Vol 25, No 2 (2018)
- Year: 2018
- Articles: 12
- URL: https://journals.eco-vector.com/0869-8678/issue/view/2798
Full Issue
Articles
COMPARISON OF THE USE OF PEDICLE SUBTRACTION OSTEOTOMY (PSO) IN PRIMARY AND REVISION OPERATIONS
Abstract
Purpose of study: to evaluate clinical and roentgenologic results of the use of pedicle subtraction osteotomy (PSO) in primary and revision operations to determine the feasibility of radical spinal sagittal imbalance correction at primary surgical intervention.Patients and methods. Retrospective review of 42 patients (30 men and 12 women, mean age — 58.5 years) with rigid spinal deformities who underwent PSO was performed. Revision interventions (group R) were performed in 23 cases, primary (group P) — in 19 cases. The comparative analysis of spino-pelvic parameters and global spine balance, demographic indices, volume of intraoperative blood loss, duration of surgical intervention, complications in the late postoperative period and quality-of-life indices by SRS-22 and ODI scores was performed. Results. Minimum follow up period was 12 months. Osteotomy was more often performed at L3 level. No differences in the extent of fixation, duration of surgical intervention and degree of segmental correction were detected. The average blood loss was significantly lower in group P (p<0.05). Analysis of the late postoperative period changes in roentgenologic parameters showed statistically significant differences for the lumbar lordosis index as well as inconsistency between the lumbar lordosis and pelvic index that were better in group P. Quality of life increased significantly in both groups with the only statistically significant difference in ODI that was better in group P. Serious complications were observed in 47.8 and 38.6% of cases in group R and group P, respectively (p<0.05). Revision interventions were required in 26.1% of cases in group R and in 15.8% — in group P. Conclusion. In primary surgical interventions use of PSO technique enables to correct global spinal sagittal balance more effectively. Its use in primary interventions ensures lower volume of intraoperative blood loss as well as lower risk of pseudarthrosis formation and neurologic disorders development.



INFLUENCE OF SPINOPELVIC PARAMETERS ON THE DEVELOPMENT OF SACROILIAC JOINT PAIN SYNDROME AND EFFICACY OF ITS TREATMENT
Abstract



3D MODELLING AND PRINTING IN PRIMARY AND REVISION ARTHROPLASTY
Abstract



SURGICAL TREATMENT OF PATELLOFEMORAL ARTHROSIS IN WORKING AGE PATIENTS (PRELIMINARY REPORT)
Abstract



PERIOPERATIVE ANESTHESIA: TO DO OR NOT TO DO?
Abstract



EXPERIMENTAL SUBSTANTIATION OF A NEW METHOD FOR PREPARATION AND PLACEMENT OF QUADRUPLED SEMITENDINOSUS AUTOGRAFT FOR ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION
Abstract



HISTOLOGY OF BONE LESION AND CORRELATION OF CLINICAL, CLINICAL-LABORATORY DATA AND MORPHOLOGIC INDICES IN DESTRUCTIVE FORM OF OSTEOMYELITIS WITH LATENT COURSE (BRODIE’S ABSCESS)
Abstract



EXPERIENCE IN TREATMENT OF DISTAL HUMERAL EPIMETAPHYSEAL INTRA-ARTICULAR FRACTURES USING COMBINED OSTEOSYNTHESIS BY SUBMERSIBLE SCREWS AND EXTERNAL FIXATION HINGE DISTRACTION SYSTEM
Abstract



TOTAL HIP ARTHROPLASTY IN PATIENTS WITH INCREASED BODY MASS INDEX AND OBESITY
Abstract



TANTALUM BASED IMPLANTS: EXPERIMENTAL AND CLINICAL ASPECTS OF APPLICATION
Abstract



DEDICATED TO THE MEMORY OF PROFESSOR NIKOLAY M. VOLKOVICH (1858 – 1928) (IN COMMEMORATION OF 160TH ANNIVERSARY OF BIRTH AND 90TH ANNIVERSARY OF DEATH OF AN EMINENT SCIENTIST)
Abstract
The main milestones of the life and scientific activity of Professor N.M. Volkovich well-known for his researches in abdominal surgery, traumatology, orthopaedics, otorhinolaryngology, urology, gynecology and neurosurgery are presented. The little known facts of his life are described. Particular mention was made to the contribution of N.M. Volkovich to traumatology.





