Pub Date : 2018-01-24DOI: 10.14531/SS2014.4.142-145
V. Stupak, G. I. Okladnikov, S. V. Shabanov
{"title":"ONE-STEP COMPLETE REMOVAL OF DUMBBELL-SHAPED SPINAL CORD NEURINOMA WITH A LARGE EXTRA-VERTEBRAL COMPONENT","authors":"V. Stupak, G. I. Okladnikov, S. V. Shabanov","doi":"10.14531/SS2014.4.142-145","DOIUrl":"https://doi.org/10.14531/SS2014.4.142-145","url":null,"abstract":"","PeriodicalId":37253,"journal":{"name":"Hirurgia Pozvonochnika","volume":"54 1","pages":"142-145"},"PeriodicalIF":0.0,"publicationDate":"2018-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66702930","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}
Pub Date : 2018-01-24DOI: 10.14531/SS2014.4.120-123
Сергей Петрович Маркин, Алексей Владимирович Пелеганчук
Two cases of safe and effective surgical treatment for high-grade rigid dysplastic spondylolisthesis manifesting by severe pain syndrome and neurological deficit are described. Surgical treatment relieved patients’ pain and eliminated neurological deficit.
{"title":"СПОСОБ ХИРУРГИЧЕСКОГО ЛЕЧЕНИЯ ТЯЖЕЛЫХ ФОРМ ДИСПЛАСТИЧЕСКОГО СПОНДИЛОЛИСТЕЗА У ВЗРОСЛЫХ","authors":"Сергей Петрович Маркин, Алексей Владимирович Пелеганчук","doi":"10.14531/SS2014.4.120-123","DOIUrl":"https://doi.org/10.14531/SS2014.4.120-123","url":null,"abstract":"Two cases of safe and effective surgical treatment for high-grade rigid dysplastic spondylolisthesis manifesting by severe pain syndrome and neurological deficit are described. Surgical treatment relieved patients’ pain and eliminated neurological deficit.","PeriodicalId":37253,"journal":{"name":"Hirurgia Pozvonochnika","volume":"1 1","pages":"120-123"},"PeriodicalIF":0.0,"publicationDate":"2018-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48314510","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}
S. Vissarionov, D. Kokushin, V. Rerikh, S. Belyanchikov, A. Efremov
Objective. To analyze mistakes in diagnosis and tactics of surgical treatment of children with the spine and spinal cord injuries. Material and Methods. A retrospective analysis of treatment outcomes in 237 children aged 3 to 17 years with the spine and spinal cord injuries was carried out. Out of them 54 patients (23.0 %) had vertebral fractures complicated by neurological disorders, 183 (77.0 %) had unstable injuries. Mistakes made on stages of diagnosis and surgical treatment were evaluated. Results. It was found that children with unstable spinal injuries misdiagnosed as compression vertebral fractures were treated conservatively in 26 cases (11.0 %). Laminectomy without instrumented stabilization, which resulted in the progression of posttraumatic kyphosis was performed in 9 cases (3.8 %). Incorrect placement of pedicle screws, which required reoperation, was detected in 6 patients (2.5 %). Application of anterior instrumentation caused development and progression of spinal kyphosis in 3 cases (1.3 %). Posterior reduction and instrumented stabilization without timely reconstruction of the anterior and middle columns of the fractured vertebral bodies in the growing spine were revealed in 3 children (1.3 %). Conclusion. Mistakes in diagnosis and surgical treatment of children with the spine and spinal cord injuries resulted in repeated surgeries and sometimes in irreversible consequences.
