. . "Bolesti bedern\u00ED p\u00E1te\u0159e degenerativn\u00EDho p\u016Fvodu - Low back pain syndrom" . . "[0A008CBAEB3E]" . . . "Low back pain syndrom"@en . "Bolesti bedern\u00ED p\u00E1te\u0159e degenerativn\u00EDho p\u016Fvodu - Low back pain syndrom" . "3" . "V" . "RIV/00843989:_____/04:00012260" . "4"^^ . "Pale\u010Dek, Tom\u00E1\u0161" . . "low back pain; intervertebral disks degeneration; nucleus pulposus replacement; total replacement of intervertebral disk; dynamic stabilization"@en . "Low back pain syndrom"@en . "Bolesti doln\u00EDch zad degenerativn\u00EDho p\u016Fvodu p\u0159edstavuj\u00ED d\u00EDky \u010Detnosti v\u00FDskytu (a\u017E 60% populace) v\u00FDrazn\u00FD socioekonomick\u00FD probl\u00E9m. P\u0159ed zapo\u010Det\u00EDm jejich l\u00E9\u010Dby je nutno vylou\u010Dit diferenci\u00E1ln\u011B diagnosticky p\u0159edev\u0161\u00EDm jin\u00E1 z\u00E1va\u017En\u00E1 onemocn\u011Bn\u00ED - n\u00E1dory, z\u00E1n\u011Btliv\u00E9 afekce, p\u0159enesen\u00E9 bolesti viscer\u00E1ln\u00ED. Rovn\u011B\u017E je nutno posoudit mo\u017En\u00FD psychosoci\u00E1ln\u00ED vliv pod\u00EDlej\u00EDc\u00ED se na probl\u00E9mu. L\u00E9\u010Dba je v\u017Edy na prvn\u00EDm m\u00EDst\u011B konzervativn\u00ED, p\u0159i jej\u00EDm selh\u00E1n\u00ED je mo\u017Eno vyu\u017E\u00EDt semiinvazivn\u00ED analgetick\u00E9 techniky (epidur\u00E1ln\u00ED injekce, katetry, intradisk\u00E1ln\u00ED elektroterm\u00E1ln\u00ED terapii). U progreduj\u00EDc\u00EDch stav\u016F, rezistentn\u00EDch na v\u00FD\u0161e uveden\u00E9 zp\u016Fsoby terapie, p\u0159ipad\u00E1 v \u00FAvahu l\u00E9\u010Dba chirurgick\u00E1. V posledn\u00EDch deseti letech jsou to p\u0159edev\u0161\u00EDm operace s c\u00EDlem rekonstrukce disku a pohybov\u00E9ho segmentu, tzv. -non-fusion- techniky. P\u0159es velk\u00FD pokrok l\u00E9\u010Debn\u00FDch metod v\u0161ak pova\u017Eujeme st\u00E1le za z\u00E1sadn\u00ED prevenci."@cs . "1212-7299" . "RIV/00843989:_____/04:00012260!RIV09-MZ0-00843989" . . . "CZ - \u010Cesk\u00E1 republika" . "556457" . "Bolesti doln\u00EDch zad degenerativn\u00EDho p\u016Fvodu p\u0159edstavuj\u00ED d\u00EDky \u010Detnosti v\u00FDskytu (a\u017E 60% populace) v\u00FDrazn\u00FD socioekonomick\u00FD probl\u00E9m. P\u0159ed zapo\u010Det\u00EDm jejich l\u00E9\u010Dby je nutno vylou\u010Dit diferenci\u00E1ln\u011B diagnosticky p\u0159edev\u0161\u00EDm jin\u00E1 z\u00E1va\u017En\u00E1 onemocn\u011Bn\u00ED - n\u00E1dory, z\u00E1n\u011Btliv\u00E9 afekce, p\u0159enesen\u00E9 bolesti viscer\u00E1ln\u00ED. Rovn\u011B\u017E je nutno posoudit mo\u017En\u00FD psychosoci\u00E1ln\u00ED vliv pod\u00EDlej\u00EDc\u00ED se na probl\u00E9mu. L\u00E9\u010Dba je v\u017Edy na prvn\u00EDm m\u00EDst\u011B konzervativn\u00ED, p\u0159i jej\u00EDm selh\u00E1n\u00ED je mo\u017Eno vyu\u017E\u00EDt semiinvazivn\u00ED analgetick\u00E9 techniky (epidur\u00E1ln\u00ED injekce, katetry, intradisk\u00E1ln\u00ED elektroterm\u00E1ln\u00ED terapii). U progreduj\u00EDc\u00EDch stav\u016F, rezistentn\u00EDch na v\u00FD\u0161e uveden\u00E9 zp\u016Fsoby terapie, p\u0159ipad\u00E1 v \u00FAvahu l\u00E9\u010Dba chirurgick\u00E1. V posledn\u00EDch deseti letech jsou to p\u0159edev\u0161\u00EDm operace s c\u00EDlem rekonstrukce disku a pohybov\u00E9ho segmentu, tzv. -non-fusion- techniky. P\u0159es velk\u00FD pokrok l\u00E9\u010Debn\u00FDch metod v\u0161ak pova\u017Eujeme st\u00E1le za z\u00E1sadn\u00ED prevenci." . . . . . . . "Intern\u00ED medic\u00EDna pro praxi" . "The lower back pains (the backache) of a degenerative origin represent due to their frequency of occurrence (up to 60% of population) a significant social-economic problem. Before starting a therapy it is necessary to exclude by using the differential diagnostics any other serious diseases - tumours, inflammatory affections, transferred visceral pains. It is also neces\u00ADsary to explore possible psycho-social influence participating in this query. First of all it is to be applied a conservative therapy and only in case that it fails there can be applied a semi-invasive analgesic technique (epidural injections, catheters, intra-discal electro-thermal therapy). In case of progressing conditions, resistant to above therapeutic methods there can be considered a surgical therapy. During the last ten years there were carried out the operations first of all aimed at the disk and locomotive organs reconstruction, so called. -non-fusion- technique. Despite a great progress made in the therapeutic"@en . "2"^^ . "Lipina, Radim" . "6" . . . "2"^^ . "Bolesti bedern\u00ED p\u00E1te\u0159e degenerativn\u00EDho p\u016Fvodu - Low back pain syndrom"@cs . "Bolesti bedern\u00ED p\u00E1te\u0159e degenerativn\u00EDho p\u016Fvodu - Low back pain syndrom"@cs . .