摘要：Aim The study of the prevalence causes the formation of chronic vertebrogenic pain syndromes (СVPS), their clinical course, determining the optimal methods of treatment. Methods The observation of the 31 patients with chronic vertebrogenic pain syndrome was led. It is identified neuroimaging changes and leading clinical and neurological syndromes. An objective assessment of the presence of pain confirmed using a visual analog scale and the test for the assessment of pain and functional economic status in chronic backpain. All patients were devided into 2 groups.Results The duration of chronic vertebrogenic pain patients studied were: from 3 to 5 years in 11 (35 %), more than 10 years in 13 (42 %), more than 15 years – in 7 (23%) patients. A significant duration of the pain syndrome was the reason for seeking care. Comparing the results of treatment in the two groups showed a significant benefit in the primary group, in which after 10 days the patients did not report pain and returned to work. In the control group revealed a statistically significant reduction of pain syndrome, the condition of patients required further rehabilitation.Conclusions It is identified the best effect with the use of modern methods of treatment of reflex muscle-toxic with Xeomin in comparison with traditional methods.
其他摘要：Проведено наблюдение 31 больного с хроническим болевым синдромом. Пациенты I (основной) группы из 9 человек получали инъекции ботулотоксина типа А в грушевидную, прямые мышцы спины. Пациенты II (контрольной) группы из 22 человек получали стандартную терапию анальгетиками и миорелаксанта- ми в сочетании с физиотерапевтическими процедурами. Выявлен наилучший эффект при использования современных методов лечения рефлекторных мышеч- но-тонических синдромов с использованием ксеомина в сравнении с традиционными методами.
