neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.17650/1683-3295-2021-23-4-99-110neurosurgery-1125Research ArticleОБЗОР ЛИТЕРАТУРЫLITERATURE REVIEWСовременные классификации повреждений грудного и поясничного отделов позвоночника. Часть 2. Систематический обзор исследований надежности и воспроизводимости существующих шкалActual classifications of injuries of the thoracic and lumbar spine. Part 2. Systematic review of studieshttps://orcid.org/0000-0003-3515-8329ГриньА. А.GrinА. А.

129090 Москва, Большая Сухаревская пл., 3

127473 Москва, ул. Делегатская, 20, стр. 1

3 Bol’shaya Sukharevskaya Sq., Moscow 129090

 Bld. 1, 20 Delegatskaya St., Moscow 127473 

https://orcid.org/0000-0001-5344-3970КордонскийА. Ю.KordonskyА. Yu.

Антон Юрьевич Кордонский  

129090 Москва, Большая Сухаревская пл., 3

Anton Yurievich Kordonsky 

3 Bol’shaya Sukharevskaya Sq., Moscow 129090

akord.neuro@mail.ruhttps://orcid.org/0000-0003-1718-0792ЛьвовИ. С.LvovI. S.

129090 Москва, Большая Сухаревская пл., 3

3 Bol’shaya Sukharevskaya Sq., Moscow 129090

https://orcid.org/0000-0002-6789-8164ТалыповА. Э.TalypovА. E.

129090 Москва, Большая Сухаревская пл., 3

3 Bol’shaya Sukharevskaya Sq., Moscow 129090

https://orcid.org/0000-0002-0131-8008АбдухаликовБ. А.AbdukhalikovB. А.

129090 Москва, Большая Сухаревская пл., 3

3 Bol’shaya Sukharevskaya Sq., Moscow 129090

https://orcid.org/0000-0003-3065-127XНикитинО. А.NikitinO. A.

129090 Москва, Большая Сухаревская пл., 3

3 Bol’shaya Sukharevskaya Sq., Moscow 129090

https://orcid.org/0000-0001-8899-1205СтацураВ. А.StatsuraV. A.

127427 Москва, Большая Марфинская ул., 1, корп. 4

Bld. 4, Bolshaya Marfinskaya St., Moscow 127427

ГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского Департамента здравоохранения г. Москвы»; ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Минздрава РоссииРоссияN.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department; A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of RussiaRussian FederationГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского Департамента здравоохранения г. Москвы»РоссияN.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare DepartmentRussian FederationООО многопрофильная клиника «ЛАЗЕРС-МЕДИКА»РоссияLasers-Mеdica ClinicRussian Federation20211801202223499110Copyright © Гринь А.А., Кордонский А.Ю., Львов И.С., Талыпов А.Э., Абдухаликов Б.А., Никитин О.А., Стацура В.А., 20222022Гринь А.А., Кордонский А.Ю., Львов И.С., Талыпов А.Э., Абдухаликов Б.А., Никитин О.А., Стацура В.А.Grin А.А., Kordonsky А.Y., Lvov I.S., Talypov А.E., Abdukhalikov B.А., Nikitin O.A., Statsura V.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/1125

Цель исследования – провести систематический обзор зарубежных и отечественных исследований и определить наиболее оптимальную для использования в клинической практике классификацию повреждений грудного и поясничного отделов позвоночника.Материалы и методы. Систематический обзор выполнен в соответствии с рекомендациями метода PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Поиск проводили среди англоязычных статей, представленных в базе данных PubMed, и среди русскоязычных статей, размещенных на платформе eLIBRARY.ru. Критерии включения в обзор: наличие полнотекстовой версии статьи на английском или русском языке; возраст пациентов ≥18 лет; наличие информации об одной из фаз валидации классификаций по рекомендациям L. Audige и соавт.Результаты. Из 207 абстрактов 14 работ соответствовали необходимым критериям и были включены в обзор. Согласно данным их анализа, наибольшей надежностью и воспроизводимостью результатов характеризуются классификации F. Denis и AOSpine. Однако они не решают тактических задач и обладают некоторыми другими недостатками (например, не учитывают неврологический статус и повреждения задних структур). Анализ имеющихся работ наглядно продемонстрировал необходимость более тщательного исследования всех имеющихся шкал и классификаций повреждений грудного и поясничного отделов позвоночника.Заключение. Наиболее надежными и воспроизводимыми из представленных являются классификации F. Denis и AOSpine. Тем не менее указанные классификации не лишены недостатков, а имеющихся в настоящее время данных недостаточно для однозначного выбора одной универсальной шкалы. Для этого должно быть проведено мультицентровое исследование.

The study objective: to review the Russian and foreign studies and to identify an optimal classification system for thoracolumbar spine injuries.Materials and methods. This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). We conducted a search for articles published in English (PubMed database) and Russian (eLIBRARY.ru). The inclusion criteria were as follows: available full text, patient age ≥18 years, and information on one of the validation phases for classifications according to L. Audige et al.Results. Out of 207 abstracts, 14 articles met all the required criteria and were included into the systematic review. The F. Denis and AOSpine classifications demonstrated the highest reliability and reproducibility of the results. However, both of these classifications does not lacked predictive value to aid treatment decisions and have some other disadvantages (e. g., this classification does not address the neurologic status of the patient, and injuries of the posterior ligamentous complex (PLC)). Our analysis clearly demonstrated the need for a more thorough evaluation of all available scales and classifications.Conclusion. The F. Denis and AOSpine classifications are the most reliable and reproducible classification systems. However, these classifications have deficiencies and the data available in literature is not sufficient for a full comparison of all existing scales and systems. Further multicenter study on the reliability of classifications are needed to select an most optimal one.In order to determine the most optimal classification system in the daily routine practice, a multicenter study should be conducted with the object of determining. Further multicenter studies on the reliability of classifications are needed to select an optimal one.

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