СРАВНИТЕЛЬНЫЙ АНАЛИЗ РЕЗУЛЬТАТОВ ХИРУРГИЧЕСКОГО ЛЕЧЕНИЯ PLIF И TLIF МЕТОДОВ ПРИ СПИНАЛЬНОЙ НЕСТАБИЛЬНОСТИ В ПОЯСНИЧНО-КРЕСТЦОВОМ ОТДЕЛЕ ПОЗВОНОЧНИКА.

Purpose of the study. To retrospectively analyze the results of surgical treatment of patients with spinal instability in the lumbosacral spine, operated on the basis of the Department of Spinal Neurosurgery, Pathology of the Peripheral Nervous System of JSC “National Centre for Neurosurgery” for the period from 2010 to 2021. Materials and methods. A retrospective analysis of the anamnesis and observation data of 3051 patients with spinal instability in the lumbosacral spine, operated on by the proposed method of surgical treatment, was carried out. In the period from 2010 to 2021, on the basis of the Department of Spinal Neurosurgery of JSC “NCN”, 3051 patients with various degenerative-dystrophic diseases of the lumbar spine were operated on, of which 1678 patients were operated on using the PLIF method (721 men and 957 women, mean age 53.4 ± 4, 1 year) and 1373 patients - TLIF using minimally invasive technologies (MIS) followed by percutaneous transpedicular fixation. Of these, 536 men and 837 women, the average age was 49.7 ± 3.8 years. Results and discussions. After surgery, all patients showed a significant decrease in the intensity of the pain syndrome. When comparing the parameters, patients operated on according to the TLIF method noted better results than PLIF: from 6.7±1.9 to 1.4±1.1 (p<0.001) at discharge, up to 1.1±0.8 at discharge. long-term period after surgery (p<0.001) and from 6.8±1.7 to 2.1±1.4 (p<0.001) at discharge, to 1.3±1.0 in the long-term period after surgery (p< 0.001) respectively. The study of the quality of life of patients in terms of the ODI index also revealed a positive trend in both groups, but with better results in the TLIF group: in the postoperative period from 55.2±6.9% to 19.6±4.1% at discharge and 15. 7±1.3% in the long-term postoperative period (p<0.001) than PLIF: from 54.7±6.8% to 26.7±4.4% at discharge and 17.6±1.4% in the long-term postoperative period (p<0.001). Conclusion. Thus, according to the literature sources and our own observations, we can conclude that the results of surgical treatment according to the TLIF method using MIS show better results compared to PLIF. [ABSTRACT FROM AUTHOR]