THE IMPACT OF CONGENITAL INTERVERTEBRAL FORAMEN STENOSIS ON THE EFFECT OF SURGERY FOR INTERVERTEBRAL DISC HERNIATION
https://doi.org/10.14531/ss2009.1.38-41
Abstract
Objective. To evaluate the influence of congenital intervertebral foraminal lumbar stenosis on the outcome of surgical treatment of radicular compression syndrome caused by disc herniation combined with spondylarthrosis.
Material and Methods. The study involved 116 patients operated on for radicular compression syndrome caused by disc herniation accompanied by degenerative lumbar spondylarthrosis. Patients from control Group A had no congenital lateral stenosis. Patients with congenital stenosis were divided into 2 groups: Group B included patients who underwent disc herniation removal added by partial facetectomy (foraminotomy); group C – patients who underwent disc hernia removal without foraminotomy.
Results. Favorable outcomes in Group B prevailed by 18.6 % those in Group C. There were no statistically significant differences between outcomes of surgery for disc herniation combined with foraminotomy, and without foraminotomy in patients without congenital stenosis.
Conclusion. Compression syndromes caused by combination of hernia protrusion and osteochondrous growth of vertebral joints, combined with intervertebral foraminal stenosis, necessitate the performance of surgical decompression and foraminotomy.
About the Authors
Egor Borisovich Kolotov
Novokuznetsk State Institute of Postgraduate Medicine
Russian Federation
Russian Federation
Vitaly Nikolayevich Bulgakov
Novokuznetsk State Institute of Postgraduate Medicine
Russian Federation
Russian Federation
Aleksey Vladimirovich Evsyukov
Novokuznetsk State Institute of Postgraduate Medicine
Russian Federation
Russian Federation
A. V. Krutko
Novosibirsk Research Institute of Traumatology and Orthopaedics
Russian Federation
Russian Federation
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Review
For citations:
Kolotov E.B., Bulgakov V.N., Evsyukov A.V., Krutko A.V. THE IMPACT OF CONGENITAL INTERVERTEBRAL FORAMEN STENOSIS ON THE EFFECT OF SURGERY FOR INTERVERTEBRAL DISC HERNIATION. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2009;(1):038-041. (In Russ.) https://doi.org/10.14531/ss2009.1.38-41
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