V Piontkovskyi
Rivne Regional Clinical Hospital, Ukraine
Scientific Tracks Abstracts: J Neurol Neurophysiol
A retrospective analysis of 150 clinical cases of surgical treatment of lumbar herniated discs in patients who underwent endoscopic transforaminal microdiscectomy has been performed. There 68 male (45.3%) and 82 female (54.7%) patients in the age range of 16 to 87. 102 patients (68%) were operated at level L4-L5, 37 (24.7%) patients on level L5-S1, 3 (2%) patients on level L3-L4, 5 (3.3%) on two levels L4-L5 and L5-S1. Only 1 patient (0.7%) was operated on level L1-L2 and 2 (1.3%) patients on level L2-L3. Before the surgical intervention all patients were clinically examined and diagnosed with neurological deficit in the form of radiculopathy of different severity which was manifested by sensation disorders in the relevant dermatomes and motor skills disorders in the relevant group of muscles. All patients underwent pre-operative diagnostic MRI, functional X-rays. A contraindication to transforaminal microdiscectomy is a high standing of the iliac crests, severe instability and significant migration of sequester-in these cases and microdiscectomy was performed in a traditional way. The results were assessed immediately in 3 and 6 months after surgery according to the Oswestry Disability Index. Immediately after the surgery, the average disability index according to Oswestry scale amounted to 34.2 in 3 months -21.5 and in 6 months -10.5. Not complete sequester-ectomy-3.3%, reherniation-6.6%, discitis-1.3%, dural sac injury-1.3%.
V Piontkovskyi is the Head of the Department of Orthopedic Surgery of Regional Hospital in the city of Rivne, Ukraine. He has completed PhD in Medicine and his approach to the treatment of spinal disorders is based on the most modern surgical techniques and the application of the best implants. He is the author of 70 publications for domestic and foreign medical journals and the co-author of a reference book Degenerative Spine Disease. His modern, intellectual and passionate approach to spinal surgery and trauma care has created a new page in the history of trauma care both at national and international levels.
E-mail: pion_val@ukr.net
