scholarly journals RESULTS OF SURGICAL TREATMENT OF PATIENTS WITH MULTILEVEL DEGENERATIVE DISEASES OF THE REMOVAL OF THE LUMBAR SPINE BY USING MINIMAL-INVASIVE AND OPEN TRANSFORAMINAL INTERBODY FUSION

2019 ◽  
pp. 46-46
Author(s):  
V.A. Byvaltsev ◽  
A.A. Kalinin ◽  
V.V. Shepelev ◽  
Y.Y. Pestryakov
Keyword(s):  
Surgical Treatment ◽  
Lumbar Spine ◽  
Interbody Fusion ◽  
Minimal Invasive ◽  
Degenerative Diseases ◽  
Transforaminal Interbody Fusion

scholarly journals Interrelation of tropism and angulation parameters of facet joints and results of stabilization surgeries for degenerative diseases of the lumbar spine

2018 ◽  
Vol 15 (4) ◽  
pp. 70-79
Author(s):  
V. A. Byvaltsev ◽  
A. K. Okoneshnikova ◽  
A. A. Kalinin ◽  
S. S. Rabinovich
Keyword(s):  
Surgical Treatment ◽  
Lumbar Spine ◽  
Clinical Outcomes ◽  
Interbody Fusion ◽  
Degenerative Diseases ◽  
Facet Joints ◽  
Group Iii ◽  
Group I ◽  
Transpedicular Stabilization

Objective. To clarify indications for dynamic and rigid stabilization based on the analysis of correlation between neuroimaging parameters of facet joints (FJ) and clinical outcomes of surgical treatment of patients with degenerative diseases of the lumbar spine. Material and Methods. A total of 141 patients with degenerative diseases of the lumbar spine were surgically treated. Patients were divided into three groups: patients of Group I (n = 48) underwent surgical intervention with artificial intervertebral disc prosthesis; those of Group II (n = 42) – with interbody fusion and combined transpedicular and transfacetal stabilization; and those of Group III (n = 51) – with interbody fusion and bilateral transpedicular stabilization. The correlation between long-term clinical outcomes (pain syndrome according to VAS, functional state according to ODI, and satisfaction with surgical result according to MacNab scale) and preoperative neuroimaging parameters of FJ (degenerative changes according to Fujiwara, facet angle magnitudes, and the presence of tropism) was analyzed. Results. A direct significant nonparametric correlation of neuroimaging parameters of facet angles and FJ tropism with long-term clinical outcomes of surgical treatment according to VAS and ODI was revealed. It was established that good clinical outcomes were achieved with the following preoperative parameters: in Group I, the facet angle was less than 60°, while the presence of tropism had no correlation dependence; in Group II, the facet angle – more than 60°, in the absence of FJ tropism; and in Group III, the facet angle – more than 60°, in the presence of FJ tropism. Conclusion. Objective neuroimaging parameters of the facet angle magnitude of less than 60°, regardless of the presence of tropism, allow performing total arthroplasty. If the facet angle is more than 60°, the rigid stabilization of the operated segment is indicated; in the absence of tropism, a contralateral transfacetal fixation is possible, and in its presence – a bilateral transpedicular stabilization is reasonable.

scholarly journals SURGICAL TREATMENT OF DEGENERATIVE DISEASES OF THE LUMBAR SPINE IN PATIENTS WITH OVERWEIGHT AND OBESITY

2013 ◽  
pp. 53-61 ◽  
Author(s):  
Klimenty Golovin ◽  
◽  
Aleksandr Aganesov ◽  
Aleksey Kheilo ◽  
Olesya Gurova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Lumbar Spine ◽  
Overweight And Obesity ◽  
Degenerative Diseases

scholarly journals Comparison of Results and Cost-Effectiveness of Minimally Invasive and Open Transforaminal Lumbar Interbody Fusion: A Meta-Analysis of Prospective Cohort Studies

2019 ◽  
Vol 74 (2) ◽  
pp. 125-135 ◽  
Author(s):  
Vadim A. Byvaltsev ◽  
Andrey A. Kalinin ◽  
Valeriy V. Shepelev
Keyword(s):  
Lumbar Spine ◽  
Minimally Invasive ◽  
Prospective Cohort ◽  
Interbody Fusion ◽  
Surgical Intervention ◽  
Meta Analysis ◽  
Transforaminal Lumbar Interbody Fusion ◽  
Lumbar Interbody Fusion ◽  
Degenerative Diseases ◽  
Prospective Cohort Studies

