Current view on the treatment of burst fractures of the thoracolumbar spine (literature review). Part I

V.A. Radchenko, K.A. Popsuyshapka, S.A. Teslenko

Abstract


Surgical treatment of spine injuries was formed accor-ding to the evolutionary development of surgery in general. Thus, the implementation of general anesthesia and antibiotics into the surgical practice urged the development of spine surgery, and first of all damage surgery. The further development of technologies in medicine constantly improves surgical interventions, shortens their time, reduces blood loss and trauma to soft tissues. The purpose of the work was to generalize historical and modern views on the diagnosis, classification and treatment of burst fractures of the thoracolumbar spine. A current view on the diagnosis, classification and prediction of the course of burst fractures of the thoracolumbar spine takes into account, first of all, the morphology and mechanical origin of the damage. The time of providing surgical care depends on the general condition of a patient and his neurological status. It is also very important to take into account the history of the disease, namely whether movements in the limbs were saved right after the injury. In our opinion, this is a very important sign of the further course of the disease. Among the large selection of classifications, in our work we focus on the classification of F. Magler, and we use F. Denis classification modified by T. McCormack when choosing tactics for surgical intervention [13, 14]. The existing surgical classification is quite perfect, but it does not take into account the presence of neurological symptoms, but only the risk of kyphotic deformation, without considering the possibility of rotational displacements. The obtaining of new knowledge in the field of biomechanics and morphology of burst vertebral fractures will improve the diagnosis and classification of damages. There is no unanimity regar-ding the use of different methods of fixation, which prompts us to carry out our own research in this direction.


Keywords


damage to the spine; burst fracture of the thoracolumbar spine; classification; treatment

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DOI: https://doi.org/10.22141/1608-1706.6.18.2017.121194

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