Аuthors: M. V. Khyzhnjak, O. O. Potapov, O. F. Таnaseichuk, Ju. A. Bodnarchuk
Uncomplicated compression fractures of thoraco-lumbar spine are quite common in clinical practice. Such fractures account for more than half of all fractures of the spine. The most common complaints of patients is local pain and radiculalgia. To reduce the trauma surrounding tissues, duration of surgery, prevention of bleeding, rapid rehabilitation and according to modern concepts of biomechanics widely implemented in practice minimally invasive transpedicular systems. In order to determine the degree of biomechanical properties of the affected vertebral-motor segment in trauma, proposed a number of methods. For the most accurate measurement used method of determining the angle of scoliotic deformation using the methods Cobb and Fergusson.
The results of the treatment received after the minimally invasive pedicle fixation in 34 patients with unstable thoracolumbar compression fractures, the average age of the patients – (53 ± 0.25) years. In the appropriate clinical and neurological symptoms in all patients we include the data from spondylography with morphometry and computer tomography (CT). 17 patients (50 %) with radicular pains additionally performed magnetic resonance imaging (MRI). We have made 34 surgical interventions, of which 16 cases were used stabilizing systems "Sextant", in 18 cases – "Stryker". All patients have been activated in the next 18–20 hours after setting the stabilizing systems. The average time patients stay in hospital was (3.7 ± 0.2) days. Noting the positive dynamics in the form of post-operative pain recourse. Thus, it was found that the mean score before surgery (VAS) was (8.94 ± 0.2) points, in the early period after surgery – 2.44 ± 0.1 in the interim – (1.62 ± 0.1) in the distant – (1.59 ± 0.1). The degree of kyphosis in all periods of observation after surgery does not fall as compared to the preoperative morphometry results. Thus, differentiated application of minimally invasive methods of treatment is a highly effective treatment for patients with unstable thoracolumbar compression fractures.
Keywords: trauma, fracture vertebrae, transpedicular fixation, post-traumatic deformity.