Syndrome Approach to the Treatmentof in Children with Cervical Spine Abnormalities

Губин, А.В.; Ulrikh, Eduard

doi:10.14531/ss2010.3.14-19

Cited by 8 publications

(5 citation statements)

References 14 publications

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“…Рентгенологически зубовидная кость может быть стабильной и нестабильной, однако, независимо от наличия рентгенологических признаков нестабильности, большинство авторов считают этот порок первично нестабильным аналогично перелому зубовидного отростка типа II [4,9,10].…”

Section: определение и эпидемиологияunclassified

Os odontoideum of C2 vertebra: Aspects of epidemiology, etiopathogenesis, clinical manifestations, and diagnosis. Literature review

Sharov

Kuleshov

Shkarubo

et al. 2023

N.N. Priorov Journal of Traumatology and Orthopedics

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We present a literature review devoted to the study of a craniovertebral malformation such as the os odontoideum of C2 vertebra. This is a rare anomaly that often results in atlantoaxial instability and, as a consequence, a wide range of clinical manifestations. The review is analytic and was conducted using medical literature databases and search resources, namely, PubMed (MEDLINE), Google Scholar, and eLibrary. The review focused on the definition of os odontoideum and its epidemiology, including the structure of craniovertebral junction pathologies. Features of the embryonic development of the craniovertebral junction, which are important in terms of the notion of the theories of the origin of os odontoideum, are described. The anatomical variants of the os odontoideum are presented, and a wide range of clinical manifestations of this pathological condition and approaches to its diagnosis are described.

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Section: определение и эпидемиологияunclassified

Os odontoideum of C2 vertebra: Aspects of epidemiology, etiopathogenesis, clinical manifestations, and diagnosis. Literature review

Sharov

Kuleshov

Shkarubo

et al. 2023

N.N. Priorov Journal of Traumatology and Orthopedics

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“…В то же время а.В. Губин с соавторами указывают, что случаи цервикального спондилолиза могут вызывать появление симптомов нестабильности шейных позвоночно-двигательных сегментов [43]. T.B.…”

Section: материал и методыunclassified

Isolated and Multilevel Spondylolysis (Literature Review)

Скрябин¹

2019

Traumatology and Orthopedics of Russia

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One of the main causes of lumbar spine pain is spondylolysis. The purpose of this review is to present the current state of the problem of diagnosis and treatment isolated and multilevel spondylolysis.Materials and Methods. The review includes 86 publications on the problem of spondylolysis for 2005–2019, obtained from electronic databases: PubMed, Cochrane Library, eLIBRARY, CYBERLENINKA.Results. There is still the only known classification of spondylolysis by P. Niggemann et al, which includes four severity of this pathology — from mild to very severe: A, BI, BII, BIII. The classification is based on the nature of changes in the area of bone defect of the vertebral arch when the patient performs functional tests. In some cases, the pathology can be regarded as a transition between different degrees of severity of type B. The treatment of spondylolysis can be both conservative and operational. The conservative therapy consists of physical activity restriction, physiotherapy, wearing a corset, massage, and pharmacotherapy. The purpose of surgical treatment is the removal of fibrous tissue from the zone of spondylolysis and the achievement in this area the bone fusion via a bone autoplasty and(or) osteosynthesis with different metal frameworks. Reasoned arguments about the need for a combination of conservative and surgical treatment of patients with spondylolysis are also reflected in the publications. Information on multilevel spondylolysis is represented by a small number of articles. only 15 authors described clinical cases of multilevel spondylolysis in a total of 21 patients. Spondylolysis is a high risk factor for the spondylolisthesis formation. Among the various categories of patients suffering from spondylolysis and lumbar spondylolysis spondylolisthesis, pregnant women are of particular interest. Hormonal restructuring and changes in the biomechanics of the spine in women during the gestational period often leads to the appearance or intensification pain syndrome in lumbar spine complicating the pregnancy, and hence a fetus development.Conclusion. Timely diagnosis of spondylolysis and the subsequent development of individual rehabilitation not only improves the quality of life of patients, but in some cases can prevent such a serious pathology as spondylolisthesis.

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“…Это состояние у детей может наступить после минимального воздействия на шею. Для пороков развития характерно внезапное выявление, связанное с развитием тяжелых осложнений, в том числе при непропорционально малом провоцирующем воздействии [4,5,18,21]. Большинство детей не имеют выраженной кривошеи или клиники, типичной для синдрома Клиппеля -Фейля.…”

Section: Emergency Vertebrology: Cervical Spine In Childrenunclassified

“…Илизарова, Курган 2 Санкт-Петербургский государственный педиатрический медицинский университет 3 Санкт-Петербургский НИИ фтизиопульмонологии 4 Областная детская клиническая больница им. Красного Креста, Курган 5 Тульская городская клиническая больница скорой медицинской помощи им. Д.Я.…”

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