Combination of degenerative lumbar spinal stenosis and spinal deformity. Literature review

Nikitin, A V; Грин, А. А.

doi:10.17650/1683-3295-2018-20-3-91-103

Cited by 8 publications

(2 citation statements)

References 74 publications

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“…Состояние сагиттального баланса у больных с дегенеративным СПК на поясничном уровне оказывает большое влияние на исход хирургического лечения [23]. Так, по данным S. Bayerl и соавт.…”

Section: Russian Journal Of Neurosurgeryunclassified

Interlaminar decompression for patients with degenerative lumbar stenosis. Literature review and results of a prospective study

Грин

Nikitin

Kalandari

et al. 2019

Nejrohirurgiâ (Mosk.)

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The study objective is to assess the effectiveness of interlaminar decompression in patients with degenerative lumbar stenosis.Materials and methods. A prospective study was conducted among 100 patients with degenerative lumbar stenosis. All patients were operated, interlaminar decompression of the symptomatic side was made. Outcomes were assessed by using a visual analogue scale and Oswestry questionnaire 1 and 2 years after surgery. Among patients with an unsatisfactory result, the cause of the unsatisfactory outcome was studied.Results. One year after surgery a satisfactory result was noted in 71 patients, and 2 years after surgery a satisfactory result was noted in 67 patients. The following causes of unsatisfactory outcome were found in 33 patients: 9 – spinal canal restenosis, 2 – herniated disc at the operation level, 4 – the facet syndrome, 4 – development of clinical instability, 3 – pain in the opposite leg (there was no pain before the operation), 2 – development of delayed radiculopathy, 9 – decompensation of concomitant diseases (4 – coxarthrosis, 3 – gonarthrosis, 2 – chronic ischemia of the lower extremities). Among the risk factors for restenosis, statistically significant relationship was found only with the presence of spondylolisthesis.Conclusion. Interlaminar decompression is an effective surgical option in patients with degenerative lumbar stenosis. The presence of spondylolisthesis is a risk factor for the inefficiency of this operation.Conflict of interest. The authors declare no conflict of interest.Informed consent. All patients gave written informed consent to participate in the study

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Section: Russian Journal Of Neurosurgeryunclassified

Interlaminar decompression for patients with degenerative lumbar stenosis. Literature review and results of a prospective study

Грин

Nikitin

Kalandari

et al. 2019

Nejrohirurgiâ (Mosk.)

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“…В современной вертебрологии остается востребованной проблема хирургического лечения пациентов с различными повреждениями позвоночника, сопровождающимися травматическим стенозом позвоночного канала [1][2][3][4]. Травматические повреждения грудопоясничного отдела позвоночника (Th11-L2) составляют 5,4 % травм, при этом в 30-70 % случаев имеется сдавление или повреждение спинного мозга, на что указывают многочисленные исследования и наблюдения [5][6][7][8]. Важен и реабилитационный период травматической болезни, в связи с чем принципы внутреннего силового шунтирования с целью фиксации нестабильных переломов грудопоясничного отделов позвоночника приобретают особое значение.…”

Section: Introductionunclassified

Treatment of High-Impact Injuries of Thoracic and Lumbar Spine

Сабыралиев

Сулайманов

Минасов

et al. 2019

Kreativnaâ hirurgiâ i onkologiâ

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Introduction. Surgical treatment of patients with spinal injuries with traumatic spinal canal stenosis is an important and widely discussed problem of contemporary vertebrology. Injuries to the spine in the incidence structure of isolated or combined injuries occupy a special place due to their high social and clinical significance. Long-term outcomes of traumatic disease in patients with combined trauma to the thoracic and lumbar spine are studied, as before, by ever larger groups of researchers in connection to the new generations of spinal fixation devices being introduced.Materials and methods. 111 patients with various thoracolumbar spine injuries treated surgically were included in the study. In 40 patients, the post-traumatic stenosis was treated with the use of ligamentotaxis and transpedicular osteosynthesis. Thll–Thl2, Th12–L1 and L1–L2 were the most frequent localisations of the level of injury in the study group.Results and discussion. The immediate treatment outcomes observed were as follows — good in 33 (82.5%) cases, satisfactory in 6 (15.0%), unsatisfactory — in 1 (2.5%). Long-term outcomes with follow-up longer than a year were recorded in 27 (67.5%) patients with good outcomes in 20 (74.1%) and satisfactory in 7 (25.9%).Conclusion. A correct stabilisation with metal systems makes it possible to verticalize the patient quickly and shorten the rehabilitation period in all patients including those of active working age, as well as minimize the risks in the long term.

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Spinal canal stenosis: comparative analysis of minimally invasive bilateral decompression through a unilateral approach and laminectomy

Aganesov,

Aleksanyan,

Gemdzhian

2024

Hir. pozvonoč.

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Objective. To analyze and compare the results of treatment of lumbar spinal stenosis using minimally invasive unilateral decompression and classical laminectomy.Material and Methods. The retrospective comparative monocentric study included 68 patients (2 groups of 34 patients each) operated on in 2018–2021 for spinal stenosis in the lumbar spine who met certain eligibility criteria. Patients of one group were operated on using minimally invasive bilateral decompression through a unilateral approach, while patients in the other group were operated on using classical laminectomy. The results of surgical treatment were compared during 24 months by assessing pre- and postoperative indicators of the intensity of pain in the back and lower extremities using a 10-point VAS, and the patient’s functional activity – using the Oswestry index.Results. A statistically significant clinical effect of surgical treatment was noticed in both groups. At the end of the follow-up period, the results of back pain relief in the minimally invasive surgery group were significantly better (0.3 vs 0.9, respectively), and the improvement in functional activity was comparable to the laminectomy group (8.8 vs 9.8, respectively). A clinical effect of pain relief in the lower extremities was obtained in both groups (up to 1.2 and 1.4, respectively). The length of hospital stay, time to activation, and volume of blood loss were significantly lower in minimally invasive decompression group.Conclusion. Minimally invasive unilateral decompression of the spinal canal for lumbar spinal stenosis demonstrates a better effect in relieving back pain than classical laminectomy, with no significant difference in relieving pain in the lower extremities. The minimally invasive technique allows patients to rehabilitate as quickly as possible and return to everyday life and work. It has socio-economic advantages compared to classical laminectomy – a shorter period of activation and hospital treatment, and less blood loss.

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Combination of degenerative lumbar spinal stenosis and spinal deformity. Literature review

Cited by 8 publications

References 74 publications

Interlaminar decompression for patients with degenerative lumbar stenosis. Literature review and results of a prospective study

Interlaminar decompression for patients with degenerative lumbar stenosis. Literature review and results of a prospective study

Treatment of High-Impact Injuries of Thoracic and Lumbar Spine

Spinal canal stenosis: comparative analysis of minimally invasive bilateral decompression through a unilateral approach and laminectomy

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