Disability due to spinal degenerative disorders: causes, features of dynamics, and ways of preventions

Authors

  • Dmytro Yaremenko
  • Olena Shevchenko

DOI:

https://doi.org/10.15674/0030-5987201415-9

Keywords:

spine, degenerative disease, disability

Abstract

Experts in Ukraine, USA and European countries note disability population growth due to chronic low back pain. In most cases the main cause of it are degenerative changes in vertebral structures.

Purpose: to scientifically substantiate the most actual medical-organizational actions for prevention and decline of disability data due to degenerative disorders of the spine.

Methods: an expert analysis of 194 disability cases in 1999-2003 and of 164 ones in 2007-2009 due to degenerative disorders of the spine is performed. The indexes of rehabilitation are analyzed.

Results: among initially recognized as disabled people due to orthopedic pathology percentage of patients with the degenerative spine increased on 4,7 % and reached (35,8 ± 0,6) % in 2007-2009 versus (31,1 ± 0,6) % in 1999-2003. Among invalids with the degenerative spine percentage of young persons and people of working age increased to 88,3 % versus 74,7 % accordingly. Greater part of contingent investigated were 87,6 % patients with injuries and disorders of the lumbar spine. Percentage of patients with the degenerative cervical spine was 6,7 % in 1999-2003, and 4,3 % in 2007-2009. Percentage of disability due to generalized osteochondrosis of the spine significantly increased from 15,8 % in 2007-2009 versus 5,7 % in 1999-2003. The same concerns patients with intervertebral disks herniations (from 58,2 to 79,9 %) and protrusions (from 6,2 to 10,4 %) diagnosed in this period. Causes of primary disability in 73-78% of cases was combination of such factors as severity of the disease, defects in organization of treatment and curatively-diagnostic process, social factors and terms of way of life, complications of pathological process, secondary dysfunction of internal organs, etc. The amount of persons that did not succeed to be rehabilitated increased depending on duration of period of disability. So, the index of partial rehabilitation during the first four years diminishes annually in 1,5-2 times. Besides each year in (2,5 ± 1,3)% of patients with the degenerative spine disability group set indefinitely. More intensive process of rehabilitation indicated in patients after surgical treatment comparing to the patients conservatively treated.

Conclusions: the primary task for the decline of disability index among people with the degenerative spine we consider an improvement of medical care organization for such patients. It is necessary to create the clear system of account of the patients, who need restoration treatment and rehabilitation according to individual programs as well as to standardize programs of restoration treatment.

