neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.63769/1683-3295-2017-0-4-89-95neurosurgery-505Research ArticleОБЗОРЫ ЛИТЕРАТУРЫLITERATURE REVIEWМИНИМАЛЬНО ИНВАЗИВНЫЕ МЕТОДЫ И ТАКТИКА ХИРУРГИЧЕСКОГО ЛЕЧЕНИЯ ПРИ ПОВРЕЖДЕНИЯХ ВЕРХНЕШЕЙНОГО ОТДЕЛА ПОЗВОНОЧНИКАMINIMALLY INVASIVE METHODS AND SURGICAL STRATEGY FOR TREATMENT OF PATIENTS WITH TRAUMA OF UPPER CERVICAL SPINEЛьвовИ. С.L’vovI. S.

Львов И.С. — нейрохирург.

 

speleolog@mail.ruГриньА. А.Grin’A. A.

Гринь Андрей Анатольевич — д.м.н., профессор кафедры нейрохирургии и нейрореанимации МГМСУ им. А.И. Евдокимова, заведующий научным отделением неотложной нейрохирургии ГБУЗ «НИИ СП им. Н.В. Скли фосовского ДЗМ», главный нейрохирург ДЗ г. Москвы. 

Москва.

СытникА. В.SytnikA. V.

Сытник А.В. — нейрохирург.

Москва.

НИИ скорой помощи им. Н.В. Склифосовского.Russian Federation201721042018048995Copyright © Львов И.С., Гринь А.А., Сытник А.В., 20182018Львов И.С., Гринь А.А., Сытник А.В.L’vov I.S., Grin’ A.A., Sytnik 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.therjn.com/jour/article/view/505

В работе рассмотрены современные методы хирургического лечения повреждений С1 и С2 позвонков в своем рутинном исполнении и с применением минимально инвазивных технологий. Показан современный взгляд на хирургическую тактику в зависимости от периода травматической болезни, степени смещения отломков, направления дислокации в атланто-аксиальном комплексе, целостности вторичного связочного аппарата С1-С2, а также в аспекте применения минимально инвазивных методик.

This article presents the modern methods of surgical treatment of C1 and C2 injuries in their routine way and with the usage of minimally invasive technique. The modern concept of surgical strategy in relation to period of trauma, degree of fractures dislocation, direction of dislocation in atlantoaxial complex and unity of secondary ligamentous apparatus of С1-С2 as well as usage of minimally invasive methods is demonstrated.

эндоназальная одонтоидэктомияэндоскопическая хирургия С1-С2перкутанная фиксация С1-С2трансартикулярная фиксация С1-С2перелом С1перелом С2верхнешейный отдел позвоночникакраниовертебральный уровеньendonasal odontoidectomyendoscopic surgery of С1-С2percutaneous fixation of С1-С2transarticular fixation of С1-С2С1 fractureС2 fractureupper cervical spinecraniovertebral junctionReferencesГринь, А.А. Успешное двухэтапное хирургическое лечение больного с осложненным застарелым переломом позвонка С2 II типа и трансдентальным вывихом позвонка С1 / А.А. Гринь [и др.] // Нейрохирургия. — 2006. — № 1. — С. 38-43.Гринь, А.А. Успешное двухэтапное хирургическое лечение больного с осложненным застарелым переломом позвонка С2 II типа и трансдентальным вывихом позвонка С1 / А.А. Гринь [и др.] // Нейрохирургия. — 2006. — № 1. — С. 38-43.Крылов, В.В. Рекомендательный протокол лечения острой осложнённойи неосложнённой травмы позвоночника у взрослых (Ассоциация нейрохирургов РФ). Часть 3 / В.В. 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The authors declare that there are no conflicts of interest present.