Laser and radio frequency technologists in the treatment of degenerative polysegmental pathologies of the spine in elderly people
https://doi.org/10.37895/2071-8004-2023-27-3-15-20
Abstract
The article discusses outcomes after treating 88 elderly patients with degenerative pathologies of the spine, 42 of whom had previous decompression- stabilizing surgical interventions. Clinical manifestations of the disease were characterized by prolonged pain syndrome, lumboishialgia caused by degenerative-dystrophic changes in the arch-process joints and progressive degeneration of the intervertebral discs. Surgical intervention in 65 patients included puncture laser ablation of the medial branch of the spinal nerve in the facet joint. In 23 patients, ablation of the medial branch of the spinal nerve was performed at two (n = 8) and three (n = 15) levels using four-channel radio frequency generator COSMAN G4.
Excellent and good results after surgery were found in 58 (65.9%) patients. The researchers assessed intermediate results within 3 years in 55 patients, and 37 (42.01%) of them had a stable positive state. Minimally invasive laser and radiofrequency technologies in the treatment of degenerative polysegmental pathologies of the spine in elderly and old people is justifi ed, and it is an important component of their rehabilitation
About the Authors
A. V. Gorbunov
Irkutsk Scientifi c Centre of Surgery and Traumatology
Russian Federation
Russian Federation
Gorbunov Anatoly – neurosurgeon in the Neurosurgical Department, researcher at
the Research and Clinical Department of Neurosurgery
Irkutsk
V. E. Potapov
Irkutsk Scientifi c Centre of Surgery and Traumatology
Russian Federation
Russian Federation
Potapov Vitaliy – Cand. Sci. (Med.), head of the Neurosurgical Department, leading researcher at the Research and Clinical Department of Neurosurgery
Irkutsk
V. A. Sorokovikov
Irkutsk Scientifi c Centre of Surgery and Traumatology; Irkutsk State Medical Academy of Postgraduate Education – Branch Campus of the Russian Medical Academy of Continuing Professional Education
Russian Federation
Russian Federation
Sorokovikov Vladimir – Dr. Sci. (Med.), professor, acting director, head of the Department of Trauma. Orthopedics and Neurosurgery i
Irkutsk
A. P. Zhivotenko
Irkutsk Scientifi c Centre of Surgery and Traumatology
Russian Federation
Russian Federation
Zhivotenko Aleksander – Dr. Sci. (Med.), junior researcher at the Research and Clinical Department of Neurosurgery
Irkutsk
S. N. Larionov
Irkutsk Scientifi c Centre of Surgery and Traumatology
Russian Federation
Russian Federation
Larionov Sergey – Dr. Sci. (Med.), leading researcher at the Research and Clinical Department of Neurosurgery
Irkutsk
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Review
For citations:
Gorbunov A.V., Potapov V.E., Sorokovikov V.A., Zhivotenko A.P., Larionov S.N. Laser and radio frequency technologists in the treatment of degenerative polysegmental pathologies of the spine in elderly people. Laser Medicine. 2023;27(3):15-20. (In Russ.) https://doi.org/10.37895/2071-8004-2023-27-3-15-20
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