Simultaneous surgical interventions in spinal surgery: a review of the literature and a clinical case for spondylolisthesis of the lumbar spine

Cover Page
  • Authors: Byvaltsev V.A.1,2,3,4, Kalinin A.A.1,5, Shepelev V.V.1, Badaguyev D.I.1
  • Affiliations:
    1. Federal State Educational Institution of Higher Education Irkutsk State Medical University of the Russian Federation Ministry of Health
    2. Non-state health facility «Road Clinical Hospital, Irkutsk-Passenger station of JSC» Russian Railways»
    3. Federal State Scientific Institution «The Irkutsk Scientific Center of Surgery and Traumatology»
    4. Government budget educational institution of additional vocational training 'Irkutsk State Medical Academy of Postgraduate Education' of Ministry of Health of the Russian Federation
    5. Non-state health facility 'Road Clinical Hospital, Irkutsk-Passenger station of JSC» Russian Railways'
  • Issue: Vol 26, No 1 (2019)
  • Pages: 49-57
  • Section: From Practical Experience
  • URL: https://journals.rcsi.science/0869-8678/article/view/47213
  • DOI: https://doi.org/10.17116/vto201901149
  • ID: 47213

Cite item

Full Text

Abstract

The article presents the first clinical case of surgical treatment of a patient with spondylolysis spondylolisthesis using a combination of minimally invasive surgical techniques and simultaneous operation. This intervention has significantly reduced the level of vertebral pain syndrome, improve the functional status in the postoperative period, effectively eliminate pathological mobility, provide early activation, to carry out a full rehabilitation in the shortest possible time and can be an operation of choice in patients with lumbar spondylolysis spondylolisthesis.

About the authors

V. A. Byvaltsev

Federal State Educational Institution of Higher Education Irkutsk State Medical University of the Russian Federation Ministry of Health; Non-state health facility «Road Clinical Hospital, Irkutsk-Passenger station of JSC» Russian Railways»; Federal State Scientific Institution «The Irkutsk Scientific Center of Surgery and Traumatology»; Government budget educational institution of additional vocational training 'Irkutsk State Medical Academy of Postgraduate Education' of Ministry of Health of the Russian Federation

Email: byval75vadim@yandex.ru

Doctor of Medical Sciences, Professor, Head of the Department of Neurosurgery and Innovative Medicine, Chief Neurosurgeon, Head of the Scientific and Clinical Department of Neurosurgery, Professor of the Department of Traumatology, Orthopedics and Neurosurgery

Russian Federation, Irkutsk; Irkutsk; Irkutsk; Irkutsk

A. A. Kalinin

Federal State Educational Institution of Higher Education Irkutsk State Medical University of the Russian Federation Ministry of Health; Non-state health facility 'Road Clinical Hospital, Irkutsk-Passenger station of JSC» Russian Railways'

Email: andrei_doc_v@mail.ru

PhD, associate Professor of neurosurgery and innovative medicine, neurosurgeon of the neurosurgery center

Russian Federation, Irkutsk; Irkutsk

V. V. Shepelev

Federal State Educational Institution of Higher Education Irkutsk State Medical University of the Russian Federation Ministry of Health

Email: shepelev.dok@mail.ru

PhD, doctoral candidate of the Department of neurosurgery and innovative medicine

Russian Federation, Irkutsk

D. I. Badaguyev

Federal State Educational Institution of Higher Education Irkutsk State Medical University of the Russian Federation Ministry of Health

