The Effectiveness of Laser Vaporization in the Treatment of Intervertebral Hernias of the Lumbar Spine

The purpose of the study: assessment of the use of laser vaporization of the disc with hernial protrusion on the lumbar spine and its effectiveness in the treatment of pain.Material and methods. We analyzed the effectiveness laser vaporization in 230 patients with degenerative-dystrophic diseases of...

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Autores principales:	A. V. Gorbunov, Z. V. Koshkareva, A. P. Zhivotenko, V. E. Potapov, O. V. Sklyarenko, B. B. Damdinov, S. D. Glotov
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2020
Materias:	lumbar spine intervertebral disc disc degeneration laser vaporization Science Q
Acceso en línea:	https://doaj.org/article/19db9ff505284fb192738d932855a95a
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spelling	oai:doaj.org-article:19db9ff505284fb192738d932855a95a2021-11-23T06:14:44ZThe Effectiveness of Laser Vaporization in the Treatment of Intervertebral Hernias of the Lumbar Spine2541-94202587-959610.29413/ABS.2020-5.2.7https://doaj.org/article/19db9ff505284fb192738d932855a95a2020-05-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/2308https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The purpose of the study: assessment of the use of laser vaporization of the disc with hernial protrusion on the lumbar spine and its effectiveness in the treatment of pain.Material and methods. We analyzed the effectiveness laser vaporization in 230 patients with degenerative-dystrophic diseases of the lumbar spine (protrusions and hernias of the intervertebral discs) treated in the neurosurgical department of the Irkutsk Scientific Centre of Surgery and Traumatology for the period from 2011 to 2018. There were 122 men and 108 women. The average age of the patients was 41 years. The duration of the disease before surgical treatment is 11 ± 3 weeks. Clinical and neurological examination revealed lumbalgia in 102 patients (44.3 %), lumbar ischalgia in 98 (42.6 %) and radiculopathy in 30 patients (13.1 %). Median hernias of the intervertebral discs were revealed in 130 patients (56.4 %), lateral hernias - in 41 (17.8 %) and protrusions - 59 (23.8 %). The leading localization of the pathological process was the LIV-LV segment (138 patients, 60 %). Assessment of the effectiveness of surgical treatment was carried out using VAS and Macnab scales.Results. In 100 % of cases were laser vaporization was applied a decrease in the intensity of the pain syndrome was achieved in terms of up to 3 months. The analysis of the long-term results of this treatment in 124 patients from 3 months to 3 years by Macnab scale revealed excellent results in 25 (20.1 %) patients, good results - in 50 (40.3 %), satisfactory - in 42 (33.8 %), and unsatisfactory results - in 7 (5.6 %) cases.Conclusion. Thus, laser vaporization of hernias of the intervertebral disc is effective in the treatment of pain, which does not stop with conservative treatment for 4-6 weeks; with a hernia of up to 6 mm; with a median localization and with no signs of sequestration.A. V. GorbunovZ. V. KoshkarevaA. P. ZhivotenkoV. E. PotapovO. V. SklyarenkoB. B. DamdinovS. D. GlotovScientific Сentre for Family Health and Human Reproduction Problemsarticlelumbar spineintervertebral discdisc degenerationlaser vaporizationScienceQRUActa Biomedica Scientifica, Vol 5, Iss 2, Pp 43-48 (2020)
institution	DOAJ
collection	DOAJ
language	RU
topic	lumbar spine intervertebral disc disc degeneration laser vaporization Science Q
spellingShingle	lumbar spine intervertebral disc disc degeneration laser vaporization Science Q A. V. Gorbunov Z. V. Koshkareva A. P. Zhivotenko V. E. Potapov O. V. Sklyarenko B. B. Damdinov S. D. Glotov The Effectiveness of Laser Vaporization in the Treatment of Intervertebral Hernias of the Lumbar Spine
description	The purpose of the study: assessment of the use of laser vaporization of the disc with hernial protrusion on the lumbar spine and its effectiveness in the treatment of pain.Material and methods. We analyzed the effectiveness laser vaporization in 230 patients with degenerative-dystrophic diseases of the lumbar spine (protrusions and hernias of the intervertebral discs) treated in the neurosurgical department of the Irkutsk Scientific Centre of Surgery and Traumatology for the period from 2011 to 2018. There were 122 men and 108 women. The average age of the patients was 41 years. The duration of the disease before surgical treatment is 11 ± 3 weeks. Clinical and neurological examination revealed lumbalgia in 102 patients (44.3 %), lumbar ischalgia in 98 (42.6 %) and radiculopathy in 30 patients (13.1 %). Median hernias of the intervertebral discs were revealed in 130 patients (56.4 %), lateral hernias - in 41 (17.8 %) and protrusions - 59 (23.8 %). The leading localization of the pathological process was the LIV-LV segment (138 patients, 60 %). Assessment of the effectiveness of surgical treatment was carried out using VAS and Macnab scales.Results. In 100 % of cases were laser vaporization was applied a decrease in the intensity of the pain syndrome was achieved in terms of up to 3 months. The analysis of the long-term results of this treatment in 124 patients from 3 months to 3 years by Macnab scale revealed excellent results in 25 (20.1 %) patients, good results - in 50 (40.3 %), satisfactory - in 42 (33.8 %), and unsatisfactory results - in 7 (5.6 %) cases.Conclusion. Thus, laser vaporization of hernias of the intervertebral disc is effective in the treatment of pain, which does not stop with conservative treatment for 4-6 weeks; with a hernia of up to 6 mm; with a median localization and with no signs of sequestration.
format	article
author	A. V. Gorbunov Z. V. Koshkareva A. P. Zhivotenko V. E. Potapov O. V. Sklyarenko B. B. Damdinov S. D. Glotov
author_facet	A. V. Gorbunov Z. V. Koshkareva A. P. Zhivotenko V. E. Potapov O. V. Sklyarenko B. B. Damdinov S. D. Glotov
author_sort	A. V. Gorbunov
title	The Effectiveness of Laser Vaporization in the Treatment of Intervertebral Hernias of the Lumbar Spine
title_short	The Effectiveness of Laser Vaporization in the Treatment of Intervertebral Hernias of the Lumbar Spine
title_full	The Effectiveness of Laser Vaporization in the Treatment of Intervertebral Hernias of the Lumbar Spine
title_fullStr	The Effectiveness of Laser Vaporization in the Treatment of Intervertebral Hernias of the Lumbar Spine
title_full_unstemmed	The Effectiveness of Laser Vaporization in the Treatment of Intervertebral Hernias of the Lumbar Spine
title_sort	effectiveness of laser vaporization in the treatment of intervertebral hernias of the lumbar spine
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2020
url	https://doaj.org/article/19db9ff505284fb192738d932855a95a
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The Effectiveness of Laser Vaporization in the Treatment of Intervertebral Hernias of the Lumbar Spine

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