Puncture surgical technology in treatment of discogenic pain syndrome of the lumbar spine
Keywords:disc protrusion, laser puncture microdiscectomy, long-term intralaminar epidural pharmacotherapy
Purpose. To assess immediate and long-term outcomes of pain syndromes treatment in patients with protrusion of intervertebral discs of the lumbar spine, using differentiated techniques of puncture laser microdiscectomy (PLM) and long-term intralaminar epidural pharmacotherapy (IEP).
Materials and methods. A retrospective dynamic study of 125 patients with lumbar spine osteochondrosis, complicated by intervertebral disc protrusion, was conducted. The efficiency of pain syndromes treatment was assessed by pain syndrome intensity in the lumbar spine (PSILS) and the lower limb (PSILL) in the early (up to 3 months), intermediate (up to 6 months) and remote (after 12 months) postoperative period.
Results. The analysis of results of different methods of treatment indixated that method of long-term IEP provided fast effect: 3 months later PSILS was (2.8±0.1) points, PSILL — (3.2±0,1) points, Oswestry index — (29.0±0.6)%, but over time it decreased: 12 months later PSILS was (3.4±0.1) points, PSILL — (3.7±0.1) points, Oswestry index — (33.3±0)%. PLM provided less pronounced analgesic effect in the immediate period after surgery: 3 months later PSILS was (4.3±0.1) points, PSILL — (3.9±0.1) points, Oswestry index — (42.7±0.7)%, but over time it increased: 12 months later PSILS was (2.5±0.1) points, PSILL — (2.6±0.2) points, Oswestry index — (30.8±1.2)%.
Conclusions. The use of modern puncture surgical techniques is highly effective in treatment of pain syndromes of spinal osteochondrosis with intervertebral disc protrusion of lumbar spine.
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Copyright (c) 2013 Mykhaylo Khyzhnyak, Eugenе Priymak
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