FUNCTIONAL RESULTS OF SURGICAL TREATMENT FOR ISTHMIC SPONDYLOLISTHESIS USING ANTERIOR AND POSTERIOR EXPOSURES

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Abstract

Objective - to compare results of spondylolisthesis treatment using different surgical technologies. Material and methods: 84 patients (aged from 19 till 67) with spondylolisthesis of 1-3 degree (H.W Meyerding) were operated. Two methods of surgical exposures were used for decompression and stabilization. Anterior decompression and stabilization exposures from retroperitoneal access were used for the first group of patients. The second group was operated using posteriolateral interbody fusion with transpedicular screw fixation. The following results were estimated after operation: the level of patients’ postoperative adaptation period and the rate of neurological and orthopedic rehabilitation during the postoperative period. Conclusions. The obtained functional results show no difference for both groups where posterior and anterior exposures were used for spondylolisthesis surgical treatment of 1-3 degree.

About the authors

V. V. Rudenko

Vreden Russian Research Institute of Traumatology and Orthopedics

Author for correspondence.
Email: victorrudenko@mail.ru
Russian Federation

D. A. Gulyaev

Polenov Russian Research Neurosurgical Institute

Email: gulyaevd@mail.ru
Russian Federation

D. S. Godanyuk

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: dsg77@mail.ru
Russian Federation

A. P. Tatarintsev

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: nhovreden@rambler.ru
Russian Federation

References

  1. Ветрилэ М.С. Оперативное лечение спондилолистеза с применением транспедикулярных фиксаторов [автореф. дис. канд. мед. наук] М.; 2004. 22 с.
  2. Глазырин Д.И. Оперативное лечение спондилолистеза с редукцией смещенного позвонка. Ортопедия, травматология и протезирование. 1975;11:48-51.
  3. Доценко В.В., Стариков A.C. Передний забрюшинный доступ к поясничным межпозвонковым дискам. В кн. Материалы II съезда нейрохирургов Российской федерации. Нижний Новгород; 1998. с. 283-284.
  4. Доценко В.В., Шевелев И.Н., Загородний Н.А., Коновалов Н.А., Кошеварова О.В. Спондилолистез: передние малотравматичные операции. Хирургия позвоночника. 2004;1:47-54.
  5. Дулаев А.К., Шаповалов В.М., Гайдар Б.В. Закрытые повреждения позвоночника грудной и поясничной локализации. СПб.: МОРСАР АВ; 2000. 144 с.
  6. Мазо И.С., Тагер И.Л.. Рентгенодиагностика смещений поясничных позвонков. М.: Медицина; 1979. 28 с.
  7. Симонович А.Е. Хирургическое лечение дегенеративных поражений поясничного отдела позвоночника [автореф. дис. д-ра мед. наук] Новосибирск; 2005. 238 с.
  8. Усиков В.Д., Пташников Д.А., Курносенков В.В., Ротт А.Н. Алгоритм хирургического лечения спондилолизного спондилолистеза. Травматология и ортопедия России. 2011; 1:14-22.
  9. Fessler R.G., O'Toole J.E., Eichholz K.M., Perez-Cruet M.J. The development of minimally invasive spine surgery. Neurosurg. Clin. N. Am. 2006; 17(7): 401-409.
  10. Freudenberger C., Lindley E.M., Beard D.W., Reckling W.C., Williams A., Burger E.L., Patel V.V. Posterior versus anterior lumbar interbody fusion with anterior tension band plating: retrospective analysis. Orthopedics. 2009;32(7):492.
  11. Glassman S., Gornet M.F., Branch C. MOS short form 36 and Oswestry Disability Index outcomes in lumbar fusion: a multicenter experience. Spine J. 2006; 6(1):21-26.
  12. Gumbs A.A., Shah R.V., James J.Y. et al. The open anterior paramedian retroperitoneal approach for spine procedures. Arch. Surg. 2005;140(4):339-343.
  13. Greenberg M.S. andbook of nurosurgery. Stuttgart: Thieme; 2009. 1352 s.
  14. Lassale B., Deburge A., Benoist M. Long-term results of the surgical treatment of lumbar stenosis. Rev.Rhеum. Mal.Osteoartic. 1985;52(1):27-33.
  15. Louis R., Maresca C. Stabilisation chirurgicale avec reduction des spondylolyses et des spondylolisthesis. Int. Orthop. 1977;94(1):215-225.
  16. Madan S.S., Boeree N.R. Comparison of instrumented anterior interbody fusion with nstrumented circumferential lumbar fusion. Eur. Spine J. 2003;12(6):567-575.
  17. Moller H Sundin A, Hedlund R. Symptoms, signs, and functional disability in adult spondylolisthesis. Spine. 2000; 25(6): 683-389.
  18. N.H. Kim, Lee C.S. et al. Comparison of the results between posterolateral fusion and plf combined with interbody fusion for spondylolisthesis. Eur. Spine J. 1999;31(12): 99-103.
  19. Regan J.J., Aronoff R.J., Ohnmeiss D.D., Sengupta D.K. Laparoscopic approach to L4-L5 for interbody fusion using BAK cages: experience in the first 58 cases. Spine. 1999; 24(20): 2171-2174.
  20. Sasso R.C., Kenneth Burkus J., LeHuec J.C. Retrograde ejaculation after anterior lumbar interbody fusion: transperitoneal versus retroperitoneal exposure. Spine. 2003; 10(28): 1023-1026.
  21. Tiusanen H., Seitsalo S., Osterman K., Soini J. Retrograde ejaculation after anterior interbody lumbar fusion. Eur. Spine J. 1995; 4(6): 339-342.
  22. Zucherman J.F., Zdeblick T.A., Bailey S.A., Mahvi D., Hsu K.Y., Kohrs D. Instrumented laparoscopic spinal fusion: preliminary results. Spine. 1995; 20(18): 2029-2035.

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