531/ss2008.2.14-17

Subject(s) - medicine , fixation (population genetics) , inflammation , complication , surgery , acute phase protein , osteosynthesis , soft tissue , population , environmental health

Objective. To analyze the method of laboratory prognosis of inflammatory complications of the spine osteosynthesis with external fixation apparatus. Material and Methods. Blood analysis was performed in 92 patients. Out of them 29 (32 %) patients had a soft tissue inflammation around screw rods of the external fixation apparatus. Clinical blood test parameters, phenotyping of lymphocytes, functional-metabolic activity of neutrophiles, immunoglobulin level, cytokine concentration, and acute phase proteins were assessed before operation and at different postoperative terms. Results. Multivariate linear regression analysis identified the function, which allows for prognosis of inflammatory complications before and on the second to fourth days after operation. Analysis of preoperative prognosis results revealed the method efficiency being 91.1 %. Conclusion. Suggested method allows identification of prognostic function of inflammatory complications and optimization of treatment protocol at the stages of surgical treatment of patients with spine fractures.

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