Surgical treatment of patients with spinal injuries, accompanied by traumatic stenosis of the spinal canal, is an urgent and discussed problem of modern vertebrology. Surgical treatment of 111 patients with various injuries of the thoracolumbar spine was performed. In 40 patients, post-traumatic stenosis was eliminated using ligamentotaxis using transpedicular osteosynthesis. The immediate results of treatment were followed up in all patients: good results were obtained in 33 (82.5%) cases; satisfactory — in 6 (15.0%), unsatisfactory — in 1 (2.5%). Long-term results with a follow-up of more than 1 year were followed up in 27 (67.5%) patients; good results were obtained in 20 (74.0%), satisfactory in 7 (25.0%).

Back pain affects approximately 80% of the adult population. In the structure of the nervous system morbidity, cases of osteochondrosis account for up to 68%, reaching 72% of the days of temporary disability in the outpatient network and 48% in hospitals. Since 2004, surgical interventions using porous nickel titanium have been performed in the Department of Spinal Pathology in 43 patients with degenerative lesions of the lumbar spine. Of these, 23 were men and 20 women. At the age of 20 to 65 years (average age 46.1 years). In the postoperative period, a significant regression of pain intensity in the lumbar region and lower extremities was determined in 8 (18.6%) patients, and the complete disappearance of pain was determined in the remaining 35 (81.4%) patients. Before surgery, the Oswestry index averaged 48.3%, after surgery 13.4%.

Introduction. Surgical treatment of patients with spinal injuries with traumatic spinal canal stenosis is an important and widely discussed problem of contemporary vertebrology. Injuries to the spine in the incidence structure of isolated or combined injuries occupy a special place due to their high social and clinical significance. Long-term outcomes of traumatic disease in patients with combined trauma to the thoracic and lumbar spine are studied, as before, by ever larger groups of researchers in connection to the new generations of spinal fixation devices being introduced.Materials and methods. 111 patients with various thoracolumbar spine injuries treated surgically were included in the study. In 40 patients, the post-traumatic stenosis was treated with the use of ligamentotaxis and transpedicular osteosynthesis. Thll–Thl2, Th12–L1 and L1–L2 were the most frequent localisations of the level of injury in the study group.Results and discussion. The immediate treatment outcomes observed were as follows — good in 33 (82.5%) cases, satisfactory in 6 (15.0%), unsatisfactory — in 1 (2.5%). Long-term outcomes with follow-up longer than a year were recorded in 27 (67.5%) patients with good outcomes in 20 (74.1%) and satisfactory in 7 (25.9%).Conclusion. A correct stabilisation with metal systems makes it possible to verticalize the patient quickly and shorten the rehabilitation period in all patients including those of active working age, as well as minimize the risks in the long term.

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There is no doubt that with the years, and the acquisition of work experience, each person earns not only merit, and the benefits that result from it. However, gradually, and in most people, there are diseases of the musculoskeletal system, which undoubtedly, to some extent, affect the favorable existence. Nevertheless, it should be noted that a full-scale study of the prevalence of degenerative diseases in the Kyrgyz Republic and the degree of influence on the social side of the life of the population never carried out. The purpose of this study was to study the prevalence of degenerative-dystrophic diseases in the Kyrgyz Republic for 6 years (2010–2015) and their significance in the structure of disability. In the framework of a retrospective study of statistical data on diseases of the spine for 6 years, the turnover was 19186 cases, and in some areas, there was an increase in this indicator. So, in Osh from 1177 in 2010 to 1224 in 2015, an increase in the number of patients in 47 patients, representing 0.7%, of Jalal-Abad region with 402 patients in 2010 to 694 in 2015, an increase of 292 (9.6%). The average republican rate of more disability exit from the diseases of the musculoskeletal system was 1.7 in the study period, but the increase was always higher than the average republican rate in Batken (4.4), Issyk-Kul (3,4), Naryn (2,7), Talas (2,1), and Chui (2,1) areas.