Facet Joint Fixation and Anterior, Direct Lateral, and Transforaminal Lumbar Interbody Fusions for Treatment of Degenerative Lumbar Disc Diseases: Retrospective Cohort Study of a New Minimally Invasive Technique

Belykh, Evgenii; Калинин, А. А.; Martirosyan, Nikolay L.; Kerimbayev, Talgat; Theodore, Nicholas; Preul, Mark C.; Byvaltsev, Vadim A.

doi:10.1016/j.wneu.2018.03.121

Cited by 16 publications

(16 citation statements)

References 32 publications

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“…В большинстве научной литературы отмечено, что рецидив кисты, развитие которого возможно из остатков синовиальной оболочки, обратно коррелирует с радикальностью удаления синовиальной ткани ДС [3,20,29]. Но при этом некоторые авторы считают, что необходимая в таком случае парциальная фасетэктомия приводит к грубому нарушению опорной функции ДС [7,20,26]. Рядом исследований установлено, что тотальное удаление межпозвонкового сустава с одной стороны приводит к грубой дестабилизации позвоночного сегмента, при этом осуществление односторонней или двусторонней медиальной резекции ДС на стабильности позвонков не отражается [12,14,15,21,30].…”

Section: Discussionunclassified

“…Одним из значимых факторов развития ПК считают нестабильность позвоночно-двигательного сегмента как дегенеративного, так и посттравматического характера [4,11,14]. Также факторами развития ПК преимущественно в пояснично-крестцовом отделе позвоночника являются такие параметры, как значительная осевая нагрузка и высокая мобильность в данном позвоночно-двигательном сегменте [7,14,16]. У большинства пациентов с ПК выявлены изменения в виде остеохондроза и спондилоартроза, что свидетельствует о прямой корреляции развития ПК с дегенеративно-дистрофическими процессами в позвоночно-двигательных сегментах [17,19,22].…”

Section: этиопатогенезunclassified

“…Понятие ПК применимо для всех кист, которые располагаются либо параартикулярно в области дугоотростчатых суставов, либо исходят из них [3,[6][7][8].…”

Section: Introductionunclassified

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Periarticular Cysts of Facet Joints: Etiopathogenesis, Diagnosis, Methods of Surgical Treatment. A Clinical Example

Byvaltsev¹,

Sorokovikov²,

Калинин

et al. 2018

Acta biomedica scientifica

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Background. Periarticular cysts (PC) of facet joints is a rare pathology in neurosurgical practice. The concept of PC is applicable for all cysts that are located either pararticularly in the region of facet joints, or start from them.Material and methods. A systematic search was performed in medical databases: Medline, RINC, EMedicine, UMKB, Pubmed on the relevant topic in Russian and English. The search query includes words: arcuate joint, periarticular cyst, clinic, diagnosis, surgical treatment. One of the significant factors of PC development is the instability of the vertebralmotor segment of both degenerative and post-traumatic character.Results. The result of the literature review was the writing of a clinical lecture, the current state of the issue of etiopathogenesis, diagnosis and management of patients with periarticular cysts of facet joints was studied. The article gives a clinical example of surgical treatment of a patient with a periarticular cyst at the level of LIV-LV on the right.Conclusion. Periarticular cysts of facet joints are one of the factors of compression of cauda equina roots, with surgical treatment being a radical and effective way of treatment. A detailed study of this pathology is a promising direction in spinal neurosurgery. Further research is required on comparative analysis of clinical and instrumental efficacy of various methods of surgical treatment of periarticular cysts of facet joints.

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Section: Discussionunclassified

Section: этиопатогенезunclassified

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Periarticular Cysts of Facet Joints: Etiopathogenesis, Diagnosis, Methods of Surgical Treatment. A Clinical Example

Byvaltsev¹,

Sorokovikov²,

Калинин

et al. 2018

Acta biomedica scientifica

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“…The surgical methods of degenerative lumbar diseases include posterior lumbar interbody fusion (PLIF), transforaminal lumbar interbody fusion (TLIF), oblique lumbar interbody fusion (OLIF), axial lumbar interbody fusion (ALIF), minimally invasive surgery‐transforaminal lumbar interbody fusion (MI‐TLIF), and lateral lumbar interbody fusion (LLIF), but PLIF is the mainstream way 1,2 . For patients with preoperative spinal instability, fusion should be performed to reduce the risk of iatrogenic segmental instability after spinal canal reconstruction 3,4 . Posterior lumbar interbody fusion (PLIF) is widely used in lumbar degenerative diseases, and the use of interbody fusion cage is gradually increasing 4–7 .…”

Section: Introductionmentioning

confidence: 99%

Risk Factors and Scoring System of Cage Retropulsion after Posterior Lumbar Interbody Fusion: A Retrospective Observational Study

