Ефективність методів хірургічного лікування спінального стенозу

Abstract

The aim of the study was to compare the results of surgical treatment of lumbar spinal stenosis in men operated on by different methods. The data of examination and treatment of men (n=21) who underwent surgical intervention for lumbar spinal stenosis were analyzed. The intensity of the pain syndrome was assessed using a visual analog pain scale (VAS, cm), patient satisfaction and quality of life were assessed using the Oswestry low back pain disability questionnaire (ODI). The Oswestry questionnaire (version 2.0) allowed us to determine the level of impairment of patients' quality of life in terms of points and in the form of the Josw disability index. The data analysis showed that the indicators of pain in the n/limbs and back, as well as the quality of life in the early and long-term postoperative period differed little in group I (endoscopic decompression (UBE/UBLD)) and group II (open decompression). Decompression laminectomy with transpedicular stabilization requires additional surgical interventions for patients to fully recover. Assessment of the results after surgery in terms of quality of life and self-care ability according to the ODI questionnaire showed recovery with minimal disorders (less than 20% according to the ODI) in the first and second groups after one month. Decompressive laminectomy with transpedicular stabilization requires additional rehabilitation measures for patients to fully recover.