| Title |
Stuburo krūtininės ir juosmeninės dalies lūžių operacinio gydymo rezultai / |
| Another Title |
Outcome of surgical treatment of thoracic and lumbar spine fractures. |
| Authors |
Uvarovas, Valentinas ; Šatkauskas, Igoris ; Vaitiekus, Andrius |
| DOI |
10.15388/LietChirur.2013.4.2844 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2013, t. 12, Nr. 4, p. 204-211.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
spinal column ; fractures ; surgical treatment ; fixation type ; social groups |
| Abstract [eng] |
Objective To evaluate the disability score after the surgical treatment of spinal column fractures. Materials and methods Data of 121 patients with unstable thoracic and lumbal spinal column vertebrae fractures without neurological complications, who underwent surgical fixation in the Centre of Traumatology and Orthopaedics of the Republic Vilnius University Hospital between years 2007 to 2010, were retrospectively analyzed. Fourty-four fixations were enrolled into the final study and all the patients were grouped into 3 groups according to the level of disability: A – pensioners, people having disability and working not full time, B – working full time, C – unemployed. The results of the disability and surgical treatment were analyzed by using the Oswestry scale. Results Seventeen (38.6%) out of the 44 treated patients were women and 27 (61.4%) were men. The average age of the patients was 41.9 ± 15.9 (range, from 21 to 75). The average time that passed until the surgery was 9.5 ± 12.2 (1–50) days. The number of patients with disability in group A increased from 5 (11.4%) to 21 (47.7%), in group B the ability to work full time returned to 21 (63.6%) out of 33, in group C the number of unemployed after surgery decreased from 6 (13.6%) to 2 (4.6%). The Oswestry disability scale was used 19.1 ± 3.85 (12–24) months after the surgery. Severe disability was diagnosed to 18 (40.9%) patients, and minimal and moderate to 26 (59.1%). The average score according to the Oswestry scale was 36 ± 21.5 (0–76). Conclusions After the surgical treatment, the abilty to work returned to 63.6% of the patients who had been able to work full time before the trauma. After the trauma and surgery, the number of pensioners and disabled patients increased from 11.4% to 47.7%. The minimal and moderate disability among surgery patients is identified more often than the severe one. |
| Published |
Vilnius : Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2013 |
| CC license |
|
