Preview

Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika)

Advanced search

LONG-TERM OUTCOMES OF THREE SURGICAL TECHNIQUES FOR TREATMENT OF PATIENTS WITH VERTEBROGENIC LESIONS OF VERTEBRAL ARTERIES

https://doi.org/10.14531/ss2013.4.36-42

Abstract

Objective. To analyze long-term results of applying three surgical techniques and dynamics of certain symptoms in patients with vertebrogenic lesion of vertebral arteries.

Material and Methods. Catamnestic and long-term outcomes in 283 patients operated on using decompression and stabilization (n = 103), decompression and plasty (n = 59), and decompression without discectomy and fusion (n = 121) were studied. Criterion for patient inclusion was the absence of clinically significant non-vertebrogenic stenotic and occlusive lesions of vertebral and carotid arteries.

Results. Comprehensive assessment of long-term surgical results revealed recovery in 74 patients (26.1 %), good result in 124 (43.8 %), satisfactory – in 78 (27.6 %), and the absence of dynamics in 5 patients (1.8 %). Two patients (0.7 %) presented with aggravation of neurologic symptoms in the postoperative period due to recurrent stroke. Surgical treatment of patients with recurrent transient ischemic attacks (TIA) and cerebral hypertensive crises was the most effective. Excellent and good results were observed in 91 % of these patients.

Conclusion. Long-term results of decompressive interventions (without discectomy and fusion) showed their substantial advantages over decompression and plasty and over decompression and stabilization.

About the Authors

Anatoly Andreyevich Lutsik
Novokuznetsk State Institute of Postgraduate Medicine
Russian Federation


Vasily Vasilyevich Kazantsev
Novokuznetsk State Institute of Postgraduate Medicine
Russian Federation


Gleb Yuryevich Bondarenko
Novokuznetsk State Institute of Postgraduate Medicine
Russian Federation


Anatoly Igorevich Peganov
Novokuznetsk State Institute of Postgraduate Medicine
Russian Federation


References

1. Верещагин Н.В. Нарушения вертебробазилярного кровообращения. Москва, 1995.

2. Гаврилова О.В., Буклина С.Б., Стаховская Л.В. и др. Состояние когнитивных функций у больных со стенозирующим поражением брахиоцефальных артерий // Журнал неврологии и психиатрии. 2011. № 12. С. 17–21.

3. Гланц С. Медико-биологическая статистика. М., 1999.

4. Гуща А.О., Шевелев И.Н., Шахнович А.Р. и др. Выбор хирургического доступа при шейной спондилогенной миелопатии // Вопросы нейрохирургии им. Н.Н. Бурденко. 2006. № 1. С. 8–12.

5. Камчатнов П.Р. Вертебробазилярная недостаточность // Журнал неврологии и психиатрии. 2011. Вып. 2, № 9. С. 3–9.

6. Луцик А.А. Компрессионные синдромы остеохондроза шейного отдела позвоночника. Новосибирск, 2007.

7. Одинак М.М., Михайленко А.А., Иванов Ю.С. и др. Сосудистые заболевания головного мозга. СПб., 2003.

8. Осна А.И. Разгрузка позвоночной артерии, сдавленной унковертебральным артрозом // Вопросы нейрохирургии. 1966. № 2. С. 6–10.

9. Пирцхалаишвили З.К., Пышкина Л.И., Абдулгасанов Р.А. и др. Хирургическое лечение больных с экстравазальной компрессией позвоночных артерий // Журнал неврологии и психиатрии. 2012. № 9. С. 82–85.

10. Покровский А.В. Заболевания аорты и ее ветвей. М., 1979.

11. Скворцова В.И., Чазова И.Е., Стаховская Л.В. Вторичная профилактика инсульта. М., 2002.

12. Heidenreich KD, Carender WJ, Heidenreich МJ, et al. Strategies to distinguish benign paroxysmal positional vertigo from rotational vertebrobasiiar ischemia. Ann Vasc. Surg. 2010; 24: 553.e1–5.

13. Parkhutik V, Lago A, Tembl JI, et al. Angioplasty and stenting of symptomatic and asymptomatic vertebral artery stenosis: to treat or not to treat. Eur J Neurol. 2010; 17: 267–272.

14. Pfirrmann CW, Metzdorf A, Zanetti M, et al. Magnetic resonance classification of lumbar intervertebral disc degeneration. Spine. 2001; 26: 1873–1878.

15. Ujifitku K, Hayashi K, Tsunoda K, et al. Positional vertebral artery compression and vertebrobasilar insufficiency due to a herniated cervical disc. J Neurosurg Spine. 2009; 11: 326–329.


Review

For citations:


Lutsik A.A., Kazantsev V.V., Bondarenko G.Yu., Peganov A.I. LONG-TERM OUTCOMES OF THREE SURGICAL TECHNIQUES FOR TREATMENT OF PATIENTS WITH VERTEBROGENIC LESIONS OF VERTEBRAL ARTERIES. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2013;(4):036-042. (In Russ.) https://doi.org/10.14531/ss2013.4.36-42



Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1810-8997 (Print)
ISSN 2313-1497 (Online)