Traumatology
doi: 10.25005/2074-0581-2023-25-2-215-227
COMPARATIVE EVALUATION OF THE RESULTS OF TREATMENT OF UNSTABLE UNCOMPLICATED SPINAL FRACTURES

U.M. Pirov1, A.A. Razzokov2, Kh.D. Rakhmonov3

1Department of Neurosurgery, Traumatology and Orthopedics, Sughd Regional Clinical Hospital named after S. Kutfiddinov, Khujand, Republic of Tajikistan
2Department of Traumatology, Orthopedics and Military Surgery, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
3Department of Neurosurgery and Polytrauma, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan

Objective: To perform a comparative analysis of the results of treatment of unstable uncomplicated spinal fractures (UUSF)

Methods: Six hundred fifty-nine patients aged 18-74 years (mean age 45.4±2.3 years) with a UUSF were enrolled; 63.7% of them were males. The patients were categorized into three groups: Group I (35.9%) patients underwent posterior transpedicular fixation, Group II (20.6%) – posterior fusion using various plates, and Group III (43.4%) patients were treated conservatively, as they refused surgery. The results of treatment were evaluated using a newly developed scale, and the quality of life was assessed using the Oswestry scale.

Results: In Group I, good results were achieved in 59.9% of cases, whereas 1.1% of patients showed unsatisfactory results. In Group II satisfactory results (62.6%) were predominant, while in Group III most common were unsatisfactory results (55.6%). When studying the quality of life using the Oswestry scale, the best results were achieved in Group I. The total score in Group I was 3.2±0.03; in Group II – 15.8±2.3 and in Group III – 24.9±3.4, while the Oswestry index score was 7.1±1.6; 35.1±3.8; and 55.3±4.6 respectively.

Conclusion: The results of the study demonstrated a highly significant correlation between the long-term results of UUSF treatment and the chosen treatment tactics. Transpedicular fixation allowed us to achieve positive results in 98.9% of patients

Keywords: Uncomplicated spine fractures, unstable spine fractures, transpedicular fixation, posterior fusion, long-term results, conservative treatment.

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Authors' information:

Pirov Ummatzhon Mustafoevich,
Candidate of Medical Sciences, Physician, Department of Neurosurgery, Traumatology and Orthopedics, Sughd Regional Clinical Hospital named after S. Kutfiddinov
ORCID ID: 0000-0003-2064-4412
SPIN: 9031-7561
E-mail: um.pirov@gmail.com

Razzokov Abduvali Abdukhamitovich,
Doctor of Medical Sciences, Full Professor, Professor of the Department of Traumatology, Orthopedics and Military Surgery, Avicenna Tajik State Medical University
Researcher ID: G-2628-2019
ORCID ID: 0000-0001-6429-1116
SPIN: 1768-1891
Author ID: 418277
E-mail: rfiruz@mail.ru

Rakhmonov Khurshed Dzhamshedovich,
Doctor of Medical Sciences, Professor of the Department of Neurosurgery and Polytrauma, Avicenna Tajik State
Medical University
ORCID ID: 0000-0003-2789-1459
E-mail: rakhmonov0707@gmail.com

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Pirov Ummatzhon Mustafoevich
Candidate of Medical Sciences, Physician, Department of Neurosurgery, Traumatology and Orthopedics, Sughd Regional Clinical Hospital named after S. Kutfiddinov

735700, Republic of Tajikistan, Khujand, 34 Microdistrict, Northern industrial zone

Tel.: +992 (935) 264648

E-mail: um.pirov@gmail.com

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