THE COMPARATIVE ASSESSMENT THE EFFECTIVENESS OF TREATMENT THE NERVE ROOT COMPRESS SYNDROME USING THE ANTERIOR AND POSTERIOR APPROACHES OF PATIENTS WITH COMBINED LATERAL LUMBAR STENOSIS
https://doi.org/10.20538/1682-0363-2013-6-103-111
Abstract
Objective: to compare the therapeutic possibility of the decompressiveviedecompressive with stabilization surgeries using the standard posterior and anterior retroperitoneal approaches in patients with combination of inherent and obtaining lateral stenosis and to demonstrate the adequacy of using. At the main group we removed the herniated disc with stabilization using anterior and posterior approaches – 82 patients. The control group was treated by standard microdiscectomy – 40 patients. More excellent and good results were in the main group where decompression was combined with stabilization, and at the same group were less negative results. The decompressive-stabilizing surgery with anterior interbody fusion is a pathogenetic and technically adequate treatment for combined lateral stenosis.
About the Authors
Ye. B. KolotovRussian Federation
R. R. Aminov
Russian Federation
Ye. V. Kolotova
Russian Federation
V. V. Kelmakov
Russian Federation
N. M. Zhilina
Russian Federation
References
1. Mikhaylovskiy M.V. Stages of development of vertebral surgery: a historical review. Spinal surgery, 2004, no. 1, pp. 10–24 (in Russian).
2. Antipko L.E. Spinal canal stenosis. Voronezh, Voronezh Publ., 2001. 272 с.
3. Radchenko V.A., Skidanov A.G., Karpinskaya Ye.D., Moshchenko V.L. Orthopaedics, traumatology and prosthetics, 2008, no 1, pp. 5–9 (in Russian).
4. Dai L., Xu Y. Lumbar spinal stenosis: a review of biomechanical studies. Chin. Med. Sci. J., 1998, Mar. no. 13 (1), pp. 56–60.
5. Vasil'eva O.V. Diagnosis and treatment of patients with herniated lumbar intervertebral discs in congenital spinal canal stenosis. Cand. med. sci. diss. Kurgan, 2002. 24 p. (in Russian).
6. Polishchuk N. et al. Differential diagnosis and surgical treatment of lumbal spinal canal stenosis with microinvasive manipulation. Proceedings of the IV Congress of Neurosurgeons of Russia. Moscow, 2006, pp. 94–95 (in Russian).
7. Lutsyk A.A., Yepifantsev A.G., Krutko A.V., Kolotov Ye.B., Aminov R.R., Bondarenko G.Yu. Spinal surgery, 2004, no. 1, pp. 55–59 (in Russian).
8. Kolotov Ye.B., Aminov R.R., Kolotova Ye.V., Yepifantsev A.G., Gavrilov I.V., Krutko A.V. Questions of neurosurgery named after N.N. Burdenko, 2012, vol. 76, no. 4, pp. 37–42 (in Russian).
9. Kolotov Ye.B., Bulgakov V.N., Yevsyukov А.В., Krutko A.V. Spinal surgery, 2009, no. 1, pp. 38–41 (in Russian).
10. 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, pp. 107–116.
11. Brekhov A.N. Orthopaedics, traumatology and prosthetics, 1998, no. 3, pp. 79–82 (in Russian).
12. Prodan A.I. Orthopaedics, traumatology and prosthetics, 2005, no. 1, pp. 93–97 (in Russian).
13. 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, pp. S515–S516.
14. Niggemeyer O., Strauss J. M., Schulitz K. P. Comparison of surgical procedures for degenerative lumbar spinal stenosis: a meta-analysis of the literature from 1975 to 1995. Eur. Spine J., 1997, vol. 6, pp. 423–429.
15. Kozlov D.M., Krutko A.V., Kolotov Ye.B., Akhmetiyanov Sh.A. Questions of neurosurgery named after N.N. Burdenko, 2011, vol. 75, no. 3, pp. 57–61 (in Russian).
16. 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, pp. 417–422.
17. Johnsson K.E., Willner S., Johnsson K. Postoperative instability after decompression for lumbar spinal stenosis. Spine, 1986, vol. 11, pp. 107–110.
18. Lutsyk A.A., Kolotov Ye.B. Spinal surgery, 2012, no. 1, pp. 54–61 (in Russian).
Review
For citations:
Kolotov Ye.B., Aminov R.R., Kolotova Ye.V., Kelmakov V.V., Zhilina N.M. THE COMPARATIVE ASSESSMENT THE EFFECTIVENESS OF TREATMENT THE NERVE ROOT COMPRESS SYNDROME USING THE ANTERIOR AND POSTERIOR APPROACHES OF PATIENTS WITH COMBINED LATERAL LUMBAR STENOSIS. Bulletin of Siberian Medicine. 2013;12(6):103-111. (In Russ.) https://doi.org/10.20538/1682-0363-2013-6-103-111