Objective. To analyze the content and results of specialized medical care delivered to patients with adverse consequences of spine and spinal cord injury. Material and Methods. The retrospective analysis included 307 patients treated for adverse consequences of the spine and spinal cord injury. Main reasons for low quality of life of patients and basic pathological conditions causing poor anatomical and functional results in them were studied. Results. Rational volume of surgery based on the clinical and X-ray data included decompression of the spinal cord and its roots, the spine release, correction of post-traumatic spinal deformities, anterior column reconstruction, and spinal fusion. Out of 257 patients with neurological disorders the regression was achieved in 156 (60.6 %) cases. Correction of posttraumatic deformity was 28.2° in the thoracic, 17.7° in the cervical, and 23.4° in the lumbar spine. Conclusion. Surgical treatment of the spine and spinal cord injury, even in its late period, is very effective and allows achieving partial or complete regression of neurological deficit and pain, permanent stabilization of the spine, correction of posttraumatic deformity, and significant improve in the function and quality of life of patients.

Objective. To analyze the outcomes of posterior approach in the surgery of intradural extramedullary meningiomas located ventrally and dorsally in relation to the spinal cord denticulate ligaments.Material and Methods. The study included 29 patients with spinal intradural meningiomas operated on using posterior approach. Patients were divided depending on the tumor location relative to the denticulate ligaments into ventral (n = 13) and dorsal (n = 16) groups. The surgery duration, the degree of tumor resection, clinical outcomes, the presence and nature of complications, and the frequency of recurrence were assessed.Results. The average follow-up period was 29 (6 to 61) months. Total tumor removal was performed in 93.1 % of cases: 11 cases (84.6 %) in ventral group and 16 cases (100.0 %) in dorsal group. The average duration of surgery was 136 minutes for dorsal meningiomas and 181 minutes for ventral meningiomas (p < 0.05). Complications in the form of CSF leakage were registered in two patients (6.9 %). In 11 (84.6 %) patients with ventral meningiomas and 15 (93.7 %) patients with dorsal meningiomas, an improvement or preservation of neurological functions at the pre-surgery level was observed. Recurrences were observed in two patients (6.9 %).Conclusion. Patients with spinal meningiomas have a favorable neurological outcome and a low recurrence rate. Surgery is more complicated in patients with ventral meningiomas. In most cases, unilateral posterior approach is applicable for both ventral and dorsal meningiomas.

A report of a rare case of the Salmonella spondylitis in a female patient is presented. The treatment included anterior fusion and posterior spinal instrumentation. Antibiotic therapy was initiated. Immediate results were followed up during the period of six months after surgery: supporting ability of the spine was restored, and the patient's physical and social rehabilitation was achieved.

Objective. To analyze the effectiveness of surgical, including urgent, treatment of patients with non-specific infection of the spine. Material and Methods. A retrospective analysis of 93 hospitalizedpatients with non-specific infection of the spine was carried out.Eleven patients underwent the course of conservative therapy, and 82 -surgical treatment, out of them 49 for urgent indications.Clinical and radiographic outcomes were followed from 6 months to 3 years.Results. Forty one patients had neurological disorders of varying severity on admission, complete recovery after treatment was observed in 28 of them, partial -in eight, an absence of changes -in two patients; three patients died within a period of 1 to 7 days after surgery. In all survived patients, the treatment resulted in definitive stabilization of affected segments due to bone block formation which occurred at different times; three patients were reoperated on for postoperative deep surgical site infections, one -for broken rod. Conclusion

Background. The review analyzes a possible rare complication of COVID-19 in the form of spondylodiscitis, including with developed epiduritis, in patients who have undergone COVID-19 with severe pneumonia, respiratory failure and systemic inflammatory response syndrome (SIRS). Clinical Case Description. Based on our own clinical observations, an approach to the diagnosis and treatment of three patients is described, each of whom had SIRS, severe fever, a significant increase in laboratory markers of inflammation (C - reactive protein (CRP), leukocytosis, erythrocyte sedimentation rate (ESR), fibrinogen, procalcitonin , ferretin), the addition of bacterial pneumonia, pronounced disorders of coagulation hemostasis, the development of spondylodiscitis, despite the wide range of previous antibiotic therapy, acute pain in the lumbar spine (LSP) with features of "red flags". In the first patient, against the background of massive antibiotic therapy, revisions of purulent foci, glucocorticosteroid (GCS) therapy, and surgical treatment, there was a significant positive trend in the form of pain relief. The second patient showed positive dynamics against the background of conservative antibiotic therapy. The third patient, with a paravertebral abscess at the level of developed spondylodiscitis, received massive antibiotic therapy in combination with GCS, and was operated on to decompress the spinal cord. Conclusion. The authors note that spondylodiscitis and epiduritis may be some of the possible complications of COVID-19 and / or the result of the unwanted action of drugs used to treat this disease. In this regard, timely diagnosis and treatment of this pathology in COVID - 19 seems to be very relevant