CLINICAL CASE OF SURGICAL TREATMENT OF A PATIENT WITH AN ADJACENT SEGMENT OF THE LUMBAR SPINE AFTER SPONDILODESIS

Ryabets Vladimirovna Marina Vladimirovna, Zakharov Dmitry Valerievich, Ivanenko Andrey Valentinovich

Pathology of the adjacent segment is a common cause of relapse of pain after spinal fusion. Purpose: to evaluate on a clinical case of the success of repeated surgical intervention in the correction of pathology of the adjacent segment after a history of spinal fusion. Materials and methods: the patient's medical history was collected and an MRI analysis of the lumbosacral spine was performed. Next, a diagnosis was made and surgical treatment was proposed. Results: the patient underwent surgical treatment including hemilaminotomy L2/L3, microsurgical removal of a disc herniation at the L2/L3 level, decompression of the lateral sinus, radiculolysis of the L3 root. As a result, pain in the right lower limb and tension symptoms regressed. There were no complications noted in the early postoperative period. Conclusion: A clinical example illustrates that treatment of pathology of the adjacent segment as the cause of relapse of pain after spinal fusion is possible through repeated surgery. Repeated intervention should be considered as a potentially successful method of pain regression and may be an alternative to preventive measures, if none were performed during spinal fusion, or as an option for pain correction after them. The latter include the use of a dynamic fixation system at the operated level and strengthening of the adjacent segment.

Keywords:pathology of the adjacent segment, spinal fusion, complication, relapse of pain, re-intervention