No abstract

Ten years experience in microdiskectomy for the treatment of degenerative spine diseases (about 900 patients) is presented. Seven hundred and seventeen patients have been operated on by traditional W.Caspar technique and 21.4%) out of them required not only diskectomy but radiculolysis, resection of the arch margins and posterior longitudinal ligament. In some patients side by side with microdiskectomy, spondylodesis via interarch approach using CAC system combined with transpedicular system USS (AO) was performed. The same technique was used in patients with lumbar vertebra spondylolisthesis. Positive results were achieved in 88.2% of cases.

The results of surgical treatment of 222 patients with lumbar osteochondrosis complicated by nerve root syndrome with proved nerve compression show that prolonged conservative treatment including physiotherapy, distraction, manual therapy aggravates the patients condition due to stimulation of the proliferative processes in spinal canal. Timely surgical treatment allows to prevent the complications, decrease the disability duration and to return the patient to everyday life and work with minimum economic and time costs.