Hirurgia Pozvonochnika最新文献_第9页

MINIMALLY INVASIVE SURGICAL TREATMENT FOR ADULT DEGENERATIVE LUMBAR SCOLIOSIS 成人退行性腰椎侧凸的微创手术治疗

Hirurgia Pozvonochnika Pub Date : 2018-01-24 DOI: 10.14531/SS2014.4.49-56

A. Krutko, Peter Durny, A. Vasilyev, A. Bulatov

引用次数: 3

АТИПИЧНЫЕ СЕГМЕНТАРНЫЕ КОРРИГИРУЮЩИЕ ВЕРТЕБРОТОМИИ ПРИ ЛЕЧЕНИИ ГРУБЫХ ПОСТТРАВМАТИЧЕСКИХ КИФОЗОВ ГРУДНОГО ОТДЕЛА ПОЗВОНОЧНИКА 非典型的部分切开术，用于治疗创伤后乳头发育不良。

Hirurgia Pozvonochnika Pub Date : 2018-01-24 DOI: 10.14531/SS2014.4.20-24

Виктор Викторович Рерих, Константин Олегович Борзых, Шухрат Нумонжонович Рахматиллаев

{"title":"АТИПИЧНЫЕ СЕГМЕНТАРНЫЕ КОРРИГИРУЮЩИЕ ВЕРТЕБРОТОМИИ ПРИ ЛЕЧЕНИИ ГРУБЫХ ПОСТТРАВМАТИЧЕСКИХ КИФОЗОВ ГРУДНОГО ОТДЕЛА ПОЗВОНОЧНИКА","authors":"Виктор Викторович Рерих, Константин Олегович Борзых, Шухрат Нумонжонович Рахматиллаев","doi":"10.14531/SS2014.4.20-24","DOIUrl":"https://doi.org/10.14531/SS2014.4.20-24","url":null,"abstract":"Objective. To analyze results of atypical segmental corrective vertebrectomy in patients with painful thoracic kyphosis treated in the late period of spinal cord injury. Material and Methods. Eight patients with painful kyphotic and shear deformities were operated on during 2012. The method of atypical segmental corrective vertebrectomy was used. Average kyphotic deformity was 43.1° ± 15.0°, the rate of anterior shear displacement varied from 25 to 48 %. Results. The average kyphosis correction was 9.1° ± 5.8° with complete correction of shear deformity. Questionnaire data showed the decrease in pain score from 4.4 ± 1.8 to 2.6 ± 1.6 on VAS, and improvement in functional capacity from 74.4 ± 12.0 to 83.5 ± 9.0 on FIM (Functional Independence Measure) in the follow-up period. Conclusion. Atypical corrective segmental vertebrectomy performed in the late period of spinal cord injury effectively eliminates post-traumatic deformity, and improves functional capacity of patients with complete neurological deficit.","PeriodicalId":37253,"journal":{"name":"Hirurgia Pozvonochnika","volume":"1 1","pages":"20-24"},"PeriodicalIF":0.0,"publicationDate":"2018-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48424213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

ПАТОЛОГИЯ СМЕЖНОГО СЕГМЕНТА В ОТДАЛЕННОМ ПЕРИОДЕ ПОСЛЕ ВЕНТРАЛЬНОЙ СТАБИЛИЗАЦИИ ПО ПОВОДУ ТРАВМЫ СУБАКСИАЛЬНОГО УРОВНЯ ШЕЙНОГО ОТДЕЛА ПОЗВОНОЧНИКА 腹侧稳定后近段病理，与颈椎亚轴节损伤有关。

Hirurgia Pozvonochnika Pub Date : 2018-01-24 DOI: 10.14531/SS2014.4.25-28

Виктор Викторович Рерих, Алексей Дмитриевич Ластевский, Константин Олегович Борзых, Шухрат Нумонжонович Рахматиллаев

引用次数: 0

SURGICAL TREATMENT OF CERVICAL MYELOPATHY ASSOCIATED WITH POLYSEGMENTAL DEGENERATIVE SPINAL STENOSIS 颈椎病伴多节段性退行性椎管狭窄的外科治疗

