MINIMALLY INVASIVE METHODS OF TREATMENT OF DISCOGENIC PAIN AND FACET SYNDROME IN LUMBAR SPINE: LITERATURE REVIEW AND OWN CLINICAL RESULTS
https://doi.org/10.17238/issn2223-2427.2019.2.45-54
Abstract
Pain in the lumbar spine is the most common among people of working age. All open surgery, including endoscopic, to eliminate a disc-radicle conflict, associated with a large number of complications. This increasingly encourages doctors to use conservative and minimally invasive techniques. This article presents modern methods of treatment of facet syndrome: chemical denervation, radiofrequency ablation, intraarticular injection of drugs into the cavity in the intervertebral joints. Further research work revealed modern methods of treatment of elimination of a disc-radicle conflict: chemical denervation of the disc, chemonucleolysis, mechanical decompression, intradiscal used electrothermal therapy, laser nucleotomy, hydrodiscectomy, nucleoplasty, laser disc reconstruction. The pathogenetic substantiation of the above methods is considered, the positive and negative sides of each of them are revealed. Presented their own clinical results the Results showed a 70-80% efficiency in the next observation period without serious complications.
About the Authors
A. V. Yarikov
FBUZ "Privolzhsky district medical center" FMBA of Russia; GBUZ NO "City clinical hospital No. 39"
Russian Federation
Russian Federation
Yarikov Anton Viktorovich – PhDs
603001, Nizhny Novgorod, Nizhne-Volzhskaya embankment, 2
603028, Nizhny Novgorod, Moscow highway, 144
A. A. Denisov
FSBI " RNIITO them. R. R. vredena " Ministry of health of the Russian Federation
Russian Federation
Russian Federation
Denisov Anton Andreevich – traumatologist-orthopedist
195427, St. Petersburg, Academician Baykov street, 8
S. V. Mashinin
FSBI " RNIITO them. R. R. vredena " Ministry of health of the Russian Federation
Russian Federation
Russian Federation
Mashinin Sergey Vladimirovich – PhDs in Medicine, traumatologist-orthopedist
195427, St. Petersburg, Academician Baykov street, 8
O. A. Perlmutter
GBUZ NO "City clinical hospital No. 39"
Russian Federation
Russian Federation
Perlmutter Olga Alexandrovna – professor, MD. Honored doctor of the Russian Federation. Neurosurgeon
603028, Nizhny Novgorod, Moscow highway, 144
A. P. Fraerman
GBUZ NO "City clinical hospital No. 39"
Russian Federation
Russian Federation
Fraerman Alexander Petrovich – professor, MD. Honored worker of science of the Russian Federation. Neurosurgeon
603028, Nizhny Novgorod, Moscow highway, 144
A. A. Boyarshino
GBUZ NO "City clinical hospital No. 39"
Russian Federation
Russian Federation
Boyarshino Alexey Andreevich – Neurosurgeon
603028, Nizhny Novgorod, Moscow highway, 144
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Review
For citations:
Yarikov A.V., Denisov A.A., Mashinin S.V., Perlmutter O.A., Fraerman A.P., Boyarshino A.A. MINIMALLY INVASIVE METHODS OF TREATMENT OF DISCOGENIC PAIN AND FACET SYNDROME IN LUMBAR SPINE: LITERATURE REVIEW AND OWN CLINICAL RESULTS. Surgical practice (Russia). 2019;(2):45-54. (In Russ.) https://doi.org/10.17238/issn2223-2427.2019.2.45-54
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