Saratov JOURNAL of Medical and Scientific Research

KSMA — branch of the Russian Medical Academy of Continuous Professional Education

Some features of pathogenesis of the course, diagnosis and treatment of radicular and myelopathic syndromes of cervical osteochondrosis (review)

Year: 2020, volume 16 Issue: №1 Pages: 64-68
Heading: neurosurgery Article type: Review
Authors: Chekhonatskiy А.А., Komleva N.E., Chekhonatskiy V.A., Bubashvili A.l.
Organization: KSMA — branch of the Russian Medical Academy of Continuous Professional Education, Saratov Scientific Research Institute of Agricultural Hygiene, Saratov State Medical University
Summary:

The review of the literature data on the peculiarities of the pathogenesis of radicular and myelopathic syndromes of cervical osteochondrosis is presented. The issues of differentiated diagnosis of radiculopathic and myelopathic syndromes are considered. The characteristic of various methods of treatment is given. The efficiency and possibility of using electrostimulation of the spinal cord for the treatment of radicular and myelopathic syndromes of cervical osteochondrosis have been studied.

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Hirudotherapy as a method of hemoreological disorders correction efficiency on osteoarthrosis

Summary:

The aim: to study the hirudotherapy effectiveness in case of osteoarthrosis as a pathogenetic therapy in view of vascular disorders in the disease pathogenesis. Material and Methods. 81 patients with ostearthrosis, predominantly gonarthrosis, aged 36 to 76 years old with a disease duration from 1 to 15 years were under observation. There were clinical and laboratory studies (generally accepted in patients with osteoarthritis), special studies included bulbar conjunctiva biomicroscopy and lower limbs rheovasography. Results. Hirudotherapy is a clinically effective method for the articular syndrome treatment in various types of osteoarthrosis. It is advisable to use the method in patients with a disease duration up to 15 years, with severe pain syndrome, concomitant peripheral veins pathology, and hypertension. Conclusion. The influence of hirudotherapy on the state of microcirculation in patients with osteoarthritis with the evaluation of the clinical effect and the rheovasography and conjunctival biomicroscopy was first studied, confirmed by instrumental methods. The greatest clinical efficacy was achieved with a high degree of local inflammatory activity, what once again emphasizes the role of microchemocirculation disorders in the development of synovitis in osteoarthritis.

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