Surgical Treatment of Patientswith Cervical Spine Osteochondrosis

Objective. To analyze the effect of denervation of intervertebral discs in the cervical spine on the results of surgical treatment of patients with injuries to rotator cuff tendons of the shoulder joint.Material and Methods. Study design: descriptive hypothesis-generating study. The study included patients requiring surgical treatment of rotator cuff tear. Two groups were identified: Group A included 28 patients who underwent plastic repair of rotator cuff tear with additional denervation of intervertebral discs, and Group B – 30 patients who underwent only plastic surgery for rotator cuff tear. The intensity of pain according to the VAS, functional activity due to neck pain (NDI), functionality of the shoulder joint (UCLA), and the degree of intervertebral disc degeneration according to MRI were assessed, and the effectiveness of treatment was determined. Statistical calculations were performed using the RStudio program.Results. In the group of patients with denervation of intervertebral discs, a more pronounced decrease in the intensity of pain syndrome at 3, 6, and 12 months (p < 0.001; p < 0.001; and p = 0.002), a more proportion of effectively treated patients at 3 months (p = 0.003), and significant increase in functional activity according to NDI at 3, 6 and 12 months of follow-up period (p < 0.001; p = 0.010; and p = 0.045) were observed.Conclusions. There is an underestimation of the role of degenerative cervical spine pathology in the occurrence of shoulder joint pain. In the case of rotation cuff plasty the additional denervation reduces the intensity of pain syndrome in the shoulder joint in the postoperative period.

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Cervical intervertebral disc denervation during rotator cuff tendon plasty

Peleganchuk

Leonova

Alekperov

2021

Hir. pozvonoč.

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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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Lumbar facet syndrome

Yarikov¹,

Шпагин²,

Pavlinov³

et al. 2022

Bulletin of Neurology, Psychiatry and Neurosurgery

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The article is devoted to modern methods of diagnosis and treatment of pain syndromes caused by the development of degenerative destructive changes in the intervertebral joints (facet syndrome). The modern therapeutic tactics of the disease are described; indications for the surgical treatment of the disease are presented. Modern methods of surgical treatment of facet syndrome are briefly and schematically described. The data of the immediate and long-term results of surgical methods of treatment of facet syndrome are presented. English version of the article is available at URL: https://panor.ru/articles/faceted-lumbar-spine-syndrome/78489.html

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Surgical Treatment of Patientswith Cervical Spine Osteochondrosis

Cited by 3 publications

References 2 publications

Cervical intervertebral disc denervation during rotator cuff tendon plasty

Cervical intervertebral disc denervation during rotator cuff tendon plasty

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

Lumbar facet syndrome

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