The possibilities of anterior decompressive-stabilizing operations for treatment of patients with combined lateral stenosis of lumbar spine
Abstract
Objective: to compare the therapeutic possibility of the posterior decompressive surgeries (microdiscectomy + stabilization) with disc hernial removal using the anterior retroperitoneal approach in patients with combination of inherent and obtaining lateral stenosis. Patients and methods. 82 patients with combined lateral stenosis were divided in two groups. At both groups we removed the herniated disc with stabilization using anterior and posterior approaches respectively. Results. Observed results were comparable at both groups. More excellent and good results were at the second group where the anterior approach was used. Index Oswestry at the remote period in these two groups made up 46±4,5; 42±5,8 respectively. Conclusion. The decompressive-stabilizing surgery with anterior interbody fusion is a pathogenetic and technically adequate treatment for combined lateral stenosis.
About the Authors
E. B. Kolotov
ГБУЗ Кемеровская областная клиническая больница
Russian Federation
Russian Federation
R. R. Aminov
ГБУЗ Кемеровская областная клиническая больница
Russian Federation
Russian Federation
V. V. Kelmakov
ГБУЗ Кемеровская областная клиническая больница
Russian Federation
Russian Federation
E. V. Kolotova
ГБУЗ Кемеровская областная клиническая больница
Russian Federation
Russian Federation
A. G. Epifancev
ГКБ № 1
Russian Federation
Russian Federation
References
1. Антипко Л.Э. Стеноз позвоночного канала / Л.Э. Антипко. - Воронеж: ИПФ «Воронеж», 2001. - 272 с.
2. Брехов А.Н. Варианты резекции дугоотростчатых суставов при микрохирургической дискэктомии // Ортопедия, травматология и протезирование. 1998. № 3. С. 79-82.
3. Михайловский М.В. Этапы развития вертебральной хирургии: исторический экскурс / М.В. Михайловский // Хирургия позвоночника. - 2004. - № 1. - С. 10-24.
4. Радченко В.А., Скиданов А.Г., Карпинская Е.Д., Мощенко В.Л. Особенности строения позвоночного канала в поясничном отделе, обусловливающие развитие латерального дегенеративного артрогенного стеноза. // Ортопедия, травматология и протезирование. - 2008. - № 1. - С. 5-9
5. Продан А.И. Ортопедические аспекты хирургического лечения стеноза позвоночного канала // Ортопедия, травматология и протезирование - 2005. - № 1. - С. 93-97.
6. Bono C., Khandha A., Vadapalli S. et al. Residual sagittal motion after lumbar fusion: a finite element analysis with implications on radiographic flexion-extension criteria // Spine. 2007. Vol. 32. - P. 417-422.
7. Bresnahan L., Ogden A.T., Fessler R.G. A biomechanical evaluation of graded posterior element removal for treatment of lumbar stenosis: comparison of a minimally invasive approach with two standard laminectomy techniques. // Spine. - 2009 - Vol. 34, № 1 - P. 17-23.
8. Dai L. Lumbar spinal stenosis: a review of biomechanical studies / L. Dai, Y. Xu // Chin. Med. Sci. J. - 1998, Mar. - N 13 (1). - Р. 56-60.
9. Johnsson K.E., Willner S., Johnsson K. Postoperative instability after decompression for lumbar spinal stenosis // Spine. 1986. Vol. 11. - P. 107-110.
10. Melloh M., Staub L., Barz T. et al. Decompression vs decompression plus fusion in lumbar spinal stenosis: a comparison of complications and rehabilitation // Eur. Spine J. 2006. Vol. 15. - P. S515-S516.
11. Mullin B.B., Rea G.L., Irsik R. et al. The effect of postlaminectomy spinal instability on the outcome of lumbar spinal stenosis patients // J. Spinal Disord. 1996. Vol. 9. P. 107-116.
12. Niggemeyer O., Strauss J.M., Schulitz K.P. Comparison of surgical procedures for degenerative lumbar spinal stenosis: a metaanalysis of the literature from 1975 to 1995 // Eur. Spine J. 1997. Vol. 6. - P. 423-429.
13. Weinstein P.R. The application of anatomy and pathophysiology in the management of lumbar spine desease // Clin. Neurosurg. - 1980. - Vol. 27. - P. 517-540.
Review
For citations:
Kolotov E.B., Aminov R.R., Kelmakov V.V., Kolotova E.V., Epifancev A.G. The possibilities of anterior decompressive-stabilizing operations for treatment of patients with combined lateral stenosis of lumbar spine. Russian journal of neurosurgery. 2013;(1):40-44. (In Russ.)
Views:
991
Email this article 