DOI: https://doi.org/10.25305/unj.58428

Application of epidural electrostimulation method in renewing surgical treatment of patients with consequences of cervical spine traumatic injury

Vitaliy Tsymbaliuk, Iuriy Iaminskiy

Abstract


Working out of new methods of surgical treatment, aimed to renew spinal cord function and to improve life quality of patients with consequences it’s traumatic injury, is one of the most perspective directions of modern neurosurgery development.

The results of epidural electrostimulation application at 59 patients with consequences of cervical spine injury are given. Movements renewing was estimated according to ASIA and Frankel scales. Pain syndrome intensity was estimated by VAS and NRS scales, the spasticity — by Ashworth.

Renewing and improvement of movements in upper limbs was observed at 56 (94.9%) patients, renewing of movements in lower limbs — at 6 (10.2%), their improvement — at 7 (11.9%). The ability to walk was renewed at 5 (8.5%) patients, was improved — at 2 (3.4%). Positive results in neuropathic pain syndrome correction were obtained at 6 (85.7%) of 7 patients, in spasticity — at 9 (81.8%) patients of 11, bladder function was improved at 39 (66.1%).

Results of spinal cord functions renewing using epidural electrostimulation are directly proportional to trauma severity and duration of injury existence.


Keywords


spinal trauma; epidural electrostimulation; movements renewing; neuropathic pain syndrome; spasticity

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