NOSOLOGICAL CHARACTERISTICS OF DEFORMATIONS OF THE VERTEBRAL CANAL

At the present stage of the development of medicine, there are many studies devoted to pathological changes in the spinal canal, the causes of their occurrence, which lead to various clinical and orthological manifestations, however, there are no attempts to fit them into one classification structure. From the point of view of a practitioner, it is extremely important to determine the direction of compression, the rate of its development, severity, reversibility, the possibility of correcting this condition with various therapeutic or surgical methods. In this regard, it is necessary to create a consolidated classification of pathological conditions of the spinal canal of various origins and introduce a nosological term, namely, deformations of the spinal canal (DSC), which includes a broader concept than “stenosis”, which will generalize and systematize pathological changes in the spinal canal. This classification will allow scientists and practitioners to navigate in a variety of different pathological conditions and be used as a means to establish connections between them.

Based on the analysis of literature data and our own experience, we have developed and proposed for use a consolidated classification of duodenum. The creation of the classification of the duodenum was based on a combination of unity, namely unity on localization (spine and spinal canal), unity on the fact of the presence of a violation of the integrity of the spinal canal caused by various reasons. This also included unity in the presence of the direction of the deforming factor (front, side, back, etc.), unity in the presence or absence of an effect on the neurovascular structures of the spinal canal. Therefore, this classification allows you to combine and systematize violations of the shape and integrity of the spinal canal, give them clinical and morphological assessments, and also help determine the tactics of treatment.

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