Author for correspondence.
Email: badaguyka206@gmail.com

clinical resident of the Department of neurosurgery and medical innovation

Russian Federation, Irkutsk

References

  1. Бывальцев В.А., Калинин А.А. Использование минимально инвазивных методик ригидной стабилизации поясничного отдела позвоночника у работников ОАО «РЖД». Медицина труда и промышленная экология. 2018;1:39-43. [Byvaltsev V.A., Kalinin А.А. The use of minimally invasive methods of rigid stabilization of the lumbar spine among the employees of Russian Railways. Medicina truda i promyshlennaja jekologija. 2018;1:39-43. (In Russ.)].
  2. Бывальцев B.A., Калинин A.A., Белых Е.Г. Оптимизация результатов лечения пациентов с сегментарной нестабильностью поясничного отдела позвоночника при использовании малоинвазивной методики спондилодеза. Вопросы нейрохирургии им. Н.Н. Бурденко. 2015;3:45-54. [Byvaltsev V.A., Kalinin А.А., Belykh E.G. Optimization of the results of treatment of patients with lumbar spinal segment instability using the minimally invasive method of spinal fusion.Voprosy nejrohirurgii im. N.N. Burdenko. 2015;3:45-54. (In Russ.)]. https: //doi.org/10.17116/neiro201579345-54.
  3. Butt M.F., Dhar S.A., Hakeem I., Farooq M., Halwai M.A., Mir M.R., et al. In situ instrumented posterolateral fusion without decompression in symptomatic low-grade isthmic spondylolisthesis in adults. Int Orthop (SICOT). 2008;32:663-9. https://doi.org/10.1007/s00264-007-0367-0.
  4. Farah K., Grailion T., Rakotozanany P., Pesenti S., Blondel B., Fuentes S. Circumferential minimally invasive approach for low-grade isthmic spondylolisthesis: A clinical and radiological study of 43 patients. Orthop Traumatol Surg Res. 2018; pii: S1877-0568( 18)30056-2. https://doi.org/10.1016/j. otsr.2018.02.004.
  5. Labelle H., Mac-Thiong J.M., Roussouly P. Spino-pelvic sagittal balance of spondylolisthesis: a review and classification. Eur Spine J. 2011;20(Suppl 5):641. https://doi. org/10.1007/s00586-011-1932-1.
  6. Tamburrelli F.C., Meluzio M.C., Burrofato A., Perna A., Proietti L. Minimally invasive surgery procedure in isthmic spondylolisthesis. Eur Spine J. 2018. https://doi. org/10.1007/s00586-018-5627-8.
  7. Kalichman L., Kim D.H., Li L., Guermazi A., Berkin V., Hunter D.J. Spondylolysis and spondylolisthesis: prevalence and association with low back pain in the adult community-based population. Spine. 2009;34(2): 199-205. https: //doi.org/10.109 7/BRS.0b013е31818edcfd.
  8. O’Brien M.F. Low-grade isthmic lytic spondylolisthesis in adults. Instr Course Lect. 2003;52:511-4.
  9. Hashem S., Abdelbar A., Ibrahim H., Alaa-Eldin Habib M., Abdel-Monem A., Hamdy H. Review of device and operator related complications of transpedicular screw fixation for the thoracic and lumbar regions. Egypt J Neurol Psychiat Neurosurg. 2012;49:393-8.
  10. Barone G., Scaramuzzo L., Zagra A., Giudici F., Perna A., Proietti L. Adult spinal deformity: effectiveness of interbody lordotic cages to restore disc angle and spino-pelvic parameters through completely mini-invasive trans-psoas and hybrid approach. Eur Spine J. 2017;26(Suppl 4):457-3. https://doi.org/10.1007/s00586-017-5136-l.
  11. Mobbs R.J., Phan K., Malham G., Seex K., Rao P.J. Lumbar interbody fusion: techniques, indications and comparison of interbody fusion options including PLIF, TLIF, MI-TLIF, OLIF/ATP, LLIF and ALIF. J Spine Surg. 2015;1(1):2-18. https://doi.org/10.3978/j.issn.2414-469X.2015.10.05.
  12. Бывальцев В.А., Калинин А.А., Оконешникова А.К., Керимбаев Т.Т., Белых Е.Г. Фасеточная фиксация в комбинации с межтеловым спондилодезом: сравнительный анализ и клинический опыт нового способа хирургического лечения пациентов с дегенеративными заболеваниями поясничного отдела позвоночника. Вестник Российской академии медицинских наук. 2016;71(5):375-
  13. [Byvaltsev V.A., Kalinin А.А., Okoneshnikova А.К., Kerimbaev Т.Т., Belykh E.G. Facet fixation in combination with interbody spinal fusion: a comparative analysis and clinical experience of a new method of surgical treatment of patients with degenerative diseases of the lumbar spine. Vestnik Rossijskoj akademii medicinskih nauk. 2016;7l(5):375-3. (In Russ.)]. https://doi.org/10.15690/ vramn738.
  14. Kalanithi P.S., Patil C.G., Boakye M. National complication rates and disposition after posterior lumbar fusion for acquired spondylolisthesis. Spine. 2009;34( 18): 1963-9. https://doi.org/10.1097/BRS.0b013e3181ae2243.
  15. Adogwa O., Parker S.L., Bydon A., Cheng J., McGirt M.J. Comparative effectiveness of minimally invasive versus open transforaminal lumbar interbody fusion: 2-year assessment of narcotic use, return to work, disability, and quality of life. J Spinal Disord Tech. 2011;24(8):479-84. https://doi.org/10.1097/BSD.0b013e3182055cac.
