CirCulatory disturbanCes in the spinal Cord of adults (innovations in spinal angioneurology)

I.P. Pavlov Saint Petersburg State Medical University, Saint Petersburg, Russia Results and discussion. Full management of vertebrogenic pain syndrome in is achieved in 85–90% of hospitalized patients and 92–95 % in ambulatory patients. Tradi-tional methods of pain relief helped to manage pain syndrome in 36% and 39%. Remote results of treatment were studied. It is determined that the duration of remission for more than 3 times exceed the period of traditional complex treatment. Timing of treatment using interstitial electrostimulation are reduced by 2.5 times. The application of intratissual electric stimulation helped to reduce the period of temporary incapacity up to 11,2 ± 2,4 days, for the control group with traditional treatment – 25,3 ± 3,2 days (p <0,01). Relapses within 2 years after intratissual electric stimulation were observed in 5% of cases in the control group in 16–19% of patients. Complications of treatment were not observed. The method proved to be effective not only for elimination of referred pain, but also for the recovery of peripheral nerves. The underlying mechanisms of therapeutic action are explored. 1. Overall reflex mechanism is implemented through the central nervous system and promotes the devel-opment of opiatelike analogize substances. 2. Local action is to improve the blood circula-tion in bone tissue. Method of interstitial reography and polarography of bone tissue has proved that this effect leads to a local restoration of blood circulation and microcirculation in the affected vertebra and periosteum. 3. In this method, a new mechanism of action via peripheral nerves to the patient limb arises. We have proved that under physiological intratissual electric stimulation the current excites the nerve cell structures and restores impaired function as in nerve trunks so in synaptic connections. Conclusion. Thus, an important basis of pain syndrome in the spine is the primary interruption of blood circulatory in bone tissue. Specially developed method of interstitial electric stimulation effectively improves blood circulation and microcirculation of the spine bones being a pathogenetic effect. Elimination of pain syndrome at interstitial electric stimulation occurs over 90% of the cases, the term of remission increases by 3 times or more during the reduction of treatment period by 2,5 times. Complications were not observed.