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

Бывальцев, В. А.; Калинин, А А; Shepelev, Valerii V; Krutko, Aleksandr; Пестряков, Ю. Я.

doi:10.21823/2311-2905-2018-24-1-53-64

Traumatology and Orthopedics of Russia

2018

DOI: 10.21823/2311-2905-2018-24-1-53-64

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

В. А. Бывальцев¹,

А А Калинин²,

Valerii V Shepelev³

et al.

Abstract: Цель исследования-мультицентровый анализ эффективности хирургической тактики лечения пациентов с симптоматичным тандем-стенозом шейного и поясничного отделов позвоночника на основе дифференцированного клинико-инструментального алгоритма. Материал и методы. В исследование вошли 97 пациентов с симптоматичным тандем-стенозом шейного и поясничного отделов позвоночника, которые были разделены на две группы. В I группу (проспективное исследование) включены 46 пациентов, которым выполнялись этапные декомпрессивно-ста… Show more

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Cited by 2 publications

References 28 publications

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Stenosis of the vertebral canal of the lumbar spine

Yarikov¹,

Викторович²,

Smirnov

et al. 2020

Journal of Clinical Practice

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The overall incidence of symptomatic lumbar spinal stenosis is about 1015% among persons aged 5070 years. Due to the aging of the population, the incidence of this pathology is constantly growing. The desire of older patients to preserve their quality of life and their functional abilities, along with the improvement of surgical techniques, leads to an increase in the number of surgical interventions for lumbar stenosis. This publication describes the classification of spinal canal stenosis. The clinical picture of this disease has been studied in detail. A special attention is paid to such diagnostic methods as computed tomography (CT), radiography, CT-myelography, magnetic resonance imaging (MRI). Various methods of surgical treatment decompression and decompression-stabilization are described in detail.. The efficiency of various types of decompression operations are 7280%, the results of surgery not differing statistically between the types of decompression (hemilaminectomy, interlaminectomy). Decompression-stabilization operations are used for progressive degenerative spinal deformity, destabilization after the surgical treatment, and disruption of the vertebral-pelvic relations. Currently, the following types of stabilization are used in the lumbar stenosis surgery: ALIF, PLIF, PLF, TLIF, XLIF, OLIF, and transpedicular fixation. The rate of complications in the stabilizing interventions is 27.6%; after decompression operations 9.7%. The frequency of revision operations is also higher after stabilization 10.3%, while after decompression it is 6.5%, which makes us cautious about these types of interventions. Systems of interosseous fixation are also used in the treatment of lumbar stenosis. In the 14 years of followup after interosseous fixation and decompression in 142 patients, 30 (21.1%) patients underwent revision interventions, with chronic pain (38.5%) and disc herniation (42.3%) being the main indication for repeated surgery in 26 of them.

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Stenosis of the vertebral canal of the lumbar spine

Yarikov¹,

Викторович²,

Smirnov

et al. 2020

Journal of Clinical Practice

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Spinal lumbar stenosis (analysis of the literature and own results)

Yarikov¹,

Шпагин

Meredzhi

et al. 2021

Vestnik Nevrologii, Psihiatrii I Nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery)

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The article is devoted to the issues of etiology, pathophysiology and clinical manifestations of spinal stenosis of the lumbar spine. The possibilities of modern instrumental diagnostics of the disease are described, the differential clinical diagnosis of lumbar stenosis is presented. The paper presents a detailed classification of spinal stenosis. The modern therapeutic tactics of the disease are described, indications for the surgical treatment of the disease are given. Modern methods of surgical treatment of stenosis are briefly and schematically described: decompression (microsurgical and endoscopic), interspinous fixation, stabilization (dorsal and ventral) and epidural stimulation of the spinal cord. The data on the immediate and long-term results of surgical methods of treatment are presented. The authors also presented their experience in the treatment of spinal stenosis of the lumbar spine. The use of differentiated surgical treatment tactics in 85–90 % of cases provides good and excellent results in the treatment of lumbar stenosis.

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

Cited by 2 publications

References 28 publications

Stenosis of the vertebral canal of the lumbar spine

Stenosis of the vertebral canal of the lumbar spine

Spinal lumbar stenosis (analysis of the literature and own results)

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