{"title":"MISTAKES IN DIAGNOSIS AND SURGICAL TREATMENT OF CHILDREN WITH INJURIES OF THE SPINE AND SPINAL CORD","authors":"S. Vissarionov, D. Kokushin, V. Rerikh, S. Belyanchikov, A. Efremov","doi":"10.14531/SS2014.4.8-14","DOIUrl":"https://doi.org/10.14531/SS2014.4.8-14","url":null,"abstract":"Objective. To analyze mistakes in diagnosis and tactics of surgical treatment of children with the spine and spinal cord injuries. Material and Methods. A retrospective analysis of treatment outcomes in 237 children aged 3 to 17 years with the spine and spinal cord injuries was carried out. Out of them 54 patients (23.0 %) had vertebral fractures complicated by neurological disorders, 183 (77.0 %) had unstable injuries. Mistakes made on stages of diagnosis and surgical treatment were evaluated. Results. It was found that children with unstable spinal injuries misdiagnosed as compression vertebral fractures were treated conservatively in 26 cases (11.0 %). Laminectomy without instrumented stabilization, which resulted in the progression of posttraumatic kyphosis was performed in 9 cases (3.8 %). Incorrect placement of pedicle screws, which required reoperation, was detected in 6 patients (2.5 %). Application of anterior instrumentation caused development and progression of spinal kyphosis in 3 cases (1.3 %). Posterior reduction and instrumented stabilization without timely reconstruction of the anterior and middle columns of the fractured vertebral bodies in the growing spine were revealed in 3 children (1.3 %). Conclusion. Mistakes in diagnosis and surgical treatment of children with the spine and spinal cord injuries resulted in repeated surgeries and sometimes in irreversible consequences.","PeriodicalId":37253,"journal":{"name":"Hirurgia Pozvonochnika","volume":"1 1","pages":"8-14"},"PeriodicalIF":0.0,"publicationDate":"2018-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66703359","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}
{"title":"ASSESSMENT OF THE DEGREE OF SPINAL CANAL NARROWING IN LUMBAR SPINAL STENOSIS","authors":"S. K. Makirov, V. Osadchy, Andrey Yuz","doi":"10.14531/ss2014.4.57-64","DOIUrl":"https://doi.org/10.14531/ss2014.4.57-64","url":null,"abstract":"","PeriodicalId":37253,"journal":{"name":"Hirurgia Pozvonochnika","volume":"1 1","pages":"57-64"},"PeriodicalIF":0.0,"publicationDate":"2018-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66703409","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}
{"title":"POSTERIOR FIXATION OF HANGMAN’S FRACTURES","authors":"A. Gubin, A. V. Burtsev, Sergey Olegovich Ryabikh","doi":"10.14531/SS2014.4.15-19","DOIUrl":"https://doi.org/10.14531/SS2014.4.15-19","url":null,"abstract":"","PeriodicalId":37253,"journal":{"name":"Hirurgia Pozvonochnika","volume":"1 1","pages":"15-19"},"PeriodicalIF":0.0,"publicationDate":"2018-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49093907","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}
Pub Date : 2018-01-24DOI: 10.14531/SS2014.4.112-115
A. L. Kudyashev, V. Shapovalov, V. A. Averkiev, Nadulich Ka, A. V. Teremshonok, F. V. Miroevsky, E. Nagorny
The paper presents results of staged surgical treatment of patients with concomitant degenerative-dystrophic diseases of the hip and spine. The analysis of clinical observation suggests the possibility of decompensation of degenerative-dystrophic disease of the lumbosacral spine accompanied by spinal canal stenosis and instability of spinal motion segments after total hip arthroplasty. Decompression surgery eliminating spinal canal stenosis allows to restore lumbar lordosis and manage the pain syndrome. Surgical decompression combined with correction and fixation of the lower lumbar motion segments allows to normalize sagittal spinal-pelvic relationship by restoring both lumbar lordosis and anatomic pelvic anteversion.
