NONCOMPLICATED UNSTABLE SPINE INJURIES IN CHILDREN

Eduard Vladimirovich Ulrikh,Aleksandr Yuryevich Mushkin,Sergey Valentinivich Vissarionov

doi:10.14531/ss2005.2.8-12

Abstract

Thirty-four patients aged from 3 to 17 years were operated on for noncomplicated unstable injuries of the spine. The operation was performed within the next few hours or days after trauma in 15 cases and significantly later (in 2 to 6 months) in 19 cases. In the first group the surgery included indirect posterior instrumental reduction and stabilization of the spine. In the second group a two-stage surgery was performed simultaneously. The first stage included anterior decompression and stabilization, and the second – posterior instrumentation. In both groups the posterior fusion with bone autograft was done. The post-op follow-up was 5 years. The correction of deformity, spinal stabilization and pain arrest were achieved in all cases. The surgical treatment of unstable noncomplicated spinal injuries in children must be conducted by emergency indications within the first hours and days after trauma.

Highlights

Thirty-four patients aged from 3 to 17 years were operated on for noncomplicated unstable injuries of the spine
The operation was performed within the few hours or days after trauma in 15 cases and significantly later in 19 cases
The correction of deformity, spinal stabilization and pain arrest were achieved in all cases

Summary

Introduction

Thirty-four patients aged from 3 to 17 years were operated on for noncomplicated unstable injuries of the spine. In the first group the surgery included indirect posterior instrumental reduction and stabilization of the spine. The surgical treatment of unstable noncomplicated spinal injuries in children must be conducted by emergency indications within the first hours and days after trauma.

Results

Conclusion