Potapov V.F., Liev A.A., Skorobogach M.I.

Сlinic vertebronevrologii the Stavropol state medical academy, Kislovodsk

sgma@narzan.com

Application of stage-by-stage rehabilitation for patients after removal of a hernia of a disk has shown, that at patients neurologic deficiency authentically is more often restored, pains regress, force in the weakened muscles raises, frequency repeated formation of a hernia and relapses low-back pain and sciatic pain decreases, the correct bearing and gait is more quickly restored.

In opinion of some authors for last years, cases of hernial complications of degenerate process in a backbone demand operative intervention. Also it is known, that 1/3 operated patients with similar diseases in the subsequent suffer arachnoмeningitis, breaking normal spinal fluid and substantially interfering microcirculation. Our experimental researches have shown, that for 35-42 days after intervention develops aseptic meningitis, covering environments of a spinal cord. The similar situation promotes change staticоdynamics to function of a backbone, as to the basic bearing design of basic-impellent system. In the operated vertebro-impellent segments instability develops. By us it is lead more than 300 operations with removal of a hernia of a disk. At 65 % it was simultaneously carried out interbody fusion by means of ring titanic implantation and the subsequent after removal of seams for 8-10 days balneotherapy (iododromic, carbonic baths, baths with turpentine), mud cure in a combination to active gymnastics and mechanotherapy on special simulators. Five years’ experience of application of complex stage-by-stage application of various kinds of regenerative treatment has shown, that at patients authentically more often (p<0,05) is restored neurologic deficiency, regress pains, force in the weakened muscles raises, frequency repeated formation of a hernia and relapses low-back pain and sciatic pain decreases, the correct bearing and gait is more quickly restored.