Comparative analysis of the results of surgical treatment of patients with echinococcosis of the spine in the breast and lumbar regions
Abstract
The results of studies and treatment of 26 patients with echinococcosis of the spine, carried out in the period from 2017 to 2019, are presented.
THE PURPOSE OF THE STUDY: to conduct a comparative analysis of the surgical treatment of patients with spinal echinococcosis in the thoracic and lumbar regions during decompressive and decompressive-stabilizing operations.
MATERIAL AND METHODS. The intensity of pain syndrome (VAS scale), neurological condition (ASIA scale), radiological parameters characterizing the degree of spinal column deformity were studied.
RESULTS. A good result of treatment (group A) was observed in 17 (65.4 %) patients. Satisfactory (group B) treatment results were observed in 8 (30.8 %) patients. In 1 (3.8 %) case, a poor treatment result was obtained (group C). Analysis of neurological disorders in groups A and B in terms of the function of the lower extremities revealed an improvement of 1.46 ± 0.77 degrees on the ASIA / IMSOP scale. Regression of neurological disorders occurred in all 25 patients. A decrease in pain syndrome was noted by 4.35 ± 1.33 degrees on the VAS scale. In groups A and C, the decrease in the angle of local kyphosis was 11.87˚ ± 7.12˚. Better results were observed in the PCP (9.45 % ± 8.50 %) than in the PCDP (7.55 % ± 8.86 %).
CONCLUSION. Decompression of the spinal cord with removal of echinococcal cysts of the spinal canal, resection of vertebral bodies affected by echinococcosis reduces pain and reduces neurological disorders. Transpedicular stabilization allows you to restore the deformed axis of the spine.
About the Author
R. M. Yuldashev
Republican Specialized Scientific and Practical Medical Center of Neurosurgery of the Ministry of Health of the Republic of Uzbekistan
Uzbekistan
Uzbekistan
Yuldashev Ravshan Muslimovich
Tashkent
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Review
For citations:
Yuldashev R.M. Comparative analysis of the results of surgical treatment of patients with echinococcosis of the spine in the breast and lumbar regions. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2022;14(2):175-178. (In Russ.)
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