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Syndrome of “adjacent level” in surgery of the lumbar spine. Minimally invasive treatment methods

https://doi.org/10.37895/2071-8004-2021-25-4-29-34

Abstract

An analysis of the effectiveness of laser vaporization in 67 patients (23 men, 44 women) with the syndrome of the “adjacent level” of the lumbarspine, who had previously undergone decompressive-stabilizing operations, is presented. The mean age of the patients was 48.3 years (from37 to 54 years).

The most common cause of pain syndrome recurrence was protrusion of the intervertebral discs (60 people, 90 %). A positive result of laservaporization in the early postoperative period was achieved in 62 patients (92.5 %). Analysis of the results of treatment in 32 patients in the interimperiod revealed excellent results in 5 (15.5 %) patients, good results – in 12 (37.5 %) patients, and satisfactory results – in 15 (47 %) patients.

About the Authors

A. V. Gorbunov
Irkutsk Scientifi c Centre of Surgery and Traumatology
Russian Federation

Gorbunov Anatoly – Neurosurgeon of the Neurosurgical Unit, Junior Researcher at the Clinical and Research Department of Neurosurgery

Irkutsk



V. E. Potapov
Irkutsk Scientifi c Centre of Surgery and Traumatology
Russian Federation

Potapov Vitaliy – Cand. Sc. (Med.), Head of the Neurosurgical Unit, Leading Researcher at the Clinical and Research Department of Neurosurgery

Irkutsk



Z. V. Koshkareva
Irkutsk Scientifi c Centre of Surgery and Traumatology
Russian Federation

Koshkareva Zinaida – Cand. Sc. (Med.), Head of the Research and Clinical Department of Neurosurgery

Irkutsk



A. P. Zhivotenko
Irkutsk Scientifi c Centre of Surgery and Traumatology
Russian Federation

Zhivotenko Aleksandr – Junior Researcher at the Clinical and Research Department of Neurosurgery

Irkutsk



S. D. Glotov
Irkutsk Scientifi c Centre of Surgery and Traumatology
Russian Federation

Glotov Sergey – Neurosurgeon of the Neurosurgical Unit

Irkutsk



S. N. Larionov
Irkutsk Scientifi c Centre of Surgery and Traumatology
Russian Federation

Larionov Sergey – Dr. Sc. (Med.), Leading Researcher at the Clinical and Research Department of Neurosurgery

Irkutsk



O. V. Sklyarenko
Irkutsk Scientifi c Centre of Surgery and Traumatology
Russian Federation

Sklyarenko Oksana – Cand. Sc. (Med.), Senior Researcher at the Clinical and Research Department of Neurosurgery

Irkutsk



References

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Review

For citations:


Gorbunov A.V., Potapov V.E., Koshkareva Z.V., Zhivotenko A.P., Glotov S.D., Larionov S.N., Sklyarenko O.V. Syndrome of “adjacent level” in surgery of the lumbar spine. Minimally invasive treatment methods. Laser Medicine. 2021;25(4):29-34. (In Russ.) https://doi.org/10.37895/2071-8004-2021-25-4-29-34

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ISSN 2071-8004 (Print)
ISSN 2686-8644 (Online)