Predictors of outcomes of surgical treatm ent of degenerative dy strophic diseases of the spine
Abstract
Degenerative diseases of the spine are one of the most pressing problems in neurosurgery. Taking into account the increase in surgical activity in relation to this pathology and the wide choice of possible technologies, it is important to select the correct patients for surgical intervention. In our opinion, one of the most important criteria for grouping factors is the possibility of their correction. Thus, all predictors can be divided into two large groups, modifiable and non-modifiable. From this 2 it follows that when planning surgical treatment, patients will be divided into several cohorts: patients who are already ready for surgical treatment; patients who have modifiable factors in an unfavorable condition and require their correction; patients with unfavorable unmodified factors. The last cohort of patients will have the worst prognosis for surgical outcome. Thus, further prospective studies are required, taking into account clinical, social and psychological factors when determining the scope of surgical treatment of patients with degenerative-dystrophic diseases of the spine.
About the Authors
I. A. Kurnosov
FSBEI HE North-Western State Medical University named after I. I. Mechnikov “Ministry of Health of Russia; FSBI “NMITs im. V. A . A lmazov “Ministry of Health of Russia
Russian Federation
Russian Federation
St. Petersburg
D. A. Gulyaev
FSBEI HE North-Western State Medical University named after I. I. Mechnikov “Ministry of Health of Russia; FSBI “NMITs im. V. A . A lmazov “Ministry of Health of Russia
Russian Federation
Russian Federation
St. Petersburg
D. S. Godanyuk
FSBI “NMITs im. V. A . A lmazov “Ministry of Health of Russia
Russian Federation
Russian Federation
St. Petersburg
V. A. Manukovsky
FSBEI HE North-Western State Medical University named after I. I. Mechnikov “Ministry of Health of Russia
Russian Federation
Russian Federation
St. Petersburg
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Review
For citations:
Kurnosov I.A., Gulyaev D.A., Godanyuk D.S., Manukovsky V.A. Predictors of outcomes of surgical treatm ent of degenerative dy strophic diseases of the spine. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2021;13(2):67-71. (In Russ.)
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