Spinal Trauma in Italy: Actuality and Future Perspectives

Landi, Alessandro; Gregori, Fabrizio

doi:10.4172/2161-0533.1000e118

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…Их характеристика включает в себя два момента. Первостепенным является профиль деятельности лечебного учреждения: либо это многопрофильный стационар скорой помощи (городская или межрайонная больница, НИИ скорой помощи или военный госпиталь), либо монопрофильное специализированное лечебное учреждение (НИИ или центр травматологии и ортопедии или нейрохирургии) [14,15]. Второй момент всецело вытекает из первого и заключается в том, что для многопрофильных стационаров скорой помощи, в отличие от монопрофильных учрежде- Hirurgia Pozvonochnika (spine surgery) 2019;16(2):7-17 ХИРУРГИЯ ПОЗВОНОЧНИКА 2019.…”

Section: Discussionunclassified

Decision-making and technical choice in instrumental fixation for neurologically uncomplicated isolated burst fractures of the thoracic and lumbar vertebrae

et al. 2019

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Objective.To substantiate the principles of context-based optimal decision-making and technical choice in instrumental fixation of the spine in trauma patients with neurologically uncomplicated isolated burst fractures of the thoracic and lumbar vertebrae.Material and Methods.A comparative retrospective analysis of treatment outcomes of 206 trauma patients was performed. Patients of Group 1 (n = 17) underwent anterior spinal fusion with anterior instrumental fixation through isolated open anterior approach, those of Group 2 (n = 80) – open pedicle screw fixation, of Group 3 (n = 70) – posterior mini-invasive percutaneous pedicle screw fixation, of Group 4 (n = 20) – open pedicle screw fixation with the extended laminectomy and reconstruction of the anterior column, and of Group 5 (n = 19) – open pedicle screw fixation and anterior fusion through an open approach. Non-parametric statistical methods were used.Results.Open or minimally invasive posterior instrumental fixation of the spine with instrumentation systems including 6 screws for incomplete burst fractures and 8–10 screws for complete burst fractures should be considered the best operative option in the immediate post-traumatic period (up to 7 days) both from the point of view of convenience and safety of the patient and from the standpoint of maximally effective use of any hospital resources. The use of open anterior approaches for the reconstruction of the anterior spinal column can be justified only when the time from injury exceeds 7 days, as a part of combined procedure, primarily in combination with minimally invasive posterior pedicle screw fixation.Conclusion.To date, decision-making and technical choice in instrumental fixation for neurologically uncomplicated isolated burst fractures of the thoracic and lumbar vertebrae should be context-based. The decision-making algorithm should be built on the basis of the experience of the operating surgeon, the time from injury, the trauma patient’s state of health, as well as the administrative and logistical context of provision of the specialized medical care.

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Section: Discussionunclassified

Decision-making and technical choice in instrumental fixation for neurologically uncomplicated isolated burst fractures of the thoracic and lumbar vertebrae

et al. 2019

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“…Respective literature offers basically no detail on complex investigation into the laws of topographic, gender-related and individual-typological variability, as well as on the nature of the relationships and the ratio of the shape and the morpho-topometric features of the thoracic spine anatomical structures. The variability of the morpho-topometric patterns in the thoracic spine structure due to its complex kinematics and biomechanical properties is an urgent issue faced nowadays by functional anatomy, neurovertebrology, orthopedics and forensic studies [6,10]. These data are of important theoretical and applied value in practical health care in terms of diagnosing and correcting the thoracic spine lesions [9,11].…”

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Morpho-Topometric Variability of Anatomicalstructures in Thoracic Spi

Zotkin¹,

Анисимов²,

Yakovlev³

et al. 2020

AREM

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morPHo-toPometriC VariaBilitY oF anatomiCal struCtures in tHoraCiC sPinea b s t r a C t -We studied the size-related features (body height, intervertebral discs, horizontal and vertical diameters of intervertebral foramina) on CT-grams of the thoracic spine in people whose age belongs to the first adulthood period (60 men aged 22-35 and 65 females aged 21-35) with no signs of the spine disease or any systemic and traumatic lesions. We have identified topographical variability, gender dimorphism as well as the interconnection of the parameters under study. K E y w o r d s -thoracic spine, vertebrae body, intervertebral discs, intervertebral foramen.

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Spinal Trauma in Italy: Actuality and Future Perspectives

Cited by 2 publications

References 13 publications

Decision-making and technical choice in instrumental fixation for neurologically uncomplicated isolated burst fractures of the thoracic and lumbar vertebrae

Decision-making and technical choice in instrumental fixation for neurologically uncomplicated isolated burst fractures of the thoracic and lumbar vertebrae

Morpho-Topometric Variability of Anatomicalstructures in Thoracic Spi

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