Assessment of outcomes after surgical treatment of an isolated facet-syndrome in the cervical spine using facet joint laser denervation
V. A. Byvaltsev,
A. A. Kalinin,
M. A. Aliyev,
A. K. Okoneshnikova,
V. V. Shepelev,
B. R. Yusupov,
B. M. Aglakov https://doi.org/10.37895/2071-8004-2020-24-1-26-33
Abstract
Chronic pain in the cervical spine is one of the relevant problems of modern vertebrology. This is due to the polyetiological formation of clinical symptoms and to the variety of surgical techniques, which are often used without taking into account the leading pathomorphological substrate of clinical symptoms. Purpose: To analyze clinical results of surgical treatment of an isolated facet-syndrome of the cervical spine using laser denervation of facet joints (FJ).Material and methods. The study included 234 patients aged in average 58 (53; 67). After provocative tests, an isolated facet-syndrome was diagnosed in them. FJ laser denervation was performed in 2013–2016. A visual analogue pain scale (VAS), neck disability index (NDI), Macnab subjective satisfaction scale and complications were used for analyzing treatment efficacy. The follow-up dynamic observation lasted for 36 months, in average, after the surgery. Results. It has been found out that the technique of laser denervation of cervical FJ is highly effective for treating patients with an isolated facet-syndrome caused by FJ degenerative diseases. Clinical efficacy is supported by a persistent positive dynamics in terms of pain syndrome and functional status at early and late postoperative periods with low risks of perioperative complications.
About the Authors
V. A. Byvaltsev
Irkutsk state medical University; Clinical hospital of Russian Railways Medicine
Russian Federation
Russian Federation
Bivaltzev Vadim – MD, Dr. Sc. (med), professor at the chair of orthopedics, traumatology and neurosurgery; head of Neurosurgery Center at the railway station hospital Irkutsk-Passazhirsky
Irkutsk
A. A. Kalinin
Irkutsk state medical University; Clinical hospital of Russian Railways Medicine
Russian Federation
Russian Federation
Kalinin Andrey – MD, Cand. Sc. (med), chair of orthopedics, traumatology and neurosurgery; physician at Neurosurgery Center at the railway station hospital Irkutsk-Passazhirsky
Irkutsk
M. A. Aliyev
Irkutsk state medical University
Russian Federation
Russian Federation
Aliev Marat – MD, Cand. Sc. (med), chief of the neurosurgical department at Municipal Clinical Hospital № 7 (Alma-Ata, Kazakhstan); doctoral student at the course of neurosurgery
Irkutsk
A. K. Okoneshnikova
Irkutsk state medical University; Clinical hospital of Russian Railways Medicine
Russian Federation
Russian Federation
Okoneshnikova Alena – MD, post-graduate student at the chair of orthopedics, traumatology and neurosurgery
Irkutsk
V. V. Shepelev
Irkutsk state medical University
Russian Federation
Russian Federation
Shepelev Valery – MD, post-graduate student at the chair of orthopedics, traumatology and neurosurgery
Irkutsk
B. R. Yusupov
Irkutsk state medical University
Russian Federation
Russian Federation
Yusupov Bobur – MD, post-graduate student at the chair of orthopedics, traumatology and neurosurgery
Irkutsk
B. M. Aglakov
Irkutsk state medical University
Russian Federation
Russian Federation
Aglakov Bakhit – MD, postgraduate student at the chair of orthopedics, traumatology and neurosurgery
Irkutsk
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Review
For citations:
Byvaltsev V.A., Kalinin A.A., Aliyev M.A., Okoneshnikova A.K., Shepelev V.V., Yusupov B.R., Aglakov B.M. Assessment of outcomes after surgical treatment of an isolated facet-syndrome in the cervical spine using facet joint laser denervation. Laser Medicine. 2020;24(1):26-33. (In Russ.) https://doi.org/10.37895/2071-8004-2020-24-1-26-33
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