Saratov JOURNAL of Medical and Scientific Research

cervical spine

Flexion-extension injuries of cervical spine: simulation capabilities and primary prevention of road traffic injuries (review)

Year: 2020, volume 16 Issue: №2 Pages: 500-505
Heading: Traumatology and Orthopedics Article type: Review
Authors: Ulyanov V.Yu., Salikhou Kh., Norkin I.A.
Organization: Saratov State Medical University
Summary:

The article reviews 37 Russian and foreign literature sources available at PubMed, E-library, Cyberleninka databases on flexion-extension injuries of the cervical spine, simulation capacities, and measures of traffic accident trauma primary prevention. The authors analyzed contemporary data on the mechanics of flexion-extension injuries of the cervical spine, described the capacities of simulation for this common trauma that brings significant medical and social consequences, and drew conclusions on the prospects of traffic injury primary prevention.

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Complications of transpedicular fixation in the cervical spine (review)

Year: 2019, volume 15 Issue: №3 Pages: 627-632
Heading: Traumatology and Orthopedics Article type: Review
Authors: Borisova О.A., Sergeev K.S., Paskov R.V., Vorobyov D.P.
Organization: Tyumen Regional Clinical Hospital №2, Tyumen State Medical University
Summary:

The analysis of studies on pedicle screw fixation in the cervical spine has been carried out. Mathematical data on the accuracy of freehand placement of cervical pedicle screws, the frequency of screw malposition, the frequency of clinically significant complications are presented. The article describes the causes of perforation of pedicle of vertebra, the causes of complications of this technique, as well as recommendations to increase the accuracy of insertion the screws and reduce postoperative complications.

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Personalized approach to diagnostics and treatment of patients with posttraumatic and degenerative diseases of cervical spine

Year: 2018, volume 14 Issue: №2 Pages: 244-250
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Ostrovsky V.V., Shchanitsyn I.N.
Organization:
Summary:

Aim: to develop a personalized approach to diagnostics and treatment of patients outcomes with degenerative and post-injury deformities of cervical spine. Material and Methods. Between January 2009 and January 2016, 520 patients at the age of 15-80 years with degenerative (227) and traumatic (293) lesions of cervical spine were treated in neuro-surgical department. We conducted a comparative analysis of two groups of patients: treated in the period from 2009 to 2012 (group 1: 235 patients) and in the period from 2013 to 2016 (group 2: 285 patients). The developed diagnostic algorithm was used in patients of group 2 when the operation was planned. Results. The frequency of all complications was significantly lower in group 2. In the analysis of complications it was revealed that more often in group 1 there were: dysphagia, dysphonia, severe postoperative pain in the neck and upper limbs; breakdown or malposition of the screw, graft or plate. Conclusion. The comprehensive algorithms for diagnosis and treatment of patients with degenerative and post-injury deformities of cervical spine that take into account their individual morphometric and functional data allow to form an effective personalized program of surgical rehabilitation and reduce the number of perioperative complications from 35 to 9%.

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A comprehensive evaluation of cervical spine surgery outcomes

Year: 2017, volume 13 Issue: №2 Pages: 266-273
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Ostrovsky W, Schanitsyn IN, Bajanov SP, Fedonnikov AS.
Organization: Saratov State Medical University
Summary:

Aim: study of diagnostic value of different assessment scales to evaluate outcomes of surgeries in degenerative and post-injury deformities of cervical spine. Material and Methods. Between January and December 2015, 110 consecutive patients with degenerative and traumatic lesions of cervical spine were selected for surgery and results of treatment were followed. Preoperatively and 12 months postoperatively the patients filled in a questionnaire that included a VAS, Odom's scale, NDI, modified JOAand the Zung Depression Scale. To assess the results of the intervention, the concept of "effect size" was used. Distribution of different scores classified according to Odom's criteria as excellent/good and fair/poor. Results. All scores improved in all group of patients. For VAS, NDI and modified JOA scores the effect size was largest. NDI, JOAand ZDS seemed to correlate well with the classification of outcome by Odom. Conclusion. It is suggested many scales to assess the outcomes of the cervical spine surgery based on different criteria; nevertheless, there are no generally accepted and validated methods that can be used to analysis the outcome of cervical spine surgery. We conclude that investigated

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Features of the reaction of hourly haemostasis against the background of hyperbaric oxygenation patients with complicated spinal cord injuries

Year: 2013, volume 9 Issue: №1 Pages: 82-87
Heading: Neurology Article type: Original article
Authors: Shchukovsky V.V., Ulianov V.Yu., Bazhanov S.P.
Organization:
Summary:

Purpose: to improve the treatment results of patients with complicated injuries of the cervical spine on the basis of an hourly study of the reaction of the hemostatic system after the application of hyperbaric oxygenation. Materials and Methods. The subject of the study were 12 patients with complicated closed cervical spine trauma. In the study group characteristics were studied hourly reaction of the hemostatic system during treatment with hyperbaric oxygenation. Results. Found that patients with traumatic spinal cord disease, changes in the hemostatic system in the form of a coherent structural and phase changes in the structural chronometric anticoagulation and chronometric hypercoagula-bility, activation and inhibition of fibrinolysis, and reduced the extent of time and the overall rate of platelet aggregation. Conclusion. Under the influence of hyperbaric oxygenation in patients with traumatic spinal cord disease arise adaptive changes in the regulation of blood aggregation.

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THE SPIRIT-PROCAINE PERIARTERIAL BLOCKADES APPLICATION UPON THE THIRD SEGMENT OF VERTEBRAL ARTERY IN VERTEBRAL-BASILAR INSUFFICIENCY

Year: 2008, volume 4 Issue: №3 Pages: 107-111
Heading: Surgery Article type: Original article
Authors: R.Z. Losev, A.M. Khachatryan, I.I. Sholomov, N.A. Kaybekova
Organization: Saratov State Medical University
Summary:

The spirit-procaine blockades are pathogenicallyjustified methods oftreatmentofthe vertebral-basilarartery insufficiency caused by vertebral pathology. Chemical desympathisation of the third portion of the vertebral artery (VA) can be applied as alternative to stellate ganglionectomy and blockades of stellate ganglion or periarterial plexus of the VA at the level of the sixth cervical vertebra. In case of positive effect after procaine blockade, the next stage of the treatment is the periarterial alcoholisation of vertebral arteries by low-concentrated (30°) ethyl alcohol. This effect is analogous to procaine blockade, but more steadfast Clinical and ultrasound investigations proved, thatspirit-procaine blockades improve the blood flow in vertebrobasilar arterial system, reduce the peripherical resistance of the vessels and interhemispherical asymmetry, and decrease the spasm of intracranial arteries, that leads to improvementof neurological condition.

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