Anterior Stabilizationand Decompression-Stabilization Surgeries for Different Clinical Variantsof Spondylolisthesis

Abstract

To analyze clinical variants of lumbar spondylolisthesis and differentiated choice of anterior stabilization and decompression-stabilization surgeries. Material and Methods. Anterior stabilization and decompression-stabilization surgeries were performed in 142 patients with lumbar spondylolisthesis. In 44 patients the clinical neurological and instrumental examinations were supplemented by preoperative diagnostic puncture to reproduce reflex pain syndromes and their elimination. Results. Clinical presentation of lumbar spondylolisthesis includes not only segmentary instability, but also reflex pain and/or compression syndromes. The method of anterior decompression of spinal nerve roots compressed by concomitant disc hernias or by posterior-upper edge of subjacent vertebral body was developed and successfully used. Conclusion. Anterolateral retroperitoneal approach provides optimum conditions not only for vertebra reposition and solid interbody fusion with porous TiNi implant, but also for decompression of a compressed nerve root. The choice of surgical approach should depend on clinical variant of the disease.

V.D. Chaklin’s Method of Anterior Spinal Fusion

“…Результаты исследования опубликованы в статьях и монографии «Хирургическое лечение поясничных остеохондрозов» [32][33][34]. На кафедре нейрохирургии этого же института исследуются проблемы переднего спондилодеза, в частности у больных со спондилолистезом [23] и с грыжей поясничных межпозвонковых дисков [24]. Л.К.…”