Patient History

The patient complained of severe lumbar pain radiating to the right leg down to the foot and to the left buttock. When standing, the body was tilted to the right due to scoliosis. Pelvic misalignment was noted.

Independent mobility and maintaining a standing position were impossible. The patient had no strength or sensation in the right leg down to the foot. Sensation on the outer surface of the left thigh was also absent. A condition bordering on disability, for which classical orthopedics recommends multi-level stabilization surgery.

Diagnosis

  • Right-sided scoliosis — lumbar spine deformity with body tilt
  • Ventral spondylolisthesis L4 — L4 displacement relative to L5 by 6 mm
  • Central-lateral herniation L5/S1 — 14 mm — large herniation with nerve structure compression
  • Protrusion and spinal canal stenosis L4/L5 — caused by spondylolisthesis
  • Bilateral neuroforaminal stenosis — bilateral root compression
  • Right lower extremity paraparesis — neurological deficit with loss of strength and sensation

Surgical Report — MIBRAR® Method

Microinvasive procedure performed at the MIBRAR clinic (Munich) under Prof. Dr. med. Arsen Babayan. Outpatient, under local anesthesia.

  • Spinal canal catheterization using a rigid epidural catheter
  • Transforaminal peridural catheterization on the right at L4/L5, L5/S1 levels — root decompression
  • Peridural catheterization L3/L4 bilaterally — canal widening
  • Intra-articular catheterization at L3/L4, L4/L5, L5/S1 levels bilaterally — facet joint treatment
  • Right-sided intradiscal catheterization L4/L5, L5/S1 with CGF concentrate — disc regeneration stimulation
  • Anterior and posterior longitudinal ligament catheterization at L4/L5 level — spinal segment stabilization

MRI Scans Before and 1 Year After MIBRAR®

Left — MRI one week before surgery. Right — follow-up scans one year after MIBRAR®. Disc regeneration, scoliosis resolution, and anatomical vertebral position restoration are visualized.

Lumbar MRI: scoliosis, spondylolisthesis L4, L5/S1 herniation 14 mm — before and 1 year after MIBRAR®
Sagittal MRI (first plane): Left — right-sided scoliosis, L4 ventral displacement, L5/S1 herniation, canal stenosis. Right — after 1 year: disc regeneration, compression resolution, sagittal balance restoration.
Lumbar MRI: second sagittal slice — L4/L5, L5/S1 stenosis before and after MIBRAR®
Sagittal MRI (second plane): Left — L4/L5 canal stenosis, neuroforaminal stenosis, disc degeneration. Right — canals free, disc height restored, nerve structures decompressed.

Treatment Results

Immediately after
Significant improvement. The patient was able to walk and stand without crutches — for the first time in a long period.
After 2 weeks
Complete disappearance of all symptoms — pain, paraparesis, sensory disturbance. Strength and sensation in both legs restored.
After 6 weeks
The patient resumed active sports exercises without limitations.
After 1 year
Follow-up MRI confirmed disc regeneration, stenosis resolution, and restoration of spinal anatomical alignment.
Long-term
Symptoms did not recur. The patient leads an active lifestyle. Multi-level spinal stabilization was not required.

Other Clinical Cases

Lumbar spine
Disc Degeneration + Spondylolisthesis L4
Female, 47 years. Full reconstruction of L4/L5, L5/S1 segments.
Lumbar spine
Lumbar Stenosis After Nucleotomy
Female, 43 years. L4/L5 and L5/S1 disc reconstruction in 18 months.
Cervical spine
Stenosis C4–C6 + C5/C6 Herniation 5.8 mm
Female, 38 years. Herniation no longer detectable after MIBRAR®.
Knee joint
Grade IV Arthrosis + Osteonecrosis
Male, 49 years. Regeneration after failed arthroplasty.

Do you have a similar situation?

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