RESUMO
Surgical tactics were analyzed in 1350 patients with cervical spine injuries treated during 1972-2009 years. In 80% of cases injuries were caused by car accidents. 855 patients were admitted in acute or early period of trauma. In other cases old injuries were observed. Vertebral neurological syndromes were revealed in most cases and were absent only in 80 patients. All patients were operated using anterior access. Authors consider that reposition of dislocated vertebras can be carried out in acute and early periods of trauma. Unsuccessful reposition, fractures or fracture-dislocations with spinal stenosis served as indications for transcorporal spinal decompression. This operation is considered to be a method of choice for late periods of trauma. Stabilization of spinal column was achieved using carbonic implant (950 patients), bone auto-transplant (400) combined with utilized auto-bone (960) or biocomposite material "KollapAn" (390 patients). Good results were achieved in 1150 patients, satisfactory - in 190, poor - in 10 patients. Long term results with catamnesis more than 25 years were traced in 120 patients. Results were not revalued.
Assuntos
Vértebras Cervicais , Descompressão Cirúrgica , Cervicalgia/etiologia , Cervicalgia/cirurgia , Fraturas da Coluna Vertebral/cirurgia , Acidentes de Trânsito , Adulto , Materiais Biocompatíveis , Vértebras Cervicais/lesões , Vértebras Cervicais/cirurgia , Descompressão Cirúrgica/instrumentação , Descompressão Cirúrgica/métodos , Descompressão Cirúrgica/reabilitação , Feminino , Consolidação da Fratura , Humanos , Masculino , Cervicalgia/diagnóstico , Cervicalgia/fisiopatologia , Exame Neurológico , Dispositivos de Fixação Ortopédica , Recuperação de Função Fisiológica , Estudos Retrospectivos , Cintos de Segurança/efeitos adversos , Fraturas da Coluna Vertebral/etiologia , Fraturas da Coluna Vertebral/fisiopatologia , Índices de Gravidade do Trauma , Resultado do Tratamento , Vertebroplastia/efeitos adversosRESUMO
Treatment results of 32 patients with pathologic fractures of cervical vertebrae bodies were analyzed. Vertebral destruction was due to tumour metastases (18 patients), nonspecific spondylitis (12 patients) and fibrocystic displasia (2 patients). Myelopathy with local and radicular pain syndrome was registered in all cases before the operation. All patients underwent the destroyed vertebral body replacement by the carbonic implant with collapanoplasty. Pain was relieved in all cases, full and partial myelopathy regression was registered in 27 and 5 patients, respectively.
