Issue: 2025, Vol. 30, No. 1
CLINICAL EFFECTIVENESS OF MINIMALLY INVASIVE TREATMENT OF DEGENERATIVE SPINE DISEASE WITH DISCOPATHY
- Keywords
- degenerative spinal disease, disc protrusion, VAS pain, nucleoplasty, intra-disc pressure
- Abstarct
- Degenerative spine diseases with discogenic pain syndrome are an urgent medical, social and economic problem. Obvious advantages of minimally invasive treatment methods stimulate current interest, data on their effectiveness and various ways of influencing pathological process being accumulated. The objective is to study the clinical efficacy of puncture decompressive nucleoplasty under intradiscal pressure (IDP) control as a minimally invasive method of treating lumbar disc herniations and protrusions with pain syndrome. Material and Methods. Puncture decompressive nucleoplasty is one of the methods with a promising feature to measure intra-disc pressure during intervention. The study shows the high clinical efficiency of the method in 33 patients of different sex and age with discogenic pain syndrome. Results and Discussion. Initially, the patients had pain VAS of 6.9 ± 0.9 mm; the reflex sphere was impaired due to the decreased Achilles reflex in a third of the patients; the half of the patients had positive Lasegue sign; the MRI results revealed protrusions of the L4-L5 disc and L5-S1 no more than 0.6 cm in every patient. The patients underwent minimally invasive percutaneous intervention – PDN with the introduction of 0.5 ml of chondroitin sulfate (“Alflutop”) – in the operating room. VPD was interactively measured during the operation. The patients’ examination seven days after the operation showed a pronounced positive dynamics through the normalization of the reflex sphere; no paravertebral tension, tenderness during palpation and negative Lasegue sign were observed; the movements were completely restorated in POP. Conclusions. Alleviated pains, improved motor and neurological symptoms were recorded in a short period after surgery.
Vestnik_1_2025-18-22