Vertebral Pain Syndrome Research Articles

Vertebral pain syndrome in fencers: causes and possibilities of rehabilitation

Based on the analysis of scientific literature, modern views on the causes and mechanisms of vertebrogenic pain syndrome development during practicing sport are presented. The information about the possibility of using the means and methods of physical rehabilitation to recover athletic performance of fencers are presented.

P01. Gender features of vertebral pain syndrome depending on bone mineral density

P01. Gender features of vertebral pain syndrome depending on bone mineral density

VERTEBRAL PAIN SYNDROMES IN CHILDREN: ALGORITHMS OF THERAPY DEPENDING ON AGE

Актуальность. Публикации по проблеме дорсалгий у детей немногочисленны. Неадекватная коррекция болей в спине у детей и подростков способствует прогрессированию заболевания, внося свой вклад в высокую распространенность этого синдрома среди взрослого населения.

P-152: Gender features of vertebral pain syndrome depending on bone mineral density

P-152: Gender features of vertebral pain syndrome depending on bone mineral density

Gender features of vertebral pain syndrome depending on bone mineral density

Gender features of vertebral pain syndrome depending on bone mineral density

Роль дефіциту та надмірної маси тіла у розвитку вертебрального больового синдрому при системному остеопорозі

Відомим фактором ризику остеопорозу та переломів є маса тіла, тому її похідне — індекс маси тіла (ІМТ) — внесено до моделі FRAX. Численними дослідженнями доведено зв’язок між індексом маси тіла та ризиком переломів. Проте не вивчено зв’язок та особливості перебігу вертебрального больового синдрому в жінок старших вікових груп із системним остеопорозом, що й стало метою даної роботи.Об’єкт дослідження: 1028 жінок у постменопаузальному періоді старше від 50 років, розподілених на групи залежно від мінеральної щільності кісткової тканини (МЩКТ) та індексу маси тіла. Методи дослідження. Наявність та інтенсивність больового синдрому оцінювали у грудному та поперековому відділах хребта за допомогою візуально-аналогової шкали. ІМТ вираховували за стандартною формулою на основі вимірювань маси тіла та росту. МЩКТ на рівні поперекового відділу хребта визначалася з використанням двохенергетичного рентгенівського денситометра Prodigy (GE Medicalsystems, Lunar, model 8743, 2005). Статистичний аналіз проводили з використанням параметричних і непараметричних методів. Критичним рівнем значущості при перевірці статистичних гіпотез вважали р < 0,05.Результати дослідження. Рівень болю у грудному відділі в пацієнтів із системним остеопорозом та остеопенією на тлі дефіциту маси тіла був вірогідно вищим порівняно з відповідним показником у жінок із нормою за МЩКТ. У жінок із системним остеопорозом ІМТ вірогідно негативно корелює з рівнем болю у грудному відділі та збільшує вдвічі ризик болю у цьому відділі порівняно з пацієнтами з нормою за МЩКТ (ВР = 2,00; 95% ДІ 1,23–3,27; р = 0,005). Наявність ожиріння на тлі системного остеопорозу не змінює ризик болю у грудному відділі (ВР = 0,95; 95% ДІ 0,67–1,32; р = 0,75). У жінок з остеопорозом встановлено вірогідно вищий рівень болю у поперековому відділі у групі з ожирінням порівняно з групою з нормальною масою тіла. Пацієнтки з остеопорозом і передожирінням мали вірогідно вищий рівень болю у поперековому відділі порівняно з відповідною за ІМТ групою жінок із нормою за МЩКТ. ІМТ у жінок із системним остеопорозом не корелює з інтенсивністю болю у поперековому відділі та не змінює ризик його розвитку (ВР = 1,03; 95% ДІ 0,96–1,12; р = 0,39).Висновок. Дефіцит маси тіла у жінок старших вікових груп із системним остеопорозом пов’язаний зі збільшенням ризику та вираженості больового синдрому у грудному відділі. Надмірна маса тіла сприяє розвитку болю у попереку, проте не впливає на перебіг больового синдрому у даному відділі хребта при системному остеопорозі.

AB1045 Effect of strontium ranelate on vertebral pain syndrome and functional abilities in women with glucocorticoid induced osteoporosis

AimTo evaluate the effect of strontium ranelate in treatment of women with glucocorticoidinduced osteoporosis.MethodsThere were examined 241 women with glucocorticoidinduced osteoporosis (average age 59,6±11,1 years, average height 161,3±6,4 cm, average...

Effect of strontium ranelate on vertebral pain syndrome and functional abilities in postmenopausal women with systemic osteoporosis

Effect of strontium ranelate on vertebral pain syndrome and functional abilities in postmenopausal women with systemic osteoporosis

Multichannel neuromuscular electrical stimulation after intervertebral disc replacement with nonfunctional implant

