Our experience of using laser vaporization for treatment of lumbar disc herniation
The article presents the analysis of effectiveness of laser vaporizationfor treatment of pain syndrome caused by lumbar disc herniation. We treated 149 patients (average age - 40 years). 62 (41.7 %) patients had lumbodynia, 67 (45.2 %) patients had lumbar ischialgia. Nerve root disorders (radiculopa...
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Format: | Article |
Language: | Russian |
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Scientific Сentre for Family Health and Human Reproduction Problems
2016-07-01
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Series: | Acta Biomedica Scientifica |
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Online Access: | https://www.actabiomedica.ru/jour/article/view/235 |
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author | A. V. Gorbunov V. E. Potapov V. A. Sorokovikov S. N. Larionov Z. V. Koshkaryova |
author_facet | A. V. Gorbunov V. E. Potapov V. A. Sorokovikov S. N. Larionov Z. V. Koshkaryova |
author_sort | A. V. Gorbunov |
collection | DOAJ |
description | The article presents the analysis of effectiveness of laser vaporizationfor treatment of pain syndrome caused by lumbar disc herniation. We treated 149 patients (average age - 40 years). 62 (41.7 %) patients had lumbodynia, 67 (45.2 %) patients had lumbar ischialgia. Nerve root disorders (radiculopathy, radiculoneuritis) are found in 20 (13.1 %) patients. 86 (57.4 %) patients had median hernias of intervertebral disc (disc bulging for 0.6 ± 0.2 cm), 36 (24.3 %) patients had intervertebral disc protrusion and 27 (18.3 %) patients had lateral intervertebral hernia (disc bulging for 0.55 ± 0.15 cm). Satisfactory and good results of laser vaporization are registered in 140 (94 %) patients with circular protrusion and median hernias with disc bulging up to 7-8 mm. Also the decrease in VAS scores of pain syndrome by 2-5 points in comparison with initial condition is found. Unsatisfactory results are registered in 9 (6 %) patients with lateral hernias of more than 5 mm and with disease duration more than 6 months. Prospective (from 3 to 13 months) follow-up was conducted in 49 patients. 5 patients from the group with lateral hernias needed open surgeries. |
first_indexed | 2024-03-08T12:18:39Z |
format | Article |
id | doaj.art-134381b7f6ef4eb992774e09cd1509db |
institution | Directory Open Access Journal |
issn | 2541-9420 2587-9596 |
language | Russian |
last_indexed | 2024-04-24T17:18:56Z |
publishDate | 2016-07-01 |
publisher | Scientific Сentre for Family Health and Human Reproduction Problems |
record_format | Article |
series | Acta Biomedica Scientifica |
spelling | doaj.art-134381b7f6ef4eb992774e09cd1509db2024-03-28T07:49:16ZrusScientific Сentre for Family Health and Human Reproduction ProblemsActa Biomedica Scientifica2541-94202587-95962016-07-0114192310.12737/22936235Our experience of using laser vaporization for treatment of lumbar disc herniationA. V. Gorbunov0V. E. Potapov1V. A. Sorokovikov2S. N. Larionov3Z. V. Koshkaryova4Irkutsk Scientific Center of Surgery and TraumatologyIrkutsk Scientific Center of Surgery and TraumatologyIrkutsk Scientific Center of Surgery and Traumatology;Irkutsk State Medical Academy of Continuing EducationIrkutsk Scientific Center of Surgery and Traumatology;Irkutsk State Medical Academy of Continuing EducationIrkutsk Scientific Center of Surgery and TraumatologyThe article presents the analysis of effectiveness of laser vaporizationfor treatment of pain syndrome caused by lumbar disc herniation. We treated 149 patients (average age - 40 years). 62 (41.7 %) patients had lumbodynia, 67 (45.2 %) patients had lumbar ischialgia. Nerve root disorders (radiculopathy, radiculoneuritis) are found in 20 (13.1 %) patients. 86 (57.4 %) patients had median hernias of intervertebral disc (disc bulging for 0.6 ± 0.2 cm), 36 (24.3 %) patients had intervertebral disc protrusion and 27 (18.3 %) patients had lateral intervertebral hernia (disc bulging for 0.55 ± 0.15 cm). Satisfactory and good results of laser vaporization are registered in 140 (94 %) patients with circular protrusion and median hernias with disc bulging up to 7-8 mm. Also the decrease in VAS scores of pain syndrome by 2-5 points in comparison with initial condition is found. Unsatisfactory results are registered in 9 (6 %) patients with lateral hernias of more than 5 mm and with disease duration more than 6 months. Prospective (from 3 to 13 months) follow-up was conducted in 49 patients. 5 patients from the group with lateral hernias needed open surgeries.https://www.actabiomedica.ru/jour/article/view/235intervertebral disc herniationosteochondrosislaser vaporizationpain syndrome |
spellingShingle | A. V. Gorbunov V. E. Potapov V. A. Sorokovikov S. N. Larionov Z. V. Koshkaryova Our experience of using laser vaporization for treatment of lumbar disc herniation Acta Biomedica Scientifica intervertebral disc herniation osteochondrosis laser vaporization pain syndrome |
title | Our experience of using laser vaporization for treatment of lumbar disc herniation |
title_full | Our experience of using laser vaporization for treatment of lumbar disc herniation |
title_fullStr | Our experience of using laser vaporization for treatment of lumbar disc herniation |
title_full_unstemmed | Our experience of using laser vaporization for treatment of lumbar disc herniation |
title_short | Our experience of using laser vaporization for treatment of lumbar disc herniation |
title_sort | our experience of using laser vaporization for treatment of lumbar disc herniation |
topic | intervertebral disc herniation osteochondrosis laser vaporization pain syndrome |
url | https://www.actabiomedica.ru/jour/article/view/235 |
work_keys_str_mv | AT avgorbunov ourexperienceofusinglaservaporizationfortreatmentoflumbardