Surgical treatment of military with multilevel lumbar vertebral spondylolysis
- Authors: Khominets V.V.1, Nadulich K.A.1, Nagorny E.B.1, Teremshonok A.V.1, Kudyashev A.L.1, Averkiev D.V.1, Strelba A.A.1
-
Affiliations:
- S. M. Kirov Military Medical Academy
- Issue: Vol 6, No 2 (2020)
- Pages: 63-73
- Section: 25
- URL: https://seamed.bmoc-spb.ru/jour/article/view/350
- DOI: https://doi.org/10.22328/2413-5747-2020-6-2-63-73
- ID: 350
Cite item
Full Text
Abstract
Purpose. To demonstrate the effectiveness of an isolated fixation technique of multilevel spondylosis disorders in young patients.
Materials and methods. Two military men were operated for multilevel spondylosis of lumbar vertebra (LII, LIV and LIV, LV).
Results and discussion. Patients underwent bone autoplasty and osteosynthesis of vertebral arches using hybrid lamina transpedicular system in a screw-rod-hook form. Good anatomic and functional results were got.
Conclusion. Avoidance of fixation of intact functional spinal units allows to achieve good treatment results and classify this operation as organ sparing surgery.
Keywords
About the authors
V. V. Khominets
S. M. Kirov Military Medical Academy
Email: khominets_62@mail.ru
Vladimir V. Khominets
St. Petersburg
Russian FederationK. A. Nadulich
S. M. Kirov Military Medical Academy
Email: knadulich@rambler.ru
Konstantin A. Nadulich
St. Petersburg
Russian FederationE. B. Nagorny
S. M. Kirov Military Medical Academy
Author for correspondence.
Email: polartravma@rambler.ru
Evgeniy B. Nagorny
St. Petersburg
Russian FederationA. V. Teremshonok
S. M. Kirov Military Medical Academy
Email: teremshonok@rambler.ru
Andrey V. Teremshonok
St. Petersburg
Russian FederationA. L. Kudyashev
S. M. Kirov Military Medical Academy
Email: a.kudyashev@gmail.com
Alexey L. Kudyashev
St. Petersburg
Russian FederationD. V. Averkiev
S. M. Kirov Military Medical Academy
Email: averdm@mail.ru
Dmitriy V. Averkiev
St. Petersburg
Russian FederationA. A. Strelba
S. M. Kirov Military Medical Academy
Email: alexstrelba@gmail.com
Alexander A. Strelba
St. Petersburg
Russian FederationReferences
- Lawrence J.P., Greene H.S., Grauer J.N. Back Pain in Athletes // J. Am. Acad. Orthop. Surg. 2006. Vol. 14, No. 13. Р. 726–735. doi: 10.5435/00124635-200612000-00004.
- Надулич К.А., Теремшонок А.В., Нагорный Е.Б. Лечение пациентов со спондилолизом методом костной аутопластики и остеосинтеза дужки позвонка // Хирургия позвоночника. 2011. № 1. С. 14–18. https://doi.org/10.14531/ss2011.1.16–19.
- Mohammed N., Patra D.P., Narayan V., Savardekar A.R., Dossani R.H., Bollam P., Bir S., Nanda A. A comparison of the techniques of direct pars interarticularis repairs for spondylolysis and low-grade spondylolisthesis: a meta-analysis // Neurosurg. Focus. 2018. Vol. 44, No. 1. E10. https://doi.org/10.3171/2017.11.FOCUS17581.
- Скрябин Е.Г. Изолированный и многоуровневый спондилолиз (обзор литературы) // Травматология и ортопедия России. 2019. Т. 25, № 2. С. 157–165. doi: 10.21823/2311-2905-2019-25-2-157-165.
- Bozarth G.R., Fogel G.R., Toohey J.S., Neidre A. Repair of Pars Interarticularis Defect with a Modified Cable-Screw Construct // J. Surg. Orthop. Adv. 2007. Vol. 16, No. 2. Р. 79–83.
- Debusscher F., Troussel S. Direct repair of defects in lumbar spondylolysis with a new pedicle screw hook fixation: clinical, functional and Ct-assessed study // Eur. Spine J. 2007. Vol. 16. Р. 1650–1658. doi: 10.1007/s00586-007-0392-0.
- Pfirrmann C.W., Metzdorf A., Zanetti M., Hodler J., Boos N. Magnetic resonance classification of lumbar intervertebral disc degeneration // Spine. 2001. Vol. 26, Р. 1873–1878. doi: 10.1097/00007632-200109010-00011.
- Kimura M. My method of filling the lesion with spongy bone in spondylolysis and spondylolisthesis // Orthop. Surg. 1968. Vol. 19, No. 4. Р. 285–295.
