Liev A.A., Skorobogach M.I.

Сlinic vertebronevrologii the Stavropol state medical academy, Kislovodsk

sgma@narzan.com

It is developed stages actions in rehabilitation of patients with vertebral the painful syndrome, including conservative and at indications operative techniques of treatment, with early after operative rehabilitation, has allowed to reach high efficiency of actions (95 % — positive results) with low operative activity (up to 1 %).

Consider that 80 % of the population of the Earth is familiar with sensations of a pain in a back. In the USA for last decade quantitative growth of frequency of the given pathology has made 163 %, and the economic expenses connected with its treatment have exceeded 25 billion dollars. These data testify to necessity of development of the specialized centers with a corresponding infrastructure for rehabilitation of patients with vertebral a pathology and developments of standards of medical-rehabilitation actions.

On classification of clinics hurt clinic vertebronevrologii the Stavropol state medical academy concerns to the multidisciplinary center in which staff doctors more than 5 specialities, are available an opportunity of application of the advanced methods of treatment, research work and training of experts is spent. On the basis of clinic the faculty vertebronevrologii with a rate manual medicine functions. Into structure of clinic enter neurologic, neurosurgery branches and branches of intensive therapy of a pain, hydrokinesotherapy, functional diagnostics and a day time hospital.

It is developed stages actions in rehabilitation of patients with vertebral myofascial a painful syndrome: I a stage — diagnostics, II — medical-rehabilitation actions, III — search of adequate model of a new psychomotor stereotype in conditions vertebral pathologies, with the purpose of returning of social activity to patients. At an inefficiency of conservative medical-rehabilitation actions of II stage at patients with hernias intervertebral disks and spondylolisthesis operative treatment with the subsequent, early, postoperative rehabilitation is spent.

The infrastructure of clinic vertebronevrologii and stages in carrying out of rehabilitation of patients with vertebral pathology has allowed reaching high efficiency of actions (95 % — positive results) with low operative activity (up to 1 %).