  16. Rodriguez-Vela J., Lobo-Escolar A., Joven E., Munoz- Marin J., Herrera A., Velilla J. Clinical outcomes of minimally invasive versus open approach for one-level transforaminal lumbar interbody fusion at the 3- to 4-year follow-up. Eur Spine J. 2013;22(12):2857-63. https://doi. org/10.1007/s00586-013-2853-y.
  17. Lee K.H., Yeo W., Soeharno H., Yue W.M. Learning curve of a complex surgical technique: Minimally invasive transforaminal interbody fusion. Eur Spine J.2012;21(7):S284-S5. https://doi.org/10.1097/BSD.0000000000000089.
  18. Schizas C., Tzinieris N., Tsiridis E., Kosmopoulos V. Minimally invasive versus open transforaminal lumbar interbody fusion: Evaluating initial experience. Int Orthop. 2009;33(6): 1683-8. https://doi.org/10.1007/s00264-008- 0687-8.
  19. Hey H.W., Hee H.T. Open and minimally invasive transforaminal lumbar interbody fusion: Comparison of intermediate results and complications. Asian Spine J. 2015;9(2): 185-93. https://doi.org/10.4184/asj.2015.9.2.185.
  20. Parker S.L., Mendenhall S.K., Shau D.N., Zuckerman S.L., Godil S.S., Cheng J.S., et al. Minimally invasive versus open transforaminal lumbar interbody fusion for degenerative spondylolisthesis: comparative effectiveness and cost-utility analysis. World Neurosurg. 2014;82(l-2):230-8. https: //doi.org/10.1016/j.wneu.2013.01.041.
  21. Kim C.W., Lee Y.P., Taylor W., Oygar A., Kim W.K. Use of navigation-assisted fluoroscopy to decrease radiation exposure during minimally invasive spine surgery. Spine J. 2008;8(4): 584-90. https://doi.org/10.1016/j. spinee.2006.12.012.
  22. Tian N.F., Wu Y-S., Zhang X.L., Xu H.Z., Chi Y.L., Mao F.M. Minimally invasive versus open transforaminal lumbar interbody fusion: A meta-analysis based on the current evidence. Eur Spine J. 2013;22(8):1741-9. https://doi. org/10.1007/s00586-013-2747-z.
  23. Goldstein C.L., Macwan K., Sundararajan K., Rampersaud Y.R. Perioperative outcomes and adverse events of minimally invasive versus open posterior lumbar fusion: Metaanalysis and systematic review. J Neurosurg Spine. 2016;24(3):416-27. https://doi. org/10.3171/2015.2.SPINE14973.
  24. Sclafani J.A., Kim C.W. Complications associated with the initial learning curve of minimally invasive spine surgery: A systematic review. Clin Orthop Relat Res. 2014;472(6):1711-7. https://doi.org/10.1007/sll999-014- 3495-z.
  25. Drazin D., Kim T.T., Johnson J.P. Simultaneous lateral interbody fusion and posterior percutaneous instrumentation: early experience and technical considerations. Biomed Res Int. 2015;2015:458284. https://doi. org/10.1155/2015/458284.
  26. Hikata T., Kamata M., Furukawa M. Risk factors for adjacent segment disease after posterior lumbar interbody fusion and efficacy of simultaneous decompression surgery for symptomatic adjacent segment disease. J Spinal Disord Tech. 2014;27(2):70-5. https://doi.org/10.1097/ BSD.0b013e31824e5292.
  27. Eskander M.S., Aubin M.E., Drew J.M., Eskander J.P., Balsis S.M., Eck J., et al. Is there a difference between simultaneous or staged decompressions for combined cervical and lumbar stenosis? J Spinal Disord Tech. 2011;24(6):409-13. https://doi.org/10.1097/BSD.0b013e318201bf94.
  28. Schaffer J.C., Raudenbush B.L., Molinari C., Molinari R.W. Symptomatic Triple-Region Spinal Stenosis Treated with Simultaneous Surgery: Case Report and Review of the Literature. Global Spine J. 2015;5(6):513-21. https://doi. org/10.1055/s-0035-1566226.
  29. Bhagat S., Durst A.Z., Rai A.S. Simultaneous anterior vertebral column resection-distraction and posterior rod contouring for restoration of sagittal balance: report of a technique. J Spine Surg. 2016;2(3):210-5. https://doi. org/10.21037/jss.2016.08.07.
  30. Wang Q., Xiu P., Zhong D., Wang G., Wang S. Simultaneous posterior and anterior approaches with posterior vertebral wall preserved for rigid post-traumatic kyphosis in thoracolumbar spine. Spine. 2012;37(17):E1085-E91. https:// doi.org/10.1097/BRS.0b013e318255e353.
  31. Xia Q., Xu B.S., Zhang J.D., Miao J., Li J.G., Zhang X.L., et al. Simultaneous combined anterior and posterior surgery for severe thoracolumbar fracture dislocations. Orthop Surg. 2009; 1 (1): 28-33. https://doi.org/lO.llll/j.1757- 7861.2008.00006.x.
  32. Erturer E., Tezer M., Aydogan M., Mirzanli C., Ozturk I. The results of simultaneous posterior-anterior-posterior surgery in multilevel tuberculosis spondylitis associated with severe kyphosis. Eur Spine J. 2010; 19(12):2209-15. https://doi.org/10.1007/s00586-010-1481-z.
  33. Lo H.K., Chiang T.I., Chang O.H., Chang I.C. Posterior instrumentation and simultaneous intertransverse approach using transforaminal cage fusion for thoracic pseudoarthrosis in ankylosing spondylitis: a case report. J Neurol Surg A Cent Eur Neurosurg. 2013;74(Suppl l):e207-el0. https://doi.org/10.1055/s-0033-1345094.