Backgraund: Minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is becoming the most popular treatment method in modern vertebrology. But at the same time, limited working space, significant intraoperative radiation exposure and high risks of developing perioperative complications associated with a long learning curve are constraints for the widespread use of this technology by most spinal surgeons. Aims: to conduct a meta-analysis based on the results of prospective cohort clinical studies that compare the results of the application of minimally invasive and open transforaminal interbody spinal fusion techniques in treating patients with degenerative lumbar diseases. Materials and methods: A search for randomized clinical trials was conducted in the Pubmed, EMBASE, eLibrary and Cochrane Library databases published from January 2008 to December 2018, which compared the results of minimally invasive (MIS-TLIF) and open (Open-TLIF) techniques transforaminal interbody fusion in treating patients with degenerative diseases of the lumbar spine. For dichotomous variables, the relative risk and 95% confidence interval were calculated; in turn, standardized difference of mean values and their 95% confidence intervals were used for continuous variables, using the random effects model. Results: The meta-analysis included 21 prospective cohort studies, three of which were randomized controlled clinical trials. The results of the surgical treatment of 1762 patients with degenerative diseases of the lumbar spine were evaluated in total. In the MIS-TLIF group, reliably smaller parameters of the duration of surgical intervention (p0.00001), the volume of intraoperative blood loss (p0.00001), the timing of postoperative inpatient treatment (p0.00001), the economic costs of treatment (p0.00001) and the number of perioperative adverse effects (p=0.006). At the same time, the duration of intraoperative fluoroscopy is registered significantly less in the Open-TLIF group (p0.00001). Conclusions: The MIS-TLIF method in comparison with the Open-TLIF method has significantly lower objective indicators characterizing the invasiveness of the surgical intervention, as well as the development of undesirable consequences, the associated shorter duration of hospitalization and financial costs for treating patients with degenerative diseases of the lumbar spine. At the same time, significantly more time of intraoperative irradiation was confirmed, due to the technical features of performing transcutaneous closed manipulations in the absence of direct visualization of the operated segment in the MIS-TLIF group.

Semi-rigid minimally invasive transpedicular fixation in the treatment of degenerative diseases of the lumbar spine

2018 ◽  
Vol 20 (3) ◽  
pp. 19-30
Author(s):  
A. V. Bulatov ◽  
D. A. Rzayev ◽  
V. S. Klimov ◽  
A. V. Evsyukov
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Clinical Results ◽  
Intervertebral Discs ◽  
Minimal Invasive ◽  
Low Back ◽  
Degenerative Diseases ◽  
Study Objective

The study objective is to analyze the effectiveness of the use of minimal invasive polyetheretherketone (PEEK) rod systems in the treatment of lumbar spine degenerative diseases.Materials and methods. The minimal invasive semi-rigid stabilization using PEEK rod systems was performed in 24 patients (4 (17 %) male and 20 (83 %) female) patients (mean age 46.3 ± 8.4, ranging from 32 to 63). The average follow-up duration was 15 months. Inclusion criteria: mechanical low back pain, White–Panjabi instability: 5 points, degenerative changes of the disc by C. Pfirrmann scale: II–IV grade. Follow-up at the 6 and 12 months postoperatively.Results. In the postoperative period, the majority of patients had a complete or significant regression of pain (on average, from 6.3 to 1.8 points on the visual analog scale). The Oswestry disability index decreased from 64/66 [64; 68] to 33/34 [32; 36] in 6 months (p <0.001) and 18/17 [16; 18] in 12 months (p <0.001). Before surgery, the height of the operated disk was 0.96 cm, after 1 year decreased to 0.91 cm. Range of rotary motion in the operated segment in all cases did not exceed 6°.Conclusion. The PEEK rod fixation in patients with mechanical low back pain provides good and excellent clinical results on the I. Macnab scale in 83.4 % of cases. Within 12 months, the minimal volume of movements on the operated segment remains, without signs of continued degeneration of adjacent intervertebral discs.

Results of surgical treatment of degenerative diseases of the lumbar spine using dynamic interspinous stabilization in the long-term period

2018 ◽  
Vol 16 (10) ◽  
pp. 92-96
Author(s):  
T. A. Bikmullin ◽  
◽  
N. A. Kartashov ◽  
E. M. Khaliullin ◽  
◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Lumbar Spine ◽  
Degenerative Diseases
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