Surgical treatment of facet syndrome in segmental instability of the lumbar spine

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.

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Treatment of Injuries of the Lumbar Spine

Bulletin of Science and Practice ◽

10.33619/2414-2948/49/15 ◽

2019 ◽

Vol 5 (12) ◽

pp. 156-162

Author(s):

M. Sabyraliev

Keyword(s):

Surgical Treatment ◽

Lumbar Spine ◽

Spinal Canal ◽

Thoracolumbar Spine ◽

Spinal Injuries ◽

Long Term Results ◽

Results Of Treatment ◽

Post Traumatic

Surgical treatment of patients with spinal injuries, accompanied by traumatic stenosis of the spinal canal, is an urgent and discussed problem of modern vertebrology. Surgical treatment of 111 patients with various injuries of the thoracolumbar spine was performed. In 40 patients, post-traumatic stenosis was eliminated using ligamentotaxis using transpedicular osteosynthesis. The immediate results of treatment were followed up in all patients: good results were obtained in 33 (82.5%) cases; satisfactory — in 6 (15.0%), unsatisfactory — in 1 (2.5%). Long-term results with a follow-up of more than 1 year were followed up in 27 (67.5%) patients; good results were obtained in 20 (74.0%), satisfactory in 7 (25.0%).

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COMBINED GRAFT AND ITS SIGNIFICANCE IN SURGICAL TREATMENT OF UNSTABLE LESIONS OF THE BODIES OF THE THORACIC AND LUMBAR SPINE

Clinical anatomy and operative surgery ◽

10.24061/1727-0847.16.4.2017.94 ◽

2017 ◽

Vol 16 (4) ◽

pp. 51-56

Author(s):

Sh. S. Yuldashev ◽

A. Sh. Shodiev ◽

A. M. Mamadaliev

Keyword(s):

Surgical Treatment ◽

Lumbar Spine ◽

Thoracic And Lumbar Spine

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SURGICAL TREATMENT OF CHILDREN WITH CONGENITAL IMPAIRED FORMATION OF VERTEBRAE IN THE LUMBAR SPINE

Traumatology and Orthopedics of Russia ◽

10.21823/2311-2905-2012-0-1-108-113 ◽

2012 ◽

pp. 89-93

Author(s):

S. V. Vissarionov ◽

K. A. Kartavenko ◽

K. E. Golubev ◽

N. D. Batpenov ◽

S. S. Abdaliev

Keyword(s):

Surgical Treatment ◽

Lumbar Spine

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Assessment of the functional state of the spine in athletes and ballet dancers with lumbosacral pain syndrome

N.N. Priorov Journal of Traumatology and Orthopedics ◽

10.17116/vto201903121 ◽

2019 ◽

Vol 26 (3) ◽

pp. 21-30

Author(s):

S. P Mironov ◽

M. B Tsykunov ◽

G. M Burmakova

Keyword(s):

Lumbar Spine ◽

Functional State ◽

Lumbar Vertebrae ◽

Pain Syndrome ◽

Lumbosacral Spine ◽

Bioelectric Activity ◽

Ballet Dancers ◽

Facet Syndrome ◽

Lower Lumbar

The paper presents the data of evaluation of dysfunction in lumbosacral pain in 898 athletes, ballet and circus artists aged 15 to 45 years. The median age was 25.8 year. 537 men and 361 women. In 409 people, pain syndrome is caused by osteochondrosis of the lumbar spine. 238 patients were diagnosed with spondylolysis of the lower lumbar vertebrae, 172 with facet syndrome, spondylarthrosis and 79 with pathology of the ligaments of the lumbosacral spine. Asymmetry in strength, tone of muscles-stabilizers of the spine and their bioelectric activity, which are eliminated in the course of treatment, was noted.

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