Objectives. To analyze results of multichannel neuromuscular electrical stimulation after total lumbar disc replacement with titanium nonfunctional implants in the early postoperative period. Material and Methods. The study included 70 patients with degenerative disease of the lumbar spine which underwent surgical replacement of intervertebral disc by titanium nonfunctional implant. Thirty five patients (Study Group) received multichannel neuromuscular electrical stimulation since the 10th postoperative day. Another 35 patients (Control Group) did not have electrical stimulation. Both groups were identical in age (mean age of 43.6 years), gender, time of disease onset, hernia localization, and severity of neurological and orthopedic disorders. The comparative evaluation of treatment outcomes was carried out on the basis of clinical, X-ray, and EMG examination in patients of both groups in 3, 6, and 12 months after surgery. Results. The residual vertebral pain syndrome was revealed in 5 patients of Study Group and in 26 control patients in 6 months after application of neuromuscular electrical stimulation. The moderate radicular pain with radiation to dermatome area was noted in 6 patients of Study Group in 3 months, and in 2 patients in 6 months after surgery. In Control Group these parameters were 18 and 9, respectively. Conclusion. The use of multichannel neuromuscular electrical stimulation after total intervertebral disc replacement by titanium nonfunctional implants allows early elimination of residual vertebral and radicular pain syndromes, and 3–5 months shortening of rehabilitation period.

Hypertension m workers ot locomotion and cervical mvofascial syndrome

The study addresses cervical vertebral condition and myofascial pain syndrome as a contributor to arterial hypertension. 400 subjects working in a railways (locomotion brigades) of the Kuvbishev railway were examined. The effective system of prevention and combination therapy of hypertension with myofascial pain syndrome in introduced.

Nebenwirkungen und Komplikationen der Injektionsbehandlung bei degenerativen Erkrankungen der Wirbelsäule

The type and frequency of side effects due to treatment of vertebral pain syndromes with local injections were examined. Risks and complications were evaluated and precautions are presented in order to avoid these problems. The medical records of 453 patients who had undergone injection therapy in hospital for spinal pain syndromes were investigated retrospectively. Paravertebral injections with cervical and lumbar spinal nerve analgesia, facet joint injections, lumbar epidural-perineural injections, epidural-dorsal and epidural-sacral injections, and injections next to the ileosacral joint were administered, amounting to a total of 7 963 injections. In 25 cases (0.3 %) unfavourable side effects were observed. Epidural-perineural injections led to headache in 10 cases and paravertebral lumbar nerve analgesia in 3 cases. Five times after epidural-perineural injections circulatory dysregulation with vertigo, nausea and decreased blood pressure was observed. One patient fell after an epidural-perineural injection, and one patient developed a sensory block up to the thoracic segment 6. Five patients showed local allergic reactions at the injection site after Mepivacain. All complications could be treated with simple symptomatic measures and had no severe effects. Compared to other studies, only few side effects were observed. The injections described above may thus be regarded as low-risk therapy.

Complications of Non-endoscopic Percutaneous Laser Disc Decompression and Nucleotomy with the Neodymium: YAG Laser 1064 nm

In this review, we discuss how nonendoscopic percutaneous laser disc decompression (PLDD) and nucleotomy, using the YAG laser 1064, now has reinforced itself as a minimally invasive procedure in discogenic, vertebral pain syndromes, created by bulging, protrusions, and contained and uncontained extrusions in all areas of the spine. The rate of complication is an important criterion of the application of this new method. 3377 patients were treated with this method in the period of November 11, 1989 to April 30, 2002. While 356 patients' cervical spine was operated on, a further 38 patients had their thoracic spine operated on. Six weeks later, a prospective, consecutive control followed with an uninterrupted recording. Subsequently, all complications that occurred in this time frame were recorded. A comparison was carried out between the complication rate as covered by the literature of other intradiscal percutaneous methods and open disc surgery. Using the Nd-YAG laser 1064 nm, PLDD is generally evaluated with a complication rate of 0.5%. In the cervical spine area, the complication rate was 1.0%. No significant complications followed the thoracic intervention. In comparison to figures suggested by the relevant literature regarding possible complications with other procedures, this particular procedure is relative risk-free. In conjunction with the satisfying results regarding pain and paralysis removal, the extraordinarily low complication density of Nd-YAG PLDD culminates in the recommendation that the procedure should be applied to patients who are between unsuccessful conservative therapy and other operative methods.

Breakthrough pain characteristics and syndromes in patients with cancer pain. An international survey.

Breakthrough pain (BKP) is a transitory flare of pain that occurs on a background of relatively well controlled baseline pain. Previous surveys have found that BKP is highly prevalent among patients with cancer pain and predicts more severe pain, pain-related distress and functional impairment, and relatively poor quality of life. An international group of investigators assembled by a task force of the International Association for the Study of Pain (IASP) evaluated the prevalence and characteristics of BKP as part of a prospective, cross-sectional survey of cancer pain. Fifty-eight clinicians in 24 countries evaluated a total of 1095 patients with cancer pain using patient-rated items from the Brief Pain Inventory (BPI) and observer-rated measures. The observer-rated information included demographic and tumor-related data, the occurrence of BKP, and responses on checklists of pain syndromes and pathophysiologies. The clinicians reported BKP in 64.8% of patients. Physicians from English-speaking countries were significantly more likely to report BKP than other physicians. BKP was associated with higher pain scores and functional interference on the BPI. Multivariate analysis showed an independent association of BKP with the presence of more than one pain, a vertebral pain syndrome, pain due to plexopathy, and English-speaking country. These data confirm the high prevalence of BKP, its association with more severe pain and functional impairment, and its relationship to specific cancer pain syndromes. Further studies are needed to characterize subtypes of BKP. The uneven distribution of BKP reporting across pain specialists from different countries suggests that more standardized methods for diagnosing BKP are needed.