СОПОСТАВЛЕНИЕ ДАННЫХ МАГНИТНО-РЕЗОНАНСНОЙ ТОМОГРАФИИ И НЕВРОЛОГИЧЕСКИХ ПРОЯВЛЕНИЙ СПОНДИЛОГЕННОЙ МИЕЛОПАТИИ У БОЛЬНЫХ ИНФЕКЦИОННЫМИ СПОНДИЛИТАМИ

Designs — single center prospective cohort. Studied the clinical and neurological status, and magnetic resonance imaging (MRI) of the spine consistent examined 50 patients with destructive lesions of the thoracic and lumbar vertebrae, including 40 patients with confirmed active infectious spondylitis, 5 — with consequences spondylitis, and 5 — with other diseases. Patients with infectious spondylitis revealed the prevalence of intramedullary changes as gliosis and myeloishemy; statistically proven the existence of a higher degree of sagittal spinal canal stenosis (SCSs) and the vertex angle of spinal deformation (SCK) in tuberculous spondylitis than in non-specific, as well as the impact of the maximum degree of linear compression of the spinal cord (APC) on the severity of neurological impairment, estimated scale Frankel. No proven link between the severity of neurological disorders with an etiology spondylitis and specific embodiments of the structural changes in the spinal cord. Дизайн — проспективная моноцентровая когорта. Изучен клинико-неврологический статус и магнитно-резонансная томография (МРТ) позвоночника последовательно обследованных 50 больных с деструктивными поражениями грудных и поясничных позвонков, включая 40 пациентов с верифицированным активным инфекционным спондилитом, 5 — с последствиями спондилита и 5 — с другими заболеваниями. У больных инфекционными спондилитами выявлено преобладание интрамедуллярных изменений в виде глиоза и миелоишемии, статистически доказано наличие более высокой степени сагиттального стеноза позвоночного канала (SCSs) и вершинного угла деформации спинного мозга (SCK) при туберкулезном спондилите, чем при неспецифическом, а также влияние максимальной степени линейной компрессии спинного мозга (APC) на выраженность неврологических нарушений, оцененных по шкале Frankel. Не доказана связь между тяжестью неврологических нарушений с этиологией спондилита и с конкретными вариантами структурных изменений спинного мозга.

Functional whipped confection of new composition

Was studied the technology of producing whipped products on agar with substitute of egg white with premium wheat flour. Was proved the choice - chicory powder. Determined dispersity of whipped masses and found that with the chicory powder proportion of air bubbles with size of less than 0.3 mm increases. This is due to reduction of moisture aerated intermediate product that leads to an increase in the mass and improve the dispersion of structural and mechanical properties of the finished product. Determined the antioxidant activity of the product with chicory powder. This rate is 40% higher than in the control sample, because of a high content of vitamin in the powder. Determined the organoleptic and physical-chemical indicators of quality. The intensity of color was determined using computer image processing in RGB color mode. The highest intensity of color is 244 conventional units, was observed in the sample taken for control, because the product contains the minimum amount of coloring substances. The intensity of the color of the sample with chicory powder is reduced by 50 conventional units, which indicates a change in the color of the product from light-colored to darker. Energy value of whipped product with chicory powder is 271 kcal (1134 kJ). Nutritional value of the product is more than in a control sample for potassium content in 2.2 times; vitamins A and C - 1.1 and 0.9 times respectively. carbohydrate content was reduced by 15%. Products enriched with chicory powder have a pleasant taste and aroma, attractive appearance, which eliminates the usage of chemical dyes and fragrances. In addition, the products have high nutritional value, contain inulin. They can be recommended for adults and children, especially those who suffer from intolerance to egg protein

Chronic esophageal fistula as a rare cause of secondary osteomyelitis of the thoracic spine

Infectious diseases affecting the spine are inflammatory destructive diseases that involved the organ and its structural elements as a result of infection by hematogenic, lymphogenic, or contact pathways, including may be a complication of surgical intervention. In arriving at an accurate diagnosis, it is extremely important to evaluate the anamnesis, the clinical picture, as well as the data of laboratory studies and radiation diagnostics in the aggregate. This article presents a clinical case with the development of secondary ThVII–ThVIII vertebral spondylitis due to esophageal fistula. At the initial diagnosis, spondylitis was associated with spinal anesthesia performed six months prior to onset of the disease, as there was a fistulous defect on the skin in the lumbar region. Consequently, surgical interventions were performed three times in a surgical hospital at the place of residence. The data from the endoscopic examination, as well as the patient’s complaints regarding the relationship between meals, the appearance of pain, and the nature of the discharge from the fistula were not taken into account by doctors initially. With the help of an additional examination, including computed tomography of the esophagus with oral contrast and computed tomography fistulography, the main diagnosis was esophageal fistula. Thoracic spondylitis was only a secondary complication. Thus, the final diagnosis of back pain and fistula in the lumbar region should be formulated after differential diagnosis with alternative diseases of the spine

СОПОСТАВЛЕНИЕ ДАННЫХ МАГНИТНО-РЕЗОНАНСНОЙ ТОМОГРАФИИ И НЕВРОЛОГИЧЕСКИХ ПРОЯВЛЕНИЙ СПОНДИЛОГЕННОЙ МИЕЛОПАТИИ У БОЛЬНЫХ ИНФЕКЦИОННЫМИ СПОНДИЛИТАМИ

Designs — single center prospective cohort. Studied the clinical and neurological status, and magnetic resonance imaging (MRI) of the spine consistent examined 50 patients with destructive lesions of the thoracic and lumbar vertebrae, including 40 patients with confirmed active infectious spondylitis, 5 — with consequences spondylitis, and 5 — with other diseases. Patients with infectious spondylitis revealed the prevalence of intramedullary changes as gliosis and myeloishemy; statistically proven the existence of a higher degree of sagittal spinal canal stenosis (SCSs) and the vertex angle of spinal deformation (SCK) in tuberculous spondylitis than in non-specific, as well as the impact of the maximum degree of linear compression of the spinal cord (APC) on the severity of neurological impairment, estimated scale Frankel. No proven link between the severity of neurological disorders with an etiology spondylitis and specific embodiments of the structural changes in the spinal cord. Дизайн — проспективная моноцентровая когорта. Изучен клинико-неврологический статус и магнитно-резонансная томография (МРТ) позвоночника последовательно обследованных 50 больных с деструктивными поражениями грудных и поясничных позвонков, включая 40 пациентов с верифицированным активным инфекционным спондилитом, 5 — с последствиями спондилита и 5 — с другими заболеваниями. У больных инфекционными спондилитами выявлено преобладание интрамедуллярных изменений в виде глиоза и миелоишемии, статистически доказано наличие более высокой степени сагиттального стеноза позвоночного канала (SCSs) и вершинного угла деформации спинного мозга (SCK) при туберкулезном спондилите, чем при неспецифическом, а также влияние максимальной степени линейной компрессии спинного мозга (APC) на выраженность неврологических нарушений, оцененных по шкале Frankel. Не доказана связь между тяжестью неврологических нарушений с этиологией спондилита и с конкретными вариантами структурных изменений спинного мозга. </p