Anamnesi del paziente

The patient complained of severe lumbar pain irradiante alla gamba destra fino al piede e al gluteo sinistro. In piedi, il corpo era inclinato a destra a causa della scoliosi. È stato notato un disallineamento pelvico.

Independent mobility and maintaining a standing position were impossible. Il paziente non aveva forza né sensibilità nella gamba destra fino al piede. La sensibilità sulla superficie esterna della coscia sinistra era anch'essa assente. A condition bordering on disability, for which classical orthopedics recommends multi-level stabilization surgery.

Diagnosi

  • 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

Rapporto operatorio — Metodo 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®

Sinistra — RMN una settimana prima dell'intervento. Destra — controllo un anno dopo MIBRAR®. Si visualizzano rigenerazione discale, risoluzione della scoliosi e ripristino anatomico della posizione vertebrale.

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.

Risultati del trattamento

Immediatamente dopo
Significant improvement. Il paziente ha potuto camminare e stare in piedi senza stampelle — per la prima volta dopo molto tempo.
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
RMN di controllo confirmed disc regeneration, stenosis resolution, and restoration of spinal anatomical alignment.
A lungo termine
Symptoms did not recur. The patient leads an active lifestyle. Multi-level spinal stabilization was not required.

Altri casi clinici

Colonna lombare
Disc Degeneration + Spondylolisthesis L4
Female, 47 years. Full reconstruction of L4/L5, L5/S1 segments.
Colonna lombare
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®.
Articolazione del ginocchio
Grade IV Arthrosis + Osteonecrosis
Male, 49 years. Regeneration after failed arthroplasty.

Avete una situazione simile?

Inviate le vostre RMN — il Prof. Babayan valuterà personalmente la possibilità del trattamento MIBRAR® nel vostro caso. La consulenza è gratuita.

Inviare RMN
+49 160 5736643