MODERN PRINCIPLES OF DISPENSARY SYSTEM FOR CHILDREN WITH SPINE DEFORMITIES IN REMOTE REGIONS

Objective. To analyze the efficacy of dispensary system for children with spine deformities in remote regions of Western Siberia.

Material and Methods. Total of 4400 children at the age of 6 to 16 years were screened being divided into three groups: 1 – children of aborigines residing in habitual country-side; 2 – children of aborigines residing in towns; 3 – children of migrants. Control group included 2200 schoolchildren from Novosibirsk City. A posture and a spine shape were evaluated by Computer Optical Topograph (COMOT). Screening and monitoring of children living in remote villages was performed in expeditions with mobile version of COMOT.

Results. Children of Group 1 have the smallest degree of spine deformity. This group presented the lowest incidence of scoliosis, absence of severe forms, and the largest number of healthy children (18.8 %). There were the smallest figures (3.63°) of spine curvature and the lowest index (0.62) of arch lateral tilt among overall sample in this group. The spine curvature in this group is the smallest (3.63°) from that of the whole sample, as well as the lowest index of lateral arch deviation (0.62). In accordance with standard topographic criteria for assessing posture disorder and spine deformity in three planes only 4.7 % of all examined children and adolescents were healthy and had a balanced posture. Children of aborigines have the most balanced posture and the smallest degree of spine deformity.

Conclusion. Revealing of risk territories and factors, and possible zoning of spine pathology distribution are the priorities of preventive spine medicine. Account must be taken of territorial risk factors and peculiarities of aborigine constitution when specialized medical care is organized in remote regions.

1. Альбицкий Ю.В., Баранов А.А. Комплексная оценка состояния здоровья детей в условиях всеобщей диспансеризации // VII Всерос. съезд детских врачей: Тез. докл. Иваново, 1987. С. 6–7.

2. Васильева Г.С. Гигиеническая оценка погодно-климатических и геофизических факторов риска в формировании среды обитания у жителей Республики Саха (Якутия): Дис. … канд. мед. наук. Иркутск, 2002.

3. Громбах С.М., Сальникова Г.П. Состояние здоровья школьников // Вестн. АМН СССР. 1972. Вып. 27. С. 29–35.

4. Романенко М.Г. Социально-гигиеническая оценка планирования территориального здравоохранения в условиях малой плотности расселения жителей: Автореф. дис. … канд. мед. наук. Новосибирск, 2003.

5. Садовой М.А., Трофимович Е.М., Садовая Т.Н. Превентивная детская вертебрология в проблеме гигиенической антропопатологии // Хирургия позвоночника. 2004. № 2. С. 79–87.

6. Сарнадский В.Н., Садовой М.А., Фомичев Н.Г. Способ компьютерной оптической топографии тела человека и устройства для его осуществления. Заявл. 26.08.96. Евразийский патент № 000111.