Saratov JOURNAL of Medical and Scientific Research

trauma

Comparative retro- and prospective analysis of treatment outcomes in patients with SCI and cervical spine injuries in acute and early periods of traumatic disease

Year: 2017, volume 13 Issue: №3 Pages: 710-715
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Bazhanov S.P., Ulyanov V.Yu., Chibrikova Yu.A., Biryukova A.V., Norkin I.A., Gulyaev D.A., Salihu H.
Organization: Almazov National Medical Research Centre, Saratov State Medical University
Summary:

The aim: to conduct comparative retro- and prospective study of treatment outcomes in patients with cervical spine and SC injuries on the basis of assessment scale analysis. Material and Methods. 217 patients with closed cervical spine and SC injuries commeasurable by age, degree of neurological deficit, acute physiological and chronic state disorders were enrolled into the study. 177 patients comprised the main group (prospective study) and 40 — comparison group (retrospective study). To compare treatment outcomes we used Karnofsky score (Karnofsky, 1949), a quantitative assessment score for general patient status scales, APACHE II, Acute Physiology and Chronic State Evaluations (Knaus — Draper, 1985) and SCIM II, Spinal Cord Independence Measure Scale. Results. Comparative analysis based on the quantitative values of assessment scales, indicates an improvement of short-term treatment outcomes in patients with SC and cervical spine injuries in the main group. Conclusion. Complex approach to differentiated surgical treatment management and unique neuroprotection methods significantly improves short-term treatment outcomes having positive effect on general patient status, severity of acute physiological and chronic state disorders and patients' independence in the post-surgical period.

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Features of the reaction of hourly haemostasis against the background of hyperbaric oxygenation patients with complicated spinal cord injuries

Year: 2013, volume 9 Issue: №1 Pages: 82-87
Heading: Neurology Article type: Original article
Authors: Shchukovsky V.V., Ulianov V.Yu., Bazhanov S.P.
Organization:
Summary:

Purpose: to improve the treatment results of patients with complicated injuries of the cervical spine on the basis of an hourly study of the reaction of the hemostatic system after the application of hyperbaric oxygenation. Materials and Methods. The subject of the study were 12 patients with complicated closed cervical spine trauma. In the study group characteristics were studied hourly reaction of the hemostatic system during treatment with hyperbaric oxygenation. Results. Found that patients with traumatic spinal cord disease, changes in the hemostatic system in the form of a coherent structural and phase changes in the structural chronometric anticoagulation and chronometric hypercoagula-bility, activation and inhibition of fibrinolysis, and reduced the extent of time and the overall rate of platelet aggregation. Conclusion. Under the influence of hyperbaric oxygenation in patients with traumatic spinal cord disease arise adaptive changes in the regulation of blood aggregation.

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