Abstract

Purpose of study: Is to reveal the peculiarities of surgical treatment of degenerative lumbar Spine diseases using dynamic interspinous U implant «Coflex».Methods used: The material of investigation were 94 patients, who were operative undergoing treatment with the degenerative lumbar spine diseases, such as degenerative stenosis of vertebrae channel accompanied by neurogenic intermittens claudication (35 patients), degenerative spondylolistesis of the 1^st stage (6 patients), disc hernias accompined by radiculopathy or radiculomyelopathy (44 patients), instability of vertebrae-motion segment (9 patients). All patients were treated at the department of spine pathology of Sytenko Institute of Spine and Joint Pathology.Summary of findings: At the present time the implant «Coflex» is widely used. Due to «Coflex» we could provide an adequate treatment at minimal operative approach in patients with protrusions and hernias of vertebrae discs, degenerative stenosis of vertebrae channel, insignificant instability of vertebrae-motion segment and at the 1^st stage of degenerative spondylolistesis. Implant «Coflex» can be placed at one and several vertebrae-motion segments. Also it can be used at L₅-S₁ segment at pronounced processes spinosus of S₁. Relationship between findings and existing knowledge: using of dynamic interspinous U implant «Coflex» at different kinds of degenerative diseases of lumbar spine help us to safe mobility and stability in vertebrae-motion segment, to predict the decreasing of intervertebrae space of operated and adjacent vertebrae-motion segments, and to minimize the appearance of spondyloarthrosis. Overall significance of findings:In order to get good results of surgical treatment we should follow the basic stages of operative technic and to apply this method according directly to indications.