DISC PUNCTURE FOR TREATMENTOF REFLEX PAIN SYNDROMESOF LUMBAR SPINE DEGENERATIVE DISEASE
https://doi.org/10.14531/ss2010.3.52-59
Abstract
Objective. To compare efficacy of coblation and chemical disc denervation in the treatment of patients with pain syndromes of spine degeneration.
Material and Methods. Randomized prospective study was performed to compare treatment results in 58 patients with reflex pain syndromes in the lumbar spine. The study group included 36 patients with reflex pain syndromes of the lumbar spine degenerative disease treated by coblation technique. The control group included 22 patients with similar manifestations of the lumbar degeneration treated by denervation of intervertebral disc with alcohol-novocaine solution. Patients underwent clinical neurological examination, MRI study, and X-ray of the lumbar spine. Pain syndrome was assessed using visual analogue scale. Indication for puncture treatment was a persistent pain syndrome unresponsive to multimodal conservative treatment for 1.5—2 months.
Results. Fifty six patients were discharged the day after surgery. Out of them 37 patients had excellent results, 15 — significant improvement, and 4 — satisfactory results.
Conclusion. Coblation and chemical disc denervation are effective and safe techniques to treat patients with pain syndromes of spinal degenerative disease which allow achievement of clinical results with minimal traumatizing of surrounding tissues.
About the Authors
Aleksandr Vladimirovich Krutko
Novosibirsk Research Institute of Traumatology and Orthopaedics
Russian Federation
Russian Federation
Alizhon Nematovich Kudratov
Novosibirsk Research Institute of Traumatology and Orthopaedics
Russian Federation
Russian Federation
Aleksey Vladimirovich Evsukov
Novosibirsk Research Institute of Traumatology and Orthopaedics
Russian Federation
Russian Federation
References
1. Бондаренко Г.Ю., Луцик А.А., Раткин И.К. Комплексное нейрохирургическое лечение больных с сочетанием рефлекторных и компрессионных синдромов шейного остеохондроза // Хирургия позвоночника. 2004. № 4. С. 34–39.
2. Коган О.Г., Шмидт И.Р., Заславский Е.С. и др. Классификация неврологических проявлений остеохондроза позвоночника и принципы формулирования диагноза. Новокузнецк, 1981. С. 33.
3. Колесов С.В., Курпяков А.П. Использование холодноплазменной нуклеопластики в лечении грыж межпозвонковых дисков // Хирургия позвоночника. 2007. № 3. С. 53–58.
4. Луцик А.А. Компрессионные синдромы остеохондроза шейного отдела позвоночника. Новосибирск, 1997.
5. Попелянский Я.Ю. Ортопедическая неврология (вертеброневрология). М., 2003.
6. Сандлер Б.И., Суляндзига Л.Н., Чудновский В.М. и др. Перспективы лечения дискогенных компрессионных форм пояснично-крестцовых радикулитов с помощью неэндоскопических лазерных операций. Владивосток, 2004.
7. Шаповалов В.М., Надулич К.А., Теремшонок А.В. Избранные лекции по вертебрологии. СПб., 2008.
8. McCulloch J.A., Waddell G. Lateral lumbar discography // Br. J. Radiol. 1978. Vol. 51. P. 498–502.
9. de Seze S., Levernieux J. [Direct injection of the nucleus pulposus by paravertebral route] // Sem. Hop. 1951. Vol. 27. P. 1230–1231. French.
Review
For citations:
Krutko A.V., Kudratov A.N., Evsukov A.V. DISC PUNCTURE FOR TREATMENTOF REFLEX PAIN SYNDROMESOF LUMBAR SPINE DEGENERATIVE DISEASE. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2010;(3):052-059. (In Russ.) https://doi.org/10.14531/ss2010.3.52-59
Email this article 