RU2007999C1 - Method of osteochondroma treatment - Google Patents

Abstract

FIELD: medicine. SUBSTANCE: new thing in the method is the way of application of medicinal preparations. The medicinal preparations are applied on requested segments of spinal cord of patient, using Proserin in 33% solution of Demixidum. Applications are used for six hours during ten days. EFFECT: it decreases traumatism of manipulation and improves microcirculation of in the segments of spinal cord and stimulates sinaptic conductance.

Description

 The invention relates to medicine, namely to neurosurgery, and is intended for the treatment of severe neurological syndromes of lumbar osteochondrosis with gross motor disorders and with pelvic organ dysfunction.

 Such disorders arise as a result of mechanical compression of the spinal roots, local and distal ischemic disorders, which causes degenerative changes in the roots and motor neurons of the segmental apparatus of the spinal cord.

 A known method of treating radiculoemia by stretching under water and simultaneously massage the muscles of the lower back with a jet of water [1].

 The specified method does not provide normalization of spinal circulation.

 There is also a method of treating osteochondrosis by introducing drugs into the affected area of the spine [2]. A drug mixture of a 1% solution of novocaine with hydrocortisone is introduced into the affected segment of the spine by a puncture route.

 The known method is traumatic, does not improve functional outcomes, since the applied drug mixture does not have a stimulating effect on the microcirculation of the spinal cord and its roots, does not improve synaptic conductivity.

 The aim of the invention is to reduce the morbidity and improve the functional outcome of radiculi ischemia by normalizing microcirculation in the segmental apparatus of the spinal cord and improving synaptic conduction.

 This goal is achieved by the fact that in the method of treating osteochondrosis by administering drugs to the spinal region, a drug mixture of 1 ml of a 0.05% solution of proserin in a 33% solution of dimexide is administered to the interested segments of the spinal cord for 6 hours for 10 days daily.

 In this mixture, dimexide not only ensures the penetration of prozerin into the spinal cord, but also helps to normalize the microcirculation of the latter. Proserine also improves the synaptic conductivity of motor neurons of the spinal cord and spinal roots.

 A comparative analysis of the proposed solution with the prototype showed that the claimed method differs from the known one in that the drug mixture of 1 ml of a 0.05% solution of proserin in a 33% solution of dimexide is supplied to the interested segments of the spinal cord in the form of cutaneous applications daily for 6 h for 10 days. Thus, the claimed method meets the criterion of "novelty."

 The method is as follows.

 Using conservative treatment, the affected spinal cord is determined clinically and with the help of electromyography. In the next day after that, applications begin to be carried out. For this, the hygroscopic material (cotton wool, gauze) is wetted with a 33% solution of dimexide. In the same tampon, 1 ml of a 0.05% solution of proserin is introduced. The application is laid on the skin in the projection of the affected spinal segments, closed with a waterproof material and fixed with adhesive tape. After 6 hours, the application is removed, the skin is wiped with warm water.

 In surgical treatment of this category of patients, the method is carried out similarly, but applications begin from 3 days after surgery.

 PRI me R 1. Patient S., 33 years old, was admitted to the neurosurgery clinic of the Saratov Research Institute of Traumatology and Orthopedics 07.07.90, with a diagnosis of osteochondrosis of the lumbar spine, arterial radiculomyelosemia with horse tail syndrome.

 Complaints of pain in the lower back and legs, weakness in the legs, urinary retention, feces.

 Neurologically: gross paresis of the legs, lack of Achilles reflexes, anesthesia of the anogenital zone, urinary retention, feces.

Performed pneumomyelography. No herniated discs were found. EMG data indicate the pathology of the motor neurons of the anterior horns of L ₄ -L ₅ segments of the spinal cord.

 From 10.07.90, the patient began to apply the medicinal mixture from 1 ml of a 0.05% solution of proserin in a 33% solution of dimexide.

 Exposure time is 6 hours. 10 cutaneous applications were performed.

 Upon discharge, July 27, 1990, the strength and volume of active movements in the legs were completely restored, sensitive disorders regressed, urination and bowel movements normalized.

PRI me R 2. Patient M., 61, was admitted to the clinic of neurosurgery with a diagnosis of osteochondrosis of the lumbar spine, median hernia of the disc L _4-5 , discogenic radiculomyelosemia with horse tail syndrome. Upon admission, he complained of pain in the lower back and legs, weakness of the feet, urinary retention, feces.

Neurologically: gross paresis of the feet, lack of Achilles reflexes, anesthesia in the anogenital zone, urinary and fecal retention. Moves with difficulty with crutches. Performed EMG - identified segmental anterior horn disorders of the spinal cord from the L ₄ -S ₁ segment, due to the death of most of the motor neurons.

A downward myelography was performed with a majorodil: stopping contrast at the level of L _{4-5 of the} disk.

The patient underwent an operation consisting in a laminectomy of the L ₅ vertebra, removal of the median hernia of the L _4-5 disk.

On the 3rd day after surgery, the patient began to apply 1 ml of a 0.05% solution of proserin in a 33% solution of dimexide to the skin in the projection of Th _X -S ₁ segments of the spinal cord.

 The change of compresses with a solution of proserin in dimexide was performed 1 time per day.

 1 month after the operation and the start of treatment using applications of a 0.05% solution of proserin in dimexide over the affected segments of the spinal cord, the patient fully restored active foot movements, urination independently with little straining, defecation after taking laxatives.

 The claimed method allows you to effectively restore motor functions and functions of the pelvic organs due to the normalization of microcirculation in the affected spinal cord, improving the synaptic conduction of motor neurons of the spinal cord and spinal roots.

 (56) 1. USSR author's certificate N 1139435, cl. A 61 H 1/021, 1985.

 2. USSR copyright certificate N 605609, cl. A 61 B 17/00, 1978.

 3. Soviet medicine, 1978, N 7, p. 87-90.

Claims (1)

 METHOD FOR TREATING OSTEOCHONDROSIS, including cutaneous applications on the area of the affected segment of the spine of a solution of dimexide, characterized in that, for the prevention of radiculi ischemia, a 33% solution of dimexide is used with an addition of 1 ml of a 0.05% solution of proserin daily for 6 hours in a course 10 days.