ORTHOPAEDIC ASPECTS OF SURGICAL TREATMENT OF PATIENTS WITH DEGENERATIVE-DYSTROPHIC DAMAGE OF THE LUMBOSACRAL SPINE

Abstract

Objective. On the basis of clinical and anatomico-functional results of surgical treatment of patients with degenerativedystrophic disease of the lumbosacral spine to develop and introduce into clinical practice orthopaedic surgical approaches aimed mainly to the correction and stabilization of the spine.

Materials and Methods. The results of surgical treatment of 340 patients operated on for degeneconventionally and by the technique proposed by authors with the account for orthopaedic factors rative-dystrophic disease of the lumbosacral spine were analyzed.

Results. The treatment outcome was mainly influenced by the following factors: spinal stenosis, instability and lumbosacral shape (balance) disturbance. The pattern of preopreative planning was developed on the basis of the introduced comprehensive methods of diagnosis. The suggested approach to surgical treatment has gone through clinical approbation resulted in recommendations for its application in practice. The paper presents the advantages of use of modern neuroorthopaedic technologies for various forms of spinal stenosis, and orthopaedic correction techniques in patients with discogenic radiculopathy associated with instability and deformity of the lumbosacral spine.

Conclusion. The modern level of neuroorthopaedic care suggests new approaches to diagnosis and surgical management of patients with degenerative-dystrophic disease of the lumbosacral spine.