title: [Tactics of surgical treatment of degenerative-dystrophic lesions of the lumbosacral spine in case of HIP-SPINE-syndrome].
abstract: The objective of this study is definition of surgical treatment tactics of multilevel degenerative-dystrophic lesions of the lumbosacral spine in case of HIP-SPINE-syndrome. It was presented the experience of surgical treatment of multilevel degenerative-dystrophic lesions of the lumbosacral spine in 52 patients aged from 48 to 81 years. Lumbar stenosis prevailed in 38 (73.1%) cases. There was degenerative spondylolisthesis in 9 (17.3%) cases, and degenerative scoliosis was detected in 5 (9.6%) patients. Different types of decompressive-stabilizing interventions according to direction of compression and the presence of degenerative instability were performed in all patients. Evaluation of surgical treatment was done by using of visual analog scale and questionnaire Oswestry Disability Index. It was revealed significant improvement of life quality by reducing of pain and increasing of daily activity. Maximal time of observation was 36 months.
authors.forename: G M
authors.initials: GM
authors.lastname: Kavalerskiĭ
authors.forename: A L
authors.initials: AL
authors.lastname: Korkunov
authors.forename: A V
authors.initials: AV
authors.lastname: Lychagin
authors.forename: A P
authors.initials: AP
authors.lastname: Sereda
authors.forename: V G
authors.initials: VG
authors.lastname: Cherepanov
mesh_terms: D000368:Aged; D019299:Decompression, Surgical / Q000009:adverse effects / Q000379:methods; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control / Q000523:psychology; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip; D010147:Pain Measurement; D011183:Postoperative Complications / Q000175:diagnosis / Q000517:prevention & control / Q000523:psychology; D011788:Quality of Life; D011859:Radiography; D012447:Sacrum / Q000000981:diagnostic imaging / Q000601:surgery; D012720:Severity of Illness Index; D013122:Spinal Diseases / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D013123:Spinal Fusion / Q000009:adverse effects / Q000379:methods; D013168:Spondylolisthesis / Q000209:etiology / Q000601:surgery*; D013577:Syndrome; D016896:Treatment Outcome