  34. Wu M.H., Dubey N.K., Lee C.Y., Li Y.Y., Cheng C.C., Shi C.S. et al. Application of Intraoperative CT-Guided Navigation in Simultaneous Minimally Invasive Anterior and Posterior Surgery for Infectious Spondylitis. Biomed Res Int. 2017;2017:2302395. https://doi.org/10.1155/2017/2302395.
  35. Poussa M., Remes V., Lamberg T., Tervahartiala P., Schlenzka D., Yrjönen T., et al. Treatment of severe spondylolisthesis in adolescence with reduction or fusion in situ: long-term clinical, radiologic, and functional outcome. Spine. 2006;31(5):583-92. https://doi.org/10.1097/01. brs.0000201401.17944.f7.
  36. Cecchinato R., Berjano P., Bassani R., Sinigaglia A., Lamartina C. How do interbody devices affect sagittal plane alignment. J Neurosurg Sci. 2014;58:87-90.
  37. Бывальцев B.A., Калинин A.A., Белых Е.Г., Голобородько В.Ю., Борисов В.Э. Анализ эффективности локального применения бупивакаина с эпинефрином при выполнении многоуровневых декомпрессивно-стабилизирующих вмешательств на пояснично-крестцовом отделе позвоночника. Анестезиология и реаниматология. 2018;63(1):21-6. [Byvaltsev V.A., Kalinin A.A., Belyh E.G., Goloborodko V.Ju., Borisov V.Je. Analysis of the effectiveness of local application of bupivacaine with epinephrine when performing multilevel decompressive-stabilizing interventions on the lumbosacral spine. Anesteziologija i reanimatologija. 2018;63( 1 ):21-6. (In Russ.)].
  38. Oppenheimer J.H., DeCastro L, McDonnell D.E. Minimally invasive spine technology and minimally invasive spine surgery: a historical review. Neurosurg Focus. 2009;27(3):E9. https://doi.org/10.3171/2009.7.FOCUS09121.
  39. Зайцев A.M., Алексеев Б.Я., Куржупов М.И., Самарин А.Е., Кирсанова О.Н., Калпинский А.С., и др. Симультанные операции у больных раком почки с одновременным опухолевым поражением головного мозга. Вопросы нейрохирургии. 2014;3:44-8. [Zajcev А.М., Alekseev B.Ja., Kurzhupov M.I., Samarin A.E., Kirsanova O.N., Kalpinskij A.S. i dr. Simultaneous surgery in patients with kidney cancer with simultaneous tumor lesion of the brain. Voprosy nejrohirurgii. 2014;3:44-8. (In Russ.)].
  40. Дронова В.Л., Дронов А.И., Крючина E.A., Теслюк Р.С., Луценко Е.В., Насташенко М.И. Симультанные операции при сочетанных хирургических и гинекологических заболеваниях. Украинский журнал хирургии. 2013;21 (2): 143- 51. [Dronova V.L., Dronov A.I., Krjuchina Е.А., Tesljuk R.S., Lucenko E.V., Nastashenko M.I. Simultaneous operations for combined surgical and gynecological diseases. Ukrainskij zhurnal hirurgii. 2013;21 (2): 143-51. (In Russ.)].
  41. Ганцев Ш.Х., Саткеева А.Ж. Симультанные оперативные вмешательства при сочетанных заболеваниях органов брюшной полости и малого таза. Молодой ученый. 2016;21:81-4. [Gancev Sh.H., Satkeeva A.Zh. Simultaneous surgery for combined diseases of the abdominal cavity and small pelvis. Molodoj uchenyj. 2016;21:81-4. (In Russ.)].
  42. Борота А.В., Кухто А.П., Борота A.A., Базиян-Кухmo H.K. Симультанные оперативные вмешательства у пациентов по поводу заболеваний толстой кишки. Клиническая хирургия. 2015;1:61-4. [Borota A.V., Kuhto А.Р., Borota А.А., Bazijan-Kuhto N.K. Simultaneous surgical intervention in patients for diseases of the colon. Klinicheskaja hirurgija. 2015;1:61-4. (In Russ.)].
  43. Гербали О.Ю., Костырной А.В., Петров А.В. Прогностическое значение изменений клеточного иммунитета у пациентов с сахарным диабетом и метаболическим синдромом при проведении симультанных операций. Казанский медицинский журнал. 2014;95(5):650-4. [Ger- bali О.Ju., Kostyrnoj A.V., Petrov A.V. The prognostic value of changes in cellular immunity in patients with diabetes mellitus and metabolic syndrome during simultaneous operations. Kazanskij medicinskij zhurnal. 2014;95(5):650-(In Russ.)].
  44. Othman I., Abdel-Maguid A.F. Combined transurethral prostatectomy and inguinal hernioplasty. Hernia. 2010; 14(2): 149- 53. https://doi.org/10.1007/sl0029-009-0575-l.
  45. Naderi S., Mertol T. Simultaneous cervical and lumbar surgery for combined symptomatic cervical and lumbar spinal stenoses. J Spinal Disord Tech. 2002;15(3):229-31.
  46. Chen Y., Chen DY., Wang X.W., Lu X.H., Yang H.S., Miao J.H. Single-stage combined decompression for patients with tandem ossification in the cervical and thoracic spine. Arch Orthop Trauma Surg. 2012;132(9): 1219-26. https://doi.org/10.1007/s00402-012-1540-5.
  47. Kikuike K., Miyamoto K., Hosoe H., Shimizu K. One-staged combined cervical and lumbar decompression for patients with tandem spinal stenosis on cervical and lumbar spine: analyses of clinical outcomes with minimum 3 years followup. J Spinal Disord Tech. 2009;22(8):593-601. https://doi. org/10.1097/BSD.0b013e3181929cbd
  48. Passias P.G., Ma Y., Chiu Y.L., Mazumdar M., Girardi F.P., Memtsoudis S.G. Comparative safety of simultaneous and staged anterior and posterior spinal surgery. Spine. 2012;37(3):247-55. https://doi.org/10.1097/ BRS.0b013e31821350d0

