neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.17650/1683-3295-2018-20-2-66-73neurosurgery-554Research ArticleНАБЛЮДЕНИЕ ИЗ ПРАКТИКИFROM PRACTICEЧрескожная видеоэндоскопическая хирургия при огнестрельном проникающем ранении поясничного отдела позвоночника (обзор литературы и клиническое наблюдение)Full-endoscopic surgery for gunshot penetrating wound of the lumbar spine (literature review and clinical case)https://orcid.org/0000-0003-2486-6995КравцовМ. Н.KravtsovM. N.

Максим Николаевич Кравцов

194044 Санкт-Петербург, ул. Академика Лебедева, 6

neuromax@mail.ruhttps://orcid.org/0000-0001-7482-0368ЛандикС. А.LandikS. A.

194044 Санкт-Петербург, ул. Академика Лебедева, 6

https://orcid.org/0000-0001-8867-7312ДубининА. А.DubininA. А.

194044 Санкт-Петербург, ул. Академика Лебедева, 6

https://orcid.org/0000-0002-9472-3060АзатянК. С.AzatyanK. S.

194044 Санкт-Петербург, ул. Академика Лебедева, 6

https://orcid.org/0000-0003-2430-1927ГайдарБ. В.GaidarВ. V.

194044 Санкт-Петербург, ул. Академика Лебедева, 6

https://orcid.org/0000-0002-3922-9887СвистовД. В.SvistovD. V.

194044 Санкт-Петербург, ул. Академика Лебедева, 6

ФГБВОУ ВО «Военно-медицинская академия им. С. М. Кирова» Минобороны РосРоссияS. M. Kirov Military Medical Academy, Ministry of Defense of RussiaRussian Federation2018190720182026673Copyright © Кравцов М.Н., Ландик С.А., Дубинин А.А., Азатян К.С., Гайдар Б.В., Свистов Д.В., 20182018Кравцов М.Н., Ландик С.А., Дубинин А.А., Азатян К.С., Гайдар Б.В., Свистов Д.В.Kravtsov M.N., Landik S.A., Dubinin A.А., Azatyan K.S., Gaidar В.V., Svistov D.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/554

Цель исследования – определение возможности и оценка эффективности чрескожного видеоэндоскопического вмешательства при огнестрельном ранении поясничного отдела позвоночника.

Материалы и методы

Материалы и методы. Приведено клиническое наблюдение за 24-летним мужчиной, получившим огнестрельное ранение поясничного отдела позвоночника. Описан ход чрескожного видеоэндоскопического вмешательства по извлечению пули из позвоночного канала.

Результаты

Результаты. Продемонстрированы возможности минимально инвазивного доступа к позвоночному каналу для извлечения пули, декомпрессии невральных корешков, закрытия дефекта твердой мозговой оболочки.

Заключение

Заключение. Хороший клинический исход позволяет рекомендовать использование чрескожной видеоэндоскопии при аналогичных огнестрельных ранениях поясничного отдела позвоночника на этапе оказания специализированной помощи.

The study objective is to determine the feasibility and effectiveness evaluation of full-endoscopic surgery in gunshot wound of the lumbar spine.

Materials and methods

Materials and methods. A clinical case of a 24-year-old male who received a gunshot wound to the lumbar spine is described. The patient underwent a full-endoscopic intervention aimed at extracting a bullet from the spinal canal.

Results

Results. Minimal-invasive approach to spinal canal with the possibility to extract a bullet, decompression of nerve roots, defect closure of the dura mater is demonstrated.

Conclusion

Conclusion. Good clinical outcome allows to recommend the full-endoscopic surgery with similar gunshot wounds of the lumbar spine at the stage of specialized care.

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