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Ošetření degenerativního onemocnění bederní páteře metodou dynamické neutralizace systémem Dynesys
Title in English | Dynamic neutralization using the Dynesys system for treatment of degenerative disc disease of the lumbar spine |
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Authors | |
Year of publication | 2010 |
Type | Article in Periodical |
Magazine / Source | ACTA CHIRURGIAE ORTHOPAEDICAE ET TRAUMATOLOGIAE CECHOSLOVACA |
MU Faculty or unit | |
Citation | |
Field | Traumatology and orthopaedic surgery |
Keywords | degenerative disc disease; lumbar spine; posterior dynamic neutralization; Dynesys system |
Description | In the 2002-2007 period, 102 patients (65 men, average age 54 years) underwent surgery for problems due to degenerative disc disease manifested by pain, neurological findings. There were 64% of cases with disc degeneration and spinal stenosis. Patients were examined bý X-rays, MRI, neurological examination, pain and functional status by visual analog scale (VAS) and Oswestry disability index (ODI). A total 146 lumbar segments were treated, the L4-5 segment in 80 cases, one level in 61, two levels in 38, three levels in 3 cases. The Dynesys - dynamic transpedicular neutralization system was used in all cases and had a good effect on the quality of life. At 36 months of follow-up the average VAS improved from preoperative value 7,3 to 4,7 and ODI from 54,5 to 39,9. |