Neurogenic spinal deformities in adults: modern problems and approaches to treatment
Objective. To present the features of clinical manifestations, diagnostic aspects and approaches to the treatment of neurogenic deformities of the spine in adults based on the literature data. Material and Methods. The literature review was performed using PubMed, Medline, Web of Science, Scopus, C...
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| Format: | Article |
| Language: | English |
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Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"
2018-09-01
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| Series: | Хирургия позвоночника |
| Subjects: | |
| Online Access: | https://www.spinesurgery.ru/jour/article/view/1490/1456 |
| _version_ | 1797716097865089024 |
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| author | Oksana G. Prudnikova Artem O. Gushcha Ida N. Shatina |
| author_facet | Oksana G. Prudnikova Artem O. Gushcha Ida N. Shatina |
| author_sort | Oksana G. Prudnikova |
| collection | DOAJ |
| description | Objective. To present the features of clinical manifestations, diagnostic aspects and approaches to the treatment of neurogenic deformities of the spine in adults based on the literature data.
Material and Methods. The literature review was performed using PubMed, Medline, Web of Science, Scopus, CrossRef, AOSpine, Clini-
cal Key, eLibrary databases and references of key articles published in the period from 06.02.2017 till 04.11.2017.
Results. General trends in the treatment of adult patients with neurogenic deformities of the spine have been determined. Assessment of
the risk from performing an intervention, taking into account possible complications and potential outcome, determines the approach to
surgery in these patients. It is necessary to develop protocols of management with the definition of the main clinical symptoms, the ratio-
nale for the use of non-invasive, minimally invasive or other options for care. Surgical treatment of patients with spinal deformities asso-
ciated with neurodegenerative diseases (Parkinson’s disease) is accompanied by a high rate of complications and repeated interventions.
Tactical algorithms for these patients should include the consistency of non-surgical and mini-invasive techniques and considering clinical
manifestations of myopathy, mielo-, radiculopathy, which, in comparison with diagnostic tests, can determine the indications and volume
of decompressive interventions, and the extent and levels of spinal fixation.
Conclusion. The complexity of pathogenetic mechanisms and ambiguous results of non-surgical and surgical treatment determine the
need for multidisciplinary approach and the development of protocols for the management of adult patients with neurogenic deformities
of the spine. |
| first_indexed | 2024-03-12T08:16:30Z |
| format | Article |
| id | doaj.art-15116bd459964d849ba6c4a03d38dc48 |
| institution | Directory Open Access Journal |
| issn | 1810-8997 2313-1497 |
| language | English |
| last_indexed | 2024-03-12T08:16:30Z |
| publishDate | 2018-09-01 |
| publisher | Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan" |
| record_format | Article |
| series | Хирургия позвоночника |
| spelling | doaj.art-15116bd459964d849ba6c4a03d38dc482023-09-02T18:47:40ZengMinistry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"Хирургия позвоночника1810-89972313-14972018-09-01153395110.14531/ss2018.3.39-51Neurogenic spinal deformities in adults: modern problems and approaches to treatmentOksana G. Prudnikova0Artem O. Gushcha1Ida N. Shatina2Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics, Kurgan, RussiaResearch Center of Neurology, Moscow, RussiaKurgan Regional Clinical Hospital, Kurgan, RussiaObjective. To present the features of clinical manifestations, diagnostic aspects and approaches to the treatment of neurogenic deformities of the spine in adults based on the literature data. Material and Methods. The literature review was performed using PubMed, Medline, Web of Science, Scopus, CrossRef, AOSpine, Clini- cal Key, eLibrary databases and references of key articles published in the period from 06.02.2017 till 04.11.2017. Results. General trends in the treatment of adult patients with neurogenic deformities of the spine have been determined. Assessment of the risk from performing an intervention, taking into account possible complications and potential outcome, determines the approach to surgery in these patients. It is necessary to develop protocols of management with the definition of the main clinical symptoms, the ratio- nale for the use of non-invasive, minimally invasive or other options for care. Surgical treatment of patients with spinal deformities asso- ciated with neurodegenerative diseases (Parkinson’s disease) is accompanied by a high rate of complications and repeated interventions. Tactical algorithms for these patients should include the consistency of non-surgical and mini-invasive techniques and considering clinical manifestations of myopathy, mielo-, radiculopathy, which, in comparison with diagnostic tests, can determine the indications and volume of decompressive interventions, and the extent and levels of spinal fixation. Conclusion. The complexity of pathogenetic mechanisms and ambiguous results of non-surgical and surgical treatment determine the need for multidisciplinary approach and the development of protocols for the management of adult patients with neurogenic deformities of the spine.https://www.spinesurgery.ru/jour/article/view/1490/1456neurogenic spinal deformitiesneuromuscular adult scoliosispostural deformities in parkinson’s diseasespinal deformities in cp in adults |
| spellingShingle | Oksana G. Prudnikova Artem O. Gushcha Ida N. Shatina Neurogenic spinal deformities in adults: modern problems and approaches to treatment Хирургия позвоночника neurogenic spinal deformities neuromuscular adult scoliosis postural deformities in parkinson’s disease spinal deformities in cp in adults |
| title | Neurogenic spinal deformities in adults: modern problems and approaches to treatment |
| title_full | Neurogenic spinal deformities in adults: modern problems and approaches to treatment |
| title_fullStr | Neurogenic spinal deformities in adults: modern problems and approaches to treatment |
| title_full_unstemmed | Neurogenic spinal deformities in adults: modern problems and approaches to treatment |
| title_short | Neurogenic spinal deformities in adults: modern problems and approaches to treatment |
| title_sort | neurogenic spinal deformities in adults modern problems and approaches to treatment |
| topic | neurogenic spinal deformities neuromuscular adult scoliosis postural deformities in parkinson’s disease spinal deformities in cp in adults |
| url | https://www.spinesurgery.ru/jour/article/view/1490/1456 |
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