Alekhin A I
Probl Tuberk. 1989(7):45-8.
The treatment results relating to 57 patients with neurological signs of osteochondrosis secondary to sustained tuberculous spondylitis with the pain syndrome prevailing in the clinical picture were studied. The majority of the patients (50) had limited affections of 1 or 2-3 adjoining vertebrae and 7 patients had extended processes (4-6 adjoining vertebrae). The treatment procedure was based on manual therapy: hand strength applied to the vertebral column, joints and muscles for eliminating pain and other neurological signs of the disease. The treatment should be complex and differential in regard to the clinical signs, the disease process and stage, the degree of functional disorders and of the pain syndrome. The manual therapy was the most efficient in patients with osteochondrosis secondary to sustained tuberculous spondylitis or the muscular tonic syndrome and moderate deformations of the vertebral column, as well as in those operated on for the main disease at the early stages.
对57例继发于持续性结核性脊柱炎且临床症状以疼痛综合征为主的骨软骨病神经症状患者的治疗结果进行了研究。大多数患者（50例）病变局限于1个或2 - 3个相邻椎体，7例患者病变范围较广（4 - 6个相邻椎体）。治疗方法以手法治疗为主：通过手部力量作用于脊柱、关节和肌肉，以消除疼痛及疾病的其他神经症状。治疗应根据临床症状、疾病进程和阶段、功能障碍程度及疼痛综合征进行综合和个体化。手法治疗对继发于持续性结核性脊柱炎的骨软骨病患者、肌肉紧张综合征患者、脊柱中度畸形患者以及早期因主要疾病接受手术的患者最为有效。
