Vertebrogenic back pain syndrome in children 9–17 years with spinal deformities

Vetrile, M. S; Kuleshov, A. A.; Еськин, Н А; Цыкунов, М. Б.; Kokorev, Alexey I.; Pyzhevskaya, Olga P.

doi:10.17816/ptors715-14

Cited by 6 publications

(2 citation statements)

References 37 publications

(32 reference statements)

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“…Причины появления боли в спине различны: остеохондроз, спондилолистез, аномалии развития пояснично-крестцового перехода, деформа-ции позвоночника, опухоли, травмы, системные заболевания скелета и др. По нашим данным, 80,9 % школьников с деформациями позвоночника испытывают боли в спине различной интенсивности и с разной периодичностью [5]. Распространенность болей в спине увеличивается с возрастом, что связано с интенсивными физическими нагрузками, ношением тяжелых рюкзаков, длительным вынужденным сидячим положением и, соответственно, малоподвиж- По данным большинства авторов, оперативное лечение остеохондроза позвоночника у подростков является высокоэффективным и приводит к купированию клинической симптоматики в 83-100 % случаев.…”

Section: Discussionunclassified

“…Распространенность заболеваний позвоночника, осложненных болевым синдромом в спине, по данным экспертов ВОЗ, достигает размеров эпидемии. Эпидемиологические данные свидетельствуют о том, что боль в пояснице является нередкой, как у взрослых, так и у детей и подростков [1][2][3][4][5][6]. Консервативное лечение грыж межпозвонкового диска у подростков в 14,4 % случаев оказывается недейственным методом [2].…”

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The experience of surgical treatment of lumbar disc herniation in adolescents using annuloplasty: analysis of a small clinical series

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The experience of surgical treatment of lumbar disc herniation in adolescents using annuloplasty: analysis of a small clinical series

et al. 2020

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Preoperative state of autonomic regulation in patients with adolescent idiopathic scoliosis

2022

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Objective. To analyze the state of autonomic regulation of the heart rate in patients with adolescent idiopathic scoliosis before the upcoming surgical treatment of spinal deformity.Material and Methods. The study included 30 patients with adolescent idiopathic scoliosis who were admitted for surgical treatment from January to April 2021. There were 28 female and 2 male patients. The heart rate variability (HRV) registration was carried out on the VNS-micro vegetotester, with Poly-Spectrum.NET software, Neurosoft (Russia). The study was conducted for 5 minutes in the supine position and for 5 minutes after the active orthostatic test. Temporal and spectral indicators of heart rate were analyzed.Results. When analyzing HRV at rest, an increase in the temporal indicators of the heart rate and the power of high-frequency wave oscillations was recorded, which indicates both an increased activity of autonomic regulation in general and the predominance of the regulatory influence o of the parasympathetic division of the autonomic nervous system. A decrease in all spectral components during an active orthostatic test and an increase in stress index values by 3.5 times indicate a significant stress of regulatory systems.Conclusion. Analysis of HRV in patients with adolescent idiopathic scoliosis at rest revealed increased autonomic activity with a predominant effect of the parasympathetic division of the autonomic nervous system. The state of exercise-induced energy deficit, registered after an active orthostatic test, indicates a significant preoperative stress of the regulatory systems and refers this category of patients to a group of increased risk of complications associated with hemodynamic instability.

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The structure of lesions of the musculoskeletal system in adolescent children, considering the somatic pathology and living environment

Bogormistrova

Svoboda

Shestakova

et al. 2022

Pediatr Traum Orthop Reconstr Surg

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BACKGROUND: Pathology of the musculoskeletal system ranks first among health disorders of the younger generation. The frequency of posture disorders, scoliosis, and flat feet increases as the child grows older and requires careful monitoring, preventive measures, and long-term rehabilitation measures. AIM: This investigation studies the formation frequency of lesions of the musculoskeletal system lesions, considering the somatic pathology in adolescent children brought up under various conditions, and addresses the issue of preventive and corrective measures. MATERIALS AND METHODS: The main group consisted of schoolchildren aged 1115 from social institutions (n = 60). The comparison group included children from complete families (n = 60). The health assessment was conducted in accordance with the methodological recommendations developed at the Research Institute of Hygiene of Children and Adolescents. The material was copied from forms 112/y, 003/y, 026/y, and the clinical examination results and the conclusions of other specialists were collected. Statistics were evaluated by the Pearsons 2-criterion with the Yates correction, with values of p 0.05. RESULTS: The health of children from social institutions was significantly worse than that of complete families (p = 0.04). They were 4.8 times more likely to form chronic diseases (p = 0.04), especially those of the central nervous and musculoskeletal systems, digestive organs, blood circulation, and the ear, nose, and throat (ENT) organs were leading (p = 0.001). Lesions of the musculoskeletal system were more often combined (p = 0.02). In the comparison group, functional disorders occurred more often (p = 0.04), and digestive and circulatory organ diseases prevailed. Pathology of the musculoskeletal system occupied the third position and was significantly less common (p = 0.0001). CONCLUSIONS: The health of children from social institutions is worse than that of schoolchildren from complete families. In them, lesions of the musculoskeletal system occupy second place, the frequency of combined lesions is higher, the increase in orthopedic pathology occurs mainly because of scoliosis, flat feet, and posture disorders. Neurodysplastic and idiopathic forms prevail in the structure of scoliosis. In children with scoliosis, diseases of the central nervous system, digestive organs, and blood circulation are more often registered. In children with flat feet, lesions of the digestive and circulatory organs are more often diagnosed. In children with impaired posture, diseases of ENT organs, circulatory organs, and vision are more often detected. Therefore, the musculoskeletal system pathology must be considered as an interdisciplinary problem, requiring a comprehensive rehabilitation program that involves other specialists.

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Vertebrogenic back pain syndrome in children 9–17 years with spinal deformities

Cited by 6 publications

References 37 publications

The experience of surgical treatment of lumbar disc herniation in adolescents using annuloplasty: analysis of a small clinical series

The experience of surgical treatment of lumbar disc herniation in adolescents using annuloplasty: analysis of a small clinical series

Preoperative state of autonomic regulation in patients with adolescent idiopathic scoliosis

The structure of lesions of the musculoskeletal system in adolescent children, considering the somatic pathology and living environment

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