The Role of Stabilizing Surgical Interventions in Injuries of the Thoracolumbar Spine.

Spinal injuries are a severe type of trauma, accompanied in most cases by disability of patients. Objective of the study: Improving the results of surgical treatment of spinal injuries and diseases using TPF systems. The analysis of the results of 154 patients with injuries of the thoracic and lumbar spine was carried out. The mechanism of injury: fall from a height - 111 patients, road traffic accident - 43 patients. Of the total number of examined patients, 53 patients underwent conservative treatment and 61 patients underwent surgical treatment. 1 Fixation of the damaged segment of the spine with various types of metal structures (TPF) - 42 patients. 2 Decompressive laminectomy with revision of the spinal canal and spinal cord at the level of injury - 37 patients. 3 Decompressive laminectomy at the level of injury + revision of the epi- and subdural spaces of the spinal cord and, as a final stage of the operation, fixation with metal structures - 12 patients. Results: During surgical interventions, during revision, a complete anatomical rupture of the spinal cord was detected in 9 patients, in 27 cases, a picture of hematomyelia and spinal cord contusion at the level of injury. Conclusions: 1 in the presence of symptoms of spinal cord injury, it is necessary to perform LE, revision of the spinal canal and spinal cord. 2 the most reliable fixation is achieved when using a structure for TPF, which allows for early activation of patients.