ABSTRACT
The results of managing of 129 injured persons, treated for injuries of the lower-thoracic and lumbar portions of vertebral column, are adduced. The puncture transcutaneous vertebroplasty was done in 58 patients, stabilizing systems "Sekstant" were installed in 15, the "Mantis" systems--in 13, rigid systems by the open method--in 43. The pain syndrome dynamics was estimated in of the patients in accordance to the visual analogue scale. Positive dynamics in a frame of the pain syndrome regression was noted postoperatively. Differentiated application of various methods of treatment in the patients, suffering nonstable compressional fracture of the lower-thoracic and lumbar portions of vertebral column, permits to reduce anesthesiological risk significantly, to improve the results of treatment, to reduce the patients rehabilitation duration.
Subject(s)
Lumbar Vertebrae/surgery , Lumbosacral Region/surgery , Pain, Postoperative/psychology , Pain/psychology , Thoracic Vertebrae/surgery , Humans , Lumbar Vertebrae/injuries , Lumbosacral Region/injuries , Middle Aged , Pain/physiopathology , Pain/surgery , Pain Management , Pain Measurement , Pain, Postoperative/physiopathology , Pain, Postoperative/surgery , Research Design , Thoracic Vertebrae/injuries , Vertebroplasty/instrumentation , Vertebroplasty/methodsABSTRACT
Percutaneous laser discectomy (PLD) was performed in 273 patients with herniated disc-induced lumbosacral radiculitis. Indications for PLD were based on clinical and neurological findings and results of MR tomography: no benefit from conservative treatment, pain syndrome in the lumbago stage and sciatica not presenting with severe paresis and with herniated intervertebral discs down to 6 mm in size across.
Subject(s)
Diskectomy/methods , Intervertebral Disc Displacement/surgery , Laser Therapy/methods , Lumbar Vertebrae/surgery , Lumbosacral Plexus/surgery , Radiculopathy/surgery , Sacrum/surgery , Spinal Puncture/methods , Adult , Contraindications , Diskectomy/instrumentation , Humans , Intervertebral Disc Displacement/complications , Laser Therapy/instrumentation , Middle Aged , Needles , Radiculopathy/etiology , Spinal Puncture/instrumentationABSTRACT
The puncture laser discectomy was conducted in 273 patients with discogenic lumbosacral radiculitis while the conservative therapy inefficacy, pain syndrome in a lumbago stage present and lumboischialgia with absent prominent locomotive disorders and if the intervertebral disc hernia has the size up to 0.6 cm.
