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首页> 外国专利> METHOD FOR ASSESSING THE RISK OF DEVELOPMENT OF DEGENERATIVE CHANGES IN ADJACENT SEGMENTS AFTER PERFORMANCE OF DORSAL DECOMPRESSIVE-STABILIZING INTERVENTIONS ON THE LUMBAR SPINE

METHOD FOR ASSESSING THE RISK OF DEVELOPMENT OF DEGENERATIVE CHANGES IN ADJACENT SEGMENTS AFTER PERFORMANCE OF DORSAL DECOMPRESSIVE-STABILIZING INTERVENTIONS ON THE LUMBAR SPINE

机译：评估腰椎背部减压稳定稳定干预率后相邻区段的退行性变化的发展风险的方法

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FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to surgery, traumatology and orthopedics, and can be used to assess the risk of degeneration of adjacent segments after performing dorsal decompression and stabilization interventions (DSI) in patients with degenerative diseases of the lumbar spine. The body mass index and the degree of degeneration of the adjacent intervertebral discs are determined. Lumbar spondylography is performed, determining the value of angulation of adjacent segments. Risk factor parameters are assessed as follows: body mass index values ​​greater than 25 kg/m2 are evaluated as 3 points, and body mass index values ​​less than or equal to 25 kg/m2 are evaluated as 0 points. Grade III, IV degeneration of adjacent intervertebral discs according to the Pfirrmann classification is assessed as 2 points, and the degrees of degeneration of adjacent intervertebral discs less than degree III according to the Pfirrmann classification are assessed as 0 points. Angulation values ​​of adjacent segments less than or equal to 10.5° are evaluated as 1 point, and angulation values ​​of adjacent segments greater than 10.5° are evaluated as 0 points. The degree of risk of developing degenerative changes in adjacent segments is determined as the total number of points, summed up for all parameters. With a score of 0-2, the risk of developing degenerative changes is assessed as low and minimally invasive surgery is performed. With a total score of 3, the risk of developing degenerative changes is assessed as medium and surgical intervention is performed using minimally invasive stabilizing systems. With a score of 4-6, the risk of developing degenerative changes is assessed as high and surgical prophylaxis is performed by installing stabilizing structures on the adjacent segment.;EFFECT: method provides an increase in the reliability of determining the risk of developing degenerative conditions of adjacent segments by increasing the information content of the selected parameters of risk factors and ensuring their quantitative assessment.;1 cl, 2 tbl, 2 ex
机译：田地：医学。物质：发明涉及医学，即手术，创伤学和骨科，并且可用于评估在对患者的退行性疾病的患者进行背部减压和稳定干预（DSI）后的相邻区段退化的风险腰椎。确定了相邻椎间盘的体重指数和变性程度。执行腰椎扫描，确定相邻段的角度的值。危险因子参数评估如下：大于25kg / m 2的体重指数值评价为3点，并且小于或等于25kg / m2的体重指数值评估为0点。根据PFIRRMAN分类的邻近椎间盘的III级，根据PFIRRMAN分类评估了邻近III的椎间盘的退变度，评估为0分。少于或等于10.5°的相邻区段的角度值被评估为1点，并且大于10.5°的相邻区段的角度值被评价为0点。在相邻段中发育退行性变化的风险程度被确定为所有参数总结的点数。率为0-2，评估开发退行性变化的风险，并进行低且微创手术。总得分为3，评估发育退行性变化的风险作为培养基，使用微创稳定系统进行手术干预。得分为4-6，通过在相邻区段上安装稳定结构来评估发育退行性变化的风险。;效果：方法提供了确定开发退行性条件的风险的可靠性增加通过增加所选危险因素参数的信息含量并确保它们的定量评估来实现相邻的段。; 1 cl，2 tbl，2前

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