1 Leningrad Regional Clinical Hospital, Saint Petersburg
2 Almazov National Medical Research Centre, Saint Petersburg
3 SOGAZ Medical Center, Gelendzhik
4 First Pavlov State Medical University of St. Petersburg, Saint Petersburg
5 North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg
Brief summary
The surgical treatment results of 101 patients with spinal canal degenerative stenosis and low bone density using elastic dynamic stabilization systems. The effectiveness of the use of elastic dynamic stabilization systems in persons with osteoporosis has been confirmed. The selection criteria of patients with low bone density for using silicone-based dynamic stabilization systems have been determined.
Key words
Spinal stenosis, interspinous dynamic stabilization, decreased bone densit.
1. Adogwa O., Carr K.R., Kudyba K. et al. Revision lumbar surgery in elderly patients with symptomatic pseudarthrosis, adjacent-segment disease, or same-level recurrent stenosis. Two-year outcomes and clinical efficacy J. Neurosurg Spine. 18:139?146, 2013
2. Ravindra, V.M.; Senglaub, S.S.; Rattani, A.; Dewan, M.C.; Hartl, R.; Bisson, E.; Park, K.B.; Shrime, M.G. Degenerative Lumbar Spine Disease: Estimating Global Incidence and Worldwide Volume. Glob. Spine J. 2018, 8, 784-794.
3. Bruhanov V.G., Koshkareva Z.V., Sorokovikov V.A., Gorbynov A.V. Diagnostika stenoziryushih processov pozvonochnogo kanala na poyasnichnom yrovne (obzor literatyri). Bulleten VSNC SO RAMN. 2010; 6 (76). Chast 1. S. 29-31.
5. Cai, Y.; Luo, J.; Huang, J.; Lian, C.; Zhou, H.; Yao, H.; Su, P. Interspinous spacers versus posterior lumbar interbody fusion for degenerative lumbar spinal diseases: A meta-analysis of prospective studies. Int. Orthop. 2016, 40, 1135-1142
6. Segura-Trepichio, M.; Martin-Benlloch, A.; Manuel Montoza-Nunez, J.; Candela-Zaplana, D.; Nolasco, A. Lumbar disc herniation surgery with microdiscectomy plus interspinous stabilization: Good clinical results, but failure to lower the incidence of re-operation. J. Clin. Neurosci. 2018, 51, 29-34
7. Fabrizi, A.P.; Maina, R.; Schiabello, L. Interspinous spacers in the treatment of degenerative lumbar spinal disease: Our experience with DIAM and Aperius devices. Eur. Spine J. 2011, 20, 20-26
8. Pintauro, M.; Duffy, A.; Vahedi, P.; Rymarczuk, G.; Heller, J. Interspinous implants: Are the new implants better than the last generation? A review. Curr. Rev. Musculoskelet. Med. 2017, 10, 189-198
9. Mo, Z.; Li, D.; Zhang, R.; Chang, M.; Yang, B.; Tang, S. Comparative effectiveness and safety of posterior lumbar interbody fusion, Coflex, Wallis, and X-stop for lumbar degenerative diseases: A systematic review and network meta-analysis. Clin. Neurol. Neurosurg. 2018, 172, 74-81
10. Shen, H.; Fogel, G.R.; Zhu, J.; Liao, Z.; Liu, W. Biomechanical Analysis of Different Lumbar Interspinous Process Devices: A Finite Element Study. World Neurosurg. 2019, 127, e1112-e1119.
11. Phan, K.; Rao, P.J.; Ball, J.R.; Mobbs, R.J. Interspinous process spacers versus traditional decompression for lumbar spinal stenosis: Systematic review and meta-analysis. J. Spine Surg. 2016, 2, 31-40
12. Fransen, P. Long-term results with percutaneous interspinous process devices in the treatment of neurogenic intermittent claudication. J. Spine Surg. 2017, 3, 620-623.
13. White A.A., Panjabi M.M. Clinical Biomechanics of the Spine, 2nd ed. // Philadelphia: Lippincott. 1990. (2). C. 18-20.
14. Ya-Peng W, Ji-Long A, Ya-Peng S, et al. Comparison of outcomes between minimallyinvasive transforaminal lumbarinterbodyfusion and traditional posterior lumbar intervertebral fusion in obese patients with lumbar disk prolapse. Therap Clin Risk Manag 2017;13:87-94.
16. Caserta, S.; La Maida, G.A.; Misaggi, B.; Peroni, D.; Pietrabissa, R.; Raimondi, M.T.; Redaelli, A. Elastic stabilization alone or combined with rigid fusion in spinal surgery: A biomechanical study and clinical experience based on 82 cases. Eur. Spine J. 2002, 11, S192-S197
17. Wu, A.M.; Zhou, Y.; Li, Q.L.; Wu, X.L.; Jin, Y.L.; Luo, P.; Chi, Y.-L.; Wang, X.-Y. Interspinous spacer versus traditional decompressive surgery for lumbar spinal stenosis: A systematic review and meta-analysis. PLoS ONE 2014, 9, e97142
18. Tamburrelli, F.C.; Proietti, L.; Logroscino, C.A. Critical analysis of lumbar interspinous devices failures: A retrospective study. Eur. Spine J. 2011, 20, 27-35
19. Chung, K.J.; Hwang, Y.S.; Koh, S.H. Stress fracture of bilateral posterior facet after insertion of interspinous implant. Spine 2009, 34, E380-E383
20. Moojen, W.A.; Arts, M.P.; Jacobs, W.C.; van Zwet, E.W.; van den Akker-van Marle, M.E.; Koes, B.W.; Vleggeert-Lankamp, C.; Peul, W.; for the Leiden-The Hague Spine Intervention Prognostic Study Group (SIPS). Interspinous process device versus standard conventional surgical decompression for lumbar spinal stenosis: Randomized controlled trial. BMJ 2013, 347.
21. Minns, R.J.; Walsh, W.K. Preliminary design and experimental studies of a novel soft implant for correcting sagittal plane instability in the lumbar spine. Spine 1997, 22, 1819-1825
22. Aldatov T.S., Cherebillo V.U., Dragyn V.M., Biragov D.V., Tebloev G.E Effektivnost i bezopasnost primeneniya sistem dinamicheskoi stabilizacii na titanovoi osnove y pacientov s degenerativnim stenozom poyasnichnogo otdela pozvonochnika i snijennoi kostnoi plotnostu//Medline 2021 -?1- S. 21-34.