? ?????????? ????? ????????? ??????????? ??? (???. 1):
???? ????? ?? ????? ????????? ??? ?????? ?????? ??? ???????? ??? ????? ??? ??????? ??? ????????? ?????????? ??? ?????, ?? ?????????? ?????? (???. 2), ???? ??? ????? ???????????? ? ????????? ?????? ??? ??????, ? ???????? ????? (???. 4)
???. 1???. 2
?? ???? ???????, ???? ???? ????????, ???? ??? ????????, ???? ???? ??????? ????? ??? ??????????? ??????, ??? ???? ??? ???????? ??????? ????? ?????????? ???????? ??? ?????????????? ???????? ?? ?????????? ?????, ????? ??????????? ??? ?? ?????, ??? ????????????? ???? ?????????? ??? ?? ????????? ????????? ??? ???????? ??? ???????? ??? ??????? ??? ???? ????????? (???. 3, 4)
???. 3 ???. 4
? ?????????? ??????? ??? ?????????????? ??????????? ??? ???????? ????? ??? ??????????? ??????, ??? ??????? ??? ?????, ?? ?????????? ??????????? ??? ??? ??????? ???????????? ?????? ?? ???????? ?? ?????? ???????? ?????? ?????????? ??? ?????????????? ??????, ?? ??????? ??? ????????????? ??? ??? ??????? ??? ??? ???????. ???? ?? ??? ????? ?????? ???? ??? ?????????? ??? ???????? ??? ?????????????? ??????????? ??? ?? ???????? ?????? ??? ???? ??????????? ????????? ?????????????? (???. 5), ??? ??????????? ?? ???? ??? ????, ???? ??? ?????????? ?????? ?????????.
? ???????? ??? ?????????????? ?????? ??? ??????????? ?????????, ?? ???????? ?? ??????? ??? ????????? ??? ???????? (??? ?????????????? ???? ??????????? ??????) ???? ???????? ??? ??????????? ????????? ??????? ????????? ???? ????????? ???? ??? ???? ????? (???. 6). ???? ? ??????? ????? ? ???????? ???? ?????????????? ?????? ??? ? ??????? ??? ??????? ???????? ??? ??????? ??? ???????? ????? ??? ??????????? ????????, ????????? ?? ??????????? ??????? ????????, ?????? ?? ?????????? ??????? ????? (???. 7).
???. 6: ???? ?????????????? ??????
? ???? ?????????????? ?????? ????? ??? ?????? ?? ????????? ??????? ?? ???????? ??? ?????? ?? ??? ??? ?? ??? ???? ????, ??? ??? ????? ?????????? ??? ?? ?????????.
???. 7
? ???? ?????????????? ?????? ???? ??????? ????? ??? ??????????? ?????? ???????? ?? ????????? ????? ??????????? ????? ??? ???? ???? ??? ??????????? ???? ??? ?????????????? (???. 8). ????? ??? ??? ????, ? ?????????????? ?????? ?? ?????? ???? ????? ?? ??????????? ??? ?????????? ?????????? ??? ???? ?????, ?? ???????????, ?????????? ?/??? ???????????. ?? ??? ???????????? ???????????, ?????? ???????? ?? ?????????? ??? ????? ???????? ???? ????? ? ??? ?????? ??? ???????? ??? ??? ????????, ??????? ?????????????? ??? ?????????? ?????? ????? ??????????? ????? ??? ??????? ???????????? ?? ??????????? ???????? ?? ??????????? ??????. ?????????? ????????? ?????? ????? ???? ? ??????????? ?????? ???????????? ?????????, ????????? ???? ???? ????? ???????? ??? ?????????? ???????? ???? ????? ??? ???? ????????????? ??? ????? ???????? ??? ????? ??? ??????? ??????? ??? ???????.
??? 8: ???? ?????????????? ?????? ?? ????? ???? ?????????? ???? ?????
??? ??????? ?? ????????? ?? ????????? ??????????????
?? ??????????? ?????????? ???????????????, ????? ??? ???????? ???????? ? ????? ??? ????? ????????? ?????????, ? ?????????? ???????????? ????? ????????????? ??? ????????? ?????????? ??? ???????? ?????? ??? ??????????? ?????? (????).
???. 9: ????????? ?????????? ???? ?? ???????? ??????????? ??????? ?? ????
?????????????? ?????? ??? ??????????? ??????????? ???????????? ?? ???????????????
