A Clinical Case of Surgical Treatment of the Adjacent Segment of the Spine during Fusion
https://doi.org/10.29413/ABS.2020-5.5.7
Abstract
Every year, the number of operations on the lumbar spine with the use of various spinal fusion techniques increases, which leads to an increase in the number of cases in the long-term period of surgical treatment, the formation of pathology of the adjacent segment (ASP), which is part of the structure of the failed back surgery syndrome (FBSS). It is known that the pathology of the adjacent segment is a general term and covers two concepts: the degeneration of the adjacent segment (ASDeg) and the disease of the adjacent segment (ASDis). ASDeg is represented by radiographic changes occurring in the adjacent spinal motion segments during spinal surgery with spinal fusion, and ASDis refers to the clinical symptoms that develop during radiographic changes in these segments. With the pathology of an adjacent segment, clinically significant degenerative changes in it are not always formed. If these X-ray changes are formed and correlate with clinical and neurological manifestations, then surgical treatment is indicated. This pathology can be treated with repeated surgical intervention, which this article demonstrate with the clinical example of surgical treatment of the adjacent segment of the spine during fusion.
About the Authors
A. P. Zhivotenko
Irkutsk Scientific Centre of Surgery and Traumatology
Russian Federation
Research Officer at the Research Clinical Department of Neurosurgery
Bortsov Revolyutsii str. 1, Irkutsk 664003, Russian Federation
Russian Federation
Research Officer at the Research Clinical Department of Neurosurgery
Bortsov Revolyutsii str. 1, Irkutsk 664003, Russian Federation
V. E. Potapov
Irkutsk Scientific Centre of Surgery and Traumatology
Russian Federation
Cand. Sc. (Med.), Head of Neurosurgical Unit, Leading Research Officer at the Research Clinical Department of Neurosurgery
Bortsov Revolyutsii str. 1, Irkutsk 664003, Russian Federation
Russian Federation
Cand. Sc. (Med.), Head of Neurosurgical Unit, Leading Research Officer at the Research Clinical Department of Neurosurgery
Bortsov Revolyutsii str. 1, Irkutsk 664003, Russian Federation
Z. V. Koshkareva
Irkutsk Scientific Centre of Surgery and Traumatology
Russian Federation
Cand. Sc. (Med.), Leading Research Officer at the Research Clinical Department of Neurosurgery
Bortsov Revolyutsii str. 1, Irkutsk 664003, Russian Federation
Russian Federation
Cand. Sc. (Med.), Leading Research Officer at the Research Clinical Department of Neurosurgery
Bortsov Revolyutsii str. 1, Irkutsk 664003, Russian Federation
V. A. Sorokovikov
Irkutsk Scientific Centre of Surgery and Traumatology;
Russian Federation
Dr. Sc. (Med.), Professor, Director; Head of the Department of Traumatology, Orthopedy and Neurosurgery
Bortsov Revolyutsii str. 1, Irkutsk 664003, Russian Federation
Yubileyniy 100, Irkutsk 664049, Russian Federation
Russian Federation
Dr. Sc. (Med.), Professor, Director; Head of the Department of Traumatology, Orthopedy and Neurosurgery
Bortsov Revolyutsii str. 1, Irkutsk 664003, Russian Federation
Yubileyniy 100, Irkutsk 664049, Russian Federation
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Review
For citations:
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 Scientifica. 2020;5(5):53-59. (In Russ.) https://doi.org/10.29413/ABS.2020-5.5.7
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