Year 2012 Vol. 20 No 6

TRAUMATOLOGY AND ORTHOPEDICS

YU.V. OSIPAU

RATES OF REHABILITATION OF THE DISABLED AND AGGRAVATION OF DISABILITY AT VERTEBRAL AND SPINAL CORD TRAUMA IN THE REPUBLIC OF BELARUS

SE Republican Scientific And Practical Center for Medical Assessment and Rehabilitation,
The Republic of Belarus

Objectives. To study the rates of complete and partial rehabilitation and aggravation of disability among adults caused by the spinal column and spinal cord traumas in Belarus during the period from 2002 to 20012.
Methods. Monitoring of disability at the spinal column and spinal cord traumas was carried out using the automatic monitoring system Disability. The rates of the partial rehabilitation of disability, the complete rehabilitation of the disabled as well as the rates of the disability aggravation were investigated.
Results. The conducted monitoring has shown that on the average 260 adults are initially registered as disabled due to vertebral and spinal cord traumas annually, it makes up 0,30 per 10,000 of the population of the Republic of Belarus. The rate value of complete and partial rehabilitation and aggravation of disability at the spinal column and spinal cord traumas are in the linear correlation depending on the presence or absence of the spinal cord trauma and have regional peculiarities. In patients with vertebral column fractures without the spinal cord damage the average rate of partial rehabilitation made 42,2%, the average rate of complete rehabilitation made up 23%, and the rate of aggravation of disability made up 5,1%; at the spinal column fractures with the spine and spinal cord trauma the rate of partial rehabilitation was 16,3%, of complete rehabilitation it was 8%, however, the rate of aggravation of disability was as low as 3,9%.
Conclusions. The rate value of complete and partial rehabilitation at the spinal column and spinal cord traumas are in the linear correlation depending on the presence or absence of the spinal cord trauma: in patients with the spine and spinal cord trauma, the rates of complete rehabilitation of the disabled and the partial rehabilitation are 2,5 times lower than at traumas of the spine. Absence of significant positive dynamics of restoring of the restricted vital activity (per 1 FC and more) was registered in 71,8% of the newly certificated disabled with the spine and spinal cord trauma.

Keywords: traumas of the spine, spinal cord trauma, disability, rates of rehabilitation of the disabled, rates of disability aggravation
p. 77 82 of the original issue
References
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  2. Anderson KD. Targeting recovery: priorities of the spinal cord-injured population. J Neurotrauma. 2004 Oct;21(10):137183.
  3. Mezhdunarodnaia statisticheskaia klassifikatsiia boleznei i problem, sviazannykh so zdorov'em [International statistical classification of diseases and problems related with health] (Desiatyi peresmotr (MKB-10): kratkii variant. Minsk: Asar; 2001. 400 p
Address for correspondence:
223027, Respublika Belarus, Minskaya obl., Minskiy r-n, p. Gorodische, GU Respublikanskiy nauchno-prakticheskiy tsentr meditsinskoy ekspertizyi i reabilitatsii, laboratoriya meditsinskoy ekspertizyi i reabilitatsii pri ortopedo-travmatologicheskoy patologii,
e-mail: OsipovY@tut.by,
Osipov Yuriy Vitalevich
Information about the authors:
Osipau YU.V. Head of the laboratory of medical expertise and rehabilitation at orthopedic and trauma pathology, SE Republican Scientific and Practical center for Medical Assessment and Rehabilitation.
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