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Lumbar-sacral spine dysplasia. Clinical and paraclinical features, orthopedic and surgical treatment


Author: Şavga Nicolae
Degree:doctor habilitat of medicine
Speciality: 14.00.35 - Infantine Surgery
Year:2010
Scientific adviser: Eva Gudumac
doctor habilitat, professor, State University of Medicine and Pharmacy "Nicolae Testemitanu"
Institution: State University of Medicine and Pharmacy "Nicolae Testemitanu"
Scientific council: DH 50-14.00.35
State University of Medicine and Pharmacy "Nicolae Testemitanu"

Status

The thesis was presented on the 27 October, 2010
Approved by NCAA on the 23 December, 2010

Abstract

Adobe PDF document0.89 Mb / in romanian

Keywords

dysplasia lumbar-sacral part of the spine, degenerative-dystrophic process, imaging, instability, quality of a life.

Summary

The dissertation of the doctor of medical sciences, c. Chisinau, 2010: it is stated on 255 pages of the electronic text and subdivided in: introduction, 5 chapters, conclusions and practical recommendations. It is illustrated with 23 tables, 166 images, 6 appositions, 348 references. The received results are published in 70 scientific works.

Studying area: children's surgery, orthopedics and traumatology.

Work’s goal: improvement of a life quality of children with dysplastic processes of the lumbar-sacral spine, by working out of diagnostics algorithm, medical-orthopedic and surgical treatment.

Research problems: to define structure and frequency of lumbar-sacral dysplasia in children; to study the role of heredity, clinical, biomechanical, pathophysiological and pathohistologic features; to improve known and to develop new methods of diagnostics, medical-orthopedic and surgical treatment, to determine and compare quality of life of these patients.

Research methodology: methods were used: clinical-paraclinical, conceptual and mathematical modeling, statistical processing. Scientific novelty: for the first time the complex, profound studying of the dysplastic process of the lumbar-sacral spine in children from the Republic Moldova was developed and realized.

The practical importance of research: the developed algorithm used in diagnostics and treatment of children with dysplastic processes of the lumbar-sacral spine allows to reduce the hospitalization time, to diminish the medicines loading, and considerably to improve the quality of life of these patients.

Implementation in practice: the elaborated algorithm of diagnosis, medical-orthopedic and surgical treatment of the dysplastic processes of the lumbar–sacral spine in children was introduced in the scientific and practical work, training activities at the Chair of Pediatric Surgery, Orthopedics and Anesthesiology of the "Nicolae Testemitanu" State Medical and Pharmaceutical University; in daily practice of the Department of Pediatric Vertebrology, and Department of Orthopedics in the “Academician Natalia Gheorghiu” National Scientific and Practical Center of Pediatric Surgery, Chisinau, Republic of Moldova.