Results of the Treatment of Degenerative Dystrophic Spine Lumbar Desease Using Mechanical Decompressor

Mikhaylov, D. A.; Усиков, В. Д.; Пташников, Д. А.

doi:10.21823/2311-2905-2010-0-3-35-40

Traumatology and Orthopedics of Russia

2010

DOI: 10.21823/2311-2905-2010-0-3-35-40

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Results of the Treatment of Degenerative Dystrophic Spine Lumbar Desease Using Mechanical Decompressor

D. A. Mikhaylov¹,

В. Д. Усиков²,

Д. А. Пташников³

Abstract: The current problems of treatment of degenerative dystrophic spine disease are discussed. The authors have fulfilled a research in microinvasive surgery by mechanical decompressor. 55 persons, 25 of which are men and 30 are women with degenerative dystrophic spine diseases complicated by intervertebral disk hernia were observed. The results were estimated in 5 days and 3, 6, 12 months after the operation. Good results of the treatment in all the patients were received, pain syndrome was disappeared. The microd… Show more

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Cited by 3 publications

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Interventional diagnosis and treatment methods of discogenic and musculoskeletal low back pain

Ptashnikov,

Volkov,

Lim

et al. 2024

RJTAO

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Low back pain (lumbar pain) is one of the most common causes of disability in the population. In cases where conservative treatment of discogenic or musculoskeletal low back pain does not have a positive effect, interventional methods of diagnosis and treatment are used, which are developing actively on the background of rapid technological progress. Being on the border of interdisciplinary interaction, interventional methods can significantly shorten the duration of conservative therapy and, in many cases, avoid surgical decompressive interventions, which are associated with a considerable risk of complications. The methods, efficacy and safety of epidural administration of glucocorticoids for discogenic radiculopathy and lumbar stenosis as well as the methods of radiofrequency denervation for musculoskeletal pain due to the facet joints and the sacroiliac joint involvement are discussed. The possibilities of drug therapy for musculoskeletal pain of the lumbar spine, and combination of non-steroidal anti-inflammatory drugs and a vitamin B complex, are discussed.

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Interventional diagnosis and treatment methods of discogenic and musculoskeletal low back pain

Ptashnikov,

Volkov,

Lim

et al. 2024

RJTAO

View full text Add to dashboard Cite

show abstract

Modern minimally invasive technologies in spine surgery

Aganesov¹,

Alexanyan²,

Makarov³

et al. 2021

Khir. Z. im. N.I. Pirogova

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Histological and Morphometric Changes in the Femoral Nerve During Lateral Interbody Fusion of the Lumbar Spine: Experimental Study

Варсегова

Дюрягина²,

Antonov³

et al. 2021

Traumatology and Orthopedics of Russia

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Neuropathies of the lumbar plexus trunks, in particular those of the femoral nerve, are the most common complications of lateral interbody spondylodesis of the lumbar spine. Modeling of this surgical intervention in normal animals experimentally makes it possible to assess the degree of its trauma to the nervous structures, and to understand what is the reason for the persistence or aggravation of neurological symptoms iatrogenic injuries or the existing pathology progression. Purpose of the Study. To study histological and morphometric changes in the femoral nerve in the long-term periods after modeling of the lateral interbody spondylodesis of the canine lumbar spine. Design of the Study. An experimental prospective continuous uncontrolled study. Material and Methods. Discectomy via lateral approach was performed in 18 mongrel dogs (aged 2-3 years, mass 13.2-17.6 kg) at the level of L4-5 и L5-6, interbody titanium implants were mounted, the lumbar spine was stabilized with a wire device for external fixation within 30 days. Clinical-and-neurological evaluation was performed, as well as histological investigation of the femoral nerves from the side of surgical approach. Results. In the early postoperative period a temporary decrease in the femoral nerve function was observed, which was manifested by the disorder of the support function and muscle weakness of the pelvic limbs, decrease in the knee reflex, the foot support shift to the metatarsal pad. Later, until the end of the study (18 months), the general condition of all animals was satisfactory, there were no disorders of the limb support function and motor reflexes. After six months, in the femoral nerve there was 4-fold decrease in the proportion of large fast-conducting myelin fibers D 10 m and 3-fold increase in that of the small ones. The mean axon diameter and myelin thickness were 62% and 53% of the norm. After 12-18 months, the dimensional characteristics of myelin fibers were restored. During the entire experiment, 4-6% of myelin fibers were reactively-and-destructively altered. Conclusions. The modeling of the lateral interbody spondylodesis of the lumbar spine in normal animals experimentally demonstrated the absence of neurological symptoms after 6-18 months, which indicated low invasiveness of the surgical intervention. Nevertheless, the subclinical reactive-and-destructive changes in the myelin fibers of the femoral nerve revealed 6 months after the surgery indicated the need for preventive anti-neurotic therapy.

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Results of the Treatment of Degenerative Dystrophic Spine Lumbar Desease Using Mechanical Decompressor

Cited by 3 publications

References 5 publications

Interventional diagnosis and treatment methods of discogenic and musculoskeletal low back pain

Interventional diagnosis and treatment methods of discogenic and musculoskeletal low back pain

Modern minimally invasive technologies in spine surgery

Histological and Morphometric Changes in the Femoral Nerve During Lateral Interbody Fusion of the Lumbar Spine: Experimental Study

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