Differential Surgical Treatment of Cervical Spine Stenosis

Гуща, А. О.; Shevelev, I. N.; Shakhnovich, A. R.; Safronov, V. A.; Arestov, S. O.

doi:10.14531/ss2006.4.47-54

Cited by 3 publications

(1 citation statement)

References 5 publications

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“…ЭНМГ-контроль эффективности лечения В отечественной и зарубежной литературе встречается достаточно много публикаций, посвящённых хирургическому лечению дискогенных компрессионных радикулопатий [8,26,29,42,46,49]. В работах ряда авторов [26,46,49] отмечено, что оперативное лечение неврологических расстройств при остеохондрозе шейного отдела позвоночника не всегда позволяет достичь желаемого результата, поскольку невозможно учесть все факторы, определяющие патогенез их развития.…”

Section: Introductionunclassified

Significance of EMG and ENMG in the Diagnosis and Treatment of Degenerative-Dystrophic Diseases of the Spine (Literature Review)

Ипполитова

Верхозина

Кошкарева

2019

Acta biomedica scientifica

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The article presents the review of domestic and foreign literature on the use of neurophysiological diagnostic methods – electroneuromyography (ENMG) and electromyography (EMG) in degenerative-dystrophic diseases of the spine. The ENMG method is of great importance for theoretical neurology, obtaining new data on the structural and functional organization of the central and peripheral nervous system in the process of individual development. Electromyography as a diagnostic method studies the electrical activity of the peripheral apparatus of the nervous system. With these methods we directly evaluate both voluntary bioelectric activity of muscles at rest and during their activation (EMG), and caused by stimulation (ENMG). Most authors believe that modifications of stimulation electromyography are objective diagnostic methods that allow to assess the functional state of the peripheral nervous system. Interesting is the fact that changes in EMG and ENMG parameters for osteochondrosis of the spine are recorded even in the absence of external manifestations of the disease. At the same time, for patients with myofascial syndrome in lumbar osteochondrosis, a bilateral decrease in the direct and reflex excitability of motoneurons is characteristic, a slowing down of the pulse along the arc of the H-reflex on the side of the pain and a two-sided local acceleration of the pulse on the distal part of the efferent part of the H-reflex arc from the popliteal pits to soleus muscle. Noteworthy is the fact that the pathological process in the nervous tissue according to ENMG in patients with osteochondrosis of the spine with unilateral radicular syndromes is bilateral. The work of our clinic has shown that diagnostic electroneuromyography can be considered as a medical procedure – electropuncture, according to its results, tactics of both surgical and conservative treatment can be determined. Data of EMG and EMG, carried out after the end of any of the listed types of treatment, serve as an objective control of their effectiveness.

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Section: Introductionunclassified

Significance of EMG and ENMG in the Diagnosis and Treatment of Degenerative-Dystrophic Diseases of the Spine (Literature Review)

Ипполитова

Верхозина

Кошкарева

2019

Acta biomedica scientifica

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Spinal stenosis at the cervical level: clinic, diagnosis and treatment

Yarikov,

Pavlinov,

Garipov

et al. 2024

Vrach

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The article analyzes in detail the modern data on spinal canal stenosis in the cervical spine. The cause of its development may be various degenerative changes in the cervical spine that affect one or more anatomical structures, including vertebrae, intervertebral discs, joints and ligaments of the spine. The clinical forms are considered and the available data on the pathogenesis, diagnosis and treatment of cervical spinal stenosis are analyzed. The differential diagnosis of cervical myelopathy is complex, but a detailed clinical analysis, the use of modern neuroimaging methods make it possible to make a nosological diagnosis, assess the severity of the lesion, choose the appropriate therapy, the scope of surgical treatment and determine the prognosis of the disease. The differentiated nature of surgical decompression operations makes it possible to achieve the best results of neurological recovery of patients and compliance with the principles of minimal invasiveness.

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Possibilies of multiple cervical fusion in degenerative pathology

Sattarov¹,

Shodmonov²,

Saidov³

et al. 2022

Chief Medical Officer

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The aim of this study was to analyze treatment results of patients who underwent cervical fusion using cylindrical cage. 16 titanium cages were implanted to 12 patients with degenerative disease of cervical spine. Assessment of results was performed by neurologic examination, neurovisualization data, visual analogue pain scale. Mean duration of surgery was 45–90 min, blood loss — 30–60 ml, length of hospital stay — 4–6 days. Substantial decrease of frequency and intensity of neck and arm pain was observed after surgery in 89 % of patients. When properly performed, anterior cervical interbody fusion applying cylindrical cage is a simple and effective method.

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Differential Surgical Treatment of Cervical Spine Stenosis

Cited by 3 publications

References 5 publications

Significance of EMG and ENMG in the Diagnosis and Treatment of Degenerative-Dystrophic Diseases of the Spine (Literature Review)

Significance of EMG and ENMG in the Diagnosis and Treatment of Degenerative-Dystrophic Diseases of the Spine (Literature Review)

Spinal stenosis at the cervical level: clinic, diagnosis and treatment

Possibilies of multiple cervical fusion in degenerative pathology

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