References

nnp

Neurology, Neuropsychiatry, Psychosomatics

Неврология, нейропсихиатрия, психосоматика

2074-27112310-1342

"IMA-Press", LLC

10.14412/2074-2711-2016-3-88-94

nnp-654

Research Article

REVIEWS

ОБЗОРЫ

Lumbar discogenic pain

Дискогенная боль в пояснице

Исайкин

А. И.

Isaikin

A. I.

alexisa68@mail.ru

Иванова

М. А.

Ivanova

M. A.

Кавелина

А. В.

Kavelina

A. V.

Черненко

О. А.

Chernenko

O. A.

Кафедра нервных болезней и нейрохирургии ФГБОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России, Москва, Россия 1119021, Москва, ул. Россолимо, 11РоссияDepartment of Nervous System Diseases and Neurosurgery, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia 11, Rossolimo St., Moscow 119021Russian Federation

2016

01112016

838894

2016

Исайкин А.И., Иванова М.А., Кавелина А.В., Черненко О.А.

Isaikin A.I., Ivanova M.A., Kavelina A.V., Chernenko O.A.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://nnp.ima-press.net/nnp/article/view/654

The paper deals with the role of a discogenic factor in the development of lumbar pain. It gives the updated CTF classification (2014) that describes disc pathological changes and the MSU classification of disc herniation. The pathogenesis and clinical manifestations of two most common manifestations of lumbar discogenic abnormalities (axial discogenic pain and disc radicle conflict), and additional methods for their diagnosis and differential (medical and surgical) treatment are discussed. Emphasis is laid on the role of inflammation in the development and maintenance of discogenic pain and in the regression of disc herniation. The paper provides the materials of the first evidence-based guideline developed by the Expert Group of the North American Spine Society (NASS) (2012) for the diagnosis and treatment of disc herniation with symptoms of radiculopathy.

Статья посвящена актуальной проблеме – роли дискогенного фактора в развитии поясничной боли. Приведены обновленная CTF-классификация (2014) патологических изменений дисков и MSU-классификация грыж диска. Обсуждаются патогенез, клинические проявления, дополнительные методы диагностики и дифференцированное лечение (консервативное и оперативное) двух наиболее частых проявлений дискогенной патологии поясничного отдела позвоночника – аксиальной дискогенной боли и дискорадикулярного конфликта. Подчеркивается роль воспаления в развитии, поддержании дискогенной боли и регрессе грыжи диска. Приведены материалы первого научно обоснованного руководства по диагностике и лечению грыжи диска с симптомами радикулопатии, разработанные экспертной группой Северо-Американской спинальной ассоциации (2012).

боль в спинедискогенная аксиальная больгрыжа диска с радикулопатиейCTF- и MSU-классификацииМодик Iпропионобактериивоспаление при грыже дискалечение грыжи диска

back painaxial discogenic paindisc herniation with radiculopathyCFT and MSU classificationsModic type 1propionic bacteriainflammation in disc herniationtreatment for disk herniation

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