About Surgical Tactics in Damages of the Thoracic and Lumbar Parts of the Spine

Yuldashev S. S.

doi:doi:10.11648/j.ajcem.20130103.12

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About Surgical Tactics in Damages of the Thoracic and Lumbar Parts of the Spine

Yuldashev S. S.

Published in American Journal of Clinical and Experimental Medicine (Volume 1, Issue 3)

Received: 4 November 2013 Published: 30 November 2013

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Abstract

In the overall structure of spinal injuries in adults vertebro-spinal injury ranges from 2.2% to 20.6%. When fractures of the spine are complicated by neurological disorders, most commonly lower thoracic and lumbar vertebrae - 39.2% and 48.5% are injured respectively. 45 patients with damage to the thoracic and lumbar spine, admitted to the neurosurgical department of RCSUMA. The main method of preparation of the combined graft is performed in the following manner: Bone graft is taken from the iliac crest and wings of the fibula of the patient, depending on the size of the vertebra. Next, the graft is cleaned of soft tissues and placed in a glass, which contains 3% of hydrogen peroxide, then in a second glass with a solution of broad-spectrum antibiotic for 5-10 minutes. To improve and strengthen support ability of bone graft, a hole is formed in the middle of the graft with the drill, which is then filled with bone cement. Bone cement is dissolved before use with a special solvent and liquid form is introduced with a syringe through the hole formed in the bone graft. The bone cement hardens within the bone hole and thereby enhances support ability of the transplant. To increase the coupling properties of the graft a few teeth are formed at its ends. The resulting clinical and neurological findings in these patients showed that after a comprehensive operative and conservative treatment 31 (68.9%) patients had positive neurological symptoms, increased sensitivity below the level of damage, and also the growth of the movement in the distal extremities was noted improvement of function of the pelvic organs in the form of urination. But despite undertaken complex therapeutic measures in 14 (31.1%) patients is not a marked improvement in neurological performance was not noted during treatment. The dynamics of neurological disorders after surgical treatment showed that in complicated injuries of the body of thoracic and lumbar vertebrae combined graft provides sufficient support ability of the spine and thus creates the conditions necessary to restore the function of damaged spinal cord and its elements

Published in	American Journal of Clinical and Experimental Medicine (Volume 1, Issue 3)
DOI	10.11648/j.ajcem.20130103.12
Page(s)	48-52
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2013. Published by Science Publishing Group

Keywords

Vertebro - Spinal Injuries, Diagnostic and Treatments

References

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APA Style

Yuldashev S. S. (2013). About Surgical Tactics in Damages of the Thoracic and Lumbar Parts of the Spine. American Journal of Clinical and Experimental Medicine, 1(3), 48-52. https://doi.org/10.11648/j.ajcem.20130103.12

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ACS Style

Yuldashev S. S. About Surgical Tactics in Damages of the Thoracic and Lumbar Parts of the Spine. Am. J. Clin. Exp. Med. 2013, 1(3), 48-52. doi: 10.11648/j.ajcem.20130103.12

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AMA Style

Yuldashev S. S. About Surgical Tactics in Damages of the Thoracic and Lumbar Parts of the Spine. Am J Clin Exp Med. 2013;1(3):48-52. doi: 10.11648/j.ajcem.20130103.12

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@article{10.11648/j.ajcem.20130103.12,
  author = {Yuldashev S. S.},
  title = {About Surgical Tactics in Damages of the Thoracic and Lumbar Parts of the Spine},
  journal = {American Journal of Clinical and Experimental Medicine},
  volume = {1},
  number = {3},
  pages = {48-52},
  doi = {10.11648/j.ajcem.20130103.12},
  url = {https://doi.org/10.11648/j.ajcem.20130103.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajcem.20130103.12},
  abstract = {In the overall structure of spinal injuries in adults vertebro-spinal injury ranges from 2.2% to 20.6%. When fractures of the spine are complicated by neurological disorders, most commonly lower thoracic and lumbar vertebrae - 39.2% and 48.5% are injured respectively. 45 patients with damage to the thoracic and lumbar spine, admitted to the neurosurgical department of RCSUMA. The main method of preparation of the combined graft is performed in the following manner: Bone graft is taken from the iliac crest and wings of the fibula of the patient, depending on the size of the vertebra. Next, the graft is cleaned of soft tissues and placed in a glass, which contains 3% of hydrogen peroxide, then in a second glass with a solution of broad-spectrum antibiotic for 5-10 minutes. To improve and strengthen support ability of bone graft, a hole is formed in the middle of the graft with the drill, which is then filled with bone cement. Bone cement is dissolved before use with a special solvent and liquid form is introduced with a syringe through the hole formed in the bone graft. The bone cement hardens within the bone hole and thereby enhances support ability of the transplant. To increase the coupling properties of the graft a few teeth are formed at its ends. The resulting clinical and neurological findings in these patients showed that after a comprehensive operative and conservative treatment 31 (68.9%) patients had positive neurological symptoms, increased sensitivity below the level of damage, and also the growth of the movement in the distal extremities was noted improvement of function of the pelvic organs in the form of urination. But despite undertaken complex therapeutic measures in 14 (31.1%) patients is not a marked improvement in neurological performance was not noted during treatment. The dynamics of neurological disorders after surgical treatment showed that in complicated injuries of the body of thoracic and lumbar vertebrae combined graft provides sufficient support ability of the spine and thus creates the conditions necessary to restore the function of damaged spinal cord and its elements},
 year = {2013}
}

