ANALYSIS OF THE INFLUENCE OF CRANIOVERTEBRAL PARAMETERS ON THE STRUCTURE OF BONE FRACTURES DEPENDING ON THE SHAPE OF THE PATIENT’S SKULL

Abstract

Traumatic brain injury in modern society remains a significant factor in the statistics of mortality and disability of the population. The anamnesis of cases of falls on a hard wide surface by the occipital region of the skull of patients of the neurosurgical department was investigated. At the same time, the relationship of craniovertebral morphometric parameters with the nature of craniocerebral trauma, as well as their influence on the structural features of skull fractures, is evaluated. The study was conducted based on the analysis of the anamnesis data of 36 patients of the neurosurgical department. The study was carried out in a standard installation on a 64-slice Optima CT 660 tomograph. Patients were divided into study groups depending on the type of skull shape. In the group with the mesocranial type, fractures of the occipital bone were detected in 8 patients (44.4 %). In the structure of skull injuries in the group of patients with dolichocranial type, fractures of the occipital bone were detected in 7 patients (70.0 %). In the study of a group of patients with brachycranial skull type, fractures were found in 3 out of 8 patients (37.5 %). At the same time, there was a difference in the size of the craniovertebral and sphenobasilar angles. Based on the data obtained, we concluded that the bones of the dolichocranial skull are more susceptible to damage when a large area of traumatic agent is applied to the occipital region, the key indicator being an increase in the sphenobasilar angle.