Comparative Estimation of Biochemical Blood Parameters of Experimental Rats after Various Variants of Epidural Vessels Coagulation during Surgical Interventions on the Lumbar Spine

2019 ◽  
Vol 4 (1) ◽  
pp. 78-82
Author(s):  
V. K. Piontkovsky ◽  
◽  
V. O. Radchenko ◽  
D. V. Morozenko ◽  
◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Blood Parameters ◽  
Surgical Interventions

scholarly journals Minimum Invasive Stabilizing and Decompressive-Stabilizing Methods of Surgical Treatment for Degenerative-Dystrophic Lesions of Spine

2011 ◽  
Vol 18 (4) ◽  
pp. 3-10
Author(s):  
A V Krut'ko ◽  
Shamil' Al'firovich Akhmet'yanov ◽  
D M Kozlov ◽  
A V Peleganchuk ◽  
A V Bulatov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Lumbar Spine ◽  
Surgical Techniques ◽  
Pain Syndrome ◽  
Early Postoperative Period ◽  
Main Group ◽  
Control Group ◽  
Surgical Interventions ◽  
Comparative Group ◽  
Operative Wound

Results of randomized prospective study with participation of 94 patients aged from 20 to 70 years with monosegmental lumbar spine lesions are presented. Minimum invasive surgical interventions were performed in 55 patients from the main group. Control group consisted of 39 patients in whom decompressive-stabilizing operations via conventional posteromedian approach with skeletization of posterior segments of vertebral column were performed. Average size of operative wound in open interventions more than 10 times exceeded that size in minimum invasive interventions and made up 484 ± 56 and 36 ± 12 sq.cm, respectively. Mean blood loss was 326.6 ± 278.0 ml in the main group and 855.1 ± 512.0 ml in the comparative one. In the main group no one patient required substitution hemotransfusion, while in 13 patients from the comparative group donor erythrocytic mass and/or fresh-frozen plasma were used to eliminate the deficit of blood components. Intensity of pain syndrome in the zone of surgical intervention by visual analog scale in the main group was lower than in comparative group. In the main and comparative groups the duration of hospitalization made up 6.1 ± 2.7 and 9.7 ± 3.7 bed days, respectively. In no one patient from the main group complications in the zone of operative wound were noted. Three patients from the comparative group required secondary debridement and in 1 patient early deep operative wound suppuration was observed. Application of low invasive surgical techniques for the treatment of patients with degenerative lumbar spine lesions enabled to perform radical surgical treatment with minimal iatrogenic injury. The method possessed indubitable advantages over the conventional open operations especially intraoperatively and in early postoperative period.

Historical aspects of video endoscopic surgery of the lumbar spine

2021 ◽  
Vol 18 (1) ◽  
pp. 70-77
Author(s):  
M. N. Kravtsov
Keyword(s):  
Lumbar Spine ◽  
Literature Review ◽  
Endoscopic Surgery ◽  
English Literature ◽  
Surgical Interventions ◽  
Historical Aspects ◽  
Endoscopic Techniques ◽  
History Of

The literature review is devoted to the history of the development of endoscopic surgery of the lumbar spine: from open surgical interventions and puncture procedures – to percutaneous intracanal endoscopic operations, combining interventional and video endoscopic technologies and referred to in the English literature as “full-endoscopy”. The article also touches upon the historical aspects of fibroendoscopic and laparoscopic interventions on the lumbar spine. In conclusion, the principle of classification of endoscopic techniques is proposed.

scholarly journals DEGENERATIVE DYSTROPHIC DISEASES OF THE LUMBAR SPINE AND THEIR SURGERY IN ELDERLY AND SENILE PATIENTS

2006 ◽  
pp. 052-058 ◽  
Author(s):  
Aleksandr Evgenyevich Simonovich ◽  
Dmitry Mikhailovich Kozlov
Keyword(s):  
Lumbar Spine ◽  
Posterior Approach ◽  
Comparative Assessment ◽  
Degenerative Diseases ◽  
Effective Technique ◽  
Systemic Complications ◽  
Metal Implant ◽  
Surgical Interventions ◽  
Results Of Treatment ◽  
Lumbar Degenerative Diseases

Objective. Comparative assessment of decompression and decompression-stabilization techniques for degenerative diseases of the lumbar spine in elderly and senile patients. Material and Methods. A total of 106 patients at the age of 60 to 83 years (mean age 65.7 years) operated on for degenerative disease of the lumbar spine were included in the prospective study. The outcomes were evaluated in 3–4 and 12–24 months. A dynamics of neurologic state, intensity of pain according to VAS, and functional activity according to Oswestry scores were evaluated. Results. Good results were achieved in 70 % of cases after decompression – stabilization surgery, as compared to 46 % after decompression only. There were 26 % of unsatisfactory results of treatment after decompression, and 5 % – after decompression and stabilization. Surgical complications were typical for these kinds of surgical interventions. There were no infectious and systemic complications as well as metal implant induced complications such as its destruction, migration or subsidence, and bone resorption around implant. Conclusion. Decompression and stabilization surgery is the most reasonable and effective technique for treatment of lumbar degenerative diseases in elderly and senile patients. Preference should be given to posterior approach surgery concluded by stabilization of operated vertebral segments.

