Percutaneous laser microdiscektomy at discogenic radicular syndrome in patients over 50 years
Keywords:discogenic radicular syndrome, percutaneous laser microdiscectomy, degenerative dystrophic processes
Introduction. The discogenic radicular syndrome (DRS) of lumbar spine occupies the first place in the structure of neurological diseases and second place among orthopedic diseases of the adult population in economically developed countries.
Materials and methods. The immediate and long-term outcomes were analyzed in 38 patients aged from 51 to 79 years with DRS of lumbar spine, been treated using method of percutaneous laser microdiscektomy (PLM).
Results. In the early period after operation PLM efficiency was 87%, in a remote period — 80%. Poor results were due to degenerative dystrophic process (DDP) of the spine. According to the analysis found that the older the patient, the more pronounced the PDD in the spine, therefore, the efficacy of treatment was lower, the greater the degree of intervertebral disc (MHD) dehydration, the smaller must be laser load.
Conclusions. These research allow to expand the relative indications for PLM that makes the method more accessible, especially in patients at high risk for standard interventions, it can improve the quality of life of patients with DRS of lumbar spine.
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