Volume 2, Issue 6, November 2016, Page: 110-116
Analysis of Results of the Surgical Treatment of the Spinal Cord Injury (Step by Step)
Mykola Salkov, Department of Spinal Surgery of Communal Institution «Dnipropetrovsk Regional Clinical Hospital Named After l.l. Mechnikov», Dnipropetrovsk, Ukraine
Vitaliy Tsymbaliuk, Department of the Restorative Neurosurgery «The Institute of Neurosurgery Named After A.P.Romodanov» Kiev, Ukraine
Lydmila Dzyak, Department of the Neurology with Neurosurgery «Dnepropetrovsk Medical Academy», Dnipropetrovsk, Ukraine
Anatoly Son, Department of the Neurology with Neurosurgery «Odessa Medical University», Odessa, Ukraine
German Titov, Department of Spinal Surgery of Communal Institution «Dnipropetrovsk Regional Clinical Hospital Named After l.l. Mechnikov», Dnipropetrovsk, Ukraine
Alexander Rodinsky, Department of the Neurology with Neurosurgery «Dnepropetrovsk Medical Academy», Dnipropetrovsk, Ukraine
Andrey Botvinnikov, Department of Neurosurgery of Communal Institution «2nd City Hospital of Krivoy Rog», Krivoy Rog, Ukraine
Nataly Zozylia, Department of Spinal Surgery of Communal Institution «Dnipropetrovsk Regional Clinical Hospital Named After l.l. Mechnikov», Dnipropetrovsk, Ukraine
Margaryta Salkova, Faculty of Medicine, Charles University in Prague, Prague, Czech Republic
Received: Dec. 6, 2016;       Accepted: Dec. 26, 2016;       Published: Jan. 17, 2017
DOI: 10.11648/j.ijcems.20160206.13      View  2556      Downloads  114
Abstract
Purpose. Substantiation of the reasonable period of the surgical intervention with due account for the analysis of the surgical treatment. Methods. The research is based on the follow-up of 200 patients with spinal cord injury. In accordance with the goal of this research, all patients with spinal cord injury were allocated to four clinical groups according to the period of surgical intervention: within the first 24 hours after the injury (Group 2а), during the first 2 – 3 days (Group 2b), after 4 – 6 days (Group 2c) and over 6 days (Group 1). Results. Temporal factor is substantiated by the morphological examinations, which revealed inconvertibility of the secondary injury of spinal cord in case of its long-term compression between 7 – 8 days. Group 2а demonstrated (surgical intervention was performed within the first 24 hours after the injury) the best results in respect of neurological recovery, namely 66,7%. In Group 2b the treatment efficiency was 58,4% and in group 2с – 51,4%. The control group demonstrated the lowest percent of neurological recovery, namely 11%. All patients had the spinal cord compression due to fractures and fractures - dislocations vertebrae. In the course of the treatment we used modern methods decompression and stabilization of spinal column, as well as pharmacological treatment. Conclusions. Spinal cord injury under the action of the long-term compression of vessels of spinal cord and matter of spinal cord is followed by the progressive secondary injuries and consequently by irreversible changes in the structure of the spinal cord, which can be revealed on the 7 – 8 day after the injury. The first six days is the most effective period for the performance of the decompression and stabilization operations in the presence of the spinal cord injury.
Keywords
Spinal Cord Injury, Secondary Injury, Spinal Cord Decompression
To cite this article
Mykola Salkov, Vitaliy Tsymbaliuk, Lydmila Dzyak, Anatoly Son, German Titov, Alexander Rodinsky, Andrey Botvinnikov, Nataly Zozylia, Margaryta Salkova, Analysis of Results of the Surgical Treatment of the Spinal Cord Injury (Step by Step), International Journal of Clinical and Experimental Medical Sciences. Vol. 2, No. 6, 2016, pp. 110-116. doi: 10.11648/j.ijcems.20160206.13
Copyright
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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