Scoliosis in children: new approaches to the solution of important medical and social problems

Куликов, А Г; Zaytseva, Tatiana N.; Pyzhevskaya, Olga P.; Иванова, Е Р

doi:10.18821/1560-9537-2016-19-4-178-181

Cited by 11 publications

(8 citation statements)

References 1 publication

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“…1. Оперативное лечение сколиотической деформации позвоночника позволяет снизить прогрессирование и не допустить в дальнейшем ухудшение функции дыхательной и сердечно-сосудистой систем, тем самым увеличить продолжительность жизни [3][4][5].…”

Section: Discussionunclassified

“…Для тяжелых кифосколиотических форм изменения позвоночника характерны выраженные нарушения в функции внешнего дыхания, снижение жизненной емкости легких, минутного объема дыхания [3]. Снижение легочной эластичности, анатомическое смещение сердца, перегиб крупных сосудов с дислокацией трахеи и бронхов могут стать причиной повышения давления в системе малого круга кровообращения, что, в свою очередь, приводит к развитию правожелудочковой недостаточности [4,5]. Нарушение сократительной способности сердечной мышцы, а также в проводящей системе могут приводить к опасным сбоям ритма сердца и прогрессированию тотальной сердечной недостаточности [3].…”

Section: Introductionunclassified

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Anesthesia for surgery in a patient with Knist's dysplasia for severe scoliotic deformity

Smirnov

Валерьевич²,

Rojtberg

et al. 2020

Russian Journal of Pediatric Surgery, Anesthesia and Intensive

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Kniest dysplasia is a disease that is inherited in an autosomal dominant manner. It manifests itself as dwarfism, scoliotic deformity of the spine, impaired joint mobility, muscle weakness, visual impairment, and sensorineural deafness. As a result of disproportionate trunk shortening, lumbar hyperlordosis and kyphoscoliosis develop, leading to internal organs (respiratory, cardiovascular system) disorders, disability, and reduced life expectancy. A case of surgical treatment of a patient with Kniest dysplasia for severe kyphoscoliotic spinal deformity is described. Posterior corrective cross-rod transpediculocorporal screw spondylodesis T3-L5 with bone autoplasty was performed. While planning anesthesia, difficult tracheal intubation was evaluated on the LEMON scale of 7 points high-risk. While performing tracheal intubation, endoscopic techniques were used: videolaryngoscope, intubation bronchoscope, enabling success. Management of intraoperative blood loss was conducted by a complex of measures: laying the patient in the prone position with the release of the abdominal cavity, normothermia, intraoperative hemodilution of azlactone-balanced polyionic solutions to achieve the target hematocrit in the range of 24%26%, and controlled hypotension with blood pressure decreased by 30% from the original hardware blood reinfusion during surgery. Also, on the first postoperative day, fusing tranexamic acid, correcting anemia and deficiency of blood coagulation factors donor components contributed to the success. Discussion. When planning surgery and anesthesia, it is necessary to consider the risk of developing malignant hyperthermia, predicting difficult intubation, and complying with the algorithm to ensure airway patency and prevent massive intraoperative blood loss. With a comprehensive approach to patient management, it is possible to achieve rapid rehabilitation and discharge for outpatient treatment. Surgical treatment for rapidly progressing severe kyphoscoliathical spinal deformity can change the quality and duration of life in patients with Kniest syndrome.

