Role of radiologic imaging results in sanatorium documentation preparation on the pre-sanatorium stage in patients with degenerative spine disease during referral for sanatorium treatment
S. V. Shershnev , V. V. Ipatov , T. E. Rameshvili , S. G. Zheleznyak , I. I. Khalipova , D. O. Kurtaev , G. G. Romanov , V. N. Malakhovskiy , V. S. Babirin , I. S. Zheleznyak
Bulletin of the Russian Military Medical Academy ›› 2019, Vol. 21 ›› Issue (1) : 42 -52.
Role of radiologic imaging results in sanatorium documentation preparation on the pre-sanatorium stage in patients with degenerative spine disease during referral for sanatorium treatment
Sanatorium rehabilitation has its own special place in patients with degenerative spine disease. Methods and modalities of sanatorium treatment are aimed at pain syndrome relief, functional state improvement and structural changes decreasing. Insufficient physicians knowledge of sanatorium-resort selection principles and rules, curative factor mechanisms, indications and contraindications to forwarding patients for sanatorium treatment often provides not to improve but to worsening of the patient’s condition or to iatrogenic complications. In sanatorium outpatient records, which is registered on the outpatient stage, as a rule, of all radiological imaging modalities, there are only conventional radiographic data concerned. This modality doesn’t allow full representation of all bone structure disorders, and intervertebral disc condition assessment is impossible at all. Spine radiologic examination is a part of a complex examination of patients with degenerative spine disease. Comparison of the data of complex examination of the patients, treated in a sanatorium, with indications and contraindications for the sanatorium treatment is one of the most important factors of the functional load regimen selection and individual patient rehabilitation program composition in degenerative spine disease. The data analysis of sanatorium outpatient records and radiologic examination of 958 patients with degenerative spine disease treated in United Sanatorium «Sochi» controversies in the degree of manifestations and changes and concomitant pathologies detection, which influenced to the planned treatment programs, were determined. it was shown that computed tomography is the most feasible radiological imaging modality in sanatorium treatment program composition, so there is the necessity to use it on the pre-sanatorium outpatient stage, and its data must be entered to sanatorium outpatient records.
sanatorium-resort treatment / degenerative spine disease / medical documentation / sanatorium outpatient records / conventional radiography / computed tomography / osteodensitometry / magnetic resonance imaging
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Shershnev S.V., Ipatov V.V., Rameshvili T.E., Zheleznyak S.G., Khalipova I.I., Kurtaev D.O., Romanov G.G., Malakhovskiy V.N., Babirin V.S., Zheleznyak I.S.
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