SU1346160A1 - Method of treatment of neurologic complications of lumbar osteochondrosis - Google Patents

Abstract

This invention relates to medicine, specifically to neurology. To prevent instability in the vertebral segment due to the development of primary fibrosis of the affected discs, after the discography, the patient's blood in a mixture with anesthetic 1: 1 in an amount equal to the capacity of the disc is introduced into the cavity of the affected disc. / C O5 O5

Description

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The invention relates to medicine, namely to neurology.

The purpose of the invention is to prevent instability in the spinal segment due to the development of primary fibrosis of the affected discs.

Example 1. Patient M., 30 years old sailor and / b No. 11774 dated 1979. Diagnosis: non-exacerbated exacerbation of the left-sided discursive lymphocytic radiculitis.

Ill for 8 months. Conservative treatment in a neurological hospital without effect. Defined and disability group. At the time of admission, symptoms of compression of the left fifth of the lumbar and first sacral spinal roots with a pronounced pain syndrome and gross violation of statics.

It can only lie down face down with a pillow under the belly; any other posture causes severe pain in the left leg. Because of the pain does not sleep at night. In the vertical position, marked kyphosis of the lumbar region, with the left leg bent at the hip and knee joints.

The method is carried out as follows.

In the X-ray room at the patient's position on the side, a transmenginal approach introduced thin puncture needles into the intervertebral disk cavity. The position of the needles was controlled by the profile and anteroposterior X-ray. Then, a water-soluble contrast was introduced into the discs — vero- decin in a volume equal to the capacity of the discs, but “not more than 2.0 ml each.” Then, without taking out the needles, we performed a discography and removed the affected discs. From the healthy discs, the needles were immediately removed, and in the affected ones they were held for 40-50 minutes, until the main amount of contrast had resolved.

The discograms revealed: a large posterior herniation of the disk and a rupture of the fibrous ring of the Lj / S. Disk, (the contrast in the disk is not delayed, it flows out epidurally). 3 according to the proposed method, 40 minutes after the discography, 2.0 ml of the proposed drug mixture was injected into the cavity of the affected discs. 1-2 ml of blood was taken from the patient from the vein and mixed with the same amount of 1% under sterile conditions. sovkaina.Pri

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the prepared mixture was introduced into the cavity of the affected disks in an amount equal to the capacity of the disks, but not more than 2.0 ml each. After the procedure, the needles were removed, the injections were treated with iodine. After the procedure, there were pains in the leg and over the skin, the forced position of the body disappeared. After four weeks, allowed to walk. At discharge of pain and static violations, there is still stiffness and stiffness in the limpa. Symptom Lasaga left from the corner 60, Re-examined a year later: there are no symptoms of acute sacral radiculitis. On control discograms, the sizes of the herniation of the L4 / L5 disc are much smaller, and the rupture of the fibrous quantity L, j. / S, healed (the contrast is retained in the disc epidurally, but flows out).

Example 2, Ill, ,, 37 years old, chauffeur, and / b No. 11103 of 1981. Diagnosis: non-exacerbating exacerbation: a discogenic right-sided lumbosacral radical. Suffering from radiculitis 11 years. The present aggravation lasts for 1 year. Treatment in neurological hospitals unsuccessfully. Defined II disability group.

Upon admission, signs of compression of the right p of the lumbar spine with a pronounced pain syndrome and moderate static disturbance: because of pain, does not sleep at night, it can hardly pass 100-150 m, expressed in lumbar scoliosis. On discograms, a large back burr of a disk L,. / LK, I ...

In accordance with the proposed method, 40 minutes after the discography, the proposed drug mixture is introduced into the cavity of the affected disc. Walking is allowed 6 weeks after the procedure. By this time, the pains had significantly decreased, appearing in the collar and leg only during long walking. Static violations passed. Re-examined after 5.5 months: there are no symptoms of acute sciatica. On control discograms, the size of the herniation of the L / L disk is much smaller. 4 3

Formula of invention

A method of treating neurological complications in lumbar osteochondrosis by introducing a drug substance into the intervertebral disks, O TL and 313D6160

due to the fact that, in order to enter the cavity of the latter, blood is given to prevent instability in the patient in combination with the anesthetic of the cava segment due to the development in a ratio of 1: 1 and in the amount of equal primary fibrosis of the affected disk, the nominal capacity of the disk.

Claims (1)

Claim A method for the treatment of neurological complications of lumbar osteochondrosis by introducing a medicinal substance into the intervertebral discs, which is characterized in that in order to prevent instability in the spinal segment due to the development of primary fibrosis of the affected disc, the patient’s blood is introduced into the cavity of the latter in combination with an anesthetic in 1: 1 ratio and in an amount equal to the disk capacity.