Editorial: Minimally invasive spinal surgery and spinal stenosis

Efficacy of the Clinical-Instrumental Algorithm in the Treatment of Spinal Tandem Stenosis

“…22 According to the ODI and NDI scores, changes in postoperative pain intensity and functional state of patients in the study group did not significantly differ from the published data on surgical treatment of isolated stenoses of the spinal canal. 1,3,13 Comparative analysis of retrospective group revealed the best clinical outcomes (according to the VAS, ODI, NDI, and the Macnab and Nurick scales) in the long-term period, which confirmed the efficacy of the developed differential surgical tactics for treating patients with tandem stenoses of the cervical and lumbar spine. In addition, the comparative intergroup analysis confirmed a smaller number of adverse outcomes in the prospective study group due to the optimal volume of decompression at the cervical level in the presence of a myelopathic lesion, and effective minimally invasive stabilization of the operated segments in the lumbar spine.…”

“…11,12 The introduction of minimally invasive microsurgical techniques undoubtedly brought a more positive perspective for the treatment of these patients. 13,14 A comprehensive clinical evaluation of neurological symptoms directly arising from the degree of narrowing of the vertebral canal and intervertebral foramen combined with tandem stenoses is used to determine the dominant role in the surgical tactics, and the effectiveness of the intervention. 4,10,15 Neuroimaging techniques have significantly expanded the diagnostic capabilities for early verification of degenerative spinal diseases, which in turn, has led to an increase in the number of surgical interventions for spinal stenosis.…”

Multicenter Analysis of Surgical Treatment Effectiveness for Patients With Symptomatic Tandem Stenosis of the Cervical and Lumbar Spine Based on Differentiated Clinical-Instrumental Algorithm

“…послеоперационная динамика болевого синдрома и функциональное состояние по индексам OdI и NdI у пациентов исследуемой группы не имела принципиальных различий с опубликованными данными хирургического лечения изолированных стенозов позвоночного канала [1,3,13]. при этом сравнительный анализ результатов в группах показал лучшие клинические исходы по ВаШ, OdI, NdI, шкалам Macnab и Nurick в отдаленном периоде в I группе.…”

“…консервативное лечение стеноза способствует некоторому улучшению только на ранних стадиях заболевания [11,12]. Внедрение минимально инвазивных технологий микрохирургической техники, безусловно, определило позитивную перспективу в лечении пациентов с дегенеративным стенозом позвоночника [13,14].…”