The capabilities of predicting disease progression in the acute period of complicated cervical spine injury
Author Affiliations1Tsiv’yan Novosibirsk Research Institute of Traumatology and Orthopedics of Minzdrav of Russia, 630091, Novosibirsk, Frunze str., 17
2Tsiv’yan Novosibirsk Research Institute of Traumatology and Orthopedics of Minzdrav of Russia, 630091, Novosibirsk, Frunze str., 17
3Tsiv’yan Novosibirsk Research Institute of Traumatology and Orthopedics of Minzdrav of Russia, 630091, Novosibirsk, Frunze str., 17
4Tsiv’yan Novosibirsk Research Institute of Traumatology and Orthopedics of Minzdrav of Russia, 630091, Novosibirsk, Frunze str., 17
Abstract
The results of treatment and outcome of 60 patients with complicated cervical spine injury of the C3−T1 level have been analyzed: group A included 35 patients with complete spinal cord injury (ASIA A); group B consisted of 16 patients with incomplete injury (ASIA B); group C comprised 9 patients with incomplete injury (ASIA C). The severity of patient condition was objectivated over time using the SOFA and APACHE II scales. The feature of traumatic disease of the spinal cord was found to be the development of multiple organ failure with secondary infectious complications, the rate of which in patients of the group A was statistically significantly higher. This fact determined the period of stay at the critical and intensive care department, length of hospital stay, and hospital mortality figures. The main prognostic criterion of an unfavorable course of traumatic disease of the spinal cord is the number of dysfunctional organs. In this case, the 1st, 7th, and 10th days of observation are crucial. The APACHE II score may be used to predict disease outcome.
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References
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About Authors (Correspondence):
Pervukhin S.A. – candidate of medical sciences, head of department, e-mail: spervuhin@niito.ru
Lebedeva M.N. – doctor of medical sciences, chief researcher, deputy head physician on anesthesia service, e-mail: mlebedeva@niito.ru
Elistratov A.A. – anesthesiologist, resuscitator
Rerikh V.V. – doctor of medical sciences, professor, head of the department spine pathology
Sadovoiy M.A. – doctor of medical sciences, professor, director
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