Reconstructive and stabilizing surgeries for spinal canal stenosis
According to world statistics, the most effective method of surgical treatment of spinal canal stenosis is considered to be a combination of microsurgical decompression and dynamic interspinous stabilization.
During decompression, those formations that compress the nerve root are removed:
- bone growths (osteophytes),
- yellow bundle,
- intervertebral (facet) joints, etc.
Dynamic interspinous spinal fixation systems
are called so because they allow to maintain a certain mobility in the operated segment of the spine. They are divided into designs with and without screws (interspinous implants). Such systems allow to perform more physiological fixation, prevent overgrowth of the intervertebral joints, which occurs when using other systems with more rigid fixation.
When spinal canal stenosis is combined with vertebral instability, or in case of multilevel stenosis, reconstructive and stabilizing operations are performed. In some cases, various types of cages are installed in the interbody space (the so-called PLIF technique, with fixation of adjacent vertebrae with titanium screws and beams).
Minimally invasive systems
Specially designed minimally invasive systems allow surgeons to install screws and rods that create a supporting “framework” for the affected parts of the spine through several small (up to 1.5 cm) skin incisions, rather than making a large and deep “half-back” wound for the necessary access to the spine.
The installation of these systems does not take place “blindly”, but under dosed X-ray control at any stage of the operation to remove the stenosis.
The undoubted advantages of this technique are its minimally invasiveness, cosmetic appearance, reduced blood loss during the operation, and shortened duration. The patient is usually able to get up on his feet on the day of the operation.
Neurosurgeon Borblyk E.V., Dmytruk V.S.
Leontiev Alexey
neurosurgeon of the highest category
The information provided in this article has been verified by neurosurgeon of the highest category Leontiev Alexey. It is of a general informational nature and does not replace specialist advice. For recommendations on diagnosis and treatment, a doctor's consultation is required.
Str. Troleybusna, 14, Ternopil
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Examination by a neurosurgeon is a key step in determining an accurate diagnosis and planning treatment for diseases of the brain and nervous system.
A professional neurosurgeon uses modern methods: MRI, CT, PET and others, which allow you to obtain detailed information about the structure and functions of the brain. Cognitive functions are also assessed.
The main goal is to detect pathology in a timely manner and begin effective treatment. The success of the recovery and the patient's quality of life in the future depend on this.
Neurosurgery is a complex field where surgical intervention requires millimeter precision. Any imprecise movement can lead to serious neurological disorders.
That is why the neurosurgical operating room must be perfectly adapted to the needs of the procedure. It ensures absolute sterility and protection against infections during open intervention.
Modern equipment systems help the surgeon work as efficiently as possible and guarantee the highest level of safety for both the patient and the medical team.
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- Degenerative-dystrophic diseases of the spine (DDDS)
- Isolated traumatic brain injury
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- Liquorice
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