Surgical treatment of pathological fractures of vertebral bodies

   Introduction. The purpose of the study: to analyze the results of surgical treatment of patients with pathological fractures of the vertebral bodies and to improve the quality of life.

   Materials and methods. 100 patients with pathological fractures of the vertebral bodies of the thoracic and lumbar spine were operated on. 50 people (main group) – anterior access using individual metal–polymer and polymer endoprosthetics of vertebral bodies, 50 people (control group) – posterior access with transpedicular fixation and posterior instrumental fixation with a laminar system of the SD type. In the main group, accompanying therapy with the use of adaptogen (Adaptol) and the original antiseptic Anolyte neutral (ANC) was used. And in the control group, accompanying therapy was not used.

   Results. The results obtained indicate the effectiveness of surgical treatment of pathological fractures by anterior approach with the use of accompanying
therapy, which improves the quality of life, reduces the number of infectious postoperative complications and hospital stay.

   Conclusion. The advantages of anterior access are a significantly favorable exposure of the surgical wound, which makes it easy to remove a vertebral tumor within healthy tissues, cope with bleeding, prevent blood loss, and reduce the time of surgical intervention. The use of accompanying therapy makes it possible to exclude postoperative infectious complications.

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