Diseases of the spine
Tumors of the spine
Cancer of the spine includes all types of tumors of the spine and spinal cord, both primary and metastatic. The main symptom is lumbago.
Diagnostics
If during a neurological examination there is a suspicion of a spinal tumor, then an MRI or CT scan is prescribed.
Treatment
The main goal of treatment is complete removal of the tumor. When choosing a surgical method , the age, general health of the patient, type of tumor, primary or metastatic tumor, etc. are taken into account.
If a benign tumor is small in size, does not increase and does not compress adjacent tissues, then dynamic monitoring is carried out at the first stages of treatment. If the tumor is malignant, it is necessary to perform surgery, radiotherapy and drug therapy.
Cost of diagnosis and treatment: 35,000,000 - 37,000,000 won
Intervertebral hernia
A herniated disc is an abnormal protrusion of an intervertebral disc into the spinal canal that causes neurological symptoms and lumbodynia.
Diagnosis of a hernia is carried out by examination and x-ray examination.
Diagnostics
Diagnostic methods: x-ray of the spine, MRI of the spine . Despite the fact that intervertebral hernias are not visualized during X-ray examination, this examination is mandatory, because. carried out for the purpose of differential diagnosis.
Treatment
Methods of treatment: symptomatic treatment ( taking anti-inflammatory and analgesic drugs, traction treatment, ultrasound, electrophoresis, massage, wearing a corset, transcutaneous electrical nerve stimulation, epidural steroid injection, exercise therapy), surgical treatment.
Indications for surgery are: the absence of a positive result after symptomatic treatment carried out for 6-12 weeks, pain that cannot be tolerated, paresis of the lower extremities, impaired urination and defecation.
Cost of diagnosis and treatment: 14,000,000 - 33,000,000 won
Bechterew's disease
Bechterew's disease (ankylosing spondylitis) is a rheumatic disease of the joints of the spine, which is expressed in inflammation of the ligamentous apparatus of the spine and the formation of ankylosis. In most cases, the sacroiliac joint and the lumbar spine are affected, but other regions may be involved as the disease progresses.
Diagnostics
Diagnostic methods: X-ray of the spine, bone scintigraphy, CT, MRI, blood tests for the HLA-B27 antigen.
Treatment
Maintaining correct posture, physical therapy, drug treatment (non-steroidal anti-inflammatory drugs, salicylate, antirheumatic drugs, methotrexate, corticosteroids), surgical treatment (osteotomy, joint replacement).
Cost of diagnostics and treatment: 2.300.000 + treatment
Spinal stenosis
Spinal stenosis is a narrowing of the central spinal canal, lateral pocket or intervertebral foramen, which leads to the appearance of lumbar pain and various neurological symptoms of the lower extremities.
Diagnostics
Diagnostic methods: X-ray of the spine, myelography, nucleography
(X-ray examination of the intervertebral disc), CT, MRI, EMG.
Treatment
Methods of treatment: symptomatic treatment from 3 weeks to 3 months (physiotherapy, posture correction, traction therapy, drug therapy, physiotherapy exercises to strengthen the back muscles, wearing a corset, blockade), surgical treatment.
Cost of diagnosis and treatment: 14,000,000 - 33,000,000 won
Scoliosis
A normal spine in the frontal plane should be straight, in the sagittal plane it should have four physiological curves.
Scoliosis is a pathological condition in which the spine is curved to the right or left. There is also a lateral curvature, accompanied by a rotational deformity of the vertebral bodies.
The most common among adolescents is idiopathic scoliosis, which is characterized by the absence of symptoms. In rare cases, patients complain of pain in the lumbar spine. However, lumbar pain is not a specific symptom of scoliosis, and the frequency of their occurrence is not associated with either the site of curvature, or the degree of curvature, or the degree of degenerative spondoloarthritis. So, for example, pain may be absent with scoliosis with an angle of 80 degrees and have a pronounced character with a scoliosis angle of 20 degrees.
If the angle of scoliosis is less than 70-80 degrees, then in most cases there are no symptoms. An angle of more than 80 degrees can lead to a gradual decrease in lung function, in particular, lung capacity. At 90-100 degrees, shortness of breath may occur during physical exertion, and at a scoliosis angle of more than 120 degrees - cor pulmonale.
Diagnostics
Radiography of the spine, MRI of the spine, spirometry (to measure the vital capacity of the lungs). In case of congenital scoliosis and associated pathology of the heart, kidneys and other organs, ultrasound of the heart, ultrasound of the abdominal organs are performed.
Treatment
The goal of treatment for mild scoliosis is to prevent its progression. Treatment of moderate and severe scoliosis is carried out in order to eliminate the deformity and maintain the condition of the spine after correction. And also to achieve an aesthetic effect and normalize the functions of organs.
Methods of treatment: observation, corset therapy, surgical treatment.