Saratov JOURNAL of Medical and Scientific Research

Ninnel V.G.

Saratov Medical University «Reaviz», Department of clinical medicine, Professor, Doctor of medical sciences

The epidemiology of spine and spinal cord injuries

Year: 2018, volume 14 Issue: №3 Pages: 592-595
Heading: Traumatology and Orthopedics Article type: Review
Authors: Tolkachev V.S., Bazhanov S.P., Ulyanov V.Yu., Fedonnikov A.S., Ninel V.G., Salikhu Kh., Norkin I.A.
Organization: Saratov State Medical University
Summary:

The article contains domestic and foreign data reflecting epidemiological peculiarities of traumatic injuries of spine and spinal cord, their character and incidence among various population groups with respect to gender and age parameters. The study outlines spine and spinal cord injury structure with regard to modern classification schemes, introduces injury incidence data, specifies indexes of lethality in spine and spinal cord injuries.

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Professor I.Ya. Livshits and his contribution to the development of national neurosurgery

Summary:

The article traces the professional path of Professor Lev Yakovlevich Livshits, assesses his scientific contribution to the development of national neurosurgery. The concept of minimally invasive surgical treatment of trigeminal nerve neuralgia, developed by L. Ya. Livshits, allowed developing an original method of puncture surgical treatment of pain syndrome by directed hydrothermal destruction of the sensitive trigeminal root. The concept of "growing radicalism" created by Professor L. Ya. Livshits allowed his students elaborating algorithms for treating severe chronic pain syndromes of any localization and etiology.

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Complex stimulation of peripheral nerve regeneration after deferred neurorrhaphy

Year: 2017, volume 13 Issue: №3 Pages: 732-737
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Ivanov A.N., Korshunova G.A., Matveyeva O.V., Ninel V.G., Shutrov I.E., Shchanitsyn I.N., Andronova Т.А., Norkin I.A.
Organization: Saratov Regional Child Clinical Hospital, Saratov State Medical University
Summary:

The aim is to study the complex stimulation effect including skin autotransplantation and electrical stimulation of the sciatic nerve on microcircular, electrophysiological and morphological changes after deferred neurorrhaphy in rats. Material and methods. The experiment was performed in 50 albino rats divided into control, comparative and experimental groups. In the experimental group, on the background of deferred neurorrhaphy, skin autotransplantation and electrical stimulation of the sciatic nerve had been carried out. In the comparative group only deferred neurorrhaphy was performed. Research methods included laser doppler flowmetry, electroneuromyography and morphological analysis of the operated nerve. Results. Complex stimulation including skin autotransplantation and direct action of electrical pulses on the sciatic nerve after its deferred neurorrhaphy causes restoration of bloodstream in the operated limb, promotes intensification of restoration of nerve fibers. Conclusion. Intensification of sciatic nerve regeneration after deferred neurorrhaphy in rats under the influence of complex stimulation including full-thickness skin graft autotransplantation and direct action of electrical pulses substantiates experimentally appropriateness of clinical testing of the given method for treatment of patients with peripheral nerve injuries.

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Algorithm of surgical treatment of pain and spastic syndromes in patients after spinal cord injury

Year: 2015, volume 11 Issue: №3 Pages: 297-302
Heading: neurosurgery Article type: Original article
Authors: Ninel V.G., Smolkin А.А., Shchukovsky V.V., Korshunova G.A.
Organization:
Summary:

Objective: to develop an algorithm for surgical treatment of pain and spasticity in patients with consequences of spinal cord injury. Materials and Methods. The basis of the algorithm initiated a retrospective study of results of surgical treatment of 273 patients with pain and spastic syndromes after spinal cord injury, which consistently met neuromodula-tion techniques and destructive surgery. Results. The developed algorithm tested in 166 patients with pain and spastic syndromes provided positive results in 88.6% of cases with spastic and in 80.4% of observations for pain and spastic-pain syndromes. Conclusion. The proposed algorithm allows systematizing neuromodulation methods and so-called «radical» destructive operations in the treatment of pain and spasticity, and thereby improving the results of rehabilitation of patients with consequences of spinal cord injury.

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Intraoperative neurovisualization in the surgical treatment of peripheral nerve injuries

Year: 2015, volume 11 Issue: №2 Pages: 178-182
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Aitemirov Sh.M., Ninel V.G., Korshunova G.A.
Organization:
Summary:

Objective. The present study examines the value of intraoperative neurovisualization as an imaging tool for decision making in the management of traumatic nerve injuries. Materials and methods. 43 patients with traumatic nerve lesions were examined by electrodiagnostic study, ultrasonography and contrast neurography. Results. A complex intraoperative examination have been used to guide surgical decision making in patients with peripheral nerve injuries of limbs. Conclusion. The results of complex intraoperative examination became the basis of diagnosis and treatment algorithm for surgical treatment of peripheral nerves injuries.

