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Volume 13
Issue 4
Online publication date 2012-12-15
Title Orthopedic aspects of surgical treatment of the patients with lumbar osteochondrosis
Author Khusniddin Nuraliev
Based on the analysis of clinical, anatomical and functional results of operative treatment of osteochondrosis of the lumbosacral spine to develop optimal, pathogenic, orthopedic surgical treatment of these category patients. The study included 272 patients undergoing surgery for poor primary interventions 78 (28.6 %) (group A) and 194 (71.3 %) patients initially applied for surgical treatment in view of orthopedic factors (group B). 
The results of treatment were studied during period from 3 to 24 months. The dynamics of neurological status, pain intensity on visual analog scale and Oswestry index was studied. The most influence on the outcome of treatment had the following factors: the instability of the segment, spinal stenosis and a damage of the form of the lumbosacral spine. There were proved the advantages of the current methods of surgical correction taking into account the orthopedic factors compared to traditional methods of treatment. There was obtained 97.4 % of good and satisfactory results during the two-year follow-up. 
Leading pathomorphological changes in lumbar osteochondrosis is spinal canal stenosis and segmental instability. Therefore, the optimal methods of surgical treatment of osteochondrosis should be recognized those which provide simultaneous resolving of the dual task - to carry out the decompression of neurovascular formations of the spinal canal and to stabilize the affected vertebral segment. 

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Keywords Cytokine, interleukin, hypoxic-ischemic CNS pathology
Pages 116-127
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