International Medical Journal, Vol. 20., Iss. 3, 2014, P. 81−86.
Optimization of surgical treatment of posttraumatic cervical spine deformities
M. I. Sitenko Institute of Spine and Joint pathology of NAMS of Ukraine, Kharkiv, Ukraine
The question of optimal treatment of posttraumatic deformities of the cervical spine is disputable. Both conservative and surgical treatment is recommended by different authors. Based on the results of examination and treatment of patients as well as the findings of instrumental diagnosis, new scheme of surgical treatment of posttraumatic deformities of the cervical spine was proposed. The study involved 70 patients. The type of primary damage was revealed and subtyping according to Allen was performed. The controls included 47 patients in whom treatment strategy was determined only on the basis of clinical and radiological survey findings, excluding additional instrumental examination. The main group consisted of 23 patients in whom treatment strategy was determined based on the nature of the primary damage, clinical data and additional Doppler ultrasound investigation and electromyography. These groups had no significant statistical differences in gender, age, nature of primary damage, the amount of deformation and the timing of its existence. Clinical evaluation of treatment results was performed using known techniques in accordance with the criteria of Odom. Effectiveness of the proposed method was confirmed by the results of treatment of patients of the main group (excellent results in 78.6 % and satisfactory in 21.4 %).
Key words: cervical spine, posttraumatic deformity, surgical treatment.