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Comparison of surgical techniques for managing patients with rigid posttraumatic thoracic and lumbar deformities

Year: 2022, volume 18 Issue: №3 Pages: 334-340
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Shulga А.Е., Zaretskov V.V., Ostrovskiy V.V., Bazhanov S.P., Likhachev S.V., Smolkin A.A.
Organization: Saratov State Medical University
Summary:

Objective: to analyze of surgical outcomes in patients with rigid post-traumatic deformities of thoracic and lumbar spine. Material and methods. The analyzed cohort (80 patients) was divided into 2 groups: Group 1 — patients with the consequences of stable vertebral injuries (type A; 40 patients — 50.0 percent); Group 2 — patients who suffered unstable spinal injuries (types В and C; 40 patients — 50.0 percent). Surgical management was either isolated performed from the ventral approach or combined staged interventions. Results. In Group 1, staged interventions took longer, featured larger blood loss (p<0.001) and more severe postoperative pain syndrome (p<0.001) as compared to anterior surgeries. Nevertheless, regardless of the type of their surgical treatment all patients presented stable positive long-term outcomes. In Group 2 patients the comparison of the outcomes of anterior and staged interventions, revealed a significant difference in the degree of residual kyphosis (p<0.001), severity of pain syndrome (p=0.002), and quality of life (p<0.001). Conclusion. The determination of surgical treatment tactics in patients with rigid post-traumatic deformities of thoracic and lumbar spine should be differentiated considering the type of primary injury and deformity.

Keywords: injuries of thoracic and lumbar vertebrae, rigid posttraumatic spine deformities, transpedicular fixation, ventral screw stabilization

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All articles of the authors: Bazhanov S.P., Likhachev S.V., Ostrovsky V.V., Shulga A.Е., Smolkin A.A., Zaretskov V.V.

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