[Periarterial alcoholization of the vertebral artery in vertebrogenic lesions]. / Periarterial'naia alkogolizatsiia pozvonochnoi arterii pri ee vertebrogennom porazhenii.

Periarterial alcohol-procaine blockade causes an effect similar to that of procaine blockade; it improves the supply of blood not only to the brain stem but also to the anterior parts of the brain through removal of the neuroreflex influences and improvement of collateral circulation. It causes stable improvement of the patient's condition, particularly in dystonic and dystonic-ischemic stages of the vertebral artery syndrome. The results of clinical study allowed indications to be formulated and revealed the absence of contraindications for the method of treatment elaborated.

[Fenestration of intervertebral disks in the treatment of cervical osteochondritis]. / Fenestratsiia mezhpozvonkovykh diskov pri lechenii sheinogo osteokhondroza.

The results of 30 operations of disk fenestration in instability of spinal segments in cervical osteochondritis are generalized. Most operations were conducted on disks CIII-IV and CIV-V whose impaired fixation capacity caused the syndromes of cervicalgia and vertebral artery affection. The operative technique comprised the formation of an opening in the anterior parts of the fibrous ring the nucleus pulposus was not removed. An immobilizing cotton-gauze Schanz's collar was then applied for 4 to 6 weeks. Stabilization of the spinal segment due to fibrotization of the operated on disk occurred in 80% of cases. It brought complete relief from the reflex pain syndromes of cervical osteochondrosis.

[Diagnosis and treatment of birth injuries of the cervical portion of spine and spinal cord in newborn infants]. / Diagnostika i lechenie rodovykh povrezhdenii sheinogo otdela pozvonochnika i spinnogo mozga u novorozhdennykh.

Experience in the treatment of 200 newborns with birth spinal cervical trauma in the acute period (under 3 weeks of age) is generalized. Forty-nine infants died; circulatory disorders and edema of the spinal cord were the prevalent morphological findings. The clinical manifestations were pareses of the upper extremities and, less frequently, truncal disorders. X-ray examination revealed spinal injury, epidural hematomas and edema of the spinal cord. Treatment included reduction of the dislocated vertebrae with subsequent immobilization of the cervical spine and rehabilitation therapy. Improvement and, sometimes, total normalization of the functions of the spinal cord were achieved.

[Debatable questions concerning the surgery of lumbar osteochondrosis]. / Spornye voprosy khirurgii poiasnichnogo osteokhondroza

Three tendencies exist at present in the surgical management of lumbar osteochondrosis: orthopedic treatment aimed at stabilizing the vertebral segment (the procedure of choice being anterior total disectomy with vertebral intercorporal spondilodesis), neurosurgical treatment striving to decompress the nervous structures clinched by the disc, osteal growth, scars, and a combined management achieving both of the above purposes. Proceeding from an analysis of two thousand operations performed within 20 years the author concludes that each of the mentioned methods has its merits and indications depending on the stage of osteochondrosis. The neurosurgical procedures appear to be most often used.

[Early differential diagnosis of congenital and birth injuries of the brain]. / O rannei differentsial'noi diagnostike vrozhdennykh i rodovykh porazhenii mozga

The presented paper is a comparative study of clinico-immunological data with neuro-roentgen contrast methods (pneumoencephalography) in 156 newborns. The obtained data with a highly significant result permit to claim that the neuroimmune reactions up to the 7th day of life and even later, may reflect pathological changes of the brain in the newborn. Quite possibly they may be actively involved in the pathological process not only in the prenatal, but also in some cases in the postnatal ontogenesis.