Historial del paciente

The patient complained of severe lumbar pain irradiando a la pierna derecha hasta el pie y a la nalga izquierda. De pie, el cuerpo estaba inclinado a la derecha por la escoliosis. Se observó desalineación pélvica.

Independent mobility and maintaining a standing position were impossible. El paciente no tenía fuerza ni sensibilidad en la pierna derecha hasta el pie. La sensibilidad en la superficie externa del muslo izquierdo también estaba ausente. A condition bordering on disability, for which classical orthopedics recommends multi-level stabilization surgery.

Diagnóstico

  • 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

Informe quirúrgico — Método MIBRAR®

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®

Izquierda — RM una semana antes de la cirugía. Derecha — control un año después de MIBRAR®. Se visualiza regeneración discal, resolución de escoliosis y restauración anatómica de la posición vertebral.

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.

Resultados del tratamiento

Inmediatamente después
Significant improvement. El paciente pudo caminar y estar de pie sin muletas — por primera vez en mucho tiempo.
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
RM de control confirmed disc regeneration, stenosis resolution, and restoration of spinal anatomical alignment.
A largo plazo
Symptoms did not recur. The patient leads an active lifestyle. Multi-level spinal stabilization was not required.

Otros casos clínicos

Columna lumbar
Disc Degeneration + Spondylolisthesis L4
Female, 47 years. Full reconstruction of L4/L5, L5/S1 segments.
Columna lumbar
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®.
Articulación de rodilla
Grade IV Arthrosis + Osteonecrosis
Male, 49 years. Regeneration after failed arthroplasty.

¿Tiene una situación similar?

Envíe sus resonancias magnéticas — el Prof. Babayan evaluará personalmente la posibilidad del tratamiento MIBRAR® en su caso. La consulta es gratuita.

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+49 160 5736643