Role of radiologic imaging in selection of sanatorium rehabilitation regimen in patients with degenerative spine disease
S. V. Shershnev , V. V. Ipatov , I. S. Zheleznyak , V. S. Babirin , I. N. Zakolodnev , I. V. Boykov , T. E. Rameshvili
Bulletin of the Russian Military Medical Academy ›› 2017, Vol. 19 ›› Issue (4) : 72 -81.
Role of radiologic imaging in selection of sanatorium rehabilitation regimen in patients with degenerative spine disease
Sanatorium rehabilitation has its own special place in patients with degenerative spine disease. Sanatorium treatment modalities can be aimed at pain syndrome and structural alteration decreasing as soon as functional state improvement. Currently patients with this pathology can be sent for such a treatment having contradictions for certain types of sanatorium treatment or climate state. Selection ofindividual treatment course depends of vertebral structure state but this is not always reflected in sanatorium case history. Radiologic imaging methods are the part of a complex examination of thesepatients. They can determine morphological and functional spine condition and help to schedule correct sanatorium rehabilitation programs. 952 patients with degenerative spine disease were examined using radiography, radiologic osteodensitometry, computed and magnetic resonance tomography. Three main groups of patients were selected and depending on severity of spine changes the range of sanatorium treatment modalities were divided. Radiologic computed tomography is recommended as the main method of radiation examination for patients with degenerative-dystrophic lesions of the spine.
degenerative spine disease / vertebral disk / sanatorium treatment / rehabilitation / radiological imaging / computed tomography / osteodensitometry / magnetic resonance imaging / osteoporosis / traction / individual treatment program
| [1] |
Захматова, Т.В. Клинико-лучевые сопоставления при дегенеративных заболеваниях и повреждениях шейного отдела позвоночника и их значение в оптимизации тактики лечения: дисс. ... д-ра мед. наук / Т. В. Захматова. - СПб, 2017. - 422 с. |
| [2] |
Крепко, Ю. Заболевания межпозвонковых дисков; пер. с англ. под общ. ред. В.А. Широкова. - М.: Медпресс-инфо, 2015. - 471 с. |
| [3] |
Пономаренко, Г.Н. Физическая и реабилитационная медицина/ ГН. Пономаренко. - М.: ГЭОТАР-Медиа, 2016. - 688 с. |
| [4] |
Рентгеновская компьютерная томография: руководство для врачей / под ред. ГЕ. Труфанова, С.Д. Рудя. - СПб.: Фолиант, 2008. - 1200 с. |
| [5] |
Ульрих, Э.В. Вертебрология в терминах, цифрах, рисунках /Э.В. Ульрих, А.Ю. Мушкин. - СПб.: ЭЛБИ-СПб, 2005. - 186 с. |
| [6] |
Boos, N. Spinal Disorders: Fundamentals of Diagnosis and Treatment / N. Boos, M. Aebi. - Berlin; Heidelberg: SpringerVerlag, 2008. - 1199 p. |
| [7] |
Kapural, L. Diagnosis, Management, and Treatment of Discogenic Pain / L. Kapural, P Kim, T. Deer. - New York; Philadelphia: Elsevier Science, 2011. - 176 p. |
| [8] |
Pathria, M. Imaging of spine instability / M. Pathria // Semin. Musculoskelet. Radiol. - 2005. - Vol. 9, № 1. - P 88-99. |
| [9] |
Parizel, P.M. The degenerative spine: pattern recognition and guidelines to image interpretation / PM. Parizel [et al.]. - Handb Clin Neurol. - 2016. - Vol. 136. - P 787-808. |
| [10] |
Weishaupt, D. Degenerative diseases of the spine / D. Weishaupt, I. McCall // In: von Schulthess G.K., Zollikofer Ch.L. (eds): Musculosceletal diseases: diagnostic imaging and interventional techniques. - Sptinger-Verldg Italy, 2005. - P. 132-137. |
/
| 〈 |
|
〉 |
PDF
