ВЗАИМОСВЯЗЬ КЛИНИКО-НЕЙРОВИЗУАЛИЗАЦИОННЫХ ПАРАМЕТРОВ ФАСЕТОЧНЫХ СУСТАВОВ ПОЯСНИЧНОГО ОТДЕЛА ПОЗВОНОЧНИКА С РЕЗУЛЬТАТАМИ РИГИДНЫХ И ДИНАМИЧЕСКИХ ДЕКОМПРЕССИВНО-СТАБИЛИЗИРУЮЩИХ ВМЕШАТЕЛЬСТВ

Objective: The purpose of the study was to analyze the relationship of long-term clinical results with the preoperative clinical and instrumental parameters of the facet joints in the treatment of patients with degenerative diseases of the lumbar spine. Methods: The retrospective study included 171 patients who were treated at the Neurosurgery Center of the Road Clinical Hospital at st. Irkutsk-Passenger and which in the period from January 2014 to January 2017. A comprehensive preoperative clinical and neurological examination was performed with neuroimaging verification of changes in the facet joints of the lumbar spine. Taking into account the surgery performed, the patients are divided into three groups: I (n=58) – using an artificial disc prosthesis; II (n=52) – with the use of interbody fusion, combined transpedicular and transfacet stabilization; III (n=61) – using interbody spinal fusion and bilateral transpedicular stabilization. A correlation analysis of long-term clinical outcomes (level of pain syndrome in VAS, functional status in ODI, satisfaction with the result of surgical treatment on the Macnab scale) and pre-operative neuroimaging parameters of the facet joints (degree of degenerative changes in Fujiwara, facet angle, presence of tropism). Conclusion: As a result, a direct correlation was found between the clinical symptoms of the pathology of the facet joints and the degree of their structural and functional changes. It has also been established that the use of individual parameters of the facet joints in preoperative planning determines the possible surgical tactics. [ABSTRACT FROM AUTHOR]