Study Design Retrospective study. Objective To investigate the clinical and radiological outcomes of patients with lumbar degenerative disc disease (DDD) treated one-level Direct lateral interbody fusion (DLIF) in combination minimally invasive percutaneous pedicle screw fixation (PPSF) facet joint (PFJF). Methods This retrospective single-center study included 98 (67 men, 31 women) aged 28 to 59 years one level DDD foraminal central stenosis, were divided into groups after DLIF: PPSF (n =...

Study Design Randomized Clinical Trial. Objective To compare the clinical efficacy and restoration of working capacity after MI (minimally invasive)-TLIF O (open)-TLIF in railway workers with lumbar degenerative disease. Methods 83 patients, who were indicated for two-level decompression fusion randomly assigned to one two groups: group 1 (n = 44) had MI-TLIF procedure 2 39) O-TLIF procedure. The functional status was assessed using SF-36, ODI VAS back leg pain, preoperatively, at discharge,...

The aim of the study was to evaluate effectiveness accelerated recovery program for patients with polysegmental degenerative diseases lumbar spine.Materials and Methods.This prospective included 53 who underwent two-level transforaminal interbody fusion in L II -S I segments.Two groups were identified: group 1 (n=24), operations performed using program; 2 (n=29), open rigid stabilization used under traditional intravenous anesthesia.The end-point parameters number bed-days spent hospital...

To analyze the clinical and biomechanical outcome of professional athletes after lumbar total disk replacement, with a focus on restoration functional activity. This nonrandomized retrospective single-center study included 11 who underwent disc replacement surgery using prosthesis M6-L (Spinal Kinetics, Schaffhausen, Switzerland). The average postoperative follow-up was 3.18 ± 1.14 years. following outcomes were evaluated: intensity pain in spine lower limbs, Oswestry Disability Index,...

Cervical spondylosis and intervertebral disc (IVD) degeneration are the most common cause for compression of spinal cord and/or its roots. Total IVD arthroplasty, as a modern alternative to surgical treatment degeneration, is gaining popularity in many neurosurgical clinics around world. Aim - study aim was conduct multicenter analysis cervical spine arthroplasty with an prosthesis M6-C ('Spinal Kinetics', USA).The included 112 patients (77 males 35 females). All underwent single-level...

Analysis of magnetic resonance image (MRI) quality after open (Op)-transforaminal interbody fusion (TLIF) and minimally invasive (MI)-TLIF with the implantation structurally different systems has not previously been performed. The objective this study was to conduct a comparative analysis postoperative MRI following MI Op one-segment TLIF. Material Methods: nonrandomized retrospective single-center included 80 patients (46 men 24 women) aged 48 + 14.2 years. In group I (n = 20) Op-TLIF...

Cadaveric specimens.To perform a pathomorphological analysis of the degree facet joint (FJ) degeneration utilizing fresh cadaveric models and correlating these structural changes with imaging findings.L1-L5 FSU including all tissue between anterior longitudinal ligament to posterior spinal structures were obtained on 28 patients at mean 5.7 hours post-mortem. The samples fixed in an agar medium CT MRI performed. level FJ was identified based prior classifications Osteoarthritis Research...

Currently, there is no information on the combined effect of body mass index (BMI), age, gender, main spinal-pelvic parameters and adjacent functional spinal unit (FSU) degeneration according to magnetic resonance imaging development segment degenerative disease (ASDd).To evaluate preoperative biometric instrumental FSU risk ASDd after transforaminal lumbar interbody fusion determine personalized neurosurgical approach.We retrospectively studied patients single-level (group I, n=54),...

Метаанализ проспективных когортных исследований, сравнивающих результаты использования минимально-инвазивного и открытого трансфораминального поясничного межтелового спондилодеза

The absence of a unified diagnostic approach and heterogeneous treatment strategies in patients with lumbosacral transitional vertebra contribute to registration contradictory data on postoperative outcomes these patients.A retrospective analysis degenerative lumbar spine diseases associated junction anomalies causes unfavorable results.Lumbosacral was preoperatively verified classified according Castellvi A.E. 352 cases between 2007 2017. Full-time examination, phone e-mail survey covered...

Background . Pain syndromes developing as a result of degeneration the lumbar segments spine constitute significant problem in modern vertebrology. The results application preoperative diagnostic provocative tests are contradictory, and therefore mixed effectiveness puncture surgical techniques is recorded. Objective To develop an algorithm for clinical instrumental diagnosis non-compression pain to optimize use techniques. Material Methods study included 923 patients who underwent on...

Abstract Objective. To compare the clinical efficacy and return to work rate after TDR (total disk replacement) microsurgical lumbar discectomy (MLD) in railway workers with herniation (LDH). Methods. Seventy five patients, ages 25–35 years, underwent single-level procedure were randomly assigned one of two groups: group I (n = 37) had II 38) MLD. The functional state was assessed using ODI, pain severity analyzed VAS for back leg pain, quality life according SF-36 preoperatively, at...

The aim of the study is to assess effectiveness a new neuroanesthetic protocol for treating degenerative lumbar spine diseases in high-risk patients.Materials and Methods.Two groups patients with high risk anesthesia surgery determined by authors' clinical decision support system (CDSS) have been prospectively studied.A was used experimental group (EG, n=25), while control (CG, n=25) underwent intravenous based on propofol fentanyl.Minimally invasive transforaminal interbody fusion performed...

Long-term clinical outcomes and incidence of degenerative diseases the adjacent proximal segment during personalized lumbar transforaminal fusion were prospectively assessed. According to created register, observational prospective multicenter study included 209 patients who underwent primary open according generally accepted indications at LIV–SI vertebral level between 2015 2019, in these patients, motion had initial degeneration varying severity levels. The risk developing disease on...

Отсутствие объективно обоснованной стратегии лечения, которой мог бы руководствоваться спинальный хирург при лечении профессиональных спортсменов, побудило нас изучить опыт лечения таких пациентов. Цель: провести анализ результатов нейрохирургического спортсменов и имеющих дегенеративное заболевание поясничного отдела позвоночника, разработка клинико-инструментального алгоритма дифференцированной хирургической тактики. Материал методы. Произведен 114 которым проведено: (1)...

Currently, there remains a high percentage of complications after lumbar discectomy, while is no uniform tactic to prevent their development. Purpose the study was compare clinical efficacy and return work rate (RWR) total disk replacement (TDR) microsurgical discectomy (MLD) in railway workers with herniation (LDH). We randomly assigned 75 patients out 81 patients, between 25 35 years age who had one level LDH undergo single-level TDR surgery (group I, n=37) or MLD II, n=38) L4-L5 L5-S1...

The literature review presents the anatomical features of facet joint structure and their pathologic changes in lumbar spine degenerative diseases as well steps development modern methods fixation, technical peculiarities results application.

Purpose of the study — to perform a multicenter analysis surgical treatment effectiveness for patients with symptomatic tandem stenosis cervical and lumbar spine based on differentiated clinical-instrumental algorithm.Material methods. The included 97 who were divided into two groups. main group (perspective study) 46 underwent staged decompression stabilizing manipulations according tactics developed by authors algorithm. Patients operated in three neurosurgical departments clinics Irkutsk,...