Publications by authors named "Egor G Chmutin"
Introduction: Epidural spinal cord stimulation is a minimally invasive procedure with a growing list of indications. It has a good safety profile and analgesic effect, reduces the severity of spasticity, and activates various brain regions. The purpose of this study is to evaluate the clinical outcome of epidural spinal cord stimulation in patients with spastic syndrome and chronic disorders of consciousness resulting from severe traumatic brain injury (sTBI).
View Article and Find Full Text PDFAdvancing insights into recurrent lumbar disc herniation: A comparative analysis of surgical approaches and a new classification.
J Craniovertebr Junction Spine
March 2024
Article Synopsis
- The study compares outcomes of three surgical techniques for recurrent lumbar disc herniation (rLDH): repeat microdiscectomy (MD), discectomy with fusion (MD + TLIF), and endoscopic discectomy (TFED).
- A classification system for rLDH is outlined based on patient characteristics such as facet resection and segmental instability, with TFED showing the lowest recurrence rates and best overall outcomes.
- The findings suggest that in young patients without segmental instability, TFED is the preferred option due to its effectiveness and safety profile.
Background: For recurrent lumbar disc herniation, many experts suggest a repeat discectomy without stabilization due to its minimal tissue manipulation, lower blood loss, shorter hospital stay, and lower cost, recent research on the role of instability in disc herniation has made fusion techniques popular among spinal surgeons. The authors compare the postoperative outcomes of posterior lumbar interbody fusion (PLIF) and repeat discectomy for same-level recurrent disc herniation.
Methods: The patients included had previously undergone discectomy and presented with a same-level recurrent lumbar disc herniation.