Facet syndrome. Minimally invasive surgical treatment. Clinical case with a literature review

Abstract

The problem of the pathology of the facet joints of the lumbar spine remains significant and is medical and social due to persistent pain syndrome, high incidence of morbidity and frequent disability outcomes. The complex anatomical and topographic relationships of the facet joints, intervertebral discs and radicular nerves force clinicians to pay attention to the pathology of facet syndrome. A pair of facet joints and an intervertebral disc constitute a functional unit - a "three-component complex" and are interconnected with each other. The article examines the anatomical and morphological features and radiological classifications of degenerative changes in the facet joints, which are currently used in clinical practice. Facet joint pathologies are the most common nosological form of degenerative-dystrophic process (spondyloarthrosis) and a potential source of pain with the formation of instability of the spinal motion segment and the formation of chronic pain syndrome. The features of facet syndrome diagnostics are presented on a clinical example of surgical treatment by means of laser dereception of facet joints.

Laser and radio frequency technologists in the treatment of degenerative polysegmental pathologies of the spine in elderly people

“…Развитие медицины и увеличение продолжительности жизни населения закономерно привело к росту выявляемости дегенеративно-дистрофических заболеваний позвоночника [1,2,3]. Стенотические изменения позвоночного канала и фораминальных отверстий с компрессией невральных образований вследствие остеодистрофических трансформаций позвоночника встречаются у 85-90 % лиц преклонного возраста [4,5,6].…”

“…Коморбидная патология и возрастные изменения органов и систем не только увеличивают риски осложнений, но и в 16-18 % случаев обуславливают неудовлетворительные результаты хирургического лечения дегенеративной патологии позвоночника [5,6].…”