EARLY RESULTS OF TREATMENT OF PATIENTS WITH LOW LUMBAR PAIN SYNDROME, WHERE SPONDYLARTHROSIS MANIFESTATIONS PREDOMINATION USING RADIOFREQUENCY DENERVATION OF FACET JOINTS IN COMBINATION WITH PERIARTICULAR INJECTION OF LOCAL ANESTHETICS AND STEROID PREPARATIONS
DOI:
https://doi.org/10.11603/2415-8798.2017.2.7851Keywords:
spondylarthrosis, radiofrequency denervation of the facet joints, periarticular blockades.Abstract
The high incidence of degenerative-dystrophic spinal cord injury with low effectiveness of spondylarthrosis therapy makes relevant the study on the treatment of low lumbar pain syndrome, caused mainly by spondyloarthrosis, with an innovative minimally invasive method of high-frequency denervation of the facet joints in combination with periarticular injection of a local anesthetic and a steroidal.
The aim of the study – to determine the effectiveness of the radiofrequency denervation of the facet joints in combination with the periarticular injection of a local anesthetic and a steroidal to eliminate the pain syndrome in patients with lower lumbar pain syndrome with the predomination of spondyloarthrosis.
Materials and Methods. The analysis of early and long-term results of treatment of 78 patients (37 men and 41 women aged from 51 to 79 years) with lower lumbar pain syndrome in whom the leading clinical sign was arthrosis of arched joints that formed the main group, high-frequency denervation of the facet joints using RFG-1A/RFG-1B device from Radionics in combination with periarticular injection of a local anesthetic and a steroidal. The control group consisted of 136 patients (73 men and 63 women aged 44 to 81 years) with a lower lumbar pain, where spondyloarthrosis dominated, in which only radiofrequency denervation of the facet joints was performed.
Results and Discussion. The reliable results of treatment of chronic low lumbar pain syndrome caused mainly by the articular joints disease were obtained immediately after the treatment and three months after it was carried out both in the main and control groups, which indicates the effectiveness of both treatment methods. At the same time, there is a clear and reliable difference between the main and control groups immediately after the treatment and 3 months after the treatment, which indicates a significantly higher efficiency of the method of high frequency denervation of facet joints in combination with periarticular injection of a local anesthetic and a steroidal in the early postoperative period.
Conclusions. The results of treatment in the early and late periods after treatment testify to the efficacy and safety of both radiofrequency denervation of the facet joints and the radiofrequency denervation of the facet joints in combination with periarticular injection of the local anesthetic and steroidal in patients with low lumbar pain syndrome dominated by spondyloarthrosis. Relatively better results in the early period were obtained in the group of patients who underwent radio frequency denervation of the facet joints in combination with the periarticular injection of a local anesthetic and a steroidal.
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