Minimally invasive methods of treating patients with the syndrome of the adjacent level
Abstract
The effectiveness of the use of puncture laser decompression of the intervertebral discs and radiofrequency dereception of the facet joints was analyzed in 102 patients with the “adjacent level” syndrome (ASP) for the period from 2017 to 2021, operated on in the neurosurgical department of the Institute of Chemistry and Surgery. There were 48 men and 54 women. The average age of the patients was 50.1±1.0 years. The time interval from the moment of exacerbation to surgical treatment was 4.9±0.9 months. During clinical and neurological examination, lumbalgia was diagnosed in 12 patients (11.8 %); lumbar ischialgia — in 78 (76.4 %) and radiculopathy — in 12 patients (11.8 %). Protrusions and median herniations of the intervertebral discs were found in 86 patients (84.3 %) among the reasons for the development of the “adjacent level” lesion syndrome; spondylarthrosis with clinical manifestations — in 16 patients (15.7 %). The main localization of the pathological process was segments LIII–LIV — in 42 (41.2 %) and LIV–LV — in 39 patients (38.2 %), respectively.
Evaluation of the effectiveness of surgical treatment was carried out on the basis of an analysis of clinical and instrumental diagnostic data using a visual analog pain scale and the MacNab questionnaire.
About the Authors
A. V. Gorbunov
Irkutsk Scientific Centre of Surgery and Traumatology
Russian Federation
Russian Federation
Irkutsk
V. E. Potapov
Irkutsk Scientific Centre of Surgery and Traumatology
Russian Federation
Russian Federation
Irkutsk
V. A. Sorokovikov
Irkutsk Scientific Centre of Surgery and Traumatology
Russian Federation
Russian Federation
Irkutsk
S. N. Larionov
Irkutsk Scientific Centre of Surgery and Traumatology
Russian Federation
Russian Federation
Irkutsk
A. P. Zhivotenko
Irkutsk Scientific Centre of Surgery and Traumatology
Russian Federation
Russian Federation
Irkutsk
S. V. Ochkal
Irkutsk Scientific Centre of Surgery and Traumatology
Russian Federation
Russian Federation
Irkutsk
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Review
For citations:
Gorbunov A.V., Potapov V.E., Sorokovikov V.A., Larionov S.N., Zhivotenko A.P., Ochkal S.V. Minimally invasive methods of treating patients with the syndrome of the adjacent level. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2022;14(1-2):38-41. (In Russ.)
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