SURGICAL TREATMENT OF PATIENTSWITH CERVICAL SPINE OSTEOCHONDROSIS

Objective. To assess the treatment of patients with compression and reflex pain syndromes of cervical spine osteochondrosis. Material and Methods. The authors studied 410 patients operated on for compression syndromes of cervical spine osteochondrosis. Treatment and diagnostic disc punctures were performed in 600 patients suffering either from reflex pain syndrome or from that combined with compression syndrome. Results. Reflex pain syndromes are characterized and classified into 6 groups: local, reflrected, reflective myodystonic, dystrophic, angiopathic, and discogenic pathobiomechanical syndroms. The leading role of clinical neurologic diagnosis of cervical spine compression pain syndromes is shown. Disc puncture facilitates better diagnosis of reflex pain syndromes which can be evoked and abolished by dereception performed on impaired discs. Differential performing of decompressive, decompressive-plastic, or decompressive- stabilizing operations provided good surgical outcomes in most patients. Conclusion. Patients with combined reflex and compression pain syndromes of cervical spine osteochondrosis require a multimodal treatment approach.