Hirurgia Pozvonochnika Pub Date : 2018-01-24 DOI: 10.14531/ss2014.4.124-127

A. Krutko, Shamil Alfirovich Akhmetyanov

引用次数: 1

INTENSIVE THERAPY FOR COMPLICATED CERVICAL SPINE INJURY 复杂颈椎损伤的强化治疗

Hirurgia Pozvonochnika Pub Date : 2018-01-24 DOI: 10.14531/ss2014.4.72-79

S. A. Pervukhin, M. Lebedeva, A. A. Elistratov, V. Rerikh, M. Sadovoy

引用次数: 1

CHRONIC ELECTRICAL STIMULATION OF THE SPINAL CORD IN THE TREATMENT OF FAILED BACK SURGERY SYNDROME 慢性脊髓电刺激治疗背部手术失败综合征

Hirurgia Pozvonochnika Pub Date : 2018-01-24 DOI: 10.14531/ss2014.4.41-48

E. Isagulyan, V. Shabalov

{"title":"CHRONIC ELECTRICAL STIMULATION OF THE SPINAL CORD IN THE TREATMENT OF FAILED BACK SURGERY SYNDROME","authors":"E. Isagulyan, V. Shabalov","doi":"10.14531/ss2014.4.41-48","DOIUrl":"https://doi.org/10.14531/ss2014.4.41-48","url":null,"abstract":"Словосочетание «синдром оперированного позвоночника» (шифр F45.4 по МКБ-10) пришло к нам из западной литературы, где широко используется термин Failed Back Surgery Syndrome – FBSS (букв. синдром неудачной операции на поясничном отделе позвоночника). В зарубежной литературе можно встретить термин «Failed Neck Surgery Syndrome» – FNSS (букв. синдром неудачных операций на шейном отделе позвоночника). Вокруг самого термина не раз разгорались споры, поскольку в самом определении имеется указание на неудачно произведенную операцию или на неудачу хирурга, производившего такую операцию, и, наконец, на неудачу пациента. Однако, несмотря на целый ряд техногенных причин, инфекционных и других осложнений, указанных в табл., по статистике [2, 11, 15, 29, 42, 49], боль в спине и/или ноге чаще возникает (или сохраняется) после технически безупречных операций: декомпрессия адекватна, осложнений нет, сам процесс операции не сопровождался существенной травмой мягких тканей и корешков, однако болевой синдром сохранился. Chronic electrical stimulation of the spinal cord in the treatment of failed back surgery syndrome I.D. Isagulyan, V.A. Shabalov","PeriodicalId":37253,"journal":{"name":"Hirurgia Pozvonochnika","volume":"1 1","pages":"41-48"},"PeriodicalIF":0.0,"publicationDate":"2018-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66703240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

ЭКСПРЕССИЯ ГЕНОВ В ХОНДРОЦИТАХ ПЛАСТИНКИ РОСТА У ПАЦИЕНТОВ С ИДИОПАТИЧЕСКИМ СКОЛИОЗОМ 特发性脊柱侧凸患者的生长板软骨细胞表达基因

