TRANSPEDICULAR FIXATION OF THE LUMBAR SPINE IN ITS TRAUMATIC DEFORMATIONS
Abstract
Aim. To improve the results of surgical treatment of injuries of the lumbar spine
Materials and methods. The work is based on the analysis of 79 patients who were treated in the neurosurgery department No. 2 of the State Institution of the National Medical Center of the Republic of Tajikistan - “Shifobakhsh” based on the Department of Neurosurgery and Concomitant Trauma of the ATSMU from 2014-2020. The age of the patients varied from 21 to 66 years. The assessment of the neurological status in spinal injury was assessed using the ASSIA IMSOR
Results. The main mechanism of injury in patients was: falling from a height of 59 (75%), road traffic accidents 20 (25%). On a series of CT scans of the spine, all patients had fractures of the vertebral body, fractures-dislocations of the vertebrae with compression of the spinal canal. We use a transpedicular construction (OSVEH a s I a “Medical Instrument”, Republic of Iran) with screws with a diameter of 4.0/5.5/6.0/6.5/7.5 mm.
Conclusion. Stabilizing transpedicular fixation (TPF) is the most effective method of fixing the spine when it is traumatically injured.
About the Authors
H. J. Rahmonov
SEI Avicena Tajik State Medical University
Tajikistan
Tajikistan
Rakhmonov Khurshed Jamshedovich – Ph.D., Associate Professor of the Department of Neurosurgery and Sequential Injury
I. M. Rizoev
State institution National Medical Center Republic of Tajikistan “Shifobahsh”
Tajikistan
Tajikistan
N. O. Rakhimov
SEI Avicena Tajik State Medical University
Tajikistan
Tajikistan
Department of Neurosurgery and Concomitant Traum
R. N. Berdiev
SEI Avicena Tajik State Medical University
Tajikistan
Tajikistan
Department of Neurosurgery and Concomitant Traum
U. H. Rahmonov
SEI Avicena Tajik State Medical University
Tajikistan
Tajikistan
Department of Neurosurgery and Concomitant Traum
References
1. Grin A. A. [Minimally Invasive Surgery of Severe Monosegmental and Multiple Fractures of the Spine]. Sibirskiy mezhdunarodnyy neyro-khirurgicheskiy forum: sbornik nauchnykh materialov [Siberian International Neurosurgical Forum: collection of scientific materials.]. Novosibirsk, Dizayn nauki Publ., 2012, pp. 105. (In Russ.)
2. Makarevich S. V. [Comprehensive examination of patients and internal stabilization tactics for stenosis and deformities of the lumbar spine]. Materialy nauchnoprakticheskoy konferentsii [Materials of the Scientific and Practical Conference.]. Minsk, 2014, pp. 75–76. (In Russ.)
3. Krylov V. V., Grin A. A., Oshchepkov S. K. Videoendoskopicheskaya khirurgiya povrezhdeniy i zabolevaniy grudnogo i poyasnichnogo otdelov pozvonochnika [Video endoscopic surgery of injuries and diseases of the thoracic and lumbar spine]. Moscow, PrintStudio Publ., 2012. 152 p.
4. Choriev S.B., Chobulov A.C., Berdiev R.N., Ashurov R.G. New in the surgical treatment of spinal congenital hernia in children.
5. Dohrmann G. J. Epidemiology of neurotrauma. Neurotrauma: epidemiology, prevention, new technologies, guidelines, pathophysiology, surgery, neurorehabilitation. Moscow, N.N. Burdenko Neurosurgery Institute Publ., 2012. 43–47 p.
6. Foley K. T. Рedikle screw fixation of the lambar spine. Moscow, Neurosurgery Focus Publ., 2010. 10 p.
7. Garfin S. R. Minimally invasive treatment of osteoporotic vertebral bodiy compression factures. Spine Journal, 2012, No. 2, pp. 76-80.
8. Hubbe U. Image guided percutaneous transpediculars screw fication of the thoracic spine A clinical evaluation. Acta Neurochirurgica, 2011, No. 151, pp. 545-549.
9. Kim D. Y. Comparison of multifidus muscle strength percutaneuous versus open pedicle screw fication. Spine Journal, 2015, No. 30, pp.123-129.
Review
For citations:
Rahmonov H.J., Rizoev I.M., Rakhimov N.O., Berdiev R.N., Rahmonov U.H. TRANSPEDICULAR FIXATION OF THE LUMBAR SPINE IN ITS TRAUMATIC DEFORMATIONS. Health care of Tajikistan. 2021;(1):57-62. (In Russ.)
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