Ninnel V.G.

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

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

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

Despite of the huge scientific progress in the theoretical questions of the restoration of function of the damaged spinal cord by electrostimulation its use in the practice of public health services is rather limited. The purpose of the present work is the development of the ways of electrostimulation of the spinal cord in the complex treatment the patients work is complex inspection and treatment of 74 patients of the cervical myelopathy, developed on the background of posttraumatic and dystrophic changes of the cervical department of the backbone and the spinal cord. By results of carried out research it is possible to speak about high efficiency and the importance of the electrostimulation of the spinal cord considerably optimizes results of the complex treatment of neurologic symptoms the cervical myelopathy and the promotes significant restoration of impellent and sensitive functions of the spinal cord after its defeat.

For the treatment of neurologic complications of a cervical osteochondrosis pathogenetic application of electrostimulation of a spinal cord is not proved, the technique of its carrying out is not fulfilled, value of electrostimulation of a spinal cord is not proved, the medical actions is not certain.
The purpose of work. Optimization of the outcomes of the treatment painful and radicular syndromes of the patients with the cervical osteochondrosis due to development of new technologies of the treatment and a way of electrostimulation.
Materials and methods .54 patients of a cervical osteochondrosis with a various degree of expressiveness of the neurologic displays. The conservative treatment is lead 35 patient .19 sick of the cervical osteochondrosis with the expressed neurologic displays , executes implantation of electrodes to back columns of a spinal cord.
The electrostimulation of the back columns of a spinal cord can be considered as an independent high-grade method of the treatment of rough neurologic symptoms of a cervical osteochondrosis , both at inefficiency of the conservative treatment , and of presence of the contra-indications to carrying out of a lobby decompression of the spinal cord.

Results of surgical treatment of intervertebral disk herniations in 58 patients with discogenic algetic syndromes are giver in the article. Introduction of drug compound through the catheter placed in the epidural cavity with direct electrostimulatior of affected spinal nerve roots optimize the results of treatment in 92,8% of patients after repeated surgery.
Key words: intervertebral disk herniations, pain syndromes of spinal nerve roots, epidural application of drugs, direc, electrostimulation of spinal nerve roots.

The way of artificial contrastment of peripheral nerves by non ionic water-soluble contrasts «Omnipaque-ЗОО» and «Ultravist-ЗОО», has shown high informaticy and simplicity of performance is developed in experiment. Contrast substance entered under epineuria of a nerve trunk to degree of hard filling ofepineural tubes and x-ray pictures performers. Experimenta researches have shown, that using of non-ionic contrast substance «Omnipaque-ЗОО» and «Ultravist-ЗОО» have low histitoxicit. in relation to tissues of peripheral nerves.

The article gives information about efficacy of osteoreflexotherapy in the treatment of patient with lumbar spine ostheochondrosis. Combination of ostheoreflexotherapywith introduction of homotoxic drug into reflexogenous zones of vertebral spinous processes ofL4-S1 vertebrae makes it possible after 10 seances to stop the pain in lumbosacral region, to restore superficial sensitivity, tendon reflexes.

For the purpose of working out of the differentiated approaches to preoperative planning in each specific case on the basis of character estimation of spinal column and spinal cord damage 129 patients (112 men and 17 women) with subaxial damages in the cervical department of backbone have been examined. Morphological peculiarities of cervical vertebrae have been taken into account. The patients have been on treatment at Saratov Scientific Research Institute of Traumatology and Orthopedics from 2004 till 2007. Patients have been properly examined. Volume of surgical intervention from the frontal access and rational choice of implants have been carried out taking into account difficulty and extension of lesions of osseous structures, and morphometry data including in stabilization of vertebrae. The differentiated approach to the choice of implants has allowed in 85-90% cases to receive adequate decompression of neurovascular structures, reliable correction and stabilization of the damaged segment thus it has enabled possible early activization and social rehabilitation of patients of given category.