Results of the application of the method of laser vaporization with intraoperative monitoring of laser radiation power in the treatment of degenerative-dystrophic diseases of the lumbar spine
https://doi.org/10.56618/2071-2693_2023_15_3_26
Abstract
OBJECTIVE. To evaluate the results of using an optimized method of laser vaporization in the treatment of patients with degenerative-dystrophic lesions of the lumbar intervertebral discs.
MATERIALS AND METHODS. The data of 48 patients with degenerative-dystrophic diseases of the lumbar spine were analyzed. The patients were divided into two groups, where in the first group, patients underwent laser vaporization with intraoperative monitoring of laser radiation power with correction of parameters if necessary, and in the second group, laser vaporization of a herniated disc at standard laser radiation power without simultaneous power control.
RESULTS. Analysis of the results of the applied optimized method showed its advantage against the background of constant monitoring and adjustment of power indicators during the operation, which clinically manifested itself in the form of a persistent regression of pain in the postoperative period (the level of pain at discharge, as well as 3 and 12 months after surgery, significantly lower in patients of the first group) and improve the functional status of patients.
CONCLUSION. The use of an optimized minimally invasive method of laser vaporization improves the results of treatment of patients with degenerative-dystrophic diseases of the intervertebral discs of the lumbar spine.
About the Authors
A. V. Gorodnina
«Polenov Neurosurgical Institute — Branch of Almazove National Medical Research Centre»
Russian Federation
Russian Federation
Gorodnina Angelina Viktorovna
Saint-Petersburg, Russia
A. V. Ivanenko
«Polenov Neurosurgical Institute — Branch of Almazove National Medical Research Centre»
Russian Federation
Russian Federation
Ivanenko Andrey Valentinovich
Saint-Petersburg, Russia
A. Yu. Orlov
«Polenov Neurosurgical Institute — Branch of Almazove National Medical Research Centre»
Russian Federation
Russian Federation
Orlov Andrey Yur’evich
Saint-Petersburg, Russia
References
1. Gaidar B. V. Practical neurosurgery. Hippocrates, editor. Saint Petersburg 2002. 533–539
2. M. V. Shpagin, A. V. Yarikov, I. A. Nazmeev, S. A. Gorelov, A. P. Fraerman The experience of denervation of facet joints in the lumbar spine. Hir. Pozvonoc. 2019;16(1):57–62. (In Russ.) https://doi.org/10.14531/ss2019.1.57–62
3. Gorbunov A. V., Koshkareva Z. V., Zhivzenko A. P., Potapov V. E., Sklyarenko O. V., Damdinov B. B., Glotov S. D. The Effectiveness of Laser Vaporization in the Treatment of Intervertebral Hernias of the Lumbar Spine. Acta Biomedica Scientifica 2020;5(2):43–48 (In Russ.) https://doi.org/10.29413/ABS.2020–5.2.7
4. Gorodnina A. V., Meredzhi A. M., Ivanenko A. V., Orlov A. Yu., Nazarov A. S., Abramov K. B., Samochernykh K. A. Minimally invasive neurosurgery of lumbar disc herniations. Russian Neurosurgical Journal im. Professor A. L. Polenova. 2020; 12(3): 5–11 (In Russ.) EDN: VWBFPF
5. Meredzhi A. M., Orlov A. Y u., Nazarov A. S., Belyakov Yu.V., Lalayan T. V., Singaevskiy S. B. Percutaneous endoscopic transforaminal and interlaminar lumbar discectomy for cranially migrated disc hernia. Hir. Pozvonoc. (Spine Surgery). 2020;17(3):81–90. (In Russ.) https://doi.org/10.14531/ss2020.3.81–90
6. Shutov M. V., Khovryakov A. V., Belyaev A. N. Morphological changes in the intervertebral disc during laser vaporization in the experiment. Modern problems of science and education 2011 (5): 39–44. (In Russ.)]
7. Kurenkov E. L ., Makarova V. V. Normal anatomy of the human intervertebral disc. Journal of Anatomy and Histopathology 2017–6(3): 117–128. (In Russ.) https://doi.org/10.18499/2225‑7357‑2017‑6‑3‑117‑128
8. Chudnovsky V. M., Ivanenko A. V., Yusupov V. I., Shchedrenok V. V., Sebelev K. I., Moguchaya O. V. Analysis of acoustic-hydrodynamic phenomena of laser puncture treatment of degenerative diseases of the intervertebral discs Russian Neurosurgical Journal im. Professor A. L. Polenova. 2011–3(2)-52 (In Russ.) https://doi.org/ 10.1088/1742–6596/1359/1/012048
9. Steven P Cohen, Tina L Doshi, Octav C Constantinescu, Zirong Zhao, Connie Kurihara, Thomas M L arkin, Scott R Griffith, Michael B Jacobs, William J Kroski, Timothy C D awson, Ian M Fowler, Ronald L White, Aubrey J Verdun, David E Jamison, Mirinda Anderson-White, Stephanie E Shank, Paul F Pasquina. Effectiveness of Lumbar Facet Joint Blocks and Predictive Value before Radiofrequency Denervation: The Facet Treatment Study (FACTS), a Randomized, Controlled Clinical Trial. Anesthesiology 2018Sep;129(3):517–535. https://doi.org/10.1097/AL N.0000000000002274.
10. Choy, D. S. Percutaneous laser disc decompression. D. S. Choy. — New York, USA, 2003.— 239 c. https://doi.org/10.1089/clm.1998.16.325.
11. Choy, D. S. Percutaneous laser nucleolysis of lumbar disc. D. S. Choy, R. B. Case, W. Fielding. New Engl. J. M ed.— 1987. — Vol. 317. — P. 771–772. https://doi.org/10.1056/NEJM 198709173171217
12. Yahya Cem Erbas.Percutaneous Laser Disc Decompression: Retrospective Analysis of 197 Cases and Review of The Literature. Yahya Cem Erbas, Serhat Pusat, Ersin Erdogan //TurkishNeurosurgery2015-No5‑766‑770. https://doi.org/10.5137/1019–5149.JTN.14692–15.2
Review
For citations:
Gorodnina A.V., Ivanenko A.V., Orlov A.Yu. Results of the application of the method of laser vaporization with intraoperative monitoring of laser radiation power in the treatment of degenerative-dystrophic diseases of the lumbar spine. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2023;15(3):26-29. (In Russ.) https://doi.org/10.56618/2071-2693_2023_15_3_26
Views:
23
Email this article 