The 6-th International Scientific Distance Congress on Spinal Disorders "InterSpine - 2009"

Bulletin of the International Scientific Surgical Association, 2009, Vol. 4, N. 2-3

Russian version

Puncture laser surgery degeneratinyh intervertebral discs of the lumbar spine were performed 180 patients with vertebrogenic radikulpatiey. Relief of pain and regression of neurological disorders were obtained in 67,8% cases. Restoration of neurological symptoms was noted in all patients.

A comprehensive approach to the rehabilitation of patients with complicated trauma of the thoracic spine. To restore the lost functions of support and movement after injury of the thoracic spinal cord in a methodical plan was allocated to three main stages of motor rehabilitation, consistently critical task of restoring the methods and means are adequate, as the motor areas of the patient. We in the organizational plan proposed a model watershed-course of rehabilitation, providing the tasks of each stage of physical rehabilitation through inpatient treatment and periods of self-training at home. The proposed method of physical rehabilitation in the late period of traumatic disease of the thoracic spinal cord allows optimal use of the means of physical culture for possible recovery of lost functions of support and movement, promotes the acquisition of skills of persistent self-study patients in subsequent periods of his life.

Osteochondrosis of the lumbar spine is the most common degenerative-dystrophic diseases of the musculoskeletal system in those middle-aged and elderly. At present, more effective conservative treatment of patients with degenerative-dystrophic diseases of the lumbosacral spine, complicated by herniated intervertebral discs in the outpatient phase is the most important problem of the recovery period of the disease.

The problem of rheumatoid arthritis (RA) keeps actuality. Acuteness of the question of the nervous system (NS) lesions during RA new verification methods is still high. The goal of the work is to prove possibility of usage of definition of cerebrolysin-dependent activation of the B-cells (CDABC) as the method of diagnostic for neurological signs of RA. 64 patients with neurological signs of RA were examined (main group). 3 groups of people were investigated for compare. The 1st one was consisted of 42 patients with RA but without of neurological signs. The 2nd group – 30 patients with affections of the peripheral nervous system of non-autoimmune genesis. The 3rd group united 30 patients with CNS pathology of non-autoimmune genesis. 30 healthy people were investigated as the control. Definition of CDABC was conducted in the monolayer of lymphocytes with the help of quantity cytopfuorometry. The definition of CDABC indexes was proved to be the method of diagnostic for neurological signs of RA with high sensitiveness (90.6%) and specificity (100%). The method of definition of present index is simple, quick and chip and those characteristics can be the basis for usage of that method for screening of neurological pathology among patients with RA.

The data about 57 patients was studied. The muscular dystrophy debuted at young age at inhabitants of Komi. The age structure of a pathology was characterised by reduction of a share of patients of older age. In gender structure the men were prevalenced insignificantly. The activity of muscular disintegration was higher at early stages of disease, and was decreased with the years. Maintenance CPK at men was exceeded one at women significantly, despite approximately equal duration of disease

Background: Diagnosis of DDH is still a challenge for the health system in our country. Screening should begin with clinical tests and their technique should be well known and performed not only by orthopedic surgeons but also other specialists like pediatricians, family physicians, obstetricians and nurses. Material and method: In 111 children (143 hips) already diagnosed and treated for x-ray confirmed DDH, we retrospectively analyzed if the Ortolani/Barlow and Limitation of Abduction tests had been reported to be positive in their clinical records in order to evaluate the reliability of those tests. We also compared the rate of positive results, when the orthopedic surgeon or other specialists performed each test. Results: Records of Ortolani/Barlow test showed that 34.9% of hips (50 out of 143) were reported as positive from the other specialists and 64.3% of them (84 from 143) when the Orthopedic surgeon was the examiner(p=0.014). No significant differences were observed when the Limitation of Abduction was analyzed. Both groups of examiners identified about 67% of the 143 affected hips. (92 hips from the other doctors versus 98 form the Orthopedic Surgeon, p=NS). Conclusion: Clinical tests resulted very useful for the early diagnosis of DDH. The limitation of Abduction test is more easily performed and simple than the Ortolani/Barlow maneuvers and should be used as the primarily screening tool from the specialists outside the orthopedic field.