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Остеосинтез позвоночника аппаратами внешней фиксации

Остеосинтез позвоночника аппаратами внешней фиксации

Abstract

The review of literature is devoted to use of the device of external fixing in treatment of injuries of a backbone. Roy-Camill offered in the eighties last century the device the next twenty years became practically panacea at treatment of damages of chest and lumbar department of a backbone as not complicated, and at a vertebral and spinal trauma, gradually involving in a circle of indications various diseases of a backbone. Only with arrival of pogruzhny tranmpedikulyarny fixing the device began to lose the positions. Along with obvious advantages of fixing of a backbone the device it is possible to allocate the whole group of the complications connected with its application. It is obvious that further improvement of a method of extra focal fixing of the backbone having enormous prospects, especially at elimination of old multicomponent deformations, in treatment of open spinal fractures and спондилитах is necessary for a various etiology.

Обзор литературы посвящен применению аппарата внешней фиксации в лечении повреждений позвоночника. Предложенный в восьмидесятые годы прошлого столетия Roy-Camill аппарат на следующие двадцать лет стал практически панацеей при лечении повреждений грудного и поясничного отдела позвоночника как не осложненных, так и при позвоночно-спинномозговой травме, постепенно вовлекая в круг показаний различные заболевания позвоночника. Только с приходом погружной транcпедикулярной фиксации аппарат стал терять свои позиции. Наряду с очевидными достоинствами фиксации позвоночника аппаратом можно выделить целую группу осложнений, связанных с его применением. Очевидно, что необходимо дальнейшее совершенствование метода внеочаговой фиксации позвоночника, имеющего колоссальные перспективы, особенно при устранении застарелых многокомпонентных деформаций, в лечении открытых переломов позвоночника и спондилитах различной этиологии.

Keywords

ПЕРЕЛОМЫ ПОЗВОНОЧНИКА, ГРУДНЫЕ И ПОЯСНИЧНЫЕ ПОЗВОНКИ, ОПЕРАТИВНОЕ ЛЕЧЕНИЕ, АППАРАТ ВНЕШНЕЙ ФИКСАЦИИ

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    popularity
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    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
gold