Supplementary files

Supplementary Files
Action
1. JATS XML
Download
2. Fig. 1. Preoperative MRI of the lumbar spine PAsh the patient is a pathological shift in the segment of LIV-LV with bilateral foraminal stenosis a and T2-Wi, sagittal projection; b — T2-VI axial projection at the level of the interbody interval LIV-LV.

Download (1MB)
Indexing metadata
3. Fig. 2. Spondylography of the lumbar spine of patient S. with functional samples: a —lateral projections, b — direct projection.

Download (2MB)
Indexing metadata
4. Fig. 3. Intraoperative photograph: а — immediate placement of the spokes-conductors using specialized treacart; b — wound, stage discectomy on levelnot LIV-LV; in c — momentary installation transpediculartion screws.

Download (4MB)
Indexing metadata
5. Fig. 4. Postoperative spondylography of lumbar spine of the patient sh: a — lateral projection; b — direct projection.

Download (1MB)
Indexing metadata
6. Fig. 5. Postoperative MRI images of the lumbar spine of the patient Sh.: a — T2-VI, sagittal projection; b —T2-VI axial projection at the level of interbody space LIV-LV.

Download (1MB)
Indexing metadata
7. Fig. 6. Postoperative MSCT picture of the lumbar spine with 3D reconstruction: a — axial projection at the level of the interbody space LIV-LV; b — 3D reconstruction of the lumbar spine.

Download (1MB)
Indexing metadata

Copyright (c) 2019 Eco-Vector



This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies