Clinical efficacy of laser denervation technique for lumbar spine facet joints in the treatment of patients with isolated facet syndrome
https://doi.org/10.37895/2071-8004-2018-22-4-11-17
Abstract
Acute pain in the lumbar spine is one of the most common reasons for patients to seek medical help. In most cases, pain in the lower back is associated with degenerative diseases of facet joints. The effectiveness of surgical treatment of the symptomatic facet syndrome depends on the correct preoperative planning and the choice of type of surgical intervention. Purpose: To analyze effectiveness of laser denervation technique applied in lumbar spine facet joints for treating patients with the isolated facet syndrome. Material and methods. 419 patients aged 61 ± 15 with verified isolated facet syndrome (with provocative samples) were taken into the study. All of them had laser denervation of facet joints in 2012–2016. To assess clinical efficacy of the technique, visual analog pain scale (VAS), Oswestry questionnaire for patients with spine problems and Macnab satisfaction scale after the performed surgery were used for this. Dynamic evaluation was performed in 36 months, on average, after the surgical intervention. Results. It has been found out that laser denervation of facet joints is an effective minimally invasive technique for treating the isolated facet syndrome caused by degenerative lesions of facet joints in the lumbar spine. In early and late postoperative periods the operated patients have a persistent reduction of pain and improved quality of life with low risks for perioperative complications.
About the Authors
V. A. Byvaltsev
Irkutsk State Medical University;
Road Clinical Hospital at St. Irkutsk-Passenger «JSC Russian Railways»;
Irkutsk State Medical Academy for Postdiploma Education
Russian Federation
Irkutsk
Russian Federation
Irkutsk
A. A. Kalinin
Irkutsk State Medical University;
Road Clinical Hospital at St. Irkutsk-Passenger «JSC Russian Railways»
Russian Federation
Irkutsk
Russian Federation
Irkutsk
A. K. Okoneshnikova
Irkutsk State Medical University;
Road Clinical Hospital at St. Irkutsk-Passenger «JSC Russian Railways»
Russian Federation
Irkutsk
Russian Federation
Irkutsk
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Review
For citations:
Byvaltsev V.A., Kalinin A.A., Okoneshnikova A.K. Clinical efficacy of laser denervation technique for lumbar spine facet joints in the treatment of patients with isolated facet syndrome. Laser Medicine. 2018;22(4):11-17. (In Russ.) https://doi.org/10.37895/2071-8004-2018-22-4-11-17
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