Osteogenetic factor in the forming of complex spondilogenic vertebralbasilar and vertebralcardial disorders

Abstract

116 patients with clinical manifestations of thoraco-cervical osteochondrosis with reflectory vertebral-basilar and vertebral-cardial disorders have been examined. 64 patients (basic group) along with traditional therapy of thoraco-cervical osteochondrosis underwent a course of intraosteal blockades, while 52 patients (comparison group) received traditional therapy with a course of paravertebral blockades. Effectiveness of treatment was assessed by the dynamics of pain syndrome parameters using Visual-Analog Pain Scale, Russian version of McGill pain questionnaire, “body scheme” questionnaire, as well as by hemodynamics parameters, cardiac rhythm variability, and examination of cognitive functions. More significant effect of intraosteal blockades in the complex treatment of the patients under study, compared to paravertebral blockades, was revealed. Clinical manifestations of both vertebral-basilar and vertebral-cardial spondilogenic disorders significantly regressed after intraosteal blockades. Osteogenetic factor can be considered as a universal mechanism of the forming of complex spondilogenic vertebal-basilar and vertebral-cardial disorders.

Keywords

• thoracocervical osteochondrosis
• spondilogenic vertebral basilar insufficiency
• vertebral cardial syndrome
• intraosteal blockades
• paravertebral blockades