{"title":"DYNAMICS OF CHANGES IN SAGITTAL SPINAL-PELVIC ALIGNMENT DURING STAGED SURGICAL TREATMENT OF PATIENTS WITH CONCOMITANT DEGENERATIVE-DYSTROPHIC LESIONS TO THE HIP AND SPINE","authors":"A. L. Kudyashev, V. Shapovalov, V. A. Averkiev, Nadulich Ka, A. V. Teremshonok, F. V. Miroevsky, E. Nagorny","doi":"10.14531/SS2014.4.112-115","DOIUrl":"https://doi.org/10.14531/SS2014.4.112-115","url":null,"abstract":"The paper presents results of staged surgical treatment of patients with concomitant degenerative-dystrophic diseases of the hip and spine. The analysis of clinical observation suggests the possibility of decompensation of degenerative-dystrophic disease of the lumbosacral spine accompanied by spinal canal stenosis and instability of spinal motion segments after total hip arthroplasty. Decompression surgery eliminating spinal canal stenosis allows to restore lumbar lordosis and manage the pain syndrome. Surgical decompression combined with correction and fixation of the lower lumbar motion segments allows to normalize sagittal spinal-pelvic relationship by restoring both lumbar lordosis and anatomic pelvic anteversion.","PeriodicalId":37253,"journal":{"name":"Hirurgia Pozvonochnika","volume":"1 1","pages":"112-115"},"PeriodicalIF":0.0,"publicationDate":"2018-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47046308","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}
Objective. To analyze the course of anxiety and resistance to stress in preoperative patients. Material and Methods. The study included 72 patients (58 girls and 14 boys) with scoliosis of different etiology who had similar psychological status at the stage of preoperative examination. The study group included 34 patients, the control one - 38. Psychological status was evaluated with a set of psychodiagnostic instruments. Patients from the study group underwent biofeedback computer game-based training. Condition of patients in the immediate postoperative period was analyzed by their subjective evaluation on a pain scale. They also completed the treatment satisfaction questionnaire before discharge from the hospital. Results. The severity of anxio-depressive experience was successfully reduced in patients from the study group (p = 0.01). The high correlation between the positive experience index and subjective comfort index (0.85) was observed. Inverse correlation existed between the pain score and the positive experience index (-0.69). Analysis of questionnaires showed significantly higher average satisfaction with all treatment parameters in the study group than in the control one (p = 0.00). Conclusions. The presented set of psychodiagnostic instruments in conjunction with the technology of biofeedback computer game-based training can be used for diagnosis and correction of emotional stress in patients preparing for surgery, and for prediction of their condition in the immediate postoperative period, with a view to timely psychoprophylaxis.
{"title":"ВЛИЯНИЕ СТРЕССОУСТОЙЧИВОСТИ НА ВЫЗДОРОВЛЕНИЕ ПАЦИЕНТОВ СПЕЦИАЛИЗИРОВАННОЙ КЛИНИКИ","authors":"Irina Kimetova, M. Mikhailovsky","doi":"10.14531/SS2014.4.36-40","DOIUrl":"https://doi.org/10.14531/SS2014.4.36-40","url":null,"abstract":"Objective. To analyze the course of anxiety and resistance to stress in preoperative patients. Material and Methods. The study included 72 patients (58 girls and 14 boys) with scoliosis of different etiology who had similar psychological status at the stage of preoperative examination. The study group included 34 patients, the control one - 38. Psychological status was evaluated with a set of psychodiagnostic instruments. Patients from the study group underwent biofeedback computer game-based training. Condition of patients in the immediate postoperative period was analyzed by their subjective evaluation on a pain scale. They also completed the treatment satisfaction questionnaire before discharge from the hospital. Results. The severity of anxio-depressive experience was successfully reduced in patients from the study group (p = 0.01). The high correlation between the positive experience index and subjective comfort