Hirurgia Pozvonochnika Pub Date : 2018-01-24 DOI: 10.14531/SS2014.4.88-98

A. M. Zaidman, Elena L. Strokova, V. Novikov, A. Vasyura, M. Mikhailovsky, M. Sadovoy

{"title":"ЭКСПРЕССИЯ ГЕНОВ В ХОНДРОЦИТАХ ПЛАСТИНКИ РОСТА У ПАЦИЕНТОВ С ИДИОПАТИЧЕСКИМ СКОЛИОЗОМ","authors":"A. M. Zaidman, Elena L. Strokova, V. Novikov, A. Vasyura, M. Mikhailovsky, M. Sadovoy","doi":"10.14531/SS2014.4.88-98","DOIUrl":"https://doi.org/10.14531/SS2014.4.88-98","url":null,"abstract":"Objective. To analyze the expression of candidate genes presumably responsible for the development of idiopathic scoliosis. Material and Methods. The study subjects were vertebral body growth plates of children aged 11-15 years suffering from Grade III-IV idiopathic scoliosis. Real-Time SYBR Green PCR assay was used to investigate the expression of genes responsible for growth regulation, chondrogenic differentiation, matrix formation and synthesis, and sulfation and transmembrane transport of sulfates. Results. Comparative analysis of gene expression did not give a clear answer. On the background of representative morphological and biochemical data including violation of the structural organization of cells and matrix on the concave side of deformity, presence of poorly differentiated chondroblasts, and lack of differentiation in columnar and hypertrophic structures, a sharp decline in synthetic potency of cells contradicted the data on high expression of IHH, TGFBR1, and EGFR genes, matrix proteoglycans genes ACAN, LUM, and VCAN, collagen types I and II, and of sulfation and sulfate transmembrane transport genes DTDST, CHST1, and CHST3. Expression of growth hormone receptor gene, differentiation genes SOX9 and PAX9, and link protein gene was reduced. Factor analysis of the studied genes has shown significant difference between gene expression in chondroblasts of patients with idiopathic scoliosis and that in controls. Conclusion. Complex interaction of genes under the control of the central regulatory mechanisms coordinates the periodization of gene turning on, thereby integrating the process of the spine growth. Violation of any of the factors in the complex system of morphogenesis regulation causes asymmetric growth resulting in scoliosis development.","PeriodicalId":37253,"journal":{"name":"Hirurgia Pozvonochnika","volume":"1 1","pages":"88-98"},"PeriodicalIF":0.0,"publicationDate":"2018-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66703384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

RESULT OF COMPREHENSIVE SURGICAL TREATMENT OF A PATIENT WITH CAUDAL REGRESSION SYNDROME 一例尾部退行性综合征患者的综合外科治疗结果

Hirurgia Pozvonochnika Pub Date : 2018-01-24 DOI: 10.14531/SS2014.4.106-111

A. Semyonov, D. V. Ryzhikov, M. Mikhailovsky, A. S. Vasyura

引用次数: 2

EXPECTED FUTURE DEVELOPMENT OF HEALTHCARE INSTITUTIONS CONDUCTING APPLIED RESEARCH IN TRAUMATOLOGY, ORTHOPAEDICS, AND SPINE MEDICINE 对开展创伤学、骨科、脊柱医学应用研究的医疗机构未来发展的展望

Hirurgia Pozvonochnika Pub Date : 2018-01-24 DOI: 10.14531/ss2014.4.151-157

O. Rozhnova, M. Sadovoy, A. F. Gusev

引用次数: 0

Особенности тактики хирургического лечения флексионно-дистракционных повреждений субаксиального уровня шейного отдела позвоночника 颈椎轴下水平柔韧分裂损伤外科治疗策略的特点

Hirurgia Pozvonochnika Pub Date : 2017-12-30 DOI: 10.14531/SS2017.4.32-38

Виктор Викторович Рерих, Алексей Дмитриевич Ластевский, Арташес Робертович Аветисян

{"title":"Особенности тактики хирургического лечения флексионно-дистракционных повреждений субаксиального уровня шейного отдела позвоночника","authors":"Виктор Викторович Рерих, Алексей Дмитриевич Ластевский, Арташес Робертович Аветисян","doi":"10.14531/SS2017.4.32-38","DOIUrl":"https://doi.org/10.14531/SS2017.4.32-38","url":null,"abstract":"Objective. To analyze results of surgical treatment and correction of deformities associated with flexion-distraction injuries of the subaxial cervical spine. Material and Methods . A retrospective analysis of treatment results in 78 patients who underwent anterior and combined stabilization of subaxial dislocations in 2010–2016 was carried out. The data of clinical examination and of MRI and MSCT studies were subjected to statistical processing. Results . Significant (p < 0.05) loss of the achieved intraoperative correction of shearing and kyphotic types of deformities was noted after 3 months in the group of patients with unilateral and bilateral articular process fractures treated by anterior spinal fusion. Conclusion . Unilateral or bilateral articular process fractures accompanied by bilateral dislocations at the level of damaged spinal segment are risk factors for the loss of post-traumatic deformity correction achieved after isolated anterior stabilization.","PeriodicalId":37253,"journal":{"name":"Hirurgia Pozvonochnika","volume":"14 1","pages":"32-38"},"PeriodicalIF":0.0,"publicationDate":"2017-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48676758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2