Tactics of Surgical Treatment for Degenerative-Dystrophic Diseases of Lumbosacral Spine in Elderly and Senile Patients

Abstract

Surgical treatment outcomes on 87 patients aged 60-83 years operated on for degenerative-dystrophic diseases of lumbosacral spine have been presented. Depending on the stage of pathologic process and compressive factor direction, different types of decompressive stabilizing surgical interventions were performed in compliance with the elaborated tactics of surgical treatment. Evaluation of the results showed significant decrease in pain sensations (by Visual Analog Scale) and increase in the indices of daily activity (by Oswestry Disability Index) both in early (under 3 months) and late (up to 36 months) postoperative periods, that led to significant improvement of the life quality in elderly patients. The achieved results confirmed the efficacy of the elaborated differentiated approach to surgical treatment of that group of patients.

Minimally Invasive Reconstruction of Vertebral Arch in Spondylolisthesis in Children and Adolescents

“…The classic method of treating spondylolysis and spondylolisthesis is surgical intervention included decompression, reduction of the slipped vertebra, transpedicular fixation of the spine segments, and creation of 360° spondylodesis [5][6][7][8]. In case of spondylolysis or grade I spondylolisthesis in children and adolescents with a pain syndrome but without neurological disturbances, the main approach is conservative therapy, although an alternative surgical way of treatment is also known.…”