METHOD choice of tactics of surgical treatment of spine and spinal injuries

摘要

A method of selecting a surgical treatment with spinal cerebrospinal injury, including neurological and orthopedic examination, radiation examination, and assessment of the patient on a scale, characterized in that the evaluated condition on a scale TOLC-SP, in state 31 points exhibit 1 conventional unit, 32 points or more - 2 conventional units, estimate the number of damaged spinal support pillars, with a supporting column expose damaged conventional unit 1, while two - 2 conventional units at three - 3 conditioned miolo- gical, evaluate the type of fracture, fracture type A exhibited 1 conventional unit type B - 2 conventional units of type C - 3 conventional units evaluated spinal stenosis, stenosis of 50% exhibited one conventional unit, stenosis of more than 50% - 2 conventional units, estimate kyphosis when kyphosis to 30 ° expose one conventional unit, more than 30 ° - 2 conventional units evaluate neurological symptoms on a scale ASIA, when the degree of spinal cord injury a exhibited 5 arbitrary units, B - 4 conventional units, C - 3 conventional units, D - 2 conventional units, E - 1 conditionally th unit, summed obtained arbitrary units, for the exponent to 10 conventional units perform a single-stage-stabilizing decompressive surgery on a supporting column of the spine, with the indicator 11 of conventional units and more - multistage-stabilizing decompressive surgery on the spine of the support pillars.