Damage Control In The Treatment Of Thoracic Spinal Instability Fractures In Patients With Multiple Trauma Related Research

Objectives: This study aims to conduct analysis and summary of patients' thoracic spine operation time, hospital time, and occurrence rate of complications by collecting plenty of patient data with thoracic spine fracture instable and severe multiple injuries in this hospital. It discusses the role of damage control techniques in clinical treatment of thoracic spine fracture instable and severe multiple injuries, and provides primary basis for these patients' treatment option, operation opportunity, operation method, and prognostic.Methods: This paper makes a retrospective analysis on 177 patients with thoracic spine fracture instable and severe multiple injuries treated during January, 2002 and December, 2015 in our section, adopts two groups with the one of which implementing damage control operation for thoracic fractures but the other not, and compares the ISS evaluation, complication, hospital time, hospitalization expenses, breathing machine use time, and pre-operation and post-operation ASIA evaluation of both groups.Results: The occurrence rate of acute respiratory distress syndrome(ARDS) in DCO group is obviously lower than that in non-DCO group(3 DCO groups, 10 non-DCO groups, P<0.05). DCO ISS scoring average(29.09)is greater than non-DCO groups. No obvious difference occurs in other complications(death, pneumonia, deep venous thrombosis, and wound infection), hospital time, hospitalization expenses, age, and breathing machine use time of both groups.Conclusions: 1.The complicated trauma treatment for patients with thoracic spine fracture instable and severe multiple injuries, which need follow damage control techniques, is able to lower the occurrence rate of complications and improve the success rate of treatment. 2. The application of damage control operation to treatment for patients with thoracic spine fracture instable and severe multiple injuries will not lengthen patients' hospital time and will not increase their hospitalization expenses. The timing of thoracic spine operation varies according to patients' general physical condition stability. 3.The most common complications for patients with thoracic spine fracture instable are ARDS and pulmonary infection, which may be related with patients' long-time bedridden, chest primary injury, injury severity, second-strike of infection factors, and too early spine decompression operation.