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Evaluationof efficiency of methods of neuromodulation in the treatment of spastic syndromes in patients with spinal cord injury

Year: 2014, volume 10 Issue: №4 Pages: 639-645
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Smolkin А.А., Ninel V.G., Korshunova G.A.
Organization:
Summary:

Objective: to evaluate the efficiency of the neuromodulation methods and to determine their role in complex rehabilitation of patients with spastic syndromes after spinal cord injury. Material and methods: Based on the study and treatment of 105 patients with spastic syndromes after injury of the spinal cord, electrical stimulation of the spinal cord, epidural drug therapy in combination with electrical nerve stimulation and local hypothermia spinal cord have been consistently applied for the treatment of spastic syndrome. Results: Consistent use of methods of neuromodulation in patients with spastic syndromes after spinal cord injuries are given in 88,6% of cases to obtain positive results. Conclusion: The obtained results allow to estimate efficiency of neuromodulation methods and to determine their role in complex rehabilitation of patients with spastic syndromes after spinal cord injury

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Subclinical forms of neuropathy with diaphyseal fractures of the humerus

Year: 2012, volume 8 Issue: №2 Pages: 556-560
Heading: Neurology Article type: Original article
Authors: Sholomova E.I., Romanenko V.Yu., Ninel V.G., Аrutyunyan Т.R., Sholomov I.I., Shuldyakov А.А.
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics, Saratov State Medical University
Summary:

Aim of the study. To identify the frequency of subclinical neuropathy in patients with diaphyseal fractures of the hu-merus in different periods of treatment. Materials and methods. Held clinical-following systems survey of 122 patients with diaphyseal fractures of the shoulder bone. Results. At 57 after neurological examination and electromyographic diagnosed with post-traumatic neuropathy. Conclusion. As a result of research implemented its purpose. Revealed the frequency of post-traumatic neuropathy, as complications of fractures of the shoulder bone. Not always the defeat of the peripheral nerves of the manifest clinically, which complicates the diagnosis. Give a description of the locations and forms of damage, describes in detail the dynamics of the violations identifed in the course of treatment. Considered are the questions of diagnostics of latent forms of neuropathy and stages of their manifestations.

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Quality of life of patients with upper extremity fractures

Year: 2011, volume 7 Issue: №2 Pages: 510-512
Heading: Traumatology and Orthopedics Article type: Short message
Authors: Sholomova E.I., Levchenko К.К., Arutunyan T.R., Ninel V.G.
Organization: Saratov State Medical University, Saratov Scientific Research Institute of Traumatology and Orthopedics
Summary:

90 patients with upper extremity fractures took part in the study. The injured patients were treated with rod and pin-and-rod type external fixation devices and by means of external immobilization. It was demonstrated that quality of life to the moment of device removal was 8-9 points higher in patients treated with pin type external fixation in comparison with pin-and-rod type. Quality of life was higher in patients with proximal upper extremity injuries

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Experience of surgical treatment of unstable СII vertebral fractures

Year: 2010, volume 6 Issue: №2 Pages: 432-435
Heading: Traumatology and Orthopedics Article type: Short message
Authors: V.V. Ostrovskiy, V.G. Ninel, A.E. Shulga, A.A. Smoljkin, E.A. Anisimova
Organization: Saratov State Medical University, Saratov Scientific Research Institute of Traumatology and Orthopedics
Summary:

CII arch fractures are divided into groups according not to anatomical localization, but to the instability degree resulted from the trauma. Effendi et al classification became greatly widespread. |t is based on the same stability criteria, but it is simpler, intelligible and gives the plan of treatment. All the fractures according to this classification are divided into three types: the first one consists in stable fractures in which even in functional images there is no any rough deformation at the level of CII segment; the second one consists in damages with significant angular (more than 11°) or shift (more than 3,5 mm) deformations, that indirectly indicates damage of soft tissue structures, and first of all diskoligamentous complex. The services of the authors of the present classification are also that they were the first who had defined fracture-dislocation of CII arch, attributed it to the third type. Choice of surgical procedure in unstable CII-III vertebral fractures is ventral spondylosyndesis of CII-III carried out by submaxillary approach after the preliminary closed elimination of deformation of upper cervical part of spine. The differentiated approach to the implant choice with an allowance for morphometric data allows to receive adequate decompression of nervous - vascular structures and reliable stabilization of the damaged segment

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Potentialities Of Tendomyoplasty In Rehabilitation Of Patients With Rough Injuries Of Brachial Plexus Trunks

Year: 2009, volume 5 Issue: №3 Pages: 403-407
Heading: Traumatology and Orthopedics Article type: Original article
Authors: R.P. Gorshkov, V.G. Ninel, I.A. Norkin, S.V. Delinikaitis, G.A.Korshunova
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics
Summary:

To improve functional results after surgical treatment of consequences of brachial plexus trunks rough injuries rehabilitation results of 111 patients with consequences of brachial plexus trunks rough injuries were studied. Thanks to the adequate tendomyoplasty rehabilitation of shoulder abduction, forearm flexion and of hand grasping is obtained in 85% of patients. The suggested method of treatment may be recommended for wide usage in practical health care

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