Acute traumatic spinal cord injury in saint petersburg. Epidemiological data: incidence rate, gender and age characteristics

Лобзин, С В; Владимирович, Лобзин Сергей; Мирзаева, Л. М.; Мухтаровна, Мирзаева Людмила; Tcinzerling, N. V.; Всеволодовна, Цинзерлинг Наталья; Dulaev, A. K.; Кайсинович, Дулаев Александр; Tamaev, T. I.; Исмаилович, Тамаев Тахир; Tyulikov, K.V.; Владимирович, Тюликов Константин

doi:10.17816/mechnikov201911227-34

HERALD of North-Western State Medical University named after I.

2019

DOI: 10.17816/mechnikov201911227-34

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Acute traumatic spinal cord injury in saint petersburg. Epidemiological data: incidence rate, gender and age characteristics

С В Лобзин

Лобзин Сергей Владимирович²,

Л. М. Мирзаева

et al.

Abstract: This paper presents the results of retrospective analysis of 361 cases with acute traumatic spinal cord injury (TSCI) admitted to neurosurgical departments of specialized city hospitals and Saint Petersburg Dzhanelidze Research Institute of Emergency Care from January 1, 2012, to December 31, 2016. Retrospective cohort epidemiological study allowed us to estimate the incidence rate of TSCI, age and gender characteristics and to compare data with some foreign and domestic publications. Comprehension of the inc… Show more

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Cited by 2 publications

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Epidemiology of pain in spinal cord injury

Ivolgin,

Mazur,

Litvinenko

et al. 2023

Russian Military Medical Academy Reports

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BACKGROUND: The original Pain syndrome in spinal cord injury, which by its nature is one of the most severe and debilitating conditions, can lead to a deterioration in the quality of life, depression, sleep disorders and, as a consequence, a decrease in the results of rehabilitation treatment. This article will present epidemiological data of pain syndrome in spinal cord injury. AIM: To study the structure and features of pain syndrome in patients with spinal cord injury. MATERIALS AND METHODS: The clinical data on a sample of patients with pain syndrome in spinal cord injury are analyzed (n = 75). The study group was represented by male patients (100%), whose average age was 36 years, undergoing inpatient treatment on the basis of the National Medical Research Center for High Medical Technologies — A.A. Vishnevsky Central Military Clinical Hospital, Ministry of Defense, Russia. The analysis of pain syndrome in this cohort was carried out on 8 indicators at once: neurological level of injury, localization of pain, intensity of pain, motor neurological deficit, degree of damage to the anatomical integrity of the spinal cord, the presence of a neuropathic component, the type of pain syndrome and characteristic pain descriptors. RESULTS: According to the classification of pain in spinal cord injury, proposed by an international consensus of clinicians and researchers, the prevalence of various types of pain among the study group was presented as follows: neuropathic — 64%, nociceptive — 32, dysfunctional — 4%. Analyzing various subtypes of neuropathic pain, pain below the injury level dominated — 72%. CONCLUSION: The most common and difficult to stop variant in the structure of pain syndrome in patients with spinal cord injury is neuropathic pain.

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Epidemiology of pain in spinal cord injury

Ivolgin,

Mazur,

Litvinenko

et al. 2023

Russian Military Medical Academy Reports

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Complications of Acute Traumatic Spinal Injuries in Saint Petersburg

Лобзин

Мирзаева

2020

Morsk. med.

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Almost every sailor during performing his job duties aboard receives injuries of varying severity, among which the most common are deck fractures, including compression vertebral fractures, as well as open and closed vertebral fractures with spinal cord injuries. Besides the recovery of disordered functions of the spinal cord, in cases of spinal cord injury, the fight against numerous neurological, infectious and somatic complications affecting the survival and quality of life of patients is still relevant.Objective: to study the incidence of complications of traumatic injuries of the spinal cord under initial hospitalization, their impact on the length of hospital stay, to identify and evaluate the role of risk factors in the development of complications.Materials and methods. A retrospective cohort study was conducted according to the archived case histories of patients hospitalized in neurosurgical hospitals in St. Petersburg. 311 cases of acute spinal cord injury in 2012–2016 were analyzed.Results: complications not directly related to spinal cord injury, such as bronchitis, pneumonia, bedsores, sepsis, thromboembolism, urinary tract infections, postoperative wound pyogenesis and others (damage to other organs and systems), were found in one third of patients (33,8%), in half of the cases there were multiple complications (2 or more), the most frequent — respiratory (23,5%) and pressure sores (10%). Complications significantly increased the length of hospital stay. The dependence of the frequency of complications on age, the level of spinal cord damage and the severity of the injury was revealed. Risk factors such as concomitant head injury and alcohol intoxication have been found. The revealed positive effect of corticosteroids on the regression of neurological deficit was not statistically confirmed. At the same time, there was a significant increase in the frequency of respiratory complications when using corticosteroids.Conclusion: Knowledge of the factors affecting the incidence of complications, optimization of their prevention and therapy will shorten the duration of hospitalization and improve the prognosis and quality of life of patients. The issue of use of corticosteroid therapy in the acute period of traumatic injuries of the spinal cord remains debatable. When choosing therapeutic tactics for managing patients with spinal trauma, it is necessary to take into account the risk of respiratory complications and carefully evaluate the ratio of benefits to harm.

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Acute traumatic spinal cord injury in saint petersburg. Epidemiological data: incidence rate, gender and age characteristics

Cited by 2 publications

References 11 publications

Epidemiology of pain in spinal cord injury

Epidemiology of pain in spinal cord injury

Complications of Acute Traumatic Spinal Injuries in Saint Petersburg

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