Minimally invasive endoscopic foraminal decompression for adult degenerative scoliosis: clinical case study and literature review

Gizatullin, Sh Kh; Битнер, С. А.; Kristosturov, Aleksandr S.; Волков, И. В.; Курносенко, В. Ю.; Dubinin, I P

doi:10.14531/ss2019.4.54-62

Hir. pozvonoč.

2019

DOI: 10.14531/ss2019.4.54-62

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Minimally invasive endoscopic foraminal decompression for adult degenerative scoliosis: clinical case study and literature review

Sh Kh Gizatullin

С. А. Битнер

Aleksandr S. Kristosturov

et al.

Abstract: Objective. To demonstrate opportunities of minimally invasive surgery in the treatment of deformities in patients with degenerative disease of the spine. Material and Methods. The clinical case of a 53-year-old female patient with adult degenerative scoliosis accompanied by foraminal stenosis and foraminal disc herniation at the L4-L5 level on the left with L5 root compression was considered. The clinical picture of the disease was carefully analyzed for compliance with the criteria for possibility of minimall… Show more

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Cited by 3 publications

References 26 publications

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Comparison of endoscopic and open methods of surgical treatment for lumbosacral spinal canal stenosis: a systematic literature review

Gizatullin¹,

Kristosturov²,

Davydov³

et al. 2022

Hir. pozvonoč.

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Objective. To analyze clinical outcomes and complication rates of transforaminal and interlaminar endoscopic decompression and open microsurgical operations performed for lumbosacral spinal canal stenosis.Material and Methods. The data of 60 literature sources selected in accordance with the inclusion and exclusion criteria in the PubMed, Science Direct, Google Scholar and Cochrane Library databases were systematized by evaluating diagnostic methods, clinical pictures and surgical treatment of the lumbar spinal canal stenosis. Original studies, case series and reviews containing information on surgical methods for the treatment of spinal stenosis at the lumbar level were analyzed.Results. The complication rate after transforaminal endoscopic decompression (relapses, infectious complications, damage to the dural membrane and spinal roots) does not exceed 2.7 %, which is significantly lower than that in open microsurgical operation (4.8–8.8 %). Endoscopic decompression and reconstruction of the spinal canal demonstrate good clinical outcomes, lower number of bed-days, readmissions, and good economic benefits. When stenosis is combined with instability of the spinal motion segment, performing only a decompressive operation in any volume does not give a significant clinical result, and stabilization surgery is required.Conclusion. The introduction of endoscopic reconstructive surgery for spinal canal stenosis in the lumbosacral spine is associated not only with technical progress and improvement of endoscopic optics, but also with the search for the causes of unsatisfactory results of open operations. Endoscopic interventions showed good clinical outcomes and a decrease in the complication rate. However, the evidence base needs to be expanded due to the lack of randomized trials to compare open decompression and stabilization, and endoscopic reconstructive surgeries in patients with various manifestations of spinal stenosis.

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Comparison of endoscopic and open methods of surgical treatment for lumbosacral spinal canal stenosis: a systematic literature review

Gizatullin¹,

Kristosturov²,

Davydov³

et al. 2022

Hir. pozvonoč.

Self Cite

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Two treatment approaches for lumbar disc herniation and sequester migration to the second and third McCulloch’s windows: transpedicular and translaminar sequestrectomy (ridit analysis)

et al. 2021

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Degenerative scoliosis of the spine: diagnosis, classification and surgical approach in older patients

Yarikov

Викторович²,

Denisov³

et al. 2021

Journal of Clinical Practice

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Adult scoliosis is a deformity of the spine with an angle of more than 10 (according to Cobb) in people with a fully formed bone system. Due to the aging of the population, the improvement of surgical techniques, the appearance of new implants and the improvement of anesthetic aids, the problem of degenerative scoliosis is increasingly being considered from the point of view of the possibilities of surgery. There are many theories that contribute to the formation of degenerative scoliosis. Conservative therapy of degenerative scoliosis includes non-steroidal anti-inflammatory drugs, corset therapy, epidural and paravertebral injections with glucocorticosteroids, physical therapy, and physical therapy. With complete ineffectiveness of conservative therapy and with a significant decrease in the quality of life of the patient, the question of performing surgical intervention is individually decided. Currently, the question of the role and scope of surgical intervention in individuals with this pathology remains debatable. The choice of surgical intervention depends on a thorough assessment of clinical symptoms, neurological status, data of instrumental methods of examination and mandatory consideration of the parameters of the global vertebral-pelvic balance. Therefore, in this article, special attention is paid to the algorithms of surgical treatment based on the choice of the type of decompression and the length of the fusion. The paper describes the generally accepted criteria for selecting the level of spondylosynthesis. Special attention is paid to the risk factors for surgical treatment. As well as the complications associated with surgical treatment are described.

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Minimally invasive endoscopic foraminal decompression for adult degenerative scoliosis: clinical case study and literature review

Cited by 3 publications

References 26 publications

Comparison of endoscopic and open methods of surgical treatment for lumbosacral spinal canal stenosis: a systematic literature review

Comparison of endoscopic and open methods of surgical treatment for lumbosacral spinal canal stenosis: a systematic literature review

Two treatment approaches for lumbar disc herniation and sequester migration to the second and third McCulloch’s windows: transpedicular and translaminar sequestrectomy (ridit analysis)

Degenerative scoliosis of the spine: diagnosis, classification and surgical approach in older patients

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