The risk of intraoperative and postoperative complications after spinal surgery still remains in the hospital-acquired conditions of any hospital. The methods for performing spinal surgery in children and adults are developing and constantly improving. A significant number of constructions for performing spinal surgery are created by leading manufacturers. The frequency of local and systemic surgical complications has not decreased. Knowing the rate and structure spinal surgery complications can expand the ability to predict and prevent them, which is important for medical science and practice. The presented review of literature addressed the current state of knowledge on spinal surgery complications.

Introduction: The problem of diagnostics and treatment of oncological diseases is one of the most urgent challenges of the public health system. Despite successful achievements over the past years, surgical treatment of spinal tumors is becoming more demanded due to the increasing number of cases with complexities and long duration of the disease. The research found out developing compression of the spinal cord at 10% of patients with spinal spread. Still, the patients suffering spinal tumors are associated with high mortality rates. Aim: To analyze the results of clinical treatment of spinal tumors at patients who have received specialized orthopedic aid. Methods and materials: From 2014 to 2019, patients with spinal neoformations (N=240) received surgical treatment at Traumatology Unit of North-Western State Medical University named after I.I. Mechnikov. We assessed categories of sex, age, histologic type and location of tumors, pain severity (BAIII), neurologic status (Frankel scale), life span (from operation to death or the latest check-up). Results: The choice of the treatment method depended on the pathology of the spinal tumor. Analysis of the material found: spinal lesion is caused by secondary tumors, mainly; spinal spread results in chest lesions. Positive dynamics of the neurologic status was observed at patients of B,C,D,E groups (Frankel scale) after the surgery. All the patients, having received puncture vertebroplasty, experienced the regression of pain severity. Conclusion: Vertebroplasty is an efficient treatment of pain severity at patients with symptomatic and aggressive haemangeoma and pathologic fractures of vertebral bodies during the neoplastic process. We should apply surgical treatment for patients with spinal cord compression as earlier as possible to prevent from the development of sever neurologic disorders and pain management. The main method of treatment is decompressing and stabilizing interventions from the posterior approach.