neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.24412/2587-7569-2025-1-130-138neurosurgery-1652Research ArticleЛЕКЦИЯLECTUREРеабилитация пациентов с неосложненной травмой грудного и поясничного отделов позвоночникаRehabilitation of patients with noncomplicated trauma of the thoracic and lumbar spinehttps://orcid.org/0000-0003-3515-8329ГриньА. А.GrinA. A.

129090 Москва, Большая Сухаревская пл., 3; 117997 Москва, ул. Островитянова, 1

3 Bolshaya Sukharevskaya Sq., Moscow 129090; 1 Ostrovityanova St., Moscow 117997

https://orcid.org/0000-0001-5123-5991ПогонченковаИ. В.PogonchenkovaI. V.

105120 Москва, ул. Земляной Вал, 53, стр. 1

Bld. 1, 53 Zemlyanoy Val St., Moscow 105120

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

129090 Москва, Большая Сухаревская пл., 3; 117997 Москва, ул. Островитянова, 1

3 Bolshaya Sukharevskaya Sq., Moscow 129090; 1 Ostrovityanova St., Moscow 117997

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

129090 Москва, Большая Сухаревская пл., 3

3 Bolshaya Sukharevskaya Sq., Moscow 129090

КаранадзеВ. А.KaranadzeV. A.

129090 Москва, Большая Сухаревская пл., 3

3 Bolshaya Sukharevskaya Sq., Moscow 129090

https://orcid.org/0000-0003-3328-8349АбдрафиевР. И.AbdrafievR. I.

Абдрафиев Ринат Ирфанович.

129090 Москва, Большая Сухаревская пл., 3

Rinat I. Abdrafiev.

3 Bolshaya Sukharevskaya Sq., Moscow 129090

rinat-abdrafiev@mail.ruhttps://orcid.org/0000-0001-8643-1829ЩикотаА. М.ShchikotaA. M.

105120 Москва, ул. Земляной Вал, 53, стр. 1

Bld. 1, 53 Zemlyanoy Val St., Moscow 105120

https://orcid.org/0000-0002-1787-7015МакароваМ. Р.MakarovaM. R.

105120 Москва, ул. Земляной Вал, 53, стр. 1

Bld. 1, 53 Zemlyanoy Val St., Moscow 105120

https://orcid.org/0000-0001-9522-5082ФилипповМ. С.FilippovM. S.

105120 Москва, ул. Земляной Вал, 53, стр. 1

Bld. 1, 53 Zemlyanoy Val St., Moscow 105120

https://orcid.org/0009-0009-3875-2121МануйловВ. Н.ManuylovV. N.

105120 Москва, ул. Земляной Вал, 53, стр. 1

Bld. 1, 53 Zemlyanoy Val St., Moscow 105120

ГБУЗ г. Москвы «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского Департамента здравоохранения г. Москвы»; ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава РоссииРоссияN.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department; N.I. Pirogov Russian National Research Medical University, Ministry of Health of RussiaRussian FederationГАУЗ г. Москвы «Московский научно-практический центр медицинской реабилитации, восстановительной и спортивной медицины Департамента здравоохранения г. Москвы»РоссияMoscow Scientific and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine, Moscow Healthcare DepartmentRussian FederationГБУЗ г. Москвы «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского Департамента здравоохранения г. Москвы»РоссияN.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare DepartmentRussian Federation202519042025271130138Copyright © Гринь А.А., Погонченкова И.В., Талыпов А.Э., Кордонский А.Ю., Каранадзе В.А., Абдрафиев Р.И., Щикота А.М., Макарова М.Р., Филиппов М.С., Мануйлов В.Н., 20252025Гринь А.А., Погонченкова И.В., Талыпов А.Э., Кордонский А.Ю., Каранадзе В.А., Абдрафиев Р.И., Щикота А.М., Макарова М.Р., Филиппов М.С., Мануйлов В.Н.Grin A.A., Pogonchenkova I.V., Talypov A.E., Kordonsky A.Y., Karanadze V.A., Abdrafiev R.I., Shchikota A.M., Makarova M.R., Filippov M.S., Manuylov V.N.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/1652

Целесообразность проведения консервативной терапии при неосложненных компрессионных переломах грудного и поясничного отделов позвоночника является одним из наиболее неоднозначных вопросов в научной медицинской литературе. Отечественные протоколы лечения позвоночно-спинальной травмы не дают четких рекомендаций по консервативному лечению этой категории пациентов. Зарубежные протоколы предусматривают возможность проведения консервативной терапии в случае незначительных степеней кифоза и компрессии тела позвонка. К настоящему времени опубликовано большое количество исследований, посвященных консервативной терапии при неосложненных переломах грудного и поясничного отделов позвоночника. Согласно имеющимся данным, основными показаниями к ее проведению являются компрессионно-оскольчатые переломы типа А по классификации AOSpine с компрессией просвета позвоночного канала ˂50 % и кифотической деформацией ˂30–35°.

The expediency of conducting conservative therapy for uncomplicated compression fractures of the thoracic and lumbar spine is one of the most controversial in the scientific medical literature. Domestic protocols for the treatment of spinal cord injury do not provide clear recommendations for the conservative treatment of this category of patients. Foreign protocols consider the possibility of in the case of minor degrees of kyphosis and compression of the vertebral body. Thus, to date, a large number of studies have been published on the use of the method of conservative therapy for uncomplicated fractures of the thoracic and lumbar spine. Summing up all the available data, the main indications for its implementation are compression-comminuted fractures of type A according to the AOSpine classification, with compression of the lumen of the spinal canal less than 50 % and kyphotic deformation less than 30–35°.

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