THE CASE OF SUCCESSFUL TREATMENT OF A PATIENT WITH THE CONSEQUENCES OF POLYTRAUMA COMPLICATED BY PURULENT INFECTION
Objective - to present a clinical case of complex stage surgical treatment and rehabilitation of a patient with polytrauma, accompanied by a neurologic and purulent-inflammatory complications. Material and methods. Patient Zh., age of 27, was treated in Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics. He suffered from traumatic spinal cord disease in the subacute period, compression fracture Th12-L1 vertebra with compression of the spinal cord, dysfunction of the pelvic organs, lower flaccid paraparesis, chronic posttraumatic osteomyelitis of both ankle joints, pressure ulcers of the sacral region. A complex stage surgical treatment was performed, including debridement for the sacrum and feet, stabilizing operation on the thoracolumbar spine and arthrodesis of both ankles by the Ilizarov method, followed by a course of neurorehabilitation, by implantation of temporary epidural electrodes, neurotropic and vascular therapy. Results. The patient is examined 1 year after the treatment. Inflammation in the field of surgical interventions is not present, the pain is absent. He walks without additional means of support in ordinary shoes with full load on the lower limbs. Conclusion. The selected individual tactics of complex stage treatment in this patient based on the clinical manifestation of the disease and its consistency and continuity allowed solving all the problems in this case: appropriately eliminating the purulent-inflammatory process, restoring the function of the spine and lower extremities, and improving the neurological status.