INDICATIONS AND CHOICE OF TACTICS FOR LUMBAR OSTEOCHONDROSIS SURGICAL TREATMENT WITH TRANSPEDICULAR FIXATIVES
Abstract
Basing on the experience in surgical treatment of lumbar osteochondrosis the variants of surgical tactics for various manifestations of this pathology, including degenerative scoliosis and spondylolisthesis, are presented. The purpose of the study was the determination of the role and indications for application of transpedicular metal fixatives at surgical treatment of lumbar osteochondrosis. Microcirculation in neural structures has been studied before and after hernia removal; the improvement in circulation after discectomy was noted. The material is presented by 82 patients in whom due to various indications transpedicular fixatives were used and if required the interbody spinal fusion was performed. The follow-up period was from 6 months to 6 years. The results of treatment are presented, and the complications that we have observed in our practice are analyzed. Such complications included radicular disorders and disturbance of spinal circulation in the early postoperative period.
About the Authors
Stepan Timofeyevich Vetrile
Central Institute of Traumatology and Orthopaedics n.a. N.N. Priorov, Moscow
Russian Federation
Russian Federation
Vladimir Viktorovich Shvets
Central Institute of Traumatology and Orthopaedics n.a. N.N. Priorov, Moscow
Russian Federation
Russian Federation
Aleksandr Ilyich Krupatkin
Central Institute of Traumatology and Orthopaedics n.a. N.N. Priorov, Moscow
Russian Federation
Russian Federation
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Review
For citations:
Vetrile S.T., Shvets V.V., Krupatkin A.I. INDICATIONS AND CHOICE OF TACTICS FOR LUMBAR OSTEOCHONDROSIS SURGICAL TREATMENT WITH TRANSPEDICULAR FIXATIVES. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2004;(4):40-46. (In Russ.)
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