Use of the Scales software complex in planning the surgical treatment of patients with lumbar degenerative spondylolisthesis

Abstract

The aim of the study was to develop a virtual software package that, when it is based on personalized indicators, allows planning surgical tactics and performing differentiated treatment of patients with degenerative lumbar spondylolisthesis.The results of surgical treatment of retrospective group patients were the basis for creation of a virtual complex.A virtual software package has been developed. It is an expert system for making decisions about surgical tactics for patients with lumbar degenerative spondylolisthesis. The operation of the program is based on the automated analysis of a given list of input parameters. The core of the virtual complex is represented by two configurations, one of which contains an artificial neural network. As a result of virtual processing of the patient’s individual parameters, the program gives an answer in the form of two color scales with numerical labels: a scale of differentiated choice between isolated decompression and decompression supplemented with posterior fusion; scales for a differentiated choice between laminectomy supplemented with medial facetectomy and bilateral decompression of the spinal canal from a unilateral approach. Using the developed software package, surgical treatment of 26 patients with lumbar degenerative spondylolisthesis was performed.The Scales virtual complex, based on key general somatic and clinical and radiological parameters of a patient, creates an opportunity for a surgeon to make the most balanced and informed decision on the tactics of surgical treatment of lumbar degenerative spondylolisthesis. A personalized approach, accompanied by artificial intelligence technology, is aimed at reducing the likelihood of tactical errors and long-term complications of surgical interventions. The use of color scales with digital labels makes it possible to simplify the process of preoperative planning and to create conditions for achieving a balance between the decision of the program and the individual opinion of a specialist surgeon. The result of differentiated treatment of a group of patients using a virtual system was a significant and statistically significant ( p < 0.001) improvement in the life quality of operated patients in the long-term period.