References

pmj

Тихоокеанский медицинский журнал

Pacific Medical Journal

1609-1175

TGMU

pmj-508

Research Article

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Факторы риска рецидивов грыж межпозвонковых дисков пояснично-крестцового отдела позвоночника и методы их профилактики

Risk factors and prevention methods for recurrent lumbar disc herniations

Дракин

И. А.

Drakin

I. A.

idrakin@hotmail.com

Басков

В. А.

Baskov

V. A.

noemail@neicon.ru

Древаль

О. Н.

Dreval

O. N.

noemail@neicon.ru

Басков

А. В.

Baskov

A. V.

noemail@neicon.ru

Российская академия последипломного образования; Научный клинический центр ОАО «РЖД»РоссияRussian Medical Academy of Postgraduate Education; Scientific Clinical Center of JSC «Russian Railways»Russian Federation

Российская академия последипломного образованияРоссияRussian Medical Academy of Postgraduate EducationRussian Federation

2015

28122015

041116

2015

Дракин И.А., Басков В.А., Древаль О.Н., Басков А.В.

Drakin I.A., Baskov V.A., Dreval O.N., Baskov A.V.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.tmj-vgmu.ru/jour/article/view/508

Обзор литературы, посвященный современному взгляду на факторы риска рецидивов грыж межпозвонковых дисков после микродискэктомий на пояснично-крестцовом отделе позвоночника и методах их профилактики. Приведены взгляды различных авторов на понятие «рецидив», методы обследования и лечения данной группы пациентов. Описаны механические способы закрытия дефектов фиброзного кольца после удаления грыжи, методы генной и клеточной терапии. Рассмотрен метод неабляционного облучения эрбиевым волоконным лазером, его физические основы, история развития и перспективы в деле профилактики сегментарной нестабильности и, как следствие, рецидива грыжи в послеоперационном периоде.

Review of the literature devoted to the modern view of the risk factors for recurrence of herniation of intervertebral disks after microdiscectomy in the lumbar spine and its prevention methods. There are different views of various authors on the concept of «relapse», methods of examination and treatment of these patients. In this review, the methods of mechanical defects in the fibrous ring closure after removal of the hernia, methods of gene and cell therapy of intervertebral discs are summarized. We describe a method of nonablative laser irradiation of the intervertebral discs, its physical foundations, history and prospects of development as a method of prevention of segmental instability and, thus, hernia recurrence in the postoperative period.

микродискэктомиядефект фиброзного кольцафиброзно-гиалиновый хрящнеабляционное облучение

microdiscectomydefect in the fibrous ringfibrohyaline cartilagenonablative irradiation

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The authors declare that there are no conflicts of interest present.