[Recovery of the support capacity of the vertebral column in patients with tuberculous spondylitis].

The paper presents the results of anterior spine fusion in 250 patients with tuberculous spondylitis involving 2 to 8 vertebrae, by using free and non-free autologous bone grafts, carbonaceous implants, and revascularized transplants. Anterior spine fusion added to posterior spinal fixation with a CD-type metal construction. A tuberculous process in the spine was cured in 96.

[Surgical strategies in the diagnosis and treatment of patients with differentiated thyroid cancer].

Results of examination of 215 patients with differentiated thyroid cancer (papillary, follicular, medullary) with various degrees of involvement of regional lymph nodes in the process are presented. The follow-up observation lasted from 2 till 10 years. It was established that metastases most frequently affect the jugular group of nodes so it was chosen for investigation in order to detect the micro-metastases at the subclinic stage.

[Surgical treatment of patients with cervicothoracic and upper thoracic spinal abnormalities].

The authors have developed an approach to cervicothoracic and upper thoracic spine for surgical treatment of patients with tuberculous spondylitis complicated by severe kyphotic deformity, which allows one to make the entire scope of reparative surgical intervention under visual guidance from the fifth cervical vertebra to the ninth thoracic one with the minimum traumaticity and preserved muscle integrity. This is performed through the periscapular triangle by diverting the scapula cranially without dissecting its fixing muscles, the musculus latissimus dorsa caudally. The third or fourth rib is resected in relation to the site of a pathological process.

[Biochemical criteria of the inflammatory process in spinal osteomyelitis].

Patterns of collagen metabolism were studied in 36 patients with hematogenic vertebral column osteomyelitis simultaneously with evaluation of C-reactive protein, haptoglobin and ceruloplasmin in blood and consideration of the clinico-morphological steps of the disease. Hyperhydroxyprolineuria proved to be a more informative evidence for inflammation in vertebral column as compared with the proteins of acute phase of inflammation importance of hydroxyproline measurement in biological fluids for evaluation of the osteomyelitis development was elevated as the inflammation activity decreased (which was estimated by content of the acute phase proteins).