The use of high-frequency denervation of the intervertebral joints after surgical treatment of degenerative spinal diseases

Abstract

The article presents the study results of the effectiveness of intervertebral joints high-frequency denervation as a modern minimally invasive method of pain management after surgical treatment of degenerative diseases of the spine. The degenerative process affects all the structures of the spine as a complex biomechanical system. The defeat of the intervertebral joints degenerative process accompanies the stenosis of the spinal canal, degenerative vertebral prosthesis, herniated protrusion of intervertebral discs, and makes a significant role in the development of pain in the lumbar region. The creation of spondylodesis in the vertebral-motor segment as a result of surgical treatment causes functional changes in adjacent segments in the form of compensatory hypermobility formation. These changes often lead to exacerbation of chronic arthrosis of the intervertebral joints. It was established that minimally invasive electrosurgical techniques proved to be safe and effective methods of treatment of carefully selected patients with pain in the lower back and legs caused by degenerative-dystrophic process. In this case, complications during such procedures are extremely rare. In all operated patients during 3 months of follow-up the severity of pain syndrome on the visual-analog scale was less, and the level of satisfaction of patients with treatment of degenerative- dystrophic diseases of the spine was higher than in patients with subsequent conservative treatment of pain syndrome. The main advantages of the technique are their safety, effectiveness and minimal invasiveness.

Keywords

degenerative-dystrophic disease of the spine / lower back pain / minimally invasive surgery / high-frequency denervation / percutaneous / degenerative disc changes / surgical treatment of spinal stenosis

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RIGHTS & PERMISSIONS

Dolgikh S.V., Kirsanova A.A., Ostroukhov A.E., Didenko S.V.