- Buck J.E. Direct repair of the defect in spondylolisthesis. Preliminary report // J. Bone Joint Surg. Br. 1970. Vol. 52, No. 3. Р. 432–437.
- Buck J.E. Further thoughts on direct repair of the defect in spondylolysis // J. Bone Joint Surg. Br. 1979. Vol. 61, No. 1. Р. 123.
- Deguchi M., Rapoff A.J., Zdeblick T.A. Biomechanical comparison of spondylolysis fixation techniques // Spine. 1998. Vol. 11, No 24. Р. 328–333. doi: 10.1097/00007632-199902150-00004.
- Rajasekaran S., Subbiah M., ShettyIndian A.P. Direct repair of lumbar spondylolysis by Buck’s technique // J. Orthop. 2011. Vol. 45, No. 2. Р. 136–140. doi: 10.4103/0019-5413.77133.
- Snyder L.A., Shufflebarger H., O’Brien M.F., Thind H., Theodore N., Kakarla U.K. Spondylolysis outcomes in adolescents after direct screw repair of the pars interarticularis // J. Neurosurg. Spine. 2014. Vol. 21, No 3. Р. 329–333. doi: 10.3171/2014.5. SPINE13772.
- Nicol R.O., Scott J.H. Lytic spondylolysis, repair by wiring // Spine. 1986. Vol. 11, Issue 10. Р. 1027–1030. doi: 10.1097/00007632-198612000-00011.
- Songer M.N., Rovin R. Repair of the pars interarticularis defect with a cable screw construct: a preliminary report // Spine. 1998. Vol. 23, Issue 2. Р. 263–269. doi: 10.1097/00007632-199801150-00023.
- Morscher E., Gerber B., Fasel J. Surgical treatment of spondylolisthesis by bone grafting and direct stabilization of spondylolysis by means of a hook screw // Arch. Orthop. Trauma Surg. 1984. Vol. 103, No. 3. Р. 175–178. doi: 10.1007/bf00435550.
- Hefti F., Seeling W., Morscher E. Repair of lumbar spondylolysis with a hook-screw // Int. Orthop. 1992. Vol. 16, Р. 81– 85. doi: 10.1007/bf00182992.
- Sales de Gauzi J., Vadier F., Cahuzac J.P. Repair of lumbar spondylolysis using Morscher material // Acta Orthop. Scand. 2000. Vol. 71, Issue 3. Р. 292–296. doi: 10.1080/000164700317411906.
- Gillet P., Petit M. Direct repair of spondylolysis without spondylolisthesis, using a rod-screw construct and bone grafting of the pars defect // Spine. 1999. Vol. 24, Issue 12. Р. 1252–1256. doi: 10.1097/00007632-199906150-00014.
- Tokuhashi Y., Matsuzaki H. Repair of defects in spondylolysis by segmental pedicular screw hook fixation: a preliminary report // Spine. 1996. Vol. 21. Issue 17. Р. 2041–2045. doi: 10.1097/00007632-199609010-00023.
- Шаповалов В.М., Надулич К.А., Теремшонок А.В., Нагорный Е.Б., Кудяшев А.Л. Тактика хирургического лечения больных с истинным (спондилолизным) спондилолистезом // Гений ортопедии. 2013. № 2. С. 78–82.
- Taddonio R.F. Isthmic spondylolisthesis // The textbook of spinal surgery / еd. by K.H.Bridwell, R.F.DeWald. Philadelphia, 1991. P. 565–584.
- Drazin D., Shirzadi A., Jeswani S., Ching H., Rosner J., Rasouli A., Kim T., Pashman R., Johnson J.P. Direct surgical repair of spondylolysis in athletes: indications, techniques, and outcomes // Neurosurg Focus. 2011. Vol. 31, No 5. E9. doi: 10.3171/2011.9. FOCUS11180.
- Raudenbush B.L., Chambers R.C., Silverstein M.P., Goodwin R.C. Indirect pars repair for pediatric isthmic spondylolysis: a case series // J. Spine Surg. 2017. Vol. 3, No. 3. Р. 387–391. doi: 10.21037/jss.2017.08.08.
- Крюков Е.В., Брижань Л.К., Хоминец В.В., Давыдов Д.В., Чирва Ю.В., Севастьянов В.И., Перова Н.В., Бабич М.И. Опыт клинического применения тканеинженерных конструкций в лечении протяженных дефектов костной ткани // Гений ортопедии. 2019. Т. 25, № 1. С. 49–57. doi: 10.18019/1029-4427-2019-25-1-49-57.