Lei

Guo

et al. 2021

Orthopaedic Surgery

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Objective To investigate risk factors of cage retropulsion after posterior lumbar interbody fusion (PLIF) in China and to establish a scoring system of cage retropulsion. Methods The retrospective analysis was based on two hospital databases. The medical data records of posterior lumbar interbody fusion with cage retropulsion were selected from August 2009 to August 2019. Inclusion and exclusion criteria were set in advance. Risk factors including patients' baseline demographics (age, gender, operation diagnosis time difference), preoperative neurological symptoms, whether the fusion involves single or double segments, screw type, intraoperative compression, preoperative bone mineral density, whether there are neurological symptoms before surgery, whether there is urine dysfunction before surgery, disease type, complete removal of the endplate, and patient's education level. The research endpoint was the retropulsion of fusion cages. The Kaplan–Meier (K‐M) method was used to analyze potential risk factors, and multivariate Cox regression was used to identify independent risk factors (P < 0.05). The Statistical Package for the Social Sciences (version 22.0; SPSS, IBM, Chicago, IL, USA) software was used for statistical analysis, and univariate analysis was used to screen out the factors related to cage retropulsion. All independent risk factors were included to predict the survival time of the retropulsion of cage. Results This study included a total of 32 patients with PLIF between 2009 to 2019. All patients were residents of China. Univariate analysis showed that there were 13 patients over 60 years old and 19 patients under 60 years old. There were 20 male patients and 12 female patients. The surgical diagnosis time was seven patients within 1 month, 17 patients within 1 to 3 months, and eight patients over 3 months. The disease type was 18 cases of lumbar disc herniation, 10 cases of lumbar spinal stenosis, four cases of lumbar spondylolisthesis. The fusion segment was 18 cases of single segment, 14 cases of double segment. The intraoperative compression was seven cases of compression, 25 cases of no compression. The preoperative bone mineral density was 10 cases of low density, 18 cases of normal, four cases of osteoporosis. The screw type was 27 cases of universal screw, five cases of one‐way screw. Preoperative neurological symptoms were found in 25 cases and not in seven cases. Preoperative urination dysfunction occurred in 8 cases, whereas 24 cases did not have this dysfunction. The endplate was completely removed in 10 cases and not in 22 cases. Education level was nine cases of primary school education, 10 cases of secondary school, 13 cases of university level. Cox regression analysis showed that intraoperative pressure (hazard ratio [HR] = 4.604, P = 0.015) and complete removal of the endplate (HR = 0.205, P = 0.027) are associated with the time of cage retropulsion. According to the HR of each factor, the scoring rules were formulated, and the patients were divided into the low‐risk group, moderate‐r...

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“…Для выбора правильной тактики хирургического лечения пациентов с дегенеративными заболеваниями дугоотростчатых суставов необходимо на дооперационном этапе определить и обосновать оптимальный объем оперативного вмешательства с учетом индивидуальных дегенеративных изменений сустава, ориентации суставных поверхностей и величины фасеточного угла, наличия или отсутствия тропизма для улучшения отдаленных послеоперационных клинических исходов, минимизации послеоперационной нестабильности, восстановления нормальной биомеханики для предотвращения прогрессирования дегенеративных изменений поясничных сегментов [12][13][14][15].…”

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Interrelation of tropism and angulation parameters of facet joints and results of stabilization surgeries for degenerative diseases of the lumbar spine

et al. 2018

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Objective. To clarify indications for dynamic and rigid stabilization based on the analysis of correlation between neuroimaging parameters of facet joints (FJ) and clinical outcomes of surgical treatment of patients with degenerative diseases of the lumbar spine. Material and Methods. A total of 141 patients with degenerative diseases of the lumbar spine were surgically treated. Patients were divided into three groups: patients of Group I (n = 48) underwent surgical intervention with artificial intervertebral disc prosthesis; those of Group II (n = 42) – with interbody fusion and combined transpedicular and transfacetal stabilization; and those of Group III (n = 51) – with interbody fusion and bilateral transpedicular stabilization. The correlation between long-term clinical outcomes (pain syndrome according to VAS, functional state according to ODI, and satisfaction with surgical result according to MacNab scale) and preoperative neuroimaging parameters of FJ (degenerative changes according to Fujiwara, facet angle magnitudes, and the presence of tropism) was analyzed. Results. A direct significant nonparametric correlation of neuroimaging parameters of facet angles and FJ tropism with long-term clinical outcomes of surgical treatment according to VAS and ODI was revealed. It was established that good clinical outcomes were achieved with the following preoperative parameters: in Group I, the facet angle was less than 60°, while the presence of tropism had no correlation dependence; in Group II, the facet angle – more than 60°, in the absence of FJ tropism; and in Group III, the facet angle – more than 60°, in the presence of FJ tropism. Conclusion. Objective neuroimaging parameters of the facet angle magnitude of less than 60°, regardless of the presence of tropism, allow performing total arthroplasty. If the facet angle is more than 60°, the rigid stabilization of the operated segment is indicated; in the absence of tropism, a contralateral transfacetal fixation is possible, and in its presence – a bilateral transpedicular stabilization is reasonable.

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Facet Joint Fixation and Anterior, Direct Lateral, and Transforaminal Lumbar Interbody Fusions for Treatment of Degenerative Lumbar Disc Diseases: Retrospective Cohort Study of a New Minimally Invasive Technique

Cited by 16 publications

References 32 publications

Periarticular Cysts of Facet Joints: Etiopathogenesis, Diagnosis, Methods of Surgical Treatment. A Clinical Example

Periarticular Cysts of Facet Joints: Etiopathogenesis, Diagnosis, Methods of Surgical Treatment. A Clinical Example

Risk Factors and Scoring System of Cage Retropulsion after Posterior Lumbar Interbody Fusion: A Retrospective Observational Study

Interrelation of tropism and angulation parameters of facet joints and results of stabilization surgeries for degenerative diseases of the lumbar spine

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