Online ISSN: 2515-8260

To Questions Of Surgical Tactics In Damagesof The Thoracic And Lumbar Parts Of The Spine

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1 Shavkiddin S. Yuldashev, 2 Abdurakhmon M. Mamadaliev, 3Mansur A. Aliev,

Abstract

1. THE URGENCY OF THE PROBLEM: In the overall structure of spinal injuries in adults vertebro-spinal injury ranges from 2.2% to 20.6% [2,5,7,8,10,12,22]. When fractures of the spine are complicated by neurological disorders, most commonly lower thoracic and lumbar vertebrae - 39.2% and 48.5% are injured respectively [2,4,12,15]. According to various authors, the greatest proportion of spinal injuries is accounted for cervical - 30,0-40,0% of cases, followed by lumbosacral - 25,0-45,0%, thoracic - 15,0-25,0% and multilevel spinal injuries - about 5% [3,4,5,7,12,13,15,16,22,24,26]. Most patients (50-80%) are the persons of young and working age - 20-50 years [7,15,17,20,21,23,]. Unstable injuries in the lower thoracic and lumbar spine parts are most common - to 54.9% of all injuries of the spine and are characterized by a wide variety of factors affecting treatment outcome [3,4,6,9,13,14,15,22,24,26]. There remains a high percentage of deaths among patients with complicated spinal injury - 34.4% [2,6,10,12,16,23,]. Fatal outcomes depend on the level of localization of injury and according to the literature, the trauma of the cervical parts of the spine and spinal cord is accompanied by the highest mortality rate - up to 75.0%, thoracic - 10.0%, lumbar - to 6.0% [5.7,14,20,28]

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