Open AccessRADIO-FREQUENCY AND LASER SURGERY FOR LUMBAR DISC HERNIATIONS
Author(s) -
Александр Кузьмич Чертков,
А. О. Дубских
Publication year - 2006
Publication title -
hirurgiâ pozvonočnika
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.138
H-Index - 3
eISSN - 2313-1497
pISSN - 1810-8997
DOI - 10.14531/ss2006.3.59-63
Subject(s) - osteochondrosis , medicine , discectomy , surgery , concomitant , failed back surgery , hernia , back pain , lumbar , radiological weapon , spinal cord , alternative medicine , spinal cord stimulation , pathology , psychiatry
Objective. To compare the effectiveness of laser discectomy and radio-frequency nucleoplasty in patients with nonsequestrated disc herniations accompanied with lumbar osteochondrosis. Material and Methods. Radio-frequency nucleoplasty and laser discectomy were performed in patients from 24 to 57 years old with nonsequestrated disc herniations. Thirty patients who underwent radio-frequency nucleoplasty (main group) and 30 patients after vaporization (control group) were included in the study. Groups were similar in age, gender, concomitant diseases, hernia localization and duration of illness. Pre- and postoperative examination consisted of clinical, radiological, CT and MRI data. The outcomes were assessed in two-three days, one month and 6 months after operation. Results. In two-three days all patients of both groups reported absence of pain or its significant reduction in the lumbar spine or lower extremities. In 6 months 5 patients of a control group suffered of lumbar spine and lower extremities pain, which restricted their labor ability and demanded inpatient treatment. In a main group only 2 patients demanded inpatient care for the reasons given above. Conclusion. The assessment of two technologies suggests that radio-frequency nucleoplasty is a safety technique for treatment of patients with disc herniation accompanied with osteochondrosis. It has obvious advantages over laser intervention.