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[2](https://www.KrasotaiMedicina.ru/diseases/traumatology/vertebral-subluxation)[4](https://www.smclinic.ru/diseases/podvyvikh-pozvonka/)[10](https://diseases.medelement.com/disease/%D0%B2%D1%8B%D0%B2%D0%B8%D1%85-%D1%88%D0%B5%D0%B9%D0%BD%D0%BE%D0%B3%D0%BE-%D0%BF%D0%BE%D0%B7%D0%B2%D0%BE%D0%BD%D0%BA%D0%B0-%D0%BA%D1%80-%D1%80%D1%84-2024/18313). Это неполный вывих, в результате которого не происходит полная потеря подвижности, но лишь её ограничение [1](https://n-d-c.ru/publications/travmatologiya/podvyvix-pozvonka/)[3](https://MedKlinika.spb.ru/zabolevaniya/podvyvikh-pozvonkov). \n\nЧаще всего подвывих возникает в более подвижных шейном и поясничном отделе позвоночника, грудной отдел поражается редко [2](https://www.KrasotaiMedicina.ru/diseases/traumatology/vertebral-subluxation).\n\n\n\n## Причины\nПодвывих может быть врождённым или приобретённым, травматическим или нетравматическим [2](https://www.KrasotaiMedicina.ru/diseases/traumatology/vertebral-subluxation). Некоторые причины: \n* **Травмы** (падение, удар, быстрое чередование форсированного сгибания и разгибания) [2](https://www.KrasotaiMedicina.ru/diseases/traumatology/vertebral-subluxation). \n* **Врождённые аномалии** строения позвоночника (спондилолиз) [2](https://www.KrasotaiMedicina.ru/diseases/traumatology/vertebral-subluxation). \n* **Воспалительные заболевания** (например, ревматоидный артрит) [1](https://n-d-c.ru/publications/travmatologiya/podvyvix-pozvonka/). \n* **Напряжение околопозвоночной мускулатуры** — при перенапряжении отдельных мышц они создают тягу, что приводит к смещению [6](https://MCSvoboda.ru/podvyivix-pozvonka.html).\n\n## Симптомы\nСимптомы подвывиха позвонка делятся на неспецифические, возникающие при повреждении любой локализации, и специфические, обусловленные уровнем поражения [2](https://www.KrasotaiMedicina.ru/diseases/traumatology/vertebral-subluxation)[4](https://www.smclinic.ru/diseases/podvyvikh-pozvonka/). Некоторые признаки: \n* **Неспецифические**: боль, патологическое напряжение мышц, ограничение движений [2](https://www.KrasotaiMedicina.ru/diseases/traumatology/vertebral-subluxation)[3](https://MedKlinika.spb.ru/zabolevaniya/podvyvikh-pozvonkov). \n* **Специфические**: зависят от локализации подвывиха [3](https://MedKlinika.spb.ru/zabolevaniya/podvyvikh-pozvonkov). Например: \n * при шейном подвывихе — головокружение, головная боль, шум в ушах [4](https://www.smclinic.ru/diseases/podvyvikh-pozvonka/)[8](https://xn----7sbbnetodge4bn.xn--p1ai/diseases/podvyvikh-pozvonka/); \n * при подвывихе в верхнегрудном отделе — слабость мышц руки, онемение пальцев, похолодание кожи верхней конечности [4](https://www.smclinic.ru/diseases/podvyvikh-pozvonka/)[8](https://xn----7sbbnetodge4bn.xn--p1ai/diseases/podvyvikh-pozvonka/).\n\n## Диагностика\nДля уточнения локализации, характера и выраженности смещения выполняют **рентгенографию позвоночника** с использованием стандартных и дополнительных проекций [2](https://www.KrasotaiMedicina.ru/diseases/traumatology/vertebral-subluxation). В трудных случаях показано пошаговое изучение позвоночного столба с помощью **томографии** (компьютерной или ядерно-магнитной) [4](https://www.smclinic.ru/diseases/podvyvikh-pozvonka/)[8](https://xn----7sbbnetodge4bn.xn--p1ai/diseases/podvyvikh-pozvonka/).\n\n## Лечение\nЛечение подвывиха позвонка чаще всего осуществляется **консервативными методами** [8](https://xn----7sbbnetodge4bn.xn--p1ai/diseases/podvyvikh-pozvonka/)[11](https://www.smclinic.ru/diseases/podvyvikh-sheynogo-pozvonka/). В остром периоде травмы проводят одномоментное мануальное вправление или постепенное вытяжение [8](https://xn----7sbbnetodge4bn.xn--p1ai/diseases/podvyvikh-pozvonka/). Для фиксации правильного положения позвонков используют воротник Шанца [8](https://xn----7sbbnetodge4bn.xn--p1ai/diseases/podvyvikh-pozvonka/). \n\n**Хирургическое вмешательство** может быть показано при давности травмы более 1,5–2 месяцев при нестабильности в шейном отделе позвоночника [11](https://www.smclinic.ru/diseases/podvyvikh-sheynogo-pozvonka/). 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