Efficiency of methods of surgical treatment of spinal stenosis





spinal canal stenosis, military personnel, pain syndrome.


The aim of the study was to compare the results of surgical treatment of lumbar spinal stenosis in men operated on by different methods. The data of examination and treatment of men (n=21) who underwent surgical intervention for lumbar spinal stenosis were analyzed. The intensity of the pain syndrome was assessed using a visual analog pain scale (VAS, cm), patient satisfaction and quality of life were assessed using the Oswestry low back pain disability questionnaire (ODI). The Oswestry questionnaire (version 2.0) allowed us to determine the level of impairment of patients' quality of life in terms of points and in the form of the Josw disability index.

The data analysis showed that the indicators of pain in the n/limbs and back, as well as the quality of life in the early and long-term postoperative period differed little in group I (endoscopic decompression (UBE/UBLD)) and group II (open decompression). Decompression laminectomy with transpedicular stabilization requires additional surgical interventions for patients to fully recover. Assessment of the results after surgery in terms of quality of life and self-care ability according to the ODI questionnaire showed recovery with minimal disorders (less than 20% according to the ODI) in the first and second groups after one month. Decompressive laminectomy with transpedicular stabilization requires additional rehabilitation measures for patients to fully recover.


GBD 2015 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016, 388 (10053). pp1545–602.

Cohen, S.P., Gallagher, R.M., Davis, S.A., Griffith, S.R., Carragee, E.J. Spine-area pain in military personnel: a review of epidemiology, etiology, diagnosis, and treatment. Spine J. 2012;12(9). pp 833–42.

Hartvigsen, J., Hancock, M.J, Kongsted, A., Louw, Q., Ferreira, M.L., Genevay, S., et al. What low back pain is and why we need to pay attention. Lancet. 2018;391(10137). pp 2356–67.

Marcia, S., Zini, C., Bellini, M. Image-guided percutaneous treatment of lumbar stenosis and disc degeneration: Neuroimaging. Clin N Am, 2019; 29(4). pp 563-80

Murata, K., Akeda, K., Takegami, N., Morphology of intervertebral disc ruptures evaluated by vacuum phenomenon using multi-detector computed tomography: Association with lumbar disc degeneration and canal stenosis: BMC Musculoskelet Disord, 2018; 19(1); pp 164.

Suzuki., A., Nakamura, H. Microendoscopic Lumbar Posterior Decompression Surgery for Lumbar Spinal Stenosis: Literature Review. Medicina 2022, 58, 384 р.

Gijsbert, M., Overdevest, Wilco Jacobs, Carmen Vleggeert-Lankamp, Claudius Thomе, Robert Gunzburg, Wilco Peul. Effectiveness of posterior decompression techniques compared with conventional laminectomy for lumbar stenosis. Cochrane Database Syst Rev. 2015 Mar 11:(3):CD010036.

Shizumasa Murata, Akihito Minamide, Masanari Takami, Hiroshi Iwasaki, Sae Okada, Kento Nonaka, Hiroshi Taneichi, Andrew J Schoenfeld, Andrew K Simpson, Hiroshi Yamada. Microendoscopic decompression for lumbar spinal stenosis caused by facet-joint cysts: a novel technique with a cyst-dyeing protocol and cohort comparison study. J Neurosurg Spine. 2021 Jan 15;34(4). pp 573-579.

Jun Komatsu, Tomoya Muta, Nana Nagura, Masumi Iwabuchi, Hironari Fukuda, Kazuo Kaneko, Osamu Shirado. Tubular surgery with the assistance of endoscopic surgery via a paramedian or midline approach for lumbar spinal canal stenosis at the L4/5 level. J Orthop Surg (Hong Kong). 2018 May-Aug;26(2):2309499018782546.

Tao Shu, Diqiu Wu, Mao Shen. Research progress of different minimally invasive spinal decompression in lumbar spinal stenosis. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2023 Jul 15; 37(7). pp 895-900.

Korge, A., Mehren, C., Ruetten, S. Erratum zu: Minimal-invasive Dekompressionsverfahren der Spinalkanalstenose. Orthopade. 2019 Oct;48(10). pp 824-830. doi: 10.1007/s00132-019-03732-7.

Ibrahim Hussain, Sertac Kirnaz, Gibran Wibawa, Christoph Wipplinger, Roger Härtl. Minimally Invasive Approaches for Surgical Treatment of Lumbar Spondylolisthesis. Neurosurg Clin N Am. 2019 Jul;30(3). pp 305-312.





Human and Animal Physiology

How to Cite

Efficiency of methods of surgical treatment of spinal stenosis. (2024). Notes in Current Biology, 7(1). https://doi.org/10.29038/NCBio.24.1-14