COMPARATIVE ANALYSIS OF RADIOLOGIC ASPECTS OF FACET JOINTS IN SURGICAL TREATMENT OF PATIENTS WITH DEGENERATIVE DISEASES OF THE LUMBAR SPINE

Objective To study the radiologic characteristics of facet joints at different stages of the degenerative process in the lumbar spine to determine the indications for various methods of fixing the affected segment and to evaluate the results of treatment.Material and Methods To determine the radiologic aspects of facet joints in the affected area and in  adjacent segments of the lumbar spine, two groups were formed, including 136 patients who underwent multispiral computed tomography in two-energy mode before surgery and 12 months after surgery. Group I included patients who underwent rigid fixation of the spine (360°), and group II included patients who underwent dynamic fixation using nitinol rods (180°).Results Based on a comprehensive instrumental study, it was found that the degeneration of the intervertebral disc according to Pfirrmann II and III revealed an increase in the density of the cartilaginous plate in facet joints (HU). These digital indicators confirm the preservation of joint functionality, both in the affected area and in adjacent segments. With severe degrees of disk degeneration in Pfirrmann IV and V and facet joints, deep pathological changes occurred, directed towards the loss of facet joints functionality.Conclusion The obtained digital indicators of dual-energy computed tomography for the state of facet joints  in combination with the results of magnetic resonance imaging can be used as criteria in a complex of patient studies to assess the degree of degeneration of the vertebral motion segment in the affected area and adjacent segments. We recommend using these criteria as a diagnostic component for finding optimal methods of surgical treatment

Features of the Domain Boundaries of a Highly Anisotropic (S = 1) Antiferromagnet near the Transition to the Quantum Paramagnet Phase

Abstract: It is shown that the structure of antiphase domain boundaries in the antiferromagnetic (AFM) phase of a highly anisotropic magnet with S = 1 on a two-dimensional square lattice depends greatly on single-ion anisotropy parameter D. Computer modeling on large square lattices illustrates the changes in the boundary structure from the quantum paramagnet (QP) to the XY phase, including the intermediate QP–XY phase at fairly small variations in positive D. © 2019, Allerton Press, Inc.2277, 5719; Government Council on Grants, Russian FederationThis work was supported by Program 211 of the Government of the Russian Federation, project no. 02.A03.21.0006; and by the RF Ministry of Science and Higher Education, project nos. 2277 and 5719

Influence of Local Correlations on the “Homogeneous Insulator–Superconductor” Transition in the Domain Boundaries of the Charge-Order Phase of a 2D System of a Mixed Valence

Abstract—It is demonstrated in the (pseudo)spin S = 1 formalism that the structure of antiphase domain boundaries in the phase of charge ordering of a mixed-valence system of the Cu1+, 2+, 3+ “triplet” type in cuprates on a two-dimensional square lattice depends to a considerable extent on on-site correlation parameter U. The results of computer modeling on large square lattices illustrate the change in the boundary structure (from a homogeneous monovalent nonconducting structure of the Cu2+ type to a filamentary superconducting one) induced by a relatively small variation of positive U values. © 2018, Pleiades Publishing, Ltd.Ministry of Education and Science of the Russian Federation, Minobrnauka; Government Council on Grants, Russian Federation: 2277, 5719ACKNOWLEDGMENTS This study was supported by Program 211 of the Government of the Russian Federation, agreement no. 02.A03.21.0006, and projects 2277 and 5719 of the Ministry of Education and Science of the Russian Federation

Comprehensive analysis of the results of surgical treatment of patients with degenerative diseases of the lumbar spine using rigid fixation systems

Introduction. According to the literature, the development of adjacent-level syndrome 10 years after posterior rigid stabilization is noted in 6.7–80 % of patients, of which 24 % require revision surgery.The aim: to conduct a comprehensive analysis of the results of surgical treatment of patients with degenerative diseases of the lumbar spine using rigid fixation systems.Materials and methods. A multicenter retrospective study of the results of surgical treatment of 268 patients with degenerative-dystrophic diseases of the lumbar spine, who underwent mono- or bisegmental decompression-stabilizing intervention with the implementation of the TLIF (Transforaminal Lumbar Interbody Fusion) technique and open transpedicular rigid fixation, was conducted. The study included radiography, MRI and CT (in 2-energy mode) of intervertebral discs and isolated facet degeneration of the upper adjacent level.Results and discussion. The combination of the initial degeneration of the adjacent spinal motion segment in the form of disc degeneration of grade III and higher according to Pfirrmann with threshold values of the density of the outer cartilaginous plate from 161.7 ± 18.8 to 164.8 ± 14.2 HU, the density of the outer facet – from 702.43 ± 12.3 to 713.65 ± 13.6 HU and the density of the inner facet – from 580.5 ± 11.6 to 582.1 ± 15.1 HU, as well as with signs of segmental instability of the adjacent segment can be considered as risk factors for the development of its degeneration. With the progression of degeneration of the upper intervertebral disc, revision interventions were performed within 12–60 months after surgery.Conclusion. Bisegmental stabilization with signs of initial degeneration in the intervertebral disc and facet joints in the upper segment has proven its clinical and instrumental effectiveness in the period of 36 months and reduces the risks of developing degenerative disease of the adjacent disc

Complex neuroimaging study of the proximal segment after rigid fixation and dynamic stabilization in patients with degenerative lumbar disease

Background. The development of the adjacent level syndrome and, as a consequence, adjacent segment degenerative disease are currently the most common complications of decompression and stabilization surgery with the development of segmental instability. The aim of the study. To conduct a comprehensive neuroimaging assessment of  the proximal adjacent segment after rigid fixation and dynamic stabilization in degenerative lumbar disease. Materials and methods. We conducted a prospective multicenter study of the results of surgical treatment of 274 patients with degenerative-dystrophic diseases of the lumbar spine, who underwent monosegmental decompression and stabilization surgery using the TLIF (transforaminal lumbar interbody fusion) technique and open transpedicular rigid fixation, as well as open hemilaminectomy with stabilization of the operated segments with nitinol rods. The study included radiography, diffusion-weighted magnetic resonance imaging and computed tomography (dualenergy mode) of intervertebral discs and isolated facet degeneration of the upper adjacent level. Results and discussion. Combination of the initial proximal segment degeneration in the form of  facet joints degeneration (density of cartilaginous plate  – 163.5 ± 14.2 HU, density of external facet – 709.35 ± 13.6 HU, density of internal facet – 578.1  ±  12.1  HU), Pfirrmann III, IV  grade degeneration of intervertebral disc and a measured diffusion coefficient of less than 1300 mm2/s cause high risks of developing adjacent segment degenerative disease, which regulates the use of monosegmental dynamic fixation with nitinol rods, or preventive rigid fixation of the adjacent segment. Conclusion. Using complex neuroimaging in the preoperative period makes it possible to predict the results of surgical treatment, take timely measures to prevent degenerative diseases of the adjacent segment, and to carry out dynamic monitoring of processes in the structures of the spinal motion segment

HARDWARE AND SOFTWARE SYSTEM FOR PSYCHOFUNCTIONAL STATE CORRECTION

Рассмотрены некоторые результаты разработки аппаратно-программной системы (АПС) электромагнитного излучения для коррекции стресса. Показано, что АПС с амплитудной модуляцией по псевдо-случайному закону при крайне низких уровнях мощности излучения позволяет корректировать психофункциональное состояние человека.Some results of the development of a hardware-software system (HSS) of electromagnetic radiation for stress correction are considered. It is shown that HSS with amplitude modulation according to a pseudo-random law at extremely low levels of radiation power makes it possible to correct the psycho-functional state of a person