A method for determining the optimal technique of surgical intervention in patients with post-traumatic kyphotic deformity of the thoracolumbar spine in the late period of spinal injury.

Introduction. Spinal fractures account for 63.6 cases per 100,000 populations. Of these, the largest number falls on Th10-L2 zone. Regardless of choice treatment tactics in early period spinal injury, a vast patients continue to complain local pain and deformity. In these patients, surgical may be indicated. At preoperative stage, operating surgeon faces problem choosing an intervention sufficient volume.The aim study was determine optimal amount corrective interventions with kyphotic deformity that has developed as result vertebral fracture.Methods. Patients medical history compression fracture greater than 11 degrees were enrolled single-centre, prospective, experimental study. All divided into three groups according studied algorithm. group A underwent two-stage corporectomy, implantation mesh interbody implant, posterior transpedicular fixation from two approaches. Group B one-stage corporectomy implant single approach. C vertebrotomy without use implant. The degree correction, traumatism intervention, stability metal structure, formation bone block, changes functional status patient assessed. followed up 24 months after treatment.Results. completed by 114 patients. Surgical options used allowed achieving good results correction all groups, operation significantly (p=0.05) lower A. block formed groups. It is important note had transient radicular postoperative period, which probably associated traction neural structures during installation implant.Conclusion. Application presented algorithm us achieve comparable beneficial however, small sample absence control subgroups do not allow extrapolate entire population.