Синдромальный подход при оценке хирургической патологии шейного отдела позвоночника
Автор: Бурцев Александр Владимирович, Губин Александр Вадимович, Рябых Сергей Олегович, Котельников Александр Олегович, Павлова Ольга Михайловна
Журнал: Гений ортопедии @geniy-ortopedii
Рубрика: Оригинальные статьи
Статья в выпуске: 2, 2018 года.
Бесплатный доступ
Предмет исследования. Существующее многообразие патологии шейного отдела позвоночника, приведшее к созданию огромного количества нозологических классификаций и усложняющее их интерпретацию. Цель. На основании анализа пациентов с различной хирургической патологией шейного отдела позвоночника предложить синдромальный подход к их оценке для упрощения выбора лечебного алгоритма. Дизайн исследования. Ретроспективное моноцентровое мультикогортное исследование и обзор литературы. Материалы и методы. Ретроспективный анализ 336 пациентов в возрасте от 0,9 года до 77 лет с хирургической патологией шейного отдела позвоночника, оперированных в центре Илизарова с 2010 по 2017 г. Результаты. На основании анализа симптомокомплексов, послуживших причиной оперативного вмешательства, были выделены следующие клинические синдромы: компрессионно-ишемический, синдром нестабильности, синдром дисбаланса. Заключение. Предложенная синдромальная концепция позволяет объединить разнообразную патологию шейного отдела позвоночника с позиции клинических проявлений. Использование синдромального подхода облегчит внутри- и междисциплинарное взаимодействие, а также облегчит принятие тактического решения.
Шейный отдел позвоночника, синдром, компрессия, нестабильность, дисбаланс
Короткий адрес: https://sciup.org/142213646
IDR: 142213646 | УДК: 616.711.1-008.6-089 | DOI: 10.18019/1028-4427-2018-24-2-216-220
Syndromic approach in assessing the surgical pathology of the cervical spine
Object of study The existing variety of cervical spine pathologies resulted in a huge number of nosologic classifications and complicates their interpretation. Purpose Based on the analysis of patients with various surgical pathologies of the cervical spine, we suggest a syndromic approach to their evaluation to simplify the choice of a therapeutic algorithm. Study design Retrospective monocentre multicohort study and literature review Materials and methods A retrospective analysis of 336 patients aged 0.9 to 77 years with cervical spine surgical pathology who underwent interventions at the Ilizarov center between 2010 to 2017 was performed. Results Based on the analysis of the symptoms that led to the surgical interventions, the following clinical syndromes were identified: compression-ischemic syndrome, instability syndrome, imbalance syndrome. Conclusion The proposed concept of assessing syndromes identifies the pathology of the cervical spine regarding its clinical manifestations. The use of the syndromic approach will facilitate intra- and interdisciplinary interaction, as well as allows for tactical decisions.
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