ESTIMATION OF ANAMNESIS AND PAIN SYNDROME IN PATIENTS WITH NONSPECIFIC OSTEOMYELITIS OF THE SPINE

Abstract

Objectives. To study anamnesis and pain syndrome in patients with acute and chronicle nonspecific osteomyelitis of the spine (NOS). Material and Methods. Total of 125 patients with NOS were treated. Out of them 74 patients underwent complex conservative treatment, and 51 patients – radical reconstruction surgeries. Patients’ complaints are analyzed and a pain syndrome is assessed on admission and after treatment. Results. Terms of diagnosis formation varied from 3 days to 2 years. Pain syndrome peculiarities of a sharp and chronic NOS were revealed. In a sharp NOS the pain reached the maximal value of 72.3 ± 7.6 % (according to Visual Analog Scale). It was «excruciating, gnawing, pulsating, burning, shooting» according to patients’ definition. Chronic course of inflammatory process is accompanied by less intensive pain (48.0 ± 4.8 %, Visual Analog Scale) characterized by patients as «aching, dull and extended». Modified Zung test revealed a high level of uneasiness (25–35 points) in patients with NOS. Сonclusion. Pain syndrome diagnosis allows both assessing the dynamics of therapy efficiency and substantiating the prescription of analgetic therapy taking into account a probability of development of uneasiness and mental disorders.