Preview

Bulletin of Siberian Medicine

Advanced search

Diagnosis and treatment of reflex-pain syndromes in patients with herniated intervertebral disc before surgical decompression

https://doi.org/10.20538/1682-0363-2009-1(2)-111-114

Abstract

To upgrade the results of surgical treatment in patients operated on for gerniated intervertebral disk the reflex-pain syndromes of spondylarthrosis and osteohondrous was studied. Before surgical treatment alcohol-novocain blockades have been used to perform denervation of intervertebral discs and joints. The reflex-pain syndromes was evoked by solution injection and then arrested by alcohol-novocain injection. Clinical outcome in long-term period after surgical treatment became good in 89% (p < 0.05) on cervical spine and in 84% (p < 0.05) lumbar.

About the Authors

Ye. B. Kolotov
Кемеровская областная клиническая больница
Russian Federation


A. A. Lutsik
Новокузнецкий государственный институт усовершенствования врачей
Russian Federation


A. V. Mironov
Кемеровская областная клиническая больница
Russian Federation


S. V. Yelagin
Кемеровская областная клиническая больница
Russian Federation


References

1. Луцик А.А., Шмидт И.Р., Колотов Е.Б. Спондилоартроз. Новосибирск, 2003.

2. Певзнер К.Б., Евзиков Г.Ю. Чрескожная радиочастотная деструкция суставных нервов как метод выбора в лечении поясничных болей//Невролог. журн. 2005. № 2. С. 45-49.

3. Продан А.И. и др. Поясничный спондилоартроз. Харьков, 1992. С. 96.

4. Сак Л.Д., Зубареков Е.Х., Шеметова М.В. Фасетный синдром позвоночника: клинико-диагностическая структура и малоинвазивные методики лечения//Магнитогорск, 2001.

5. Шмидт И.Р. Остеохондроз позвоночника. Этиология и профилактика. Новосибирск: Наука, 1990. 240 с.

6. Ayers C.E. Further case studies of lumbosacral pathology with consideration of involvement of intervertebral discs and articular facets//N. Engl. J. Med. 1935. V. 21. P. 716-721.

7. Dreyfuss P., Halbrook B., Pauza K. et al. Efficacy andvalidity of radiofrequency neurotomy for chronic lumbar zygapophysial joint pain//Spine. 2000. V. 25. P. 1270-1277.

8. Ghormley R.K. Low back pain with special reference to the articular facets, with presentation of an operative procedure//JAMA. 1933. V. 101. P. 1773-1777.

9. Goldthweit J.E. The lumbosacral articulation: an explanation of many cases of «lumbago», «sciatica» and paraplegia//Boston. Med. Surg. J. 1911. V. 164.P. 365-372.

10. Komick C., Kramarich S.S., Lamer T.J. et al. Complication of lumbar facet radiofrequency denervation//Spine. 2004. V. 29. P. 1352-1354.

11. Niemisto L., Kalso E., Malmivaara A. et al. Radiofrequency denervation for neck and back pain: a systematic review within the framework of the Cochrane Collaboration Back Review Group//Spine. 2003. V. 28. P. 1877-1888.

12. Rees W.S. Multiple subcutaneous denervation of segmental nerves in the treatment of the intervertebral disc syndrome//Ann. Gen. Pract. 1971. V. 16. P. 126-127.

13. Saal S. General principles of diagnostic testing as related to painful lumbar spine disorders: a critical appraisal of current diagnostic techniques//Spine. 2002. V. 27. P. 2538-2545.


Review

For citations:


Kolotov Ye.B., Lutsik A.A., Mironov A.V., Yelagin S.V. Diagnosis and treatment of reflex-pain syndromes in patients with herniated intervertebral disc before surgical decompression. Bulletin of Siberian Medicine. 2009;8(1(2)):111-114. (In Russ.) https://doi.org/10.20538/1682-0363-2009-1(2)-111-114

Views: 559


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1682-0363 (Print)
ISSN 1819-3684 (Online)