The 329 patients with the old vertebral and spinal cord injuries have been treated surgically in 6 month - 18 years after injury. Tactics of surgical treatment of patients was based on fracture type, degree of neurological deficit and rigidity of deformation. The combination of neurosurgical and orthopedical principles of surgery lets us to achieve an improvement in live quality in 92,7% of cases.
There are collected and analyzed recognized and claimed in the work scales and algorithms used to evaluate the prognosis and condition of cancer patients with metastatic spine damage. An attempt was made to generalize and combine multidisciplinary approaches to improve prognosis in treatment of patients of this category.
The aim is to analyze the data obtained during biopsy of primary and secondary lesions and pathological fractures of the cervical vertebrae and their influence on the tactics of treatment of patients. Evaluation of the effectiveness of biopsy of pathological processes in the cervical vertebrae.
Materials. The results of biopsies of 20 patients with lesions of the cervical vertebrae of unknown etiology or with the presence of pathological fractures with compression of the spinal cord and roots by a vertebra or a soft tissue component were analyzed.
The following results were obtained: the presence of a secondary lesion of the cervical vertebrae was revealed: metastatic nature – 10, primary tumors – 1, lymphoproliferative tumors – 3, no tumor lesion was detected – 3, not enough material for the study – 3.
Conclusion. The results obtained indicate the high efficiency and sufficient safety of puncture biopsy in diagnosing lesions of the cervical vertebrae, even in complex localizations (C2). Revealing the nature of vertebral lesions in the absence of absolute indications for decompression and stabilization interventions significantly affects the tactics and order of treatment of the patient.
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