THE EXPERIENCE OF DENERVATION OF FACET JOINTS IN THE LUMBAR SPINE

Q3 Medicine

Hirurgia Pozvonochnika Pub Date : 2019-03-16 DOI:10.14531/ss2019.1.57-62

М. В. Шпагин, Антон Викторович Яриков, И. А. Назмеев, С А Горелов, А. П. Фраерман

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引用次数: 5

Abstract

Objective.To analyze the immediate and long-term results of denervation of facet joints for facet syndrome in the lumbar spine.Material and Methods.The immediate and long-term results of the treatment of 59 patients with severe pain in the lumbar spine who underwent facet joints denervation were studied.Results.On a MacNab scale, 39 (66.1 %) patients rated the treatment results as good, and 20 (33.9 %) as mediocre. According to the Nurick scale, the 2nd level results of treatment (improvement) were recorded in 55 (93.2 %) cases, the 3rd level ones (unaltered) – in 4 (6.8 %). The follow-up data were collected on 37 (62.7 %) patients from 1.7 months up to 1.5 years after surgery: 13 (35.2 %) of them rated the long-term treatment results as good, 8 (21.6 %) – as mediocre, and 16 (43.2 %) – as bad.Conclusions.Denervation of facet joints is an effective minimally invasive method for treating facet syndrome caused by spondyloarthrosis. It allows significantly reducing pain and improving the quality of life of patients in the early and long-term postoperative period.

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腰椎小关节去神经支配的经验

目的：分析小关节去神经支配治疗腰椎小关节综合征的近期和远期疗效。材料和方法：研究59例接受小关节去神经支配的腰椎重度疼痛患者的近期和长期治疗结果。结果：在MacNab量表上，39名（66.1%）患者将治疗结果评为良好，20名（33.9%）患者评为中等。根据Nurick量表，55例（93.2%）记录了二级治疗结果（改善），4例（6.8%）记录了三级治疗结果。从术后1.7个月到1.5年，收集了37名（62.7%）患者的随访数据：其中13名（35.2%）患者的长期治疗结果为良好，8名（21.6%）患者为中等，16名（43.2%）患者的远期治疗结果为不良。结论：小关节去神经支配是治疗脊柱关节病引起的小关节综合征的一种有效的微创方法。它可以在术后早期和长期显著减轻疼痛，提高患者的生活质量。

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来源期刊

Hirurgia Pozvonochnika Medicine-Anesthesiology and Pain Medicine

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

7 weeks