MINIMALLY INVASIVE SURGERYFOR TREATMENT OF DISCOGENIC PAIN SYNDROME IN PATIENTS WITH LUMBAR DEGENERATIVE DISEASE
https://doi.org/10.14531/ss2010.3.48-51
Abstract
Objective. To study immediate results of the treatment of discogenic reflex and compression pain syndromes from an angle of differential application of minimally invasive technologies.
Material and Methods. Complex examination of 160 patients with degenerative disease of the lumbar spine and pain syndromes was performed. Examination included plain and functional spondylography, positive myelography, CT, and MRI. Eighty-three patients underwent minimally invasive interventions: disc puncture (by radiofrequency, laser, and cold plasma techniques) was applied in 52 patients, and open endoscopic excision of disc hernia — in 31.
Results. Favorable outcomes after puncture treatment were achieved in 42 (80.8 %) patients. Disc puncture application resulted in 10‑fold reduction of hospital stay. Out of 31 patients who underwent Destandau discectomy 29 (93.6 %) patients had favorable results. Standard conservative treatment was effective only in 32 (68.0 %) patients from the control group.
Conclusion. Differentiated use of minimally invasive techniques and careful selection of patients for these operations allowed achieving favorable results in most patients.
About the Authors
Viktor Nikolayevich Ivanchenko
Saratov Military Medical Institute
Russian Federation
Russian Federation
Mikhail Sergeyevich Gromov
Saratov Military Medical Institute
Russian Federation
Russian Federation
Vyacheslav Grigoryevich Ninel
Saratov Research Institute of Traumatology and Orthopaedics
Russian Federation
Russian Federation
Igor Alekseyevich Norkin
Saratov Research Institute of Traumatology and Orthopaedics
Russian Federation
Russian Federation
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Review
For citations:
Ivanchenko V.N., Gromov M.S., Ninel V.G., Norkin I.A. MINIMALLY INVASIVE SURGERYFOR TREATMENT OF DISCOGENIC PAIN SYNDROME IN PATIENTS WITH LUMBAR DEGENERATIVE DISEASE. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2010;(3):048-051. (In Russ.) https://doi.org/10.14531/ss2010.3.48-51
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