БОЛЕЗНИ ДОНОРСКОЙ ЗОНЫ КАК ПРОБЛЕМА ХИРУРГИЧЕСКОЙ ВЕРТЕБРОЛОГИИ: СИСТЕМАТИЧЕСКИЙ ОБЗОР
https://doi.org/10.14531/ss2016.2.45-51
Аннотация
Наиболее часто применяемым пластическим материалом в хирургической вертебрологии является костный аутотрансплантат из гребня подвздошной кости. Несмотря на высокую эффективность аутогенной костной ткани при спондилодезе, ее использование связано с рядом отрицательных моментов, в том числе с так называемыми болезнями донорской зоны, то есть осложнениями забора костного аутотрансплантата. Большие осложнения связаны с техникой забора трансплантата. Из малых осложнений наибольшее значение имеет формирование в отдаленном послеоперационном периоде хронических болевых синдромов, частота которых составляет 28-31 %. Хронические боли в донорской зоне могут быть связаны с мобилизацией мышц, разрушением наружного кортикального слоя крыла подвздошной кости, повреждением нервов. Лечение хронической боли в донорской зоне остается практически исключительно симптоматическим. Обобщены основные факторы, влияющие на частоту осложнений при заборе трансплантата из гребня подвздошной кости, и технические приемы, способствующие ее снижению.
Об авторах
Артем Владимирович Косулин
Санкт-Петербургский государственный педиатрический медицинский университет
Россия
Россия
Дмитрий Викторович Елякин
Санкт-Петербургский государственный педиатрический медицинский университет
Россия
Россия
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Рецензия
Для цитирования:
Косулин А.В., Елякин Д.В. БОЛЕЗНИ ДОНОРСКОЙ ЗОНЫ КАК ПРОБЛЕМА ХИРУРГИЧЕСКОЙ ВЕРТЕБРОЛОГИИ: СИСТЕМАТИЧЕСКИЙ ОБЗОР. Хирургия позвоночника. 2016;13(2):45-51. https://doi.org/10.14531/ss2016.2.45-51
For citation:
Kosulin A.V., Elyakin D.V. DONOR SITE MORBIDITY AS A PROBLEM OF SPINAL SURGERY: SYSTEMATIC REVIEW. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2016;13(2):45-51. https://doi.org/10.14531/ss2016.2.45-51
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