To analyze economic losses due to acute cervical spine and spinal cord injury in the Republic of Bashkortostan. Material and Methods. Statistical data on complications after cervical spine injury were analyzed with reference to the Methodology for Estimating Economic Losses due to Mortality, Morbidity and Disability of Population. Calculation was performed for working age people involved in economics. Results. Economic losses due to cervical spine injury reach 13.5 million roubles per one victim. Conclusion. To reduce mortality and disability of victims, the need is to develop and implement an effective system for prevention of road accidents as the main cause of spinal cord injury and to introduce a point of external cervical spine fixation in the algorithm of the first aid to the accident victims regarding them as potentially having cervical spine injury. Preoperative period in patients with acute cervical spinal cord injury may be reduced through creation of interregional centres with adequate equipment and qualified staff (neurosurgeons, anesthesiologists and reanimatologists). An earlier social adaptation of patients with acute cervical spinal cord injury requires strict adherence to the principle of care continuity: hospital-rehabilitation centre-health resort-outpatient clinic.

Повреждения позвоночника © А А. .Ф Ф.. К Ку ур ра ам мш ши ин н и и д др р. ., , 2007 Хирургия позвоночника 4/2007 (c. 14-20) Повреждения позвоночника А А. .Ф Ф.. К Ку ур ра ам мш ши ин н и и д др р.. Ультразвуковое исследование спинного мозга при травме позвоночника Хирургия позвоночника 4/2007 (c. 14-20) Повреждения позвоночника А А. .Ф Ф.. К Ку ур ра ам мш ши ин н и и д др р.. Ультразвуковое исследование спинного мозга при травме позвоночника

Objective. To estimate peculiarities and results of vertebroplasty for hemangioma of the cervical spine. Material and Methods. A total of 18 patients (21 vertebrae) with cervical spine hemangiomas were operated on. Vertebroplasty was performed through anterolateral and posterior approaches under X-ray C-arm or CT guidance. Results. Pain syndrome regressed in all patients. Pain intensity was 6.6 ± 0.2 on VAS before surgery and 2.4 ± 0.2 after surgery. Neck disability index (NDI) was 21.5 ± 1.2 before surgery and 8.6 ± 0.9 after surgery. No complications were noted. Conclusion. The development of imaging techniques (CT, MRI) allows more frequent detection of cervical spine hemangiomas, and modern X-ray machines (EOC, CT) facilitate the vertebroplasty at all levels of the cervical spine.

Objective. To analyze specific features of thoracoscopic discectomy and results of its application in children with thoracic idiopathic scoliosis. Material and Methods. A total of 42 patients (33 females and 9 males) aged 13 to 18 years who had right-sided thoracic idiopathic scoliosis were operated on. All patients underwent one stage endoscopic discectomy with corporodesis through anterolateral approach, and posterior correction of the deformity with multiple-anchor instrumentation accompanied by intraoperative halo-tibial traction and followed by posterior local fusion. The follow-up period ranged from 6 months to 3 years. Results. Postoperative Cobb angle of residual scoliotic deformity was 10-20° as reported by X-ray study. Deformity correction was 79.9 ± 6.5 %. Patients were verticalized on the 3-6th days and discharged on the 8-10th days after surgery to outpatient treatment. The improvement or complete restoration of the trunk balance was achieved. The pain syndrome intensity was 6-7 scores. Conclusion. Indications for thoracoscopic discectomy are rigid curves less than 90 degrees and unfinished growth in a child. Application of endoscopic discectomy at the anterior stage of surgical intervention in patients with idiopathic scoliosis provided insignificant blood loss during discectomy, decreased intensity of postoperative pain syndrome, and improved cosmetic outcome after the surgery.