Topical issues of organization of medical care, diagnostics and treatment of battle traumas of the spine and spinal cord
Keywords:battle trauma, trauma of spine and spinal cord, gun-shot injury, blast injury, medical evacuation
Introduction. In the modern conditions issues of diagnostics and treatment organizing at battle traumas are extremely important on stages of medical evacuation in the system of medical space in Ukraine.
Materials and methods. 9 patients with battle traumas of the spine and spinal cord have been treated in Dnipropetrovsk Regional Clinical Hospital named after l.l. Mechnikov.
Results and their discussion. Duration of medical evacuation was about 24 hours. Neurosurgical intervention was performed in 2 patients with gun-shot spinal injuries in the acute and early periods. Operation was not performed in one patient with anatomic rupture of the spinal cord. In 4 cases we considered diagnostic and treatment features of blast and mine-blast spinal traumas, caused by effect of the blast wave and the energy side impact. In 1 case we considered traumatic plexitis due to paravertebral injury of spinal roots. Stabilizing operation on cervical spine was performed in 1 patient in delayed period due to his condition severity.
Conclusions. 1. Timely delivered medical care at the stage of medical evacuation determines success of treatment at battle traumas of the spine and spinal cord.
2. Vertebral and spinal traumas at battle conditions have different biomechanics of damage that effects on diagnostics and treatment in injured persons.
3. Effect of the side impact energy and blast wave is one of the leading factors of gum-shot injuries, blast and mine-blast traumas of the spine and spinal cord.
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Copyright (c) 2015 Lyudmila Dzyak, Mykola Salkov, Mykola Zorin, German Titov
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