Spinal fracture

Main article: Spinal and spinal injuries (PSMT)

2022: Emergency operation of a teenager after an accident carried out in Russia

On December 17, 2022, on an emergency basis, a team of neurosurgeons and orthopedic traumatologists of the Federal Children's Spinal and Spinal Cord Injury Center National Medical Research Center of Pediatric Traumatology and Orthopedics named after G. I. Turner Ministry of Health of Russia operated on a 16-year-old patient delivered from Smolensk with severe instability. fracture of the thoracic spine The girl was injured as a result of ROAD ACCIDENT a minibus with a truck. This was car announced by the National Medical Research Center on December 27, 2022.

At the National Medical Research Center of Pediatric Traumatology and Orthopedics named after G. I. Turner of the Ministry of Health Russia , the patient was transferred in serious condition: severe pain syndrome and post-traumatic deformation of the thoracic spine, could not move independently, pelvic functions were impaired. The girl had broken several vertebral bodies in the middle thoracic region, fractures of the posterior bone structures of the same vertebrae and a rupture of the posterior ligamentous apparatus of the spine were diagnosed. Taking into account the severity of the patient's condition and the injury as a result of an accident, surgical surgical treatment was carried out for emergency indications.

During the operation, surgeons corrected the post-traumatic deformation of the spine and stabilized the spine in a physiological position using a multi-support metal structure, a transpedicular spinal system was installed. Surgical treatment of the patient was carried out by MD, professor, corresponding member. RAS Vissarionov S.V. The well-coordinated work of specialists from the Federal Children's Center for Spinal and Spinal Cord Injuries of the National Medical Research Center for Pediatric Traumatology and Orthopedics named after G.I. Turner of the Ministry of Health of Russia made it possible to draw up an effective comprehensive program of restorative treatment using various rehabilitation methods, as a result of which the patient was able to stand on her own feet 3 days after the operation. Early restorative treatment included: myostimulation of the limb muscles, kinesiotherapy, verticalization of the patient on a specialized electrical apparatus, physiotherapeutic treatment methods, massage of the limbs, therapeutic and respiratory physical education according to an individual program.

Doctors managed to eliminate the post-traumatic deformation of the spine, restore the correct anatomy and profile of the spinal column, completely stop the pain syndrome in the near postoperative period. The patient feels well and is preparing for discharge.

An advisory request to determine the treatment tactics of this patient was received from the Smolensk Hospital for telemedicine consultation. We instantly responded to the request of specialists from the region (as of December 2022, in our institution, telemedicine consultations in children with musculoskeletal injuries are carried out in an emergency format), recommended the transfer of the child to our Center, formed a team of specialists on duty and performed surgery. Emergency and emergency care is provided 24/7. Every year, more than 50 children with unstable and complicated injuries to the spine and spinal cord are admitted to the Federal Children's Center for Spinal and Spinal Cord Injuries of the National Medical Research Center of Pediatric Traumatology and Orthopedics named after G.I. Turner of the Ministry of Health of Russia from all regions of Russia. Treatment is carried out at the expense of the federal budget of the Russian Federation (specialized and high-tech medical care). The Center conducts active consultative, methodological, telemedicine and educational activities in the regions of the Russian Federation. Any doctor from the most remote corner of the Russian Federation can request emergency advice from a specialist of the Federal Centers in the format of telemedicine consultation. In the most difficult cases, where the patient requires high-tech intervention and requires a multidisciplinary approach of several specialists, children are sent for treatment to the National Medical Research Center named after G.I. Turner, said S.V. Vissarionov.