СОВРЕМЕННЫЕ ВОЗМОЖНОСТИ ЗАДНЕЙ ДИНАМИЧЕСКОЙ СТАБИЛИЗАЦИИ ПОЗВОНОЧНИКА В ПРОФИЛАКТИКЕ СИНДРОМА СМЕЖНОГО УРОВНЯ: ОБЗОР ЛИТЕРАТУРЫ


https://doi.org/10.14531/ss2015.1.46-62

Полный текст:


Аннотация

Представлен обзор основных устройств для динамической фиксации, предложенных и апробированных на сегодняшний день. Отдельное внимание уделено понятию «нестабильность», а также развитию синдрома смежного уровня при использовании фиксаторов различного типа. Использованы 123 источника, размещенных в 2006-2013 гг. в открытом доступе баз данных доказательной медицины (PubMed, Medline и др.). Несмотря на большое количество предложенных устройств, не существует идеальной системы динамической фиксации, способной в полной мере предупредить развитие синдрома смежного уровня. Имеется ряд устройств, обеспечивающих надежную фиксацию с сохранением нормальной биомеханики позвоночного сегмента. Однако достоверные клинические результаты их применения пока не получены. Изучение проблем нарушения биомеханики позвоночника после выполнения фиксации сегмента позволит найти ключ к решению проблемы синдрома смежного уровня.

Об авторах

Серик Калиулович Макиров
Российская медицинская академия последипломного образования, Москва
Россия


Андрей Анатольевич Юз
Российская медицинская академия последипломного образования, Москва
Россия


Мохаммед Тахер Джахаф
Российская медицинская академия последипломного образования, Москва
Россия


Сергей Сергеевич Гусев
Российская медицинская академия последипломного образования, Москва
Россия


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Для цитирования: Макиров С.К., Юз А.А., Джахаф М.Т., Гусев С.С. СОВРЕМЕННЫЕ ВОЗМОЖНОСТИ ЗАДНЕЙ ДИНАМИЧЕСКОЙ СТАБИЛИЗАЦИИ ПОЗВОНОЧНИКА В ПРОФИЛАКТИКЕ СИНДРОМА СМЕЖНОГО УРОВНЯ: ОБЗОР ЛИТЕРАТУРЫ. "Хирургия позвоночника". 2015;12(1):46-62. https://doi.org/10.14531/ss2015.1.46-62

For citation: Makirov S.K., Yuz A.A., Jahaf M.T., Gusev S.S. MODERN OPPORTUNITIES OF POSTERIOR DYNAMIC STABILIZATION OF THE SPINE TO PREVENT ADJACENT SEGMENT SYNDROME: REVIEW OF THE LITERATURE. Hirurgiâ pozvonočnika (Spine Surgery). 2015;12(1):46-62. (In Russ.) https://doi.org/10.14531/ss2015.1.46-62

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