TY - JOUR

T1 - TREATMENT OF PATIENTS WITH DEGENERATIVE DEFORMITIES OF THE LUMBAR SPINE USING MIS TECHNOLOGIES: ANALYSIS OF 5-YEAR RESULTS

AU - Vasilenko, Ivan Igorevich

AU - Ilvsyukov, Alexey Vladimirovicb

AU - Ryabykh, Sergey Olegovich

AU - Amelina, Evgeniya Valeryevna

AU - Kubelsky, Yutiy Evgenyevicb

AU - Garipov, Ilgiz Ildaroovicb

AU - Dmsc, Jamil Afeloglu rzaev

N1 - Публикация для корректировки.

PY - 2022

Y1 - 2022

N2 - Objective. To analyze the results of the use of minimally invasive technologies in the treatment of patients with degenerative deformity of the lumbar spine. Material and Methods. Design: Single center, non-randomized continuous retrospective cohort study. The level of evidence is 3b (UK Oxford, version 2009). A total of 57 patients (10 men and 47 women) were operated for degenerative scoliosis of the lumbar spine using minimally invasive techniques. The quality of life indicators using ODI, SF-36, VAS, as well as linear and angulometric parameters of the spine were studied. Results. The age of patients ranged from 37 to 81 years (62/62 [55; 67], hereinafter the data format is mean/median [1; 3rd quartile]). In the postoperative period, patients operated on with MIS techniques showed a statistically significant decrease in pain by 4.3/4.0 [3; 6] points in the lumbar spine, and by 4.3/4.0 [3; 6] points in the legs. Quality of life indicators according toODI improved by 24/23 [19; 29], and the level of functional adaptation according to the SF-36 questionnaire - by 18/18 [14; 21] in terms of physical parameters and by 18/20 [16; 23] in terms of mental parameters. The deformity angle in the frontal plane according to Cobb decreased by 12.9°/13.0° [10°; 17°], lumbar lordosis changed by 3.3°/2.0° [-1°; 7°], segmental angle L4-S1 - by 1.0°/0.0° [5°; 7°], and SVA changed by 7.5/2.0 [29; 15] mm. As a result of minimally invasive surgical intervention, a good clinical result was obtained in correcting the scoliotic deformity angle from 17.5°/16.0° [11°;22°] to4.6°/4.0° [1°; 7°]. Conclusion. The study showed the effectiveness of minimally invasive surgical treatment of degenerative scoliosis of the lumbar spine with short-segment fixation, which allowed obtaining satisfactory clinical results in 93% of cases with a minimum number of complications (7 %).

AB - Objective. To analyze the results of the use of minimally invasive technologies in the treatment of patients with degenerative deformity of the lumbar spine. Material and Methods. Design: Single center, non-randomized continuous retrospective cohort study. The level of evidence is 3b (UK Oxford, version 2009). A total of 57 patients (10 men and 47 women) were operated for degenerative scoliosis of the lumbar spine using minimally invasive techniques. The quality of life indicators using ODI, SF-36, VAS, as well as linear and angulometric parameters of the spine were studied. Results. The age of patients ranged from 37 to 81 years (62/62 [55; 67], hereinafter the data format is mean/median [1; 3rd quartile]). In the postoperative period, patients operated on with MIS techniques showed a statistically significant decrease in pain by 4.3/4.0 [3; 6] points in the lumbar spine, and by 4.3/4.0 [3; 6] points in the legs. Quality of life indicators according toODI improved by 24/23 [19; 29], and the level of functional adaptation according to the SF-36 questionnaire - by 18/18 [14; 21] in terms of physical parameters and by 18/20 [16; 23] in terms of mental parameters. The deformity angle in the frontal plane according to Cobb decreased by 12.9°/13.0° [10°; 17°], lumbar lordosis changed by 3.3°/2.0° [-1°; 7°], segmental angle L4-S1 - by 1.0°/0.0° [5°; 7°], and SVA changed by 7.5/2.0 [29; 15] mm. As a result of minimally invasive surgical intervention, a good clinical result was obtained in correcting the scoliotic deformity angle from 17.5°/16.0° [11°;22°] to4.6°/4.0° [1°; 7°]. Conclusion. The study showed the effectiveness of minimally invasive surgical treatment of degenerative scoliosis of the lumbar spine with short-segment fixation, which allowed obtaining satisfactory clinical results in 93% of cases with a minimum number of complications (7 %).

KW - degenerative scoliosis

KW - lumbar spine

KW - minimally invasive correction

KW - sagittal balance

KW - short-segment fixation

UR - https://www.scopus.com/record/display.uri?eid=2-s2.0-85148601750&origin=inward&txGid=cb10dfa9781c66eaf67a81793eaecf41

UR - https://www.mendeley.com/catalogue/872e975e-1e5d-3a5d-b1af-93507e4d84c7/

U2 - 10.14531/ss2022.4.52-59

DO - 10.14531/ss2022.4.52-59

M3 - Article

VL - 19

SP - 52

EP - 59

JO - Hirurgia Pozvonochnika

JF - Hirurgia Pozvonochnika

SN - 1810-8997

IS - 4

ER -