Reconstructive operations of children with serious traumatic spine deformations

Abstract

ABSTRACT In Clinic of Vertebrology, Orthopedics and Traumotology of the “N.Georgiu” Scientifically - Practical Center of Children’s Surgery 29 patients with spine deformations after traumatic injuries in the acute stage have been pre- and postoperatively examined with a follow-up of 1 to 5 years. Children were aged between 3 and 17 years. The main goals of surgical interventions were: elimination of the compression factor, deformation and disbalance, correction and spine stabilization. The comparative analysis of the quality of the life of patients (according to a questionnaire „EQ-5D”), before and after surgical intervention, has shown that the quality of the life of patients improved, in comparison with the preoperative period, from 12,7±0,3 points to 7,7±0,1. The distant results of surgical treatment were good– 85,1%, satisfactory – 11,2 % and unsatisfactory – 3,7%. Conclusion: 1. In fresh cases of the complicated spinal - marrow trauma with mild and average degree of a neurologic symptomatology (D degree on Frenkel’s scale) the preference was given to the closed, indirect decompression. At a serious neurologic symptomatology (A, B, C degree) carried out open decompression and revision of dural bag’s contents; 2. Optimum method of correction the complicated spinal - marrow trauma were: forward spine release; dorsal correction and backbone fixation by a metal construction.