Efficacy of decompression combined with transpedicular screw fixation in mixed lumbar stenosis. Case report

Author:

Gaydash Maksim I.1ORCID,Lee Changsu1ORCID,Bashlachev Mikhail G.1ORCID,Zonov Mikhail G.1ORCID,Akif Hayder N.1ORCID

Affiliation:

1. Sechenov First Moscow State Medical University (Sechenov University)

Abstract

Degenerative stenosis is a common pathology of the lumbar spine, however, there is currently no consensus on the clinical significance of neuroimaging findings and management tactics for such patients. In this regard, the issues of diagnosis and treatment have been causing discussions among doctors of both therapeutic and surgical profiles for many years. The article presents an observation of a 65-year-old patient with mixed lumbar stenosis, in whom surgical intervention in the form of decompression and transpedicular screw fixation led to a complete regression of pain, motor disorders and a significant improvement in functional condition. The issues of diagnosis, conservative and surgical treatment of mixed lumbar stenosis are discussed.

Publisher

Consilium Medicum

Reference22 articles.

1. A RADICULAR SYNDROME FROM DEVELOPMENTAL NARROWING OF THE LUMBAR VERTEBRAL CANAL

2. Халепа Р.В., Климов В.С. Стеноз позвоночного канала поясничного отдела у пациентов пожилого и старческого возраста: состояние проблемы, особенности хирургического лечения. Нейрохирургия. 2017;(1):100-8 [Khalepa RV, Klimov VS. Lumbar spinal stenosis in elderly and senile patients: problem state and features of surgical treatment. Russian Journal of Neurosurgery. 2017;(1):100-8 (in Russian)].

3. Stenosis of the vertebral canal of the lumbar spine

4. Manchikanti L, Knezevic NN, Navani A, et al. Epidural Interventions in the Management of Chronic Spinal Pain: American Society of Interventional Pain Physicians (ASIPP) Comprehensive Evidence-Based Guidelines. Pain Physician. 2021;24(S1):S27-S208.

5. The Role of Vertebral Morphometry in the Pathogenesis of Degenerative Lumbar Spinal Stenosis

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