Optimization of Diagnosis and Treatment of Children with Craniovertebral Pathology

Khamidulina O. N., Pogosyan I. A., Marchuk Y. V., Kozhevnikov M. A., Tkachenko T. Y.

Scientific-Practical Center «Bonum»,
Yekaterinburg, Russian Federation;
The Chaclin Urals Scientific Research Institute of Traumatology and Orthopaedics, Yekaterinburg, Russian Federation

Abstract.

This paper analyzes the results of the survey of 112 patients with abnormal craniovertebral (CWE). Based on the analysis of the results of clinical studies, history and radiographs using the techniques of mathematical apparatus, patients were divided into 5 groups according to pathology CWE. Author's method of determining the type of CWE has been issued in the form of a software product GimOrt, which allows a high degree of certainty to identify the leading symptom disorders of the musculoskeletal system in children and to determine the severity of dysplastic and/or components of traumatic cervical spine pathology without any additional imaging studies. The program can be used to construct an algorithm for the diagnosis and treatment of young children. In addition, GimOrt allows a high degree of accuracy to assess the dynamics of treatment outcomes.

Keywords:

craniovertebral pathology, cervical spine, children, discriminant analysis

REFERENCES
1. Vetrilje S.T. Radiologic diagnosis Craniovertebral pathology. S.T. Vetrilje, A.K. Morozov, S.V. Kolesov. Povrezhdenija i zabolevanija shejnogo otdela pozvonochnika. Moskva, — 2004 – S.7-9.
2. Vetrilje S.T. Modern radiation diagnosis of the upper cervical spine injury / S.T. Vetrilje, A.K. Morozov, S.V. Kolesov, A.L. Kornachjov. Posobie dlja vrachej. M., — 1997. – S.8-29.
3. Vetrilje S.T., Kolesov S.V. Malformations and dysplasia of the upper cervical spine (clinical diagnosis and treatment). Vestnik travmatologii i ortopedii im. N.N.Priorova. – 1997. — №1. – S. 62 – 68.
4. D'jachenko V.A. Rentgenoosteologiya (normal variants and bone X-ray image). Allowance for learners radiology. M., «Medgiz», 1954. – 298 s.
5. Mazhejko L.I. Aspects of neurological lesions craniovertebral region in children (clinical diagnosis) [Text]: dis. … kand.med.nauk: 14.00.13. L.I. Mazhejko. – Ekaterinburg. – 1997. – 157 s.
6. Codeks V. M., Moiseenko V.A. Diagnosis and treatment of traumatic displacement of the upper cervical spine. Vestnik travmatologii i ortopedii im. N.N.Priorova. – 1996. — №1. – S. 66 – 70.
7. Klekka U.R. Factor, discriminant and cluster analysis U.R. Klekka, J.O. Kim, Ch.U. M'juller i dr. Per. s angl. A.M. Hotinskogo, S.B. Koroljova, pod red. I.S. Enjukova – M.: «Finansy i statistika». – 1989. – 215 s.
8. Mihajlov M.K. Radiology generic spinal injuries. M.K. Mihajlov. – M.: GOJeTAR-MED, 2001. – 176 s.
9. Ul'rih Je.V., Mushkin A.Ju. Vertebrology in terms, figures, illustrations. 2nd edition [Text]. Je.V. Ul'rih, A.Ju. Mushkin – SPb.: JeLBI-SPb, 2005. – 187 s.
10. Borovikov V.P., Borovikov I.P. STATISTICA. Statistical analysis and data processing for Windows. М.: Informacionno-izdatel'skij dom «Filin'», 1997. – 608 s.
11. Djuk V., Jemanujel' V. Information technologies in biomedical research. – SPb.: Piter, 2003. – 528 s.
12. Mazurov V.D. About problems difficult to formalize the analysis of complex systems. V.D. Mazurov. Matematicheskoe modelirovanie processov v medicinskih i biologicheskih sistemah. — Sverdlovsk: UNC AN SSSR, 1982. – S. 3-10.
13. Fundamentals of discriminant analysis. Access mode: http://www.uran.donetsk.ua/~masters/2005/kita/kapustina/library/discr_an.htm
14. Junkerov V.I. Mathematical and statistical processing of data for Medical Research. V. I. Junkerov, S. G. Grigor'ev. – SPb. – Voenno-medicinskaja akademija, 2002. – 267 s.
15. Pogosjan I.A., Hamidulina O.N., Kozhevnikov M.A., Marchuk Ju.V. Diagnosis of pathology craniovertebral region in children on the basis of the complex clinical and anamnestic data «GimOrt», Certificate of official registration of computer programs № 2007614539 from 29.10.2007.
16. Pogosjan I.A. Kozhevnikov M.A. Marchuk Ju.V. Montile A.I. The method of diagnosing structural craniovertebral pathology in children. Patent 2359607 Russian Federation, MPK A 61 V 5/00. applicant and patentee GUZ SO DKBVL «Nauchno-prakticheskij centr «Bonum». – № 2007144799/14; zajavl.03.12.2007; opubl.27.06.2009, Bjul. № 18. – 16 s.

Authors
Khamidulina Olga N. 
yarina@bonum.info.
Scientific-Practical medical Center «Bonum»
head of the orthopaedic Department
620149, Russin Federation, Yekaterinburg, ul. Akademika Bardina, 9a
Pogosyan Inna A. 
pogosyan@bonum.info.
Scientif Practical medical Center «Bonum»
doctor of medicine, head of the medical center,
Marchuk Yurii V. 
yura-mc@bonum.info
Scientific-Practical medical Center «Bonum»
candidate of physico-mathematical Sciences, head of Department of information technologies
Kozhevnikov Michail A.
The Chaclin Urals Scientific Research Institute of Traumatology and Orthopaedics, engineer, 620014, Russin Federation, Yekaterinburg, per. Bankovskiy, 7.
Tkachenko Tatyana Ya.
ttkachenko@bonum.info
Scientific-Practical medical Center «Bonum», candidate of engineering, associate Professor, head of the research Department