Minimally Invasive Surgeryfor Treatment of Discogenic Pain Syndrome in Patients with Lumbar Degenerative Disease

Ivanchenko, V I; Громов, М. С.; Нинель, В. Г.; Норкин, И. А.

doi:10.14531/ss2010.3.48-51

Cited by 3 publications

(1 citation statement)

References 3 publications

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“…Предлагается много раз-новидностей операций, отмечается большое стремление к экономным доступам, ранней активизации боль-ных [3,9,13]. Складывается ощущение, что некоторые авторы видят всю про-блему в наличии какого-то выпячи-вания диска, который компримиру-ет спинно-мозговые корешки, и, если его устранить, то через пару недель человек может возвратиться к преж-ней жизни без всяких ограничений.…”

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Some Aspects of Low Back Pain Syndrome Pathogenesis and Treatment

Jalilov¹,

Chelabiyev²,

Jalilov³

2015

Hir. pozvonoč.

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Objective. To analyze main causes of low back pain using data of clinical neurological and instrumental examinations and results of conservative and surgical treatment of patients. Material and Methods. A total of 405 patients with acute low back pain were examined and treated. Changes in vertebral bone mineral density indicating osteopenia and osteoporosis were revealed in 247 of them. Most patients had bulging disc detected during MRI and CT examinations. Conservative orthopedic treatment was performed in 340, and surgical in 65 patients. Results. Long-term results were evaluated in 35 patients in the surgical treatment group. Complete elimination of pain was registered in 30 of them, while five patients continued to suffer from pain in the trunk and extremities due to osteopenia and osteoporosis. They were treated with alendronates, bisphosphonates, calcium-based drugs, and vitamin D, and showed pain elimination. In the group of surgical treatment, the complete eradication of spinal instability symptoms was reported already the next day after surgery. Pain in extremities disappeared in all patients, though four patients were troubled by hypesthesia of some areas of foot skin, which regressed over time in two, and persisted in the other two patients. Conclusion. The disc prolapse should not justify making a hasty decision on surgical treatment. In the overwhelming majority of cases, conservative orthopedic treatment has a positive effect. The basis of such treatment must be orthopedic immobilization and unloading of the spine, as well as measures for the normalization of bone mineral density. Surgical treatment should be undertaken only after failure of orthopedic treatment and followed by further measures to normalize mineral density of bone structures. Key Words: multietiological lumbar pain, abnormalities of the lumbosacral spine, osteopenia, osteoporosis, orthopedic treatment, surgical treatment.Please cite this paper as: Jalilov YR,Chelabiyev EM, Jalilov TY. Some aspects of low back pain syndrome pathogenesis and treatment. Hir.

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Some Aspects of Low Back Pain Syndrome Pathogenesis and Treatment

Jalilov¹,

Chelabiyev²,

Jalilov³

2015

Hir. pozvonoč.

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Translational methods for the treatment of chronic back pain

Gorodnina

Ivanenko

2022

Transl. med. (Print)

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Background. Up to 83 % of the working population has a high level of social adaptation disorder due to the pain in the lumbosacral spine. The development of translational approaches in the treatment of degenerative diseases of the spine is becoming increasingly important. The key methods in the differentiated approach to the treatment are laser vaporization of the intervertebral disc and radiofrequency denervation of the facet joints in the case when the pain syndrome is facet-like.Objective. To evaluate the effectiveness of a differentiated approach in the use of minimally invasive surgical methods in patients with discogenic and vertebrogenic pain syndrome based on an analysis of the immediate results of treatment.Design and methods. A retrospective analysis of examination and treatment data of 101 patients with degenerative-dystrophic diseases of the lumbar spine, accompanied by pain, was carried out. In 29 (28.7 %) patients, laser vaporization of the intervertebral disc was performed; in 72 (71.3 %) cases, radiofrequency denervation of the facet joints of the lumbosacral spine was used.Results. Positive outcomes after laser vaporization were observed in 27 patients. A positive result was noted in 67 patients after radiofrequency destruction of the sinuvertebral nerve.Conclusions. Differentiated use of minimally invasive puncture methods for the treatment of osteochondrosis of the spine and adequate selection of patients for these procedures often lead to the positive result.

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Puncture Surgical Technologies in the Treatment of Facet Syndrome for Spondylarthrosis in the Lumbar Spine (Literature Review)

Потапов

Кошкарева

Животенко

et al. 2020

Acta biomedica scientifica

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Боль в позвоночнике является одним из наиболее распространённых патологических состояний и стоит на втором месте по значимости причин выхода пациентов на инвалидность и потери трудоспособности во всём мире. Болевой синдром оказывает большое влияние на функциональные возможности позвоночника и профессиональную деятельность человека, что несёт в себе серьёзную социальную и экономическую проблему. Основными причинами боли в области позвоночника являются патология межпозвонковых дисков и дугоотростчатых суставов, динамическая нестабильность позвоночно-двигательного сегмента, спондилёз, стеноз позвоночного канала и дурального мешка с компрессией сосудисто-невральных структур, спондилолистез, остеопоротические компрессионные переломы позвонков, инфекционные заболевания позвоночника и т. д. В связи с выше озвученным, особый интерес у клиницистов вызывает патология дугоотростчатых суставов (спондилоартроз), его диагностика, целенаправленное этиопатогенетическое лечение с использованием пункционных хирургических технологий в лечении фасет-синдрома. В настоящей работе представлены результаты и особенности пункционных хирургических технологий в лечении фасет-синдрома при дегенеративно-дистрофических поражениях дугоотростчатых суставов поясничного отдела позвоночника. В основу взят анализ 55 источников отечественных и зарубежных авторов. В статье приводятся данные по анатомо-топографическим особенностям дугоотростчатых суставов, их биомеханике, иннервации и их функции. Рассмотрены этиопатогенетические особенности болевого синдрома при дегенерации фасеточных суставов. Проанализированы эффективность применения методик использования радиочастотной и лазерной денервации дугоотростчатых суставов в лечении фасет-синдрома. В материалах статьи описаны методики применения хемодерецепции, криодеструкции и внутрисуставного введения препаратов гиалуроновой кислоты.

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Minimally Invasive Surgeryfor Treatment of Discogenic Pain Syndrome in Patients with Lumbar Degenerative Disease

Cited by 3 publications

References 3 publications

Some Aspects of Low Back Pain Syndrome Pathogenesis and Treatment

Some Aspects of Low Back Pain Syndrome Pathogenesis and Treatment

Translational methods for the treatment of chronic back pain

Puncture Surgical Technologies in the Treatment of Facet Syndrome for Spondylarthrosis in the Lumbar Spine (Literature Review)

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