THE ROLE OF ROTATIONAL SUBLUXATION OF THE ATLAS IN THE DEVELOPMENT OF MYOFASCIAL PAIN SYNDROME AND SCOLIOTIC SPINAL DEFORMITY
https://doi.org/10.14531/ss2008.3.81-87
Abstract
Objective. Experimental dynamical reproduction of morphofunctional alterations in musculoskeletal system, particularly in neck muscles, after rotational subluxation of the atlas to study pathogenetic peculiarities of the development of myofascial pain syndrome and scoliotic spinal deformity. Material and Methods. Posterior rotational subluxation of the atlas was induced in 60 laboratory animal models. Blood supply of epaxial muscles and their fascial envelope was measured by the method of water suspension of black ink (1:3) injection into vessels. Objectivization of the obtained findings was performed by means of complex morphological analysis of hemomicrocirculation channel parameters. Light-optical investigation was carried out between 5 to 360 days after surgery to study the course of morphological changes in myofascial structures adjacent to the skull joints after the induced atlas subluxation. Sections were stained with hematoxilin and eosin. X-ray image of the spine was taken in two projections. Results. The changes in hemomicrocirculation channel due to experimental myogelosis occurs in two stages – functional and organic ones. The rebuilding of hemomicrocirculation channel causes changes in morphological structure of fasces and muscles. The revealed disorders in tissue-capillary exchange can be presented as a syndrome of capillary-trophic insufficiency. Conclusion. The study revealed the influence of rotational subluxation of the atlas on the development of typical scoliotic deformity of the spine.
About the Authors
Adelgery Amerbyevich Liev
Stavropol State Medical Academy
Russian Federation
Russian Federation
Mikhail Ivanovich Scorobogach
Stavropol State Medical Academy
Russian Federation
Russian Federation
Vladimir Konstantinovich Tatyanchenko
Rostov State Medical University, Rostov-on-Don
Russian Federation
Russian Federation
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Review
For citations:
Liev A.A., Scorobogach M.I., Tatyanchenko V.K. THE ROLE OF ROTATIONAL SUBLUXATION OF THE ATLAS IN THE DEVELOPMENT OF MYOFASCIAL PAIN SYNDROME AND SCOLIOTIC SPINAL DEFORMITY. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2008;(3):081-087. (In Russ.) https://doi.org/10.14531/ss2008.3.81-87
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