EXPERIENCE IN SURGICAL TREATMENTOF THE VERTEBRAL COMPONENT HIP-SPINE SYNDROME
The article presents the experience of surgical treatment of patients with degenerative-dystrophic lesions of the lumbosacral spine and the presence of a vertebral component in hip-spine syndrome. The main method of surgical treatment in patients with spinal canal stenosis was decompression-stabilizing surgical intervention by transforaminal lumbar interbody fusion or posterior lumbar interbody fusion. This method can be supplemented with transpedicular osteosynthesis and the installation of an interbody cage, which is filled with architectural material from a pressed titanium mesh. Treatment of patients with a vertebral component in hip-spine syndrome is also possible using a combined technique, which involves hip arthroplasty, and in the presence of severe persistent pain vertebrogenic syndrome - performing an epidural blockade using multimodal analgesia. The effectiveness of the use of surgical methods and a combined technique, taking into account the tactical choice of treatment and an individual approach to each patient, both in the early and long-term periods, is confirmed by the dynamics of changes in the indicators of the visual analogue scale and the Oswestry disability index with a subsequent improvement in the quality of life of patients.