Abstract:Background: Pain in the lower back is an urgent health issue in industrialized countries. The dominant cause of pain in the lumbosacral spine is the degeneration of the inter vertebral discs (I VD). The total prosthetics I VD is a modern method of surgical treatment of I VD degenerative diseases, an alternative method of rigid stabilization.Aim: To analyze the results of surgical inter vention (I VD prosthesis M6-L implantation) in patients with I VD degeneration of lumbar spine at the 6, 12, 24, and 36 months… Show more
“…(Lee, Zotti & Osti, 2016;Sairyo & Nagamachi, 2016). According to the doctors the dominant cause of the development of the pain in the lumbosacral spine is the degeneration of intervertebral discs (Byvaltsev, et al, 2017). This disease leads to disability; it lowers the quality of life and reduces its ability to work.…”
Lower back pain (LBP) is a common complaint of a significant number of the athletes. Both young and elite athletes consult the doctors with complaints about LBP. One of the main causes of LBP is diskal hernia or spondylolysis. The main methods of the treatment of this disease are: spondylosis and surrogation of the lumbar disc. In the medical reports there are positive clinical results using both methods. However, the scientific disputes continue over the comparative evaluation of the effectiveness of the methods of spondylolysis and surrogation of the lumbar disc. The authors analyzed the results of the surgical treatment of the 18 professional athletes. In the period from 2012 to 2013 an operation was performed to these athletes to replace the degenerative intervertebral disk disease at the level of L5-S1. A total resection of the intervertebral disc at the level of the lumbar spine with decompression of the dural sac and the subsequent installation of the functional endoprosthesis-M6-L Artificial Lumbar Disc was performed to the first group of athletes (n = 10). The transforaminal lumbar interbody fusion (TLIF) and transpedicular screws after removing the diskal hernia L5-S1 was performed to the second group of athletes (n = 8). The best clinical result was achieved in the first group of the athletes. Only 8 out of 10 athletes with surrogation of the lumbar disc were able to return to their previous level of sporting achievements for two years after the operation. X-ray results showed the safety of endoprosthesis functions throughout the study period. The six athletes from the second group completed their sports career within 2 years after the spondylolysis. The cause was the increase in degenerative processes at the adjacent spine level and an increase in LBP.
“…(Lee, Zotti & Osti, 2016;Sairyo & Nagamachi, 2016). According to the doctors the dominant cause of the development of the pain in the lumbosacral spine is the degeneration of intervertebral discs (Byvaltsev, et al, 2017). This disease leads to disability; it lowers the quality of life and reduces its ability to work.…”
Lower back pain (LBP) is a common complaint of a significant number of the athletes. Both young and elite athletes consult the doctors with complaints about LBP. One of the main causes of LBP is diskal hernia or spondylolysis. The main methods of the treatment of this disease are: spondylosis and surrogation of the lumbar disc. In the medical reports there are positive clinical results using both methods. However, the scientific disputes continue over the comparative evaluation of the effectiveness of the methods of spondylolysis and surrogation of the lumbar disc. The authors analyzed the results of the surgical treatment of the 18 professional athletes. In the period from 2012 to 2013 an operation was performed to these athletes to replace the degenerative intervertebral disk disease at the level of L5-S1. A total resection of the intervertebral disc at the level of the lumbar spine with decompression of the dural sac and the subsequent installation of the functional endoprosthesis-M6-L Artificial Lumbar Disc was performed to the first group of athletes (n = 10). The transforaminal lumbar interbody fusion (TLIF) and transpedicular screws after removing the diskal hernia L5-S1 was performed to the second group of athletes (n = 8). The best clinical result was achieved in the first group of the athletes. Only 8 out of 10 athletes with surrogation of the lumbar disc were able to return to their previous level of sporting achievements for two years after the operation. X-ray results showed the safety of endoprosthesis functions throughout the study period. The six athletes from the second group completed their sports career within 2 years after the spondylolysis. The cause was the increase in degenerative processes at the adjacent spine level and an increase in LBP.
The review of modern literature data on the use of dynamic fixation in degenerative diseases of intervertebral discs and facet joints of the lumbar spine is presented. The frequent cause of temporary loss of working ability and primary disability, poor results of conservative treatment for degenerative changes in the lumbar segments stipulate the high medical and social significance of this problem. Quite often the use of classical decompression techniques and rigid fusion does not eliminate clinical symptoms on account of pseudarthrosis formation in the operated segment and significant degeneration development in the adjacent one. The use of dynamic implants is aimed at restoring spatial segmental relationships with the preservation of natural biomechanics of the spine. Taking into consideration the variety of constructions and the high rate of their introduction into practice, the literature data present conflicting information on the results of their application. The authors expound modern data on the clinical results and instrumental potentialities of various dynamic devices application. The topical unsolved issues that necessitate the conduction of long-term multicenter clinical studies on the management of this pathology are identified.
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