title: [Aspects of surgery, rehabilitation treatment and medical expert evaluation of spinal cord injuries].
abstract: The authors examined 794 patients which endured nonpenetrating backbone traumata at different levels (cervical part--367 patients, thoracal part--186 patients and lumbar part--231 patients). The authors indicate total invalidism of patients with grave injures of spinal cord. Provision of employment of patients with less severe traumata depends, for the most part, upon social activity of invalids. In case of cervical part of vertebral column trauma without spinal cord damage and with surgical treatment the working ability of persons, not engaged in physical labour, can be restored in 4-6 months. Physical labour persons suffer from disablement during 1 year. It is not expedient to extend their doctor's certificate but they should be appointed the 11 group of invalidism by medical and labour examination commission. The same tactics for medical and labour examination should be followed in case of noncomplicated traumata of thoracal part of vertebral column. In case of stable fractures of lumbar part of vertebral column it is recommended to determine temporary disablement with brain work persons up to 6-8 months, and in case of nonstable fractures--8-10 months by doctor's certificate. Occupational employment of physical labour persons is contra-indicated during 2-3 years and therefore in case of difficulties with identical employment provision they are appointed the 3 group of invalidism.
authors.forename: V I
authors.initials: VI
authors.lastname: Solenyĭ
authors.forename: V V
authors.initials: VV
authors.lastname: Chemirisov
authors.forename: Iu I
authors.initials: IuI
authors.lastname: Kirpa
mesh_terms: D002574:Cervical Vertebrae / Q000293:injuries* / Q000601:surgery; D005104:Expert Testimony; D050723:Fractures, Bone / Q000150:complications / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D008159:Lumbar Vertebrae / Q000293:injuries* / Q000601:surgery; D013119:Spinal Cord Injuries / Q000209:etiology / Q000534:rehabilitation / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000293:injuries* / Q000601:surgery; D014938:Work Capacity Evaluation
vernacular_title: Aspekty khirurgii, reabilitatsionnogo lecheniia i vrachebno- trudovoĭ ékspertizy spinnomozgovoĭ travmy.