[Damage control orthopaedics of thoracolumbar burst @entity174 complicated with severe XXXX ].

@entity1 @entity174 @entity548 @entity3459 @entity520 @entity358 @entity1230 @entity2332
OBJECTIVE: To investigate the therapeautic effect of damage control orthopaedics (DCO) applicated to thoracolumbar burst @entity174 complicated with severe @entity1230 . METHODS: Twenty-one @entity1 with severe polytrama including 15 males and 6 females with an average age of 40-years-old ranging from 20 to 60 years, were treated by immediate fluid resuscitation and emergency simple operation so as to control the @entity548 and contamination. According to Frankel grade of spinal nerves function, 3 cases were grade A, 3 were grade B, 9 were grade C, 6 were grade D. Ten cases were performed to open abdominal operation, 6 cases underwent closed negative pressure drainage thorough chest, 2 cases with @entity358 were treated by repairing operation. During operation, 9 cases were treated with by external fixation and 5 cases were skeletal traction or external fixation with plaster support for extremities @entity174 . After emergency operation, the @entity1 were transported into surgical intensive care unit (SICU), and corrected the @entity2332 , @entity520 and @entity3459 . The definitive thoracolumbar operation was performed between 5 to 7 days as soon as the vital signs became stable. RESULTS: Among 21 cases, @entity548 was corrected rapidly in 18 cases and 3 cases died in 4 to 26 hours. The survival rate was about 85.7% (18/21). Eighteen @entity1 were followed up for 6 to 14 months with an average of 10 months. According to Frankel grading, 3 cases were grade A, 2 cases were grade B, 3 cases were grade C, 3 cases were grade D, 7 cases were grade E. CONCLUSION: It may increase the therapy achievement rate excellently and decrease the disabled rate that performing damage control orthopaedics (DCO) timely, relifing the compression on the spinal cord and re-establishing the stability of spinal column as early as possible.
