患者病史

The patient complained of severe lumbar pain 放射至右腿直至足部和左臀部。站立时因脊柱侧弯身体向右倾斜。骨盆错位被记录。

Independent mobility and maintaining a standing position were impossible. 患者右腿至足部无力量或感觉。左大腿外侧面的感觉也缺失。 A condition bordering on disability, for which classical orthopedics recommends multi-level stabilization surgery.

诊断

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

手术报告 — MIBRAR®方法

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疗法F 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®

左 — 术前一周MRI。右 — MIBRAR®后一年复查。可见椎间盘再生、脊柱侧弯消除和椎体解剖位置恢复。

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.