index (0.85) was observed. Inverse correlation existed between the pain score and the positive experience index (-0.69). Analysis of questionnaires showed significantly higher average satisfaction with all treatment parameters in the study group than in the control one (p = 0.00). Conclusions. The presented set of psychodiagnostic instruments in conjunction with the technology of biofeedback computer game-based training can be used for diagnosis and correction of emotional stress in patients preparing for surgery, and for prediction of their condition in the immediate postoperative period, with a view to timely psychoprophylaxis.","PeriodicalId":37253,"journal":{"name":"Hirurgia Pozvonochnika","volume":"1 1","pages":"36-40"},"PeriodicalIF":0.0,"publicationDate":"2018-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66702801","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}
Pub Date : 2018-01-24DOI: 10.14531/ss2014.4.99-105
A. Mushkin, V. Evseev, D. G. Nikolaev, M. I. Komissarov
{"title":"A RARE VARIANT OF ANGIOGENIC VERTEBRAL BODY DESTRUCTION IN A CHILD: GORHAM’S DISEASE?","authors":"A. Mushkin, V. Evseev, D. G. Nikolaev, M. I. Komissarov","doi":"10.14531/ss2014.4.99-105","DOIUrl":"https://doi.org/10.14531/ss2014.4.99-105","url":null,"abstract":"","PeriodicalId":37253,"journal":{"name":"Hirurgia Pozvonochnika","volume":"1 1","pages":"99-105"},"PeriodicalIF":0.0,"publicationDate":"2018-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66703440","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}
{"title":"OSSEOINTEGRATION OF COMPOSITE BONE-CERAMIC IMPLANTS N EXPERIMENTAL STUDY","authors":"I. Kirilova, O. S. Taranov, V. T. Podorozhnaya","doi":"10.14531/ss2014.4.80-87","DOIUrl":"https://doi.org/10.14531/ss2014.4.80-87","url":null,"abstract":"","PeriodicalId":37253,"journal":{"name":"Hirurgia Pozvonochnika","volume":"1 1","pages":"80-87"},"PeriodicalIF":0.0,"publicationDate":"2018-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47148653","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}
Pub Date : 2018-01-24DOI: 10.14531/SS2014.4.146-150
Сергей Валентинович Виссарионов, Алексей Георгиевич Баиндурашвили, Дмитрий Николаевич Кокушин, Сергей Михайлович Белянчиков, Виктор Павлович Снищук, Кирилл Александрович Картавенко
The Centre for emergency assistance to children with injuries to the spine and spinal cord was established on the premises of the spine pathology and neurosurgery department of the Turner Research Institute for Children’s Orthopedics which provides specialized and high-tech care to children with disorders of the spinal column and cord. Organizational and methodological activity of the Centre, and the algorithm for providing advisory and surgical assistance by the Centre’s specialists in the city of St. Petersburg are presented. Hir. Pozvonoc. 2014; (3):146-150.
{"title":"ОРГАНИЗАЦИЯ ПОМОЩИ ДЕТЯМ С НЕСТАБИЛЬНЫМИ И ОСЛОЖНЕННЫМИ ПЕРЕЛОМАМИ ПОЗВОНОЧНИКА В САНКТ-ПЕТЕРБУРГЕ","authors":"Сергей Валентинович Виссарионов, Алексей Георгиевич Баиндурашвили, Дмитрий Николаевич Кокушин, Сергей Михайлович Белянчиков, Виктор Павлович Снищук, Кирилл Александрович Картавенко","doi":"10.14531/SS2014.4.146-150","DOIUrl":"https://doi.org/10.14531/SS2014.4.146-150","url":null,"abstract":"The Centre for emergency assistance to children with injuries to the spine and spinal cord was established on the premises of the spine pathology and neurosurgery department of the Turner Research Institute for Children’s Orthopedics which provides specialized and high-tech care to children with disorders of the spinal column and cord. Organizational and methodological activity of the Centre, and the algorithm for providing advisory and surgical assistance by the Centre’s specialists in the city of St. Petersburg are presented. Hir. Pozvonoc. 2014; (3):146-150.","PeriodicalId":37253,"journal":{"name":"Hirurgia Pozvonochnika","volume":"1 1","pages":"146-150"},"PeriodicalIF":0.0,"publicationDate":"2018-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49064894","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}
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