Eliseyev A S, Bokov A E, Mlyavykh S G, Mordvinov A A
Privolzhsky Research Medical University, Nizhniy Novgorod, Russia.
Zh Vopr Neirokhir Im N N Burdenko. 2021;85(1):28-35. doi: 10.17116/neiro20218501128.
The development of spine neurosurgery raises some questions concerning the methodology, practical significance, treatment and diagnosis of spinal diseases. In this regard, we inevitably turn to the methods of philosophical knowledge as a basis for analysis and synthesis of scientific information. This approach allows you to avoid mistakes in practice, which can have negative ethical and socio-economic consequences for society. Some controversial issues of spine surgery are discussed in the manuscript. Advisability of syndromic approach in the treatment of spine diseases, determining the length of spine fusion for injury, prediction of postoperative segmental instability due to osteoporosis and extrapolation of the principles of spine fusion surgery to arthroplasty are considered through the prism of philosophical categories.
脊柱神经外科的发展引发了一些关于脊柱疾病的方法论、实际意义、治疗和诊断的问题。在这方面,我们不可避免地求助于哲学知识方法,作为分析和综合科学信息的基础。这种方法能让你在实践中避免错误,而这些错误可能会给社会带来负面的伦理和社会经济后果。手稿中讨论了脊柱外科的一些有争议的问题。通过哲学范畴的视角,探讨了症状学方法在脊柱疾病治疗中的适用性、确定损伤脊柱融合长度、预测骨质疏松导致的术后节段性不稳定以及将脊柱融合手术原则外推至关节成形术等问题。