[Results of surgical treatment for lumbar spine segmental instability].

Articles

[Results of surgical treatment for lumbar spine segmental instability].

Zh Vopr Neirokhir Im N N Burdenko. 2017;81(6):69-80

Authors: Konovalov NA, Nazarenko AG, Krut’ko AV, Glukhikh DL, Durni P, Duris M, Korol’ O, Asyutin DS, Solenkova AV, Martynova MA

Summary
AIM: To carry out a comparative evaluation of outcomes in sufferers with lumbar backbone segmental instability who underwent surgical therapy utilizing transforaminal lumbar interbody fusion (TLIF) and direct lateral interbody fusion (DLIF) methods.
MATERIAL AND METHODS: The multicenter research concerned 209 sufferers who underwent surgical procedure for lumbar backbone segmental instability. Lengthy-term outcomes (as much as 2 years) had been studied in 134 sufferers: sufferers of the primary group (98 sufferers) underwent conventional transforaminal lumbar interbody fusion (TLIF) and transpedicular stabilization of vertebral segments; sufferers of the second group (36 sufferers) underwent direct lateral interbody fusion (DLIF) together with transpedicular stabilization of the lumbar vertebral segments. We used normal checkpoints for monitoring the sufferers’ situation: earlier than surgical procedure, at discharge, at three, 6 and, 9 months, and at 1 and a pair of years after surgical procedure. To follow-up the sufferers, we used the Visible Analogue Scale, Oswestry Incapacity Index, and Objective Attainment Scaling.
RESULTS: A comparative evaluation of the 2 interbody fusion methods was enabled by the developed Vertebrologic Registry profile (http://spineregistry.ru/Register_treatment.php) that was designed for coming into knowledge of Russian and international specialists to investigate medical traits, consider outcomes, and follow-up sufferers with degenerative lumbosacral backbone illnesses. In each teams of sufferers, a big lower within the ache depth within the lumbar backbone and decrease extremities (VAS) occurred within the rapid postoperative interval, which endured within the long-term interval. There have been no variations within the incapacity stage (Oswestry index) in each teams of sufferers (p<zero.05). An evaluation of therapy aim attainments one 12 months after surgical procedure revealed the very best lead to sufferers of the second group who underwent DLIF.
CONCLUSIONS: 1. Oblique decompression utilizing direct lateral interbody fusion (DLIF) minimizes the dangers of intraoperative harm to the dura mater and neural buildings. Kawabata class I outcomes (good) had been achieved in 89% of sufferers who underwent direct lateral spinal fusion (DLIF) and in 81% of sufferers who underwent transforaminal interbody stabilization together with transpedicular fixation.

PMID: 29393289 [PubMed – in process]

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2022-03-22

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2022-03-17

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