Open AccessTHE SURGICAL TREATMENT OF CHILDREN WITH COMPLICATED FRACTURES OF THORACIC AND LUMBAR VERTEBRAE
Author(s) -
V. A. Vissarionov,
М Белянчиков
Publication year - 2010
Publication title -
travmatologiâ i ortopediâ rossii
Language(s) - English
Resource type - Journals
eISSN - 2542-0933
pISSN - 2311-2905
DOI - 10.21823/2311-2905-2010-0-2-48-50
Subject(s) - medicine , decompression , spinal canal , thoracic vertebrae , lumbar vertebrae , vertebra , surgery , lumbar , vertebral canal , surgical decompression , anatomy , spinal cord , central nervous system disease , psychiatry
The analysis of surgical treatment of 31 patients aged 3 to 17 years with complicated fractures of the vertebrae in the thoracic and lumbar localization was carried out. If damage type A3 with neurological manifestations of type Д В, С at one time served a two-stage decompression-stabilization operation. Surgical treatment of fractures of type В and С consisted in remove all types of dislocation of vertebrae, stabilize the physiologically correct position of the injured segment after the decompression and revision spinal canal. Early surgery in acute phase can eliminate the vertebro-medullar conflict, to stabilize the vertebral-motor segment, restore support ability of injured vertebra (or vertebrae), to recreate the normal anatomy of the spinal canal.