Surgery of the spine deformities in adults: relevant problems and approaches to treatment (A review of literature)

Прудникова, О. Г.

doi:10.18019/1028-4427-2015-4-94-102

Cited by 2 publications

(5 citation statements)

References 52 publications

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“…Ведущими производителями, в основном из США и Западной Европы, созда-но значительное количество конструкций для проведения спинальных операций. Однако ча-стота осложнений в области хирургического вме-шательства при подобных операциях не имеет устойчивой тенденции к снижению [17][18][19][20][21][22]. Ча-стота верификации различных осложнений в спи-нальной хирургии остается достаточно высокой и, по данным разных авторов, находится на уровне 9-33 % [9, 19,23,24].…”

unclassified

“…Частота летальных исхо-дов при операциях на позвоночнике колеблется, по данным разных авторов, от 0,1 до 2,0 % [18,[37][38][39][40]. Основной причиной летальных исходов пациентов молодого и среднего возраста при де-формациях позвоночника являются нарастающая сердечно-сосудистая и дыхательная недостаточ-ность [9,24].…”

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“…Также в пожи-лом и старческом возрасте нередко встречаются острая задержка мочеиспускания -12,5 %, ки-шечная непроходимость -5,3 %, острая почечная недостаточность -2,6 %, поверхностная раневая инфекция -2,6 %. В 17,5 % наблюдений отмеча-ется послеоперационный бред [18,41].…”

unclassified

“…Другие авторы к осложнениям со стороны дыхательной системы относят отек легких, пнев-монию, ателектазы и т. д. [18,42]. В исследова-ниях этих специалистов число осложнений со стороны легких после спинальных операций на-ходится в пределах 1,8-23 %.…”

unclassified

“…К неинфекционным относятся нестабильность металлоконструкции, дебрис-син-дром, остеолиз, металлоз и др. [18,54,55].…”

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Rate and structure of complications in spine surgery

Fadeev

Михайлович²,

Haydarov

et al. 2017

Pediatr Traum Orthop Reconstr Surg

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The risk of intraoperative and postoperative complications after spinal surgery still remains in the hospital-acquired conditions of any hospital. The methods for performing spinal surgery in children and adults are developing and constantly improving. A significant number of constructions for performing spinal surgery are created by leading manufacturers. The frequency of local and systemic surgical complications has not decreased. Knowing the rate and structure spinal surgery complications can expand the ability to predict and prevent them, which is important for medical science and practice. The presented review of literature addressed the current state of knowledge on spinal surgery complications.

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Rate and structure of complications in spine surgery

Fadeev

Михайлович²,

Haydarov

et al. 2017

Pediatr Traum Orthop Reconstr Surg

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Degenerative scoliosis of the spine: diagnosis, classification and surgical approach in older patients

Yarikov

Викторович²,

Denisov³

et al. 2021

Journal of Clinical Practice

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Adult scoliosis is a deformity of the spine with an angle of more than 10 (according to Cobb) in people with a fully formed bone system. Due to the aging of the population, the improvement of surgical techniques, the appearance of new implants and the improvement of anesthetic aids, the problem of degenerative scoliosis is increasingly being considered from the point of view of the possibilities of surgery. There are many theories that contribute to the formation of degenerative scoliosis. Conservative therapy of degenerative scoliosis includes non-steroidal anti-inflammatory drugs, corset therapy, epidural and paravertebral injections with glucocorticosteroids, physical therapy, and physical therapy. With complete ineffectiveness of conservative therapy and with a significant decrease in the quality of life of the patient, the question of performing surgical intervention is individually decided. Currently, the question of the role and scope of surgical intervention in individuals with this pathology remains debatable. The choice of surgical intervention depends on a thorough assessment of clinical symptoms, neurological status, data of instrumental methods of examination and mandatory consideration of the parameters of the global vertebral-pelvic balance. Therefore, in this article, special attention is paid to the algorithms of surgical treatment based on the choice of the type of decompression and the length of the fusion. The paper describes the generally accepted criteria for selecting the level of spondylosynthesis. Special attention is paid to the risk factors for surgical treatment. As well as the complications associated with surgical treatment are described.

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Surgery of the spine deformities in adults: relevant problems and approaches to treatment (A review of literature)

Cited by 2 publications

References 52 publications

Rate and structure of complications in spine surgery

Rate and structure of complications in spine surgery

Degenerative scoliosis of the spine: diagnosis, classification and surgical approach in older patients

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