Treatment of patients with degenerative deformities of the lumbar spine using MIS technologies: analysis of 5-year results
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, ve...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"
2022-12-01
|
| Series: | Хирургия позвоночника |
| Subjects: | |
| Online Access: | https://www.spinesurgery.ru/jour/article/view/1959/1953 |
| _version_ | 1797724800393674752 |
|---|---|
| author | Ivan I. Vasilenko Alexey V. Evsyukov Sergey O. Ryabykh Evgeniya V. Amelina Yuliy E. Kubetsky Ilgiz I. Garipov Jamil A. Rzaev |
| author_facet | Ivan I. Vasilenko Alexey V. Evsyukov Sergey O. Ryabykh Evgeniya V. Amelina Yuliy E. Kubetsky Ilgiz I. Garipov Jamil A. Rzaev |
| author_sort | Ivan I. Vasilenko |
| collection | DOAJ |
| description | 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 to ODI 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°] to 4.6°/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 %). |
| first_indexed | 2024-03-12T10:22:01Z |
| format | Article |
| id | doaj.art-be5758003604450e80b1f5320d9ec9c4 |
| institution | Directory Open Access Journal |
| issn | 1810-8997 2313-1497 |
| language | English |
| last_indexed | 2024-03-12T10:22:01Z |
| publishDate | 2022-12-01 |
| publisher | Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan" |
| record_format | Article |
| series | Хирургия позвоночника |
| spelling | doaj.art-be5758003604450e80b1f5320d9ec9c42023-09-02T10:03:41ZengMinistry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"Хирургия позвоночника1810-89972313-14972022-12-01194525910.14531/ss2022.4.52-59Treatment of patients with degenerative deformities of the lumbar spine using MIS technologies: analysis of 5-year resultsIvan I. Vasilenko0https://orcid.org/0000-0002-4781-3848Alexey V. Evsyukov1https://orcid.org/0000-0001-8583-0270Sergey O. Ryabykh2https://orcid.org/0000-0002-8293-0521Evgeniya V. Amelina3https://orcid.org/0000-0001-7537-3846Yuliy E. Kubetsky4https://orcid.org/0000-0002-7810-3531Ilgiz I. Garipov5https://orcid.org/0000-0003-4681-7967Jamil A. Rzaev6https://orcid.org/0000-0002-1209-8960Federal Neurosurgical Center, Novosibirsk, Russia; Research Institute of Clinical and Experimental Lymphology, Novosibirsk, RussiaNational Ilizarov Medical Research Center for Traumatology and Ortopedics, Kurgan, RussiaNational Medical Research Center for Traumatology and Orthopedics n.a. N.N. Priorov, Moscow, RussiaNovosibirsk State University, Novosibirsk, RussiaFederal Center of Neurosurgery, Novosibirsk, RussiaNational Ilizarov Medical Research Center for Traumatology and Ortopedics, Kurgan, RussiaFederal Neurosurgical Center, Novosibirsk, Russia; Novosibirsk State University, Novosibirsk, RussiaObjective. 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 to ODI 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°] to 4.6°/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 %).https://www.spinesurgery.ru/jour/article/view/1959/1953degenerative scoliosislumbar spineshort-segment fixationminimally invasive correctionsagittal balance |
| spellingShingle | Ivan I. Vasilenko Alexey V. Evsyukov Sergey O. Ryabykh Evgeniya V. Amelina Yuliy E. Kubetsky Ilgiz I. Garipov Jamil A. Rzaev Treatment of patients with degenerative deformities of the lumbar spine using MIS technologies: analysis of 5-year results Хирургия позвоночника degenerative scoliosis lumbar spine short-segment fixation minimally invasive correction sagittal balance |
| title | Treatment of patients with degenerative deformities of the lumbar spine using MIS technologies: analysis of 5-year results |
| title_full | Treatment of patients with degenerative deformities of the lumbar spine using MIS technologies: analysis of 5-year results |
| title_fullStr | Treatment of patients with degenerative deformities of the lumbar spine using MIS technologies: analysis of 5-year results |
| title_full_unstemmed | Treatment of patients with degenerative deformities of the lumbar spine using MIS technologies: analysis of 5-year results |
| title_short | Treatment of patients with degenerative deformities of the lumbar spine using MIS technologies: analysis of 5-year results |
| title_sort | treatment of patients with degenerative deformities of the lumbar spine using mis technologies analysis of 5 year results |
| topic | degenerative scoliosis lumbar spine short-segment fixation minimally invasive correction sagittal balance |
| url | https://www.spinesurgery.ru/jour/article/view/1959/1953 |
| work_keys_str_mv | AT ivanivasilenko treatmentofpatientswithdegenerativedeformitiesofthelumbarspineusingmistechnologiesanalysisof5yearresults AT alexeyvevsyukov treatmentofpatientswithdegenerativedeformitiesofthelumbarspineusingmistechnologiesanalysisof5yearresults AT sergeyoryabykh treatmentofpatientswithdegenerativedeformitiesofthelumbarspineusingmistechnologiesanalysisof5yearresults AT evgeniyavamelina treatmentofpatientswithdegenerativedeformitiesofthelumbarspineusingmistechnologiesanalysisof5yearresults AT yuliyekubetsky treatmentofpatientswithdegenerativedeformitiesofthelumbarspineusingmistechnologiesanalysisof5yearresults AT ilgizigaripov treatmentofpatientswithdegenerativedeformitiesofthelumbarspineusingmistechnologiesanalysisof5yearresults AT jamilarzaev treatmentofpatientswithdegenerativedeformitiesofthelumbarspineusingmistechnologiesanalysisof5yearresults |