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Khirurgii

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Year 2022 Vol. 30 No 2

REVIEWS

P.S. REMOV

TOPICAL ISSUES OF SURGICAL TREATMENT FOR LUMBAR DORSOPATHY

Republican Research and Practical Center for Travmatology and Orthopedics, Minsk,
Republic of Belarus

This review appraises the available current literature for spinal surgical treatment for lumbar dorsopathy and a number of controversial issues have been identified. The results of studies containing data comparing the effectiveness of decompression and decompression-stabilization interventions are found to be contradictory in many aspects. When using various techniques, in some cases, specialists fail to achieve a favorable result in the long term period. The most significant issue raised in the review of the article is the justification for the spine stabilization. A detailed analysis of factors that should be taken into consideration to apply of posterior spondylodesis and fixation has been performed. Despite the high level of virtual technologies development, today there is no absolute method for diagnosing instability of the functional spinal unit. The ambiguous markers of lumbar instability include the parameters of the intervertebral discs, ligamentous apparatus, facet joints of spine, and ventral osteophytes. Functional spondylography remains the main technique (diagnostic efficiency 63.3%) for detecting hypermobility of the spine at the lumbar level, but due to its shortcomings, it requires comparison with neuroimaging data and clinical parameters. Determination of indications for the use of spondylodesis in degenerative-dystrophic diseases of the spine at the lumbar level requires an integrated approach taking into account pathogenetic, radiological and somatic factors.

Keywords: degenerative stenosis, posterior fusion, spinal instability, functional spondylography, translation, angulation
p. 198-206 of the original issue
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Address for correspondence:
220024, Republic of Belarus,
Minsk, Kizhevatov St., 60-4,
Republican Research and Practical Center
for Travmatology and Orthopedics,
the Laboratory of Traumatic Injuries
of the Spine and Spinal Cord.
tel.mobile: +375 29 334-31-22,
e-mail: neuro_ugokb2013@mail.ru,
Remov Pavel S.
Information about the authors:
Remov Pavel S., Senior Researcher of the Laboratory of Traumatic Injuries of the Spine and Spinal Cord, Republican Research and Practical Center for Travmatology and Orthopedics, Minsk, Republic of Belarus.
https://orcid.org/0000-0003-2194-5233
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