[Diagnosis and treatment of complicated subaxial injury].
BACKGROUND
The aim of this study was to develop optimal tactics of surgical treatment of complicated injuries of the cervical spine, in accordance with SLIC (subaxial injury classification) and to improve the results of intervention in the acute period.


METHODS
We analyzed 97 patients with complicated subaxial injury of the cervical spine. All patients were operated via anterior approach. Contraindications for surgery included constant instability of systemic haemodynamics and impairment of breathing on the background of extremely severe condition of patient, purulent-inflammatory processes. Results were evaluated by dividing our series into groups: centromedullary injury, compression-burst fractures of vertebral bodies, facet subluxations and facet fractures-dislocations.


RESULTS
Treatment by applied technique was effective in 88.7% of series, successful orthopaedic results was obtained in 99%. With incomplete consideration of possible limitations of the operations, early decompression and stabilization do not improve outcomes and quality of life of patients.
M Z
MZ
Midov
O N
ON
Dreval'
D N
DN
Dzukaev
A V
AV
Kuznetsov
V B
VB
Zavarukhin
D005260:Female; D005500:Follow-Up Studies; D050815:Fractures, Compression / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D019838:Neck Injuries / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D013119:Spinal Cord Injuries / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*