КИНЕМАТИКА ПОЯСНИЧНЫХ СЕГМЕНТОВ, СМЕЖНЫХ С ИНСТРУМЕНТАЛЬНЫМ РИГИДНЫМ ЗАДНЕБОКОВЫМ СПОНДИЛОДЕЗОМ

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.

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