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Section: Discussionunclassified

Section: Introductionunclassified

Anesthesia for surgery in a patient with Knist's dysplasia for severe scoliotic deformity

Smirnov

Валерьевич²,

Rojtberg

et al. 2020

Russian Journal of Pediatric Surgery, Anesthesia and Intensive

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“…2. В то же время стресс может вызывать снижение активности или экспрессии противовоспалительных цитокинов, что усугубляет дисбаланс в иммунной системе [9].…”

Section: реакция на стресс в педиатрииunclassified

Stress in childhood: clinical implications and therapeutic strategies

Shreiner,

Balakireva,

Bystrova

et al. 2024

APPS

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Stress is a universal evolutionarily determined physiological mechanism that allows to mobilize of organism reserves in life-threatening situations. However, like any mobilisation process, it is possible only for a short period of time. Then, the reserves are depleted and, according to Hans Sellier’s theory, distress occurs. In the context of the human organism, in our case, the child’s organism, stress-induced pathology debuts, which often has a systemic character, affecting many organs and systems. In addition, stress, acting as an epigenetic factor, can provoke the debut of diseases to which a particular individual has a predisposition. The literature review presents the modern concept of stress, its influence on the growing organism of a child and describes a number of stress-associated pathological conditions.

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“…Therefore, physical activities of most school children who participated in the research didn't conform to standards fixed by the World Health Organization that recommends children older than 5 to spend not less than 60 minutes on sport every day and to do power exercises not less than 3 times a week 7 .…”

Section: T a B L E 1 Average Chemical Concentrations Inside Classroomsmentioning

confidence: 99%

“…tize the existing theories of etiopathogenesis regarding this nosologic category and ranked metabolic disorders in a body among leading causes for the pathology development together with genetic predisposition [7].…”

mentioning

confidence: 99%

Regularities in Diseases of the Musculoskeletal System Developing in Schoolchildren Under Complex Exposure to Environmental Factors and Factors Related to Lifestyle

Valina¹,

Shtina²,

Маклакова³

et al. 2021

Health Risk Analysis

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The present research is vital due to diseases of the musculoskeletal system being widely spread and having great social significance as well as a variety of etiological factors that cause this pathology among schoolchildren. Overall, 339 school- children were examined; they attended secondary schools located on territories with different sanitary-hygienic conditions regarding ambient air. Hygienic, clinical-laboratory and instrumental procedures as well as mathematical data processing were applied to fulfill the research tasks. Average daily consumption of food products was estimated as per “Dairies of a weekly schoolchildren’s ration”; specific factors related to lifestyle were estimated via questioning performed with a specifi- cally designed authors’ questionnaire. Children who attended a secondary school in a city where metallic construction mate- rials were manufactured had manganese concentrations in their blood that were by 8–9 % higher than among their counter- parts from the reference group; lead concentrations in their blood were by 1.9–2.2 times higher than in the reference group and by up to 1.7 times higher than background levels. Priority factors that produce such negative effects on health as dis- eases of the musculoskeletal system include the following: school subjects with the same complexity do not interchange with simpler ones in schedules; breaks between classes do not conform to hygienic regulations; food rations are imbalanced as per milk products and eggs; physical training and doing sports are irregular; homework takes longer period of times than before. Average ionized calcium contents in blood of children from the test group were by 9.0–14.0 % lower and hydrocorti- sone contents were by 1.3–1.5 times higher than in the reference group (р=0.0001–0.01). Lower mineral density of bone tissues was by 1.6 times more frequent among children from the test group (р=0.04). Diseases of the musculoskeletal system were 4.6–15 times more probable and scoliosis was 8–11 times more probable due to persistent exposure to manganese and lead, violated hygienic principles of education process organization and food rations, and low physical activity of school- children. Changes in bone metabolism, activation of a stress-releasing system, and a decrease in bone mass are basic etiopa- thogenetic regularities in developing chronic pathology of the musculoskeletal system among schoolchildren associated with exposure to specific environmental factors and factors related to lifestyle.

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Scoliosis in children: new approaches to the solution of important medical and social problems

Cited by 11 publications

References 1 publication

Anesthesia for surgery in a patient with Knist's dysplasia for severe scoliotic deformity

Anesthesia for surgery in a patient with Knist's dysplasia for severe scoliotic deformity

Stress in childhood: clinical implications and therapeutic strategies

Regularities in Diseases of the Musculoskeletal System Developing in Schoolchildren Under Complex Exposure to Environmental Factors and Factors Related to Lifestyle

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