Acta biomedica scientifica Acta biomedica scientifica Acta biomedica scientifica 2541-9420 2587-9596 14183 10.12737/22974 Клиническая медицина Clinical Medicine Клиническая медицина ANALYSIS OF THE RESULTS OF STAGING DECOMPRESSION/STABILIZATION INTERVENTIONS IN THE TREATMENT OF PATIENTS WITH TANDEM STENOSIS OF CERVICAL AND LUMBAR SPINE АНАЛИЗ РЕЗУЛЬТАТОВ ЭТАПНЫХ ДЕКОМПРЕССИВНО-СТАБИЛИЗИРУЮЩИХ ВМЕШАТЕЛЬСТВ ПРИ ЛЕЧЕНИИ ПАЦИЕНТОВ С ТАНДЕМ-СТЕНОЗАМИ ПОЗВОНОЧНОГО КАНАЛА В ШЕЙНОМ И ПОЯСНИЧНОМ ОТДЕЛАХ ПОЗВОНОЧНИКА Шепелев Валерий Владимирович Shepelev Valeriy Владимирович shepelev.dok@mail.ru Сороковиков Владимир Алексеевич Sorokovikov Vladimir Алексеевич Калинин Андрей Андреевич Kalinin Andrey Andreyevich Бывальцев Вадим Анатольевич Byvaltsev Vadim Анатольевич byval75vadim@yandex.ru Крутько Александр Владимирович Krutko Aleksandr Владимирович ortho-ped@mail.ru 01 12 2016 01 12 2016 1 4 85 90 https://zh-szf.ru/en/nauka/article/14183/view

В статье приведён анализ результатов этапных декомпрессивно-стабилизирующих оперативных вмешательств 46 пациентов с тандем-стенозами позвоночного канала в шейном и поясничном отделах позвоночника, оперированных в четырёх нейрохирургических отделениях Владивостока, Иркутска и Новосибирска. Проведённое мультицентровое исследование позволило подтвердить их высокую клиническую и рентгенологическую эффективность в среднем за 24 месяца.

The concept of “tandem stenosis” comprises combination of degenerative stenosis in both cervical and lumbar spine. At the moment, there is no consistent approach to the surgical procedures in this group of patients, as well as the research-ers do not pay much attention in their papers to the sequence and stage-by-stage approach to the procedures and to the analysis of combined surgical procedures. The aim of the research was to analyze the results of staging decompression/stabilization interventions in the treatment of patients with tandem stenosis of cervical and lumbar spine. We performed a retrospective analysis of prospectively collected results of treatment of 46patients with combined (tandem) stenosis of cervical and lumbar spine. The patients were operated in four neurosurgical clinical units of Vladivostok, Irkutsk and Novosibirsk. We assessed clinical data: level of pain syndrome – using visual analog scale (VAS), neck disability index (NDI), Oswestry disability index (ODI), MacNab and Nurick clinical outcomes, as well as the results of plain spine radiography and neuroimaging studies (MRI, MSCT). Multicenter study of the results of staging surgical procedures with the use of specialized microsurgical instruments in the treatment of patients with tandem stenosis of cervical and lumbar spine allowed us to confirm their high clinical and radiological effectiveness.

 тандем-стеноз позвоночного канала малотравматичная декомпрессия позвоночного канала миниинвазивная стабилизация tandem spinal stenosis less traumatic decompression of spinal canal minimally invasive stabilization

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