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. GorbunovRussian Federation
Gorbunov Anatoly – Neurosurgeon of the Neurosurgical Unit, Junior Researcher at the Clinical and Research Department of Neurosurgery
Irkutsk
V. E. Potapov
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
Russian Federation
Koshkareva Zinaida – Cand. Sc. (Med.), Head of the Research and Clinical Department of Neurosurgery
Irkutsk
A. P. Zhivotenko
Russian Federation
Zhivotenko Aleksandr – Junior Researcher at the Clinical and Research Department of Neurosurgery
Irkutsk
S. D. Glotov
Russian Federation
Glotov Sergey – Neurosurgeon of the Neurosurgical Unit
Irkutsk
S. N. Larionov
Russian Federation
Larionov Sergey – Dr. Sc. (Med.), Leading Researcher at the Clinical and Research Department of Neurosurgery
Irkutsk
O. V. Sklyarenko
Russian Federation
Sklyarenko Oksana – Cand. Sc. (Med.), Senior Researcher at the Clinical and Research Department of Neurosurgery
Irkutsk
References
1. Shnyakin P.G., Botov A.V., Amelchenko A.A. Surgical methods of treatment of back pain syndrome recurrences in the degenerative pathology of the lumbar spine. Annals of Clinical and Experimental Neurology. 2018; 12 (3): 61–68. [In Russ.]. DOI: 10.25692/ACEN.2018.3.8
2. Donnally C.J. 3rd, Patel P.D., Canseco J.A., et al. Current incidence of adjacent segment pathology following lumbar fusion versus motion-preserving procedures: A systematic review and meta-analysis of recent projections. Spine J. 2020; 20 (10): 1554–1565. DOI: 10.1016/j.spinee.2020.05.100
3. Masevnin S.V., Ptashnikov D.A., Mikhailov D.A., et al. the role of major risk factors in early development of the adjacent level syndrome in patients after fusion of the lumbar spine. Hirurgiâ pozvonočnika (Spine Surgery). 2016; 13 (3): 60–67. [In Russ.]. DOI: 10.14531/ss2016.3.60-67
4. Zhivotenko A.P., Potapov V.E., Koshkareva Z.V., Sorokovikov V.A. A clinical case of surgical treatment of the adjacent segment of the spine during fusion. Acta biomedica scientifi ca. 2020; 5 (5): 53–59. [In Russ.]. DOI: 10.29413/ABS.2020-5.5.75
5. Sebaaly A., Lahoud M.J., Rizkallah M., et al. Etiology, evaluation, and treatment of failed back surgery syndrome. Asian Spine J. 2018; 12 (3): 574–585. DOI: 10.4184/asj.2018.12.3.574
6. Potapov V.E., Sorokovikov V.A., Larionov S.N., Zhivotenko A.P. Facet syndrome. Minimally invasive surgical treatment. A clinical case and literature review. Journal of Clinical Practice. 2021; 12 (4): 92–99. [In Russ.]. DOI: 10.17816/clinpract81435
7. Pakhomov A.G., Vcherashniy D.B., Novoseltsev S.V., Kruglov V.N. Low-level laser light for treating pain syndrome in patients with disc herniation in the lumbosacral spine. Bulletin of the Medical Institute “REAVIZ” (Rehabilitation, Doctor and Health). 2018; 3 (33): 26–31. [In Russ.].
8. Byvaltsev V.A., Kalinin A.A., Stepanov I.A., Okoneshnikova A.K. Degenerative diseases of the articular lumbar spine joints: Diagnosis and surgical treatment. Novosibirsk: Nauka; 2018. [In Russ.].
9. Volkov I.V., Karabaev I.Sh., Ptashnikov D.A., et al. Cold plasma nucleoplasty versus radiofrequency annuloplasty for discogenic pain syndrome: Comparative analysis of effi cacy. Traumatology and Orthopedics of Russia. 2018; 24 (2): 49–58. [In Russ.]. DOI: 10.21823/2311-2905-2018-24-2-49-58
10. Manchikanti L., Schultz D.M., Falco F.J.E., Singh V. Lumbar facet joint interventions. In: Manchikanti L., Kaye A., Falco F., Hirsch J. (eds) Essentials of interventional techniques in managing chronic pain. Springer, Cham. 2018; 19: 349. DOI: 10.1007/978-3-319-60361-2_19
11. O’Leary S.A., Paschos N.K., Link J.M., et al. Facet joints of the spine: Structure-function relationships, problems and treatments, and the potential for regeneration. Annu Rev Biomed Eng. 2018; 20: 145–170. DOI: 10.1146/annurevbioeng-062117-120924
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