КИНЕМАТИКА ПОЯСНИЧНЫХ СЕГМЕНТОВ, СМЕЖНЫХ С ИНСТРУМЕНТАЛЬНЫМ РИГИДНЫМ ЗАДНЕБОКОВЫМ СПОНДИЛОДЕЗОМ


https://doi.org/10.14531/ss2014.3.45-53

Полный текст:


Аннотация

Цель исследования. Изучение диапазона движений сегментов проксимальнее зоны спондилодеза и его взаимосвязи с некоторыми параметрами вертикальной позы пациентов с поясничным остеохондрозом и дегенеративным поясничным спондилолистезом на этапах хирургического лечения.

Материал и методы. Проанализированы протоколы клинико-рентгенологического обследования 52 пациентов мужского пола с нестабильностью нижнепоясничных сегментов в сочетании со спондилоартрозом и/или стенозом позвоночного канала, и/или грыжами поясничных межпозвонковых дисков. Использовали клинический и рентгенологический методы обследования.

Результаты. До операции у всех пациентов выявлено уплощение поясничного лордоза и вертикализация крестца в сочетании с существенным уменьшением экскурсии поясничного отдела позвоночника. Улучшение сагиттального контура позвоночника после хирургического лечения не привело к значимому улучшению кинематики поясничных сегментов.

Заключение. Изменение подвижности поясничных сегментов может быть связано с некорректными паттернами движения вследствие неустраненных миотонических реакций и неадекватных двигательных стратегий. 


Об авторах

Владимир Александрович Радченко
Институт патологии позвоночника и суставов им. проф. М.И. Ситенко, Харьков, Украина
Россия


Вера Анатольевна Колесниченко
61024, Харьков, ул. Пушкинская, 80
Россия


Ма Конг
Институт патологии позвоночника и суставов им. проф. М.И. Ситенко, Харьков, Украина
Россия


Артем Геннадиевич Скиданов
Институт патологии позвоночника и суставов им. проф. М.И. Ситенко, Харьков, Украина
Россия


Константин Николаевич Литвиненко
Институт патологии позвоночника и суставов им. проф. М.И. Ситенко, Харьков, Украина
Россия


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Дополнительные файлы

Для цитирования: Радченко В.А., Колесниченко В.А., Конг М., Скиданов А.Г., Литвиненко К.Н. КИНЕМАТИКА ПОЯСНИЧНЫХ СЕГМЕНТОВ, СМЕЖНЫХ С ИНСТРУМЕНТАЛЬНЫМ РИГИДНЫМ ЗАДНЕБОКОВЫМ СПОНДИЛОДЕЗОМ. "Хирургия позвоночника". 2014;(3):45-53. https://doi.org/10.14531/ss2014.3.45-53

For citation: Radchenko V.A., Kolesnichenko V.A., Cong M., Skidanov A.G., Litvinenko K.N. KINEMATICS OF LUMBAR SEGMENTS ADJACENT TO THE RIGID INSTRUMENTED POSTEROLATERAL SPINAL FUSION. Hirurgiâ pozvonočnika. 2014;(3):45-53. (In Russ.) https://doi.org/10.14531/ss2014.3.45-53

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