| 摘要 |
FIELD: medicine.SUBSTANCE: neurological and orthopaedic examinations, as well as radial examination are carried out. The patient's state is assessed according to VPKh-SP (field surgery - condition on admittance). If the condition is assessed as 31 points and less, 1 standard unit is assigned, while the 32 points and more according to the scale show 2 standard units. A number of the injured dorsal spines is evaluated. If one dorsal spine is observed to be injured, 1 standard unit is assigned, while two dorsal spines shows 2 standard units, and three dorsal spines injures makes 3 standard units to be assigned. A fracture is typed; if observing type A fracture, 1 standard units are assigned, and type B fracture makes assigning 2 standard units, and type C fracture - 3 standard units. A spinal stenosis is evaluated; the stenosis of less than 50% provides 1 standard unit to be assigned; while the stenosis of more than 50% shows 2 standard units. A kyphosis is evaluated: the kyphosis of less than 30° shows 1 standard unit, more than 30° - 2 standard units. Neurological symptoms are assessed according to the ASIA scale; if a spinal cord injury rate is A, 5 standard units are assigned; 4 standard units for the injury rate, 3 standard units for the injury rate C, 2 standard units for the injury rate D, 1 standard unit for the injury rate E. The derived sum of standard units is calculated. If the total rate is less than 10 standard units, the one-stage decompression-stabilisation surgical management on one dorsal spine is performed. The sum of 11 standard units and more requires the multi-stage decompression-stabilisation surgical management on all the dorsal spines.EFFECT: method enables unifying the selection of the surgical approach. |
