Efficacy of decompression combined with transpedicular screw fixation in mixed lumbar stenosis. Case report

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Abstract

Degenerative stenosis is a common pathology of the lumbar spine, however, there is currently no consensus on the clinical significance of neuroimaging findings and management tactics for such patients. In this regard, the issues of diagnosis and treatment have been causing discussions among doctors of both therapeutic and surgical profiles for many years. The article presents an observation of a 65-year-old patient with mixed lumbar stenosis, in whom surgical intervention in the form of decompression and transpedicular screw fixation led to a complete regression of pain, motor disorders and a significant improvement in functional condition. The issues of diagnosis, conservative and surgical treatment of mixed lumbar stenosis are discussed.

About the authors

Maksim I. Gaydash

Sechenov First Moscow State Medical University (Sechenov University)

Author for correspondence.
Email: gaydash_maksim@mail.ru
ORCID iD: 0009-0002-7400-2570

neurologist

Russian Federation, Moscow

Changsu Lee

Sechenov First Moscow State Medical University (Sechenov University)

Email: gaydash_maksim@mail.ru
ORCID iD: 0009-0002-2095-5923

Graduate Student

Russian Federation, Moscow

Mikhail G. Bashlachev

Sechenov First Moscow State Medical University (Sechenov University)

Email: gaydash_maksim@mail.ru
ORCID iD: 0000-0002-0442-4770

neurosurgeon

Russian Federation, Moscow

Mikhail G. Zonov

Sechenov First Moscow State Medical University (Sechenov University)

Email: gaydash_maksim@mail.ru
ORCID iD: 0000-0002-1833-790X

neurosurgeon

Russian Federation, Moscow

Hayder N. Akif

Sechenov First Moscow State Medical University (Sechenov University)

Email: gaydash_maksim@mail.ru
ORCID iD: 0009-0009-1885-688X

neurosurgeon-oncologist

Russian Federation, Moscow

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Supplementary files

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2. Fig. 1. Axial projection at the level of the intervertebral disc LIII–LIV, narrowing of the central spinal canal; narrowing of the lateral pockets, more on the left.

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3. Fig. 2. Sagittal projection, transpedicular screw fixation LII–LIII–LIV.

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4. Fig. 3. Axial projection at the level of the LIII vertebra, laminectomy and transpedicular screw fixation.

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