Abstract
By the example of examination of 80 children aged from 4 to 18 with cervical syndrome it is indicated, that the diagnosed abnormalities of hemodynamics in vertebrobasilar basin in patients of all age groups are connected both with bone and vascular pathology of the cervical part of the spine. The pathology has functional or congenital character. Early detection of discicirculatory vascular injuries in the cervical part of the spine in children with cervical syndrome will allow to define the therapeutic management of patients and to prolong juvenile osteochondrosis clinical behaviour.
Highlights
 ïîñëåäíèå ãîäû âíèìàíèå îðòîïåäîâ ïðèâëåêàåò öåðâèêàëüíûé áîëåâîé ñèíäðîì ó äåòåé
Æàëîáû äåòåé íà ãîëîâíûå áîëè, ãîëîâîêðóæåíèå, áûñòðóþ óòîìëÿåìîñòü, äèñêîìôîðò â øåéíîì îòäåëå ïîçâîíî÷íèêà ÷àñòî ðàñöåíèâàþòñÿ íåâðîëîãàìè è ïåäèàòðàìè êàê ïðîÿâëåíèå âåãåòîñîñóäèñòîé äèñòîíèè [2, 8, 10]
Ïðè êëèíè÷åñêîì îñìîòðå ïàöèåíòîâ ïåðâîé ãðóïïû ïðèâû÷íûé íàêëîí ãîëîâû îïðåäåëÿëñÿ ó 4 (5%) áîëüíûõ, êîíòóðèðîâàíèå ãîëîâîê çàäíèõ øåéíûõ ìûøö ó 12 (15%), àñèììåòðèÿ íàäïëå÷èé è ãèïîòðîôèÿ ìûøö ïëå÷åâîãî ïîÿñà
Summary
 ïîñëåäíèå ãîäû âíèìàíèå îðòîïåäîâ ïðèâëåêàåò öåðâèêàëüíûé áîëåâîé ñèíäðîì ó äåòåé. Ýòî ñâÿçàíî ñ ðîñòîì ÷àñòîòû âñòðå÷àåìîñòè ýòîãî ñèíäðîìà ïðè îäíîâðåìåííîé ñëîæíîñòè èíòåðïðåòàöèè åãî êëèíè÷åñêèõ ïðîÿâëåíèé è ðåçóëüòàòîâ èíñòðóìåíòàëüíûõ èññëåäîâàíèé. Óêàçàííûå ñèìïòîìû ñî÷åòàëèñü ñ íàïðÿæåíèåì øåéíî-çàòûëî÷íûõ ìûøö, áîëåçíåííîñòüþ â îáëàñòè îñòèñòûõ îòðîñòêîâ øåéíûõ ïîçâîíêîâ, îãðàíè÷åíèåì äâèæåíèé â øåéíîì îòäåëå ïîçâîíî÷íèêà. Ïðè êëèíè÷åñêîì îñìîòðå ïàöèåíòîâ âòîðîé ãðóïïû ó 19 (23,7%) èç 30 îïðåäåëÿëîñü âûðàæåííîå íàïðÿæåíèå øåéíî-çàòûëî÷íûõ ìûøö, áîëåçíåííîñòü â îáëàñòè îñòèñòûõ îòðîñòêîâ ïîçâîíêîâ.
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