References

  1. Analysis of travmatoloho-orthopedic care population of Ukraine in 2006-2007: a handbook / G. V. Gayko, S. І Gerasimenko, M. O. Korzh [et al.] — Kyiv, 2008. — 134 p.
  2. Analysis of travmatoloho and orthopedic care to the population in Ukraine in 2007-2008: a handbook / G. V. Gayko, S. І Gerasimenko, M. O. Korzh [et al.] — K.: Publishing company "Will", 2009. — 137 p.
  3. Analysis of travmatoloho and orthopedic care to the population of Ukraine 2010-2011 biennium: directory / G. V. Gayko, S. S. Strafun, A. V. Kalashnikov, V. P. Polishko. — K.: Publishing company "Will", 2012. — 220 p.
  4. Rowe L. J. Imaging of mechanical and degenerative syndromes of the lumbar spine / L. J. Rowe // Clinical anatomy and management of low back pain // L. G. F. Giles. — Oxford: Butterworth-Heinemann, 1997. — P. 275–313.
  5. Ciccone D. S. A comparison of economic and social reward in patients with chronic nonmalig-nant back pain / D. S. Ciccone, N. Just, Е. В. Bandilla // Psychosom. Med. — 1999. — Vol. 61. — P. 552–563.
  6. Popelyansky Ya. Yu. Orthopedic Neurology "vertebroneurology": a guide for physicians / Ya. Yu. Popelyansky. — 3rd ed., rev. and add. — M.: MEDpress Inform 2003. — 672 p.
  7. . Prodan A. I. Degenerate diseases of a spine / A. I. Prodan, V. A. Radchenko, N. A. Korzh. — Kharkov: IPP "Contrast", 2007. — T. 1: Semiotics. Classification. Diagnostics. — 2007 . — 272 p.
  8. . Prodan A. I. Degenerate diseases of a spine / A. I. Prodan, V. A. Radchenko, N. A. Korzh. — Kharkov: IPP "Contrast", 2009. — T. 2: Conservative treatment. — 2009 . — 261 p.
  9. . The basic principles of treatment of a pain syndrome at patients with degenerative and dystrophic diseases of lumbar department of a spine: methodical references / G. H. Gruntovsky, A. I. Popov. — To. : SPD O. P. Christmas carol, 2007. — 16 p.
  10. The use of nonsteroidal anti-inflammatory drugs in local therapy in patients of all ages with disorders of the musculoskeletal system: guidelines / V. V. Povorozniuk, I. K. Babov, T. Orlik. — Kyiv, 2004. — 29 p.
  11. Pathogenesis directed medical therapy destructive-degenerative diseases of the spine and joints: guidance / A. Ye. Yatskevich, A. Ye. Yatskevich, O. Ya. Yatskevich [et al.] — Kyiv, 2005. — 31 p.
  12. Medical rehabilitation of patients with spinal osteochondrosis / I. V. Roy, E. I. Bayandina, S. P. Tvardovskaya [et al.] // Visnyk of Orthopaedics, Traumatology and Prosthetics. — 2003. — № 1 (32). — Р. 80-84.
  13. Shevaha V. M. Оsteochondrosis of spine pathogenetic substantiation of the diagnosis, the nature of pain and treatment efficacy / V. M. Shevaha // International Journal of neurological. — 2006. — № 3 (7). — P. 40-44.
  14. Buchakchiyskaya N. M. Alternative treatment of neurological manifestations of herniated discs / N. M. Buchakchiyskaya, V. I. Maramuha, I. V. Maramuha // Actual questions of Neurology and Psychiatry and Addiction. — K.: Kharkov, 2009. — P. 22-23.
  15. Babov K. D. Differential use of therapeutic physical factors in spinal osteochondrosis in terms of resort / K. D. Babov, N.Н. Nikolaeva, I. V. Balashov [et al.]: Materials of scientific-practical. conf. ["Current issues of Orthopaedics and Traumatology"] (Kyiv, 24-25 September 2009). — Kyiv, 2009. — P. 23-24.
  16. . Radchenko V. A. Optimization of surgical tactics and technicians of operations at dystrophic diseases of lumbar department of a spine: dis. … doctor medical sciences: special 14.01.20 "Traumatology and orthopedics" / V. A. Radchenko. — Kharkov, 1996. — 330 p.
  17. . Kutsenko V. A. Lumbar spondylolisthesis (pathogenesis, diagnostics, forecasting and treatment): dis. … doctor medical sciences: special 14.01.21 "Traumatology and orthopedics" / V. A. Kutsenko. — Kharkov, 2009. — 555 p.
  18. . Popsuyshapka K. A. Foraminalny a stenosis at degenerative diseases of cervical department of a backbone (diagnostics, the principles of medical tactics): dis. … doctor medical sciences: special 14.01.21 "Traumatology and orthopedics" / K. A. Popsuyshapka. — Kharkov, 2007. — 177 p.
  19. Piontkovskii V. K. Transpedicular fixation of the spine in the lumbar osteochondrosis: dis. ... сandidate medical sciences: specials 14.01.21 "Traumatology and Orthopaedics" / V. K. Piontkovskii. — Kharkov, 2009. — 238 p.
  20. Barysh O. Ye. Modern principles of stabilizing operations in the surgical treatment of diseases and injuries of the cervical spine (experimental-clinical study): аbstract dis. ... doctor medical sciences: specials 14.01.21 "Traumatology and Orthopaedics" / O. Ye. Barysh. — Kharkov, 2010. — 36 p.
  21. Syrenko O. A. Diagnosis, prevention and treatment of relapse after denervation of lumbar spondyloartralhiyi duhovidrostkovyh joints: аbstract dis. ... сandidate medical sciences: specials 14.01.21 "Traumatology and Orthopaedics" / O. A. Syrenko. — Kharkov, 2010. — 20 p.
  22. Yumashev G. S. Osteochondrosis of spine / G. S. Yumashev, M. E. Furman. — M.: Medical, 1973. — 288 p.

Downloads

How to Cite

Yaremenko, D., & Shevchenko, O. (2014). Disability due to spinal degenerative disorders: causes, features of dynamics, and ways of preventions. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (1), 5–9. https://doi.org/10.15674/0030-5987201415-9

Issue

No. 1 (2014)

Section

ORIGINAL ARTICLES

License

Copyright (c) 2014 Dmytro Yaremenko, Olena Shevchenko

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

The authors retain the right of authorship of their manuscript and pass the journal the right of the first publication of this article, which automatically become available from the date of publication under the terms of Creative Commons Attribution License, which allows others to freely distribute the published manuscript with mandatory linking to authors of the original research and the first publication of this one in this journal.

Authors have the right to enter into a separate supplemental agreement on the additional non-exclusive distribution of manuscript in the form in which it was published by the journal (i.e. to put work in electronic storage of an institution or publish as a part of the book) while maintaining the reference to the first publication of the manuscript in this journal.

The editorial policy of the journal allows authors and encourages manuscript accommodation online (i.e. in storage of an institution or on the personal websites) as before submission of the manuscript to the editorial office, and during its editorial processing because it contributes to productive scientific discussion and positively affects the efficiency and dynamics of the published manuscript citation (see The Effect of Open Access).