Surgical treatment of a mine blast wound of the T11 vertebra with anatomical disruption of the spinal cord: a rare clinical case and a brief review of the current literature

Abstract

The experience of treating a patient with a mine blast wound of the T11 vertebra with an anatomical disruption of the spinal cord, bilateral hemo- and pneumothorax is presented. As a result of the injury, the patient suffered massive destruction of soft tissues with the formation of a full-thickness defect up to the vertebral bodies. The tactics of staged surgical treatment of the patient are described: elimination of fracture dislocation, fixation of the spine and plastic surgery of the soft tissues of the wound defect using the VAC system.A review of current publications devoted to the epidemiology and tactics of treatment of combat injuries of the spine and spinal cord is presented.