Vertebral hydatid disease

1976 ◽  
Vol 44 (1) ◽  
pp. 72-76 ◽  
Author(s):  
Werner L. Apt ◽  
Juan L. Fierro ◽  
Ciro Calderón ◽  
Carlos Pérez ◽  
Patricio Mujica
Keyword(s):  
Surgical Treatment ◽  
Lumbar Spine ◽  
Postoperative Period ◽  
Long Term Results ◽  
Common Procedure ◽  
Laboratory Findings ◽  
Content Type ◽  
Surgical Interventions ◽  
Fine Print

✓ The authors present 27 cases of vertebral hydatidosis with clinical and laboratory findings. The most frequent location of the lesion was the lumbar spine. Principal neurological symptoms were paraparesis, sphincter disturbances, paresthesia and paraplegia. The average number of surgical interventions per patient was 2.6; the most common procedure was laminectomy with extirpation of the cyst and surgical toilet. The results of surgical treatment were generally good in the immediate postoperative period, but long-term results were poor.

scholarly journals The Use of Porous Nickel Titanium Implants in Anterior Spinal Fusion of the Lumbar Spine

2019 ◽  
Vol 5 (11) ◽  
pp. 92-96
Author(s):  
M. Sabyraliev ◽  
Zh. Sulaimanov
Keyword(s):  
Lumbar Spine ◽  
Adult Population ◽  
Titanium Implants ◽  
Nickel Titanium ◽  
Complete Disappearance ◽  
Lumbar Region ◽  
Porous Nickel ◽  
Anterior Spinal Fusion ◽  
Surgical Interventions ◽  
Significant Regression

Back pain affects approximately 80% of the adult population. In the structure of the nervous system morbidity, cases of osteochondrosis account for up to 68%, reaching 72% of the days of temporary disability in the outpatient network and 48% in hospitals. Since 2004, surgical interventions using porous nickel titanium have been performed in the Department of Spinal Pathology in 43 patients with degenerative lesions of the lumbar spine. Of these, 23 were men and 20 women. At the age of 20 to 65 years (average age 46.1 years). In the postoperative period, a significant regression of pain intensity in the lumbar region and lower extremities was determined in 8 (18.6%) patients, and the complete disappearance of pain was determined in the remaining 35 (81.4%) patients. Before surgery, the Oswestry index averaged 48.3%, after surgery 13.4%.

AB1097 Surgical interventions of the cervical and/or lumbar spine in patients with fibromyalgia

2013 ◽  
Vol 71 (Suppl 3) ◽  
pp. 700.16-700
Author(s):  
R. Figuls Poch ◽  
S. Garcia-Diaz ◽  
H. Corominas ◽  
D. Reina ◽  
D. Cerda ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Surgical Interventions

Impairment Tutorial: Recurrent Radioculpathy: Recurrent Radioculpathy and Apportionment

2002 ◽  
Vol 7 (4) ◽  
pp. 8-10
Author(s):  
Christopher R. Brigham ◽  
Leon H. Ensalada
Keyword(s):  
Lumbar Spine ◽  
Range Of Motion ◽  
Disk Herniation ◽  
Fourth Edition ◽  
Recurrent Injury ◽  
Injury Model ◽  
Whole Person ◽  
Spinal Region

Abstract Recurrent radiculopathy is evaluated by a different approach in the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, compared to that in the Fourth Edition. The AMA Guides, Fifth Edition, specifies several occasions on which the range-of-motion (ROM), not the Diagnosis-related estimates (DRE) method, is used to rate spinal impairments. For example, the AMA Guides, Fifth Edition, clarifies that ROM is used only for radiculopathy caused by a recurrent injury, including when there is new (recurrent) disk herniation or a recurrent injury in the same spinal region. In the AMA Guides, Fourth Edition, radiculopathy was rated using the Injury Model, which is termed the DRE method in the Fifth Edition. Also, in the Fourth Edition, for the lumbar spine all radiculopathies resulted in the same impairment (10% whole person permanent impairment), based on that edition's philosophy that radiculopathy is not quantifiable and, once present, is permanent. A rating of recurrent radiculopathy suggests the presence of a previous impairment rating and may require apportionment, which is the process of allocating causation among two or more factors that caused or significantly contributed to an injury and resulting impairment. A case example shows the divergent results following evaluation using the Injury Model (Fourth Edition) and the ROM Method (Fifth Edition) and concludes that revisions to the latter for rating permanent impairments of the spine often will lead to different results compared to using the Fourth Edition.

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