Isaenko O. Diagnostics and surgical treatment of lumber stenosis with myeloradiculopathy syndrome

The dissertation is devoted to problem of improvement of diagnostics and surgical treatment of lumbar stenosis with neurologic semiology. Complex of clinical and instrumental investigations and lumbar spine dynamic stenosis modeling were used.120 clinical cases of different lumbar stenosis variants were analyzed, patients have been treated in Kiev city clinical hospitsl of emergency medicine and in SI "Institute of spinal and joints pathology named after prof. N.I. Sitenko of Academy of Medical Sciences of Ukraine" (main group) and 50 patients with degenerative lumbar spine pathology with mieloradiculopathy syndrome but without stenosis (comparing group). Complex investigation with extended list of of instrumental diagnosticsmethods was used in all cases. Operation was performed in 158 patients depending on kind and variant of stenosis and neurological symptoms.At modeling it was certain that sagittal and paramedian size of spine chanal changed at movements of its segments from bending to underbinding. Instability of vertebral-motive segment influenced substantially on quantitative parameters of spine chanal dynamic stenosis.In dissertation solution of scientific-practical problem of diagnostics and surgical treatment of lumbar spine stenosis, accompanied be mieloradikulopathy syndromes, is proposed. On the basis of clinical symptoms complex and data of instrumental research methods main criteria and scheme for this pathology diagnostics were certain, optimal methods of surgical treatment were developed. The analysis of surgical treatment results at patients with lumbar stenosis at combination of decompression and stabilizing testifies to considerable regress of neurological simptoms. Research results were provided into neurosurgical practice