[Treatment of complicated thoracic and lumbar spinal injuries and prevention of the sequelae of laminectomy].

The operation of choice in complicated trauma of the vertebral column with compression of the spinal cord (especially in the thoracic and the thoracicolumbar segments) is laminectomy (as the first stage of the intervention) performed in the earliest period. It is obligatory to conduct extensive inspection of the spinal cord and its roots, perform its anterior and posterior decompression and subsequent reliable stabilization of the spine, which may prevent recurrent compressions of the spinal cord in the residual period.