Specificity of pain syndrome in degenerative-dystrophic diseases of the cervical spine
https://doi.org/10.56618/2071-2693_2025_17_2_47
EDN: VAHNNE
Abstract
INTRODUCTION. Improving the efficiency of diagnostics of neurological complications of degenerative-dystrophic diseases of the cervical spine is one of the most pressing problems of neurology and neurosurgery. One of the most significant and frequently encountered among these complications is pain syndrome. Observation of patients with this spinal pathology allows us to conclude that the currently used diagnostic methods for assessing pain syndrome are not always reliable. One of the more reliable methods for assessing pain syndrome is the method of “Quantitative localization reflection of the intensity of pain syndrome in DDDCS”. The use of this method for assessing the severity of pain syndrome creates conditions for studying the nature and identifying the specifics of pain syndrome. AIM. Based on follow-up observation data, analyze the nature of manifestations of pain syndrome of degenerative-dystrophic diseases of the cervical spine to identify its various specific features. MATERIALS AND METHODS. The work is based on a follow-up study of data on the intensity, structure and manifestations of pain syndrome in 457 patients at various stages of the disease aged 22 to 64 years. Men – 186 (40.7 %), women – 271 (59.3 %). RESULTS. The obtained data allowed us to separate and designate the intensity of multicomponent pain syndrome and subjective data of patients about the process of treating the disease within the range of 0–40 units, as a functionally acceptable pain syndrome, 40–60 units, as a functionally maximum acceptable pain syndrome, 60–100 units, as a functionally unacceptable pain syndrome.
Keywords
pain syndrome in degenerative-dystrophic diseases of the cervical spine,
cervicalgia,
cervicocranialgia,
cervicobrachialgia,
cervicothoracalgia
Supporting agencies: The work was carried out within the framework of the State Assignment “2025–2027. Development of a method for neurosurgical treatment of nerve damage with severe diastasis and cicatricialadhesive process by creating» No 125031904090-8.
About the Authors
E. A. Oleynik
Polenov Neurosurgery Institute – the branch of Almazov National Medical Research Centre
Russian Federation
Russian Federation
Ekaterina A. Oleynik – Cand. of Sci. (Med.), Neurologist, Leading Researcher at the Research Laboratory of Neurosurgery of the Spine and Peripheral Nervous System
A. Yu. Voevodkina
Polenov Neurosurgery Institute – the branch of Almazov National Medical Research Centre
Russian Federation
Russian Federation
Alina Yu. Voevodkina – Neurosurgeon, Postgraduate Student
P. V. Kaleda
Polenov Neurosurgery Institute – the branch of Almazov National Medical Research Centre
Russian Federation
Russian Federation
Pavel V. Kaleda – Physiotherapist, Junior Researcher at the Research Laboratory of Neurology and Neurorehabilitation
K. A. Samochernykh
Polenov Neurosurgery Institute – the branch of Almazov National Medical Research Centre
Russian Federation
Russian Federation
Konstantin A. Samochernykh – Dr. of Sci. (Med.), Professor of the Russian Academy of Sciences, Neurosurgeon of the Highest Category at the Department of Neurosurgery for Children No. 7, Director
N. E. Ivanova
Polenov Neurosurgery Institute – the branch of Almazov National Medical Research Centre
Russian Federation
Russian Federation
Natalya E. Ivanova – Dr. of Sci. (Med.), Full Professor, Distinguished Doctor of the Russian Federation, Corresponding Member of the Russian Academy of Medical and Technical Sciences, Academician of the Academy of Medical and Technical Sciences, Full Member of the Petrovskaya Academy of Sciences and Arts, Member of the Board of the Association of Neurosurgeons of Russia, Member of the Board of the Babchin Association of Neurosurgeons, Member of the Geographical Society of Russia, Doctor of Functional and Ultrasound Diagnostics, Head at the Scientific Department of Russian Neurosurgical Institute, Head at the Scientific Department, Professor at the Department of Neurology and Psychiatry, Institute of Medical Education
References
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Review
For citations:
Oleynik E.A., Voevodkina A.Yu., Kaleda P.V., Samochernykh K.A., Ivanova N.E. Specificity of pain syndrome in degenerative-dystrophic diseases of the cervical spine. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2025;17(2):47-55. (In Russ.) https://doi.org/10.56618/2071-2693_2025_17_2_47. EDN: VAHNNE
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