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TY  - JOUR
T1  - About Surgical Tactics in Damages of the Thoracic and Lumbar Parts of the Spine
AU  - Yuldashev S. S.
Y1  - 2013/11/30
PY  - 2013
N1  - https://doi.org/10.11648/j.ajcem.20130103.12
DO  - 10.11648/j.ajcem.20130103.12
T2  - American Journal of Clinical and Experimental Medicine
JF  - American Journal of Clinical and Experimental Medicine
JO  - American Journal of Clinical and Experimental Medicine
SP  - 48
EP  - 52
PB  - Science Publishing Group
SN  - 2330-8133
UR  - https://doi.org/10.11648/j.ajcem.20130103.12
AB  - In the overall structure of spinal injuries in adults vertebro-spinal injury ranges from 2.2% to 20.6%. When fractures of the spine are complicated by neurological disorders, most commonly lower thoracic and lumbar vertebrae - 39.2% and 48.5% are injured respectively. 45 patients with damage to the thoracic and lumbar spine, admitted to the neurosurgical department of RCSUMA. The main method of preparation of the combined graft is performed in the following manner: Bone graft is taken from the iliac crest and wings of the fibula of the patient, depending on the size of the vertebra. Next, the graft is cleaned of soft tissues and placed in a glass, which contains 3% of hydrogen peroxide, then in a second glass with a solution of broad-spectrum antibiotic for 5-10 minutes. To improve and strengthen support ability of bone graft, a hole is formed in the middle of the graft with the drill, which is then filled with bone cement. Bone cement is dissolved before use with a special solvent and liquid form is introduced with a syringe through the hole formed in the bone graft. The bone cement hardens within the bone hole and thereby enhances support ability of the transplant. To increase the coupling properties of the graft a few teeth are formed at its ends. The resulting clinical and neurological findings in these patients showed that after a comprehensive operative and conservative treatment 31 (68.9%) patients had positive neurological symptoms, increased sensitivity below the level of damage, and also the growth of the movement in the distal extremities was noted improvement of function of the pelvic organs in the form of urination. But despite undertaken complex therapeutic measures in 14 (31.1%) patients is not a marked improvement in neurological performance was not noted during treatment. The dynamics of neurological disorders after surgical treatment showed that in complicated injuries of the body of thoracic and lumbar vertebrae combined graft provides sufficient support ability of the spine and thus creates the conditions necessary to restore the function of damaged spinal cord and its elements
VL  - 1
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Author Information

Yuldashev S. S.

Neurosurgery department of RSCUMA, Samarkand State Medical Institute, Samarkand, Uzbekistan

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APA Style

Yuldashev S. S. (2013). About Surgical Tactics in Damages of the Thoracic and Lumbar Parts of the Spine. American Journal of Clinical and Experimental Medicine, 1(3), 48-52. https://doi.org/10.11648/j.ajcem.20130103.12

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ACS Style

Yuldashev S. S. About Surgical Tactics in Damages of the Thoracic and Lumbar Parts of the Spine. Am. J. Clin. Exp. Med. 2013, 1(3), 48-52. doi: 10.11648/j.ajcem.20130103.12

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AMA Style

Yuldashev S. S. About Surgical Tactics in Damages of the Thoracic and Lumbar Parts of the Spine. Am J Clin Exp Med. 2013;1(3):48-52. doi: 10.11648/j.ajcem.20130103.12

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@article{10.11648/j.ajcem.20130103.12,
  author = {Yuldashev S. S.},
  title = {About Surgical Tactics in Damages of the Thoracic and Lumbar Parts of the Spine},
  journal = {American Journal of Clinical and Experimental Medicine},
  volume = {1},
  number = {3},
  pages = {48-52},
  doi = {10.11648/j.ajcem.20130103.12},
  url = {https://doi.org/10.11648/j.ajcem.20130103.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajcem.20130103.12},
  abstract = {In the overall structure of spinal injuries in adults vertebro-spinal injury ranges from 2.2% to 20.6%. When fractures of the spine are complicated by neurological disorders, most commonly lower thoracic and lumbar vertebrae - 39.2% and 48.5% are injured respectively. 45 patients with damage to the thoracic and lumbar spine, admitted to the neurosurgical department of RCSUMA. The main method of preparation of the combined graft is performed in the following manner: Bone graft is taken from the iliac crest and wings of the fibula of the patient, depending on the size of the vertebra. Next, the graft is cleaned of soft tissues and placed in a glass, which contains 3% of hydrogen peroxide, then in a second glass with a solution of broad-spectrum antibiotic for 5-10 minutes. To improve and strengthen support ability of bone graft, a hole is formed in the middle of the graft with the drill, which is then filled with bone cement. Bone cement is dissolved before use with a special solvent and liquid form is introduced with a syringe through the hole formed in the bone graft. The bone cement hardens within the bone hole and thereby enhances support ability of the transplant. To increase the coupling properties of the graft a few teeth are formed at its ends. The resulting clinical and neurological findings in these patients showed that after a comprehensive operative and conservative treatment 31 (68.9%) patients had positive neurological symptoms, increased sensitivity below the level of damage, and also the growth of the movement in the distal extremities was noted improvement of function of the pelvic organs in the form of urination. But despite undertaken complex therapeutic measures in 14 (31.1%) patients is not a marked improvement in neurological performance was not noted during treatment. The dynamics of neurological disorders after surgical treatment showed that in complicated injuries of the body of thoracic and lumbar vertebrae combined graft provides sufficient support ability of the spine and thus creates the conditions necessary to restore the function of damaged spinal cord and its elements},
 year = {2013}
}

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TY  - JOUR
T1  - About Surgical Tactics in Damages of the Thoracic and Lumbar Parts of the Spine
AU  - Yuldashev S. S.
Y1  - 2013/11/30
PY  - 2013
N1  - https://doi.org/10.11648/j.ajcem.20130103.12
DO  - 10.11648/j.ajcem.20130103.12
T2  - American Journal of Clinical and Experimental Medicine
JF  - American Journal of Clinical and Experimental Medicine
JO  - American Journal of Clinical and Experimental Medicine
SP  - 48
EP  - 52
PB  - Science Publishing Group
SN  - 2330-8133
UR  - https://doi.org/10.11648/j.ajcem.20130103.12
AB  - In the overall structure of spinal injuries in adults vertebro-spinal injury ranges from 2.2% to 20.6%. When fractures of the spine are complicated by neurological disorders, most commonly lower thoracic and lumbar vertebrae - 39.2% and 48.5% are injured respectively. 45 patients with damage to the thoracic and lumbar spine, admitted to the neurosurgical department of RCSUMA. The main method of preparation of the combined graft is performed in the following manner: Bone graft is taken from the iliac crest and wings of the fibula of the patient, depending on the size of the vertebra. Next, the graft is cleaned of soft tissues and placed in a glass, which contains 3% of hydrogen peroxide, then in a second glass with a solution of broad-spectrum antibiotic for 5-10 minutes. To improve and strengthen support ability of bone graft, a hole is formed in the middle of the graft with the drill, which is then filled with bone cement. Bone cement is dissolved before use with a special solvent and liquid form is introduced with a syringe through the hole formed in the bone graft. The bone cement hardens within the bone hole and thereby enhances support ability of the transplant. To increase the coupling properties of the graft a few teeth are formed at its ends. The resulting clinical and neurological findings in these patients showed that after a comprehensive operative and conservative treatment 31 (68.9%) patients had positive neurological symptoms, increased sensitivity below the level of damage, and also the growth of the movement in the distal extremities was noted improvement of function of the pelvic organs in the form of urination. But despite undertaken complex therapeutic measures in 14 (31.1%) patients is not a marked improvement in neurological performance was not noted during treatment. The dynamics of neurological disorders after surgical treatment showed that in complicated injuries of the body of thoracic and lumbar vertebrae combined graft provides sufficient support ability of the spine and thus creates the conditions necessary to restore the function of damaged spinal cord and its elements
VL  - 1
IS  - 3
ER  -

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