Preview

Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika)

Advanced search

REVISION SURGERIES FOR DEGENERATIVE SPINE DISEASES

Abstract

The tactics of surgery in patients previously operated on the lumbar spine is presented in the article. The causes of failure after primary intervention, the outcomes of revision surgeries and factors affecting their results are indicated. 106 revision surgeries in patients with spine degenerative diseases have been performed. Good results were achieved in 75 patients (71.0 %), satisfactory - in 27 (25.2 %), and unsatisfactory - in 4 patients (3.8 %). In 96 cases mini-ALIF was applied, in 7 cases - circumferential spinal fusion and in 3 cases - posterior decompression and transpedicular fixation. The author considers that positive result in patients without evident epidural fibrosis can be achieved by radical surgery with application of low invasive techniques.

About the Author

Vladimir Valentinovich Dotsenko
Peoples’ Friendship University of Russia, Moscow
Russian Federation


References

1. Никольский М.А. Недостатки задних и преимущества передних оперативных доступов к телам поясничного отдела позвоночника // Патология позвоночника. Новосибирск, 1970. С. 150-154.

2. Осна А.И. Дискэктомия со спондилодезом как радикальный метод хирургического лечения поясничных остеохондрозов // Остеохондроз позвоночника. Новокузнецк, 1972. Ч. 1. С. 131-144.

3. Diedrich O., Perlick L., Schmitt O., et al. Radiographic characteristics on conventional radiographs after posterior lumbar interbody fusion: comparative study between radiotranslucent and radiopaque cages // J. Spinal Disord. 2001. Vol. 14. P. 522-532.

4. Elias W.J., Simmons N.E., Kaptain G.J., et al. Complications of posterior lumbar interbody fusion when using a titanium threaded cage device // J. Neurosurg. Spine. 2000. Vol. 93. P. 45-52.

5. Lazennec J.Y., Pouzet B., Ramare S., et al. Anatomic basis of minimal anterior extraperitoneal approach to the lumbar spine // Surg. Radiol. Anat. 1999. Vol. 21. P. 7-15.

6. Mayer H.M. A new microsurgical technique for minimally invasive anterior lumbar interbody fusion // Spine. 1997. Vol. 22. P. 691-699.

7. Okuyama K., Abe E., Suzuki T., et al. Posterior lumbar interbody fusion: a retrospective study of complications after facet joint excision and pedicle screw fixation in 148 cases // Acta Orthop. Scand. 1999. Vol. 70. P. 329-334.

8. Patel A., William C. Posterior lumbar interbody fusion with metal cages: current techniques. // Operative Techniques in Orthopaedics. 2000. Vol. 10. P. 311-319.

9. Uzi E.A., Dabby D., Tolessa E., et al. Early retropulsion of titanium-threaded cages after posterior lumbar interbody fusion: a report of two cases // Spine. 2001. Vol. 26. P. 1073-1075.


Review

For citations:


Dotsenko V.V. REVISION SURGERIES FOR DEGENERATIVE SPINE DISEASES. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2004;(4):63-67. (In Russ.)



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


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