Saratov JOURNAL of Medical and Scientific Research

Ostrovsky V.V.

Saratov State Medical University n.a. V.I. Razumovsky Scientific and Research Institute of Traumatology Orthopedics and Neurosurgery, Department of Neurosurgery and Vertebrology Candidate of Medical Sciences

K. Rabov — a man of honor and devotion

Year: 2020, volume 16 Issue: №2 Pages: 530-533
Heading: the 75th Aniversary of the Victory in the Great Patriotic War Article type:
Authors: Norkin I.A., Ostrovsky V.V., Grishin S.E., Puchinyan D.M., Karyagina L.G., Ulyanov V.Yu.
Organization: Saratov State Medical University
Summary:

The article investigates the military and career details of biography of researcher of Saratov Research Institute of Traumatology, Orthopedics and Neurosurgery, V. K. Rabov. The analysis of V. K. Rabov's biography enables acknowledging the fact that heroic traits of his personality that were made evident during World War II manifested themselves with total devotion in everyday routine while providing medical care to patients.

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Neyman's scientific contribution to the research of pathogenesis, improvement of diagnostics and treatment of scoliosis (to the 100th birth anniversary)

Year: 2020, volume 16 Issue: №1 Pages: 131-137
Heading: Scientific schools and memorable dates Article type:
Authors: Norkin I.A., Ostrovsky V.V., Grishin S.E., Chibrikov G.I., Karyagina L.G., Ulyanov V.Yu.
Organization: Saratov State Medical University
Summary:

The article follows losif Z. Neyman's career and evaluates his contribution to the development of orthopedics. I.Z. Neyman's scientific work was devoted to the investigation of scoliotic spine disease pathogenesis, improvement of diagnostic methods and surgical management of both idiopathic and dysplastic scoliosis in adolescents and adults.

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Scientific contribution of professor V.G. Ninel to the study and treatment of chronic pain and spastic-pain syndromes of neurogenous nature and regeneration of trunks of peripheral nerves of extremities (to the 80th birth anniversary)

Year: 2019, volume 15 Issue: №4 Pages: 944-947
Heading: anniversary Article type:
Authors: Norkin I.A., Ostrovsky V.V., Grishin S.E., Ulyanov V.Yu., Bazhanov S.P., Puchinyan D.M.
Organization: Saratov State Medical University
Summary:

The article presents the main stages in the career of professor Vyacheslav G. Ninel and estimates his scientific contribution to neurosurgery development. There are three main areas scientific where V.G. Ninel contribute to: researching and reduction of pain, spastic-pain and spastic syndromes in patients with vertebral and spine trauma consequences; researching and improving of surgical management for patients with cervical vertebrae traumas as well as spinal cord; experimental studies of regeneration processes in peripheral nerves.

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Long-term results of posterior anchorage of subaxial vertebra in acute unstable trauma

Year: 2018, volume 14 Issue: №3 Pages: 501-504
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Bazhanov S.P., Ulyanov V.Yu., Ostrovskiy V.V., Likhachev S.V.
Organization:
Summary:

Aim: to study long-term results of posterior anchorage of subaxial vertebra in acute trauma. Material and Methods. We conducted an analysis of long-term results of posterior anchorage of subaxial vertebra in 17 patients with acute unstable trauma which had undergone complex clinical neurological and instrumental investigation, surgical treatment performed from dorsal approach, and the estimation of long-term results in preoperative period. Results. The obtained data indicate the method of transarticular anchorage to be effective and safe and not to have any negative effect on biomechanical properties of cervical spine in the long-term postoperative period. Conclusion. The use of posterior anchorage in acute unstable trauma is most reasonable in subaxial injuries accompagnied by the deformities of medial and posterior spinal columns.

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The tactics of surgical treatment in metastatic lesions of upper cervical spine.

Year: 2018, volume 14 Issue: №3 Pages: 498-501
Heading: Traumatology and Orthopedics Article type: Case report
Authors: Bazhanov S.P., Gulyaev D.A., Ulyanov V.Yu., Ostrovskiy V.V., Tolkachev V.S.
Organization: The Almazov National Medical Research Centre, Head of Second Cerebral and Spinal Cord Tumors Department, Doctor of Medical Sciences
Summary:

We demonstrated a successful case of surgical treatment of the patient with metastatic lesion of upper cervical spine with respect to multidisciplinary approach. We performed simultaneous two-stage surgical intervention, the first stage being occipitospondylodesis by multi-segment construction; and second —tumor resection from expanded combined access. It has been stated that the proposed surgical tactics allows performing curative resection in one surgical session without neurological deficit buildup in the postoperative period.

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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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Towards the causes of secondary post-traumatic deformations of thoracic and lumbar spine

Year: 2015, volume 11 Issue: №4 Pages: 570-575
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Shulga А.Е., Zaretskov V.V., Ostrovsky V.V., Arsenievich V.B., Smolkin A.A., Norkin I.A.
Organization:
Summary:

The purpose of the study is to analyze and systematize main causes of secondary spine deformations forming in patients who had operations due to thoracic and lumbar spine damages. Material and Methods. The analysis of poor surgical results of 155 patients previously operated due to various thoracic and lumbar spine damages has been conducted. All patients had complications associated with secondary spinal column deformations at various time after the intervention. Standard investigation included the analysis of patients' complaints, their previous history, somatic, neurological and orthopedic status. Results. The intensity of spinal column deformation was defined due to the character and level of primary trauma structurally characterized predominantly by unstable damages. However as it has been found in this research the main cause of this complicated pathology lied in the number of tactical and technical pitfalls of primary surgical treatment. Conclusion. Surgical operations due to secondary post-traumatic deformations in most cases are laborious and are accompanied by significant surgical trauma therefore systematization and analysis of the main causes of poor results of primary spine surgery may contribute to the preventive treatment of this type of pathology.

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Коррекция трофологической недостаточности у больных с синдромом компрессионной миелопатии различной этиологии на уровне верхнешейного отдела позвоночника

Year: 2012, volume 8 Issue: №3 Pages: 825-830
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Bajanov S.P., Uljanov V.Yu., Ostrovsky V.V., Shchukovsky V.V., Makarkina E.V., Uljanova E.V.
Organization:
Summary:

Objective: To improve the treatment results of patients with traumatic injuries, and neoplastic lesions of the upper cervical spine on the basis of a differentiated algorithm of nutritional-metabolic therapy. Materials and methods: Based on clinical and instrumental methods of examination typical metabolic characteristics have been studied in 21 patients with compressive myelopathy at the level of the upper cervical spine. Results: Due to the received data differentiated algorithm of nutritional-metabolic therapy has been worked out. Conclusion: The use of nutritional-metabolic therapy in patients with compressive myelopathy at the level of the upper cervical spine may improve the treatment.

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Topographic and anatomic features of transverse foramen of cervical vertebra in age and sex aspect

Year: 2012, volume 8 Issue: №2 Pages: 177-181
Heading: Macro- and Micromorphology Article type: Original article
Authors: Anisimov D.I., Norkin I.A., Nikolenko V.N., Anisimova E.A., Aleshkina О.Yu., Ostrovsky V.V.
Organization: Saratov State Medical University, Saratov Scientific Research Institute of Traumatology and Orthopedics, First Moscow State Medical University n.a. I.M. Sechenov
Summary:

Purpose: to reveal regularities of variability of morphometric parameters of foramen of transverse process of cervical vertebra. Materials and Methods. Method of osteometry was used to determine size of transverse process of cervical vertebra at 112 adult skeletons. Results. Sexual dimorphism of size of transverse process of cervical vertebra, topographic variability of size, form and foramen orientations were revealed. Conclusion. Foramen size prevail at men over women by 0,5-1,5 mm and has characteristic of fluctuating dissymmetry

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