????????, ?? ??????????? ??????????? ??? ??? ?????????????? ????????????? ??????, ? ??????? ????? ?????? ?? ??????????? ?? ??????? ?????????? ????, ????????? ????????????? ???? ? ?????????????????? ?????? ???? ????? ?? ????????? ?????????? ??? ????????? ????????? ??????.
? ?????? ???????? ?? ???? ??? ??????????? ??????????????? ??? ?????????? ?? ??????? ???????????, ???? ????? ??? ???????????? ??? ????????? ??????????? ??????????? (?.?. ????? ????????), ????? ???????????.
???? ????? ???? ? ??????????? ????? ????????????:
???????? ??? ??????? ????????? ???????????
???????????? ????? ?? ??????????, ?????????????? ??? ?????????????
???? ??? ?????? ????? ??? ???????????:
?????????????
??????????? ????????? ??????????????
??????? ??????
?????????? ??? ???????????? ????????? ??? ???????? ???????????
????????? ??? ???????? ???? ??? ??????
???? ? ??????????? ????? ????????, ???? ????? ??? ????????? ????????? ??? ??????????? ???? ????? ?? ?????????? ????????? ?? ??? ??????? ???? ???????? ??????????? ??????????????, ???? ?????????? ??????????? ???????????? ??? ???????????.
???????? ?????????? ??????????? ??? ??????????? ??????
? ????????? ??? ??? ??????????? ??? ??????????? ?????? ????????? ??? ?????? ??? ???????? ??????????? ???????????? ?????????? (minimalinvasivespinalsurgery).
??????? ?? ?????, ? ????????? ???????? ??? ?????????????? ??????? ?? ?????? ?? ????????? ?? ??????? ????? ? ????? ??? ?????? ??? ??? ?????? ??????????? ??? ? ??????????? ???????? ?? ?????? ?? ??????????????? ??????? ??????????? ?? ????????? ???? ??????? ?? ?????, ???????????? ??? ?????? ??? ?? ???????????? ???????? ??? ??? ??????? ?????????????? ???? ??????????? ??? ??????????????.
? ?????? ??? ?? ????????? ?? ?????????? ????? ?? ????????????? ?? ???? ??? ??????????? ??????????? ?? ????????? ?????????? ?????????? ? ???????????? ?? ?????????? ???? ??? ???????????? ?????????? ??? ??????? ???? ?????????? ????? ?? ???????? ?? ???????? ???????? ????????? (??????? ????????? ??????? ?? ??? ?? ?????? standards ???????? ?? ???????? ??? ?? 30% ??? ???????????), ????? ???????? ?? ?? ???? ??? ????? ?????? ??? ?? ???? ??? ????????.
?? ???? ??? ?????????? ??? ????? ??????????????? ??? ?????????? ????? (??????????????, ????????????? ??????? ???????????? ??????????? ?? ??????????? ???????? ???????? ?.?.) ?????? ??? ??????????????? ???? ??????? ?? ???????????????? ???????????, ?? ?? ????? ??? ?????????? ??????????? ? ????????? ??? ???????? ??????????? ????????????????? ??? ?????????? ?????.
? ??????????? ???????????? ??????????? ???????? ?? ???????? ?? ????????? ?????????????? ?????????? ?? ???? ?????????????? ?????? ???? ???? ????? ? ??????? ???????????????.
????????? ??? ???????????????? ???????? ??? ??????? ?? ?????? ??????????, ???? ??? ????? ???? ???? ?????? ?????????? ????? 3-4 cm ???? ???? ??? ?? ?? ??????? ??? ????????????????? ????????????, ????????????? ? ??????? ??? ????????? ?????????????? ?????? ????? ?? ????????? ?????? ? ???? ????, ?????????? ?? ??????????? ????? ??? ?????????????? ?????? ??? ????????? ????????? ?? ?????? ?????, ?? ????? ??? ??????????????? ??????.
???? ?????????? ????? ??? ?????????? ????????? ? ?????????????? ?????? ???? ???? ?? ???????? ????? ??? ??? ??? ?????????? ??????? ?????? ????????????? ? ????? ??????????? ??????.
? ??? ??????????? ???????? ??????? ??? ??? ??????? ???, ? ??????? ?????????????? ??? ???? ????? ??? ?????????? ??? ????? ??? ??? ??????? ??? ???????????? ???????????? ????????? ????????????. ??? ???????? ???? ?????? ?? ?????????? ???? ???????? ?????????????? ??? ??? ????????? ???? ???? ??????? ??? ?????? ????????.