When foraminalnom stenoze "middle zone" removing koreshkovoy compression is gemilaminektomiey at this level, combined with lower rezektsiey the joint summer. In this form of combination with other options PS sometimes requires total fasetektomiya and laminektomiya. The compression of the counterfoil of his exit mezhpozvonkovogo holes can be performed resection of the joint top summer, removing osteofitov. The latter form as an isolated version of PS rare, so decompression often involves fasetektomii [70]. Operation to stem forms stenozov in modern literature are combined with "neyroforaminalnaya decompression" with particular characteristics derived from data neyrovizualizatsii and intraoperatsionnymi revelations [37]. When combined with PS mezhpozvonkovogo disc hernia, which occurs in about 6% of patients adequate decompression is the removal of even small dark disc [17, 23, 67]. So far, there have been no definite opinion on the testimony of the additional fixation of the spine (spondilodez, artrodez, etc.) with respect to the PS. Some authors recommend a fix, in many cases, to prevent the development of PS listeza and instability [19, 43, 47]. Most publications in recent years, testimony to commit increasingly limited [18, 23, 25, 40, 41, 78, 95]. Creating additional constructions pozvonochnom canapé increases the risk of complications and of itself can create a secondary iatrogenic stenoses [4, 18]. Instability after operations at the PS is rare, about 1% laminektomy is fomenting sublyuksatsii fasetochnyh joints, but the risk sublyuksatsii higher for younger patients, those engaged in heavy physical work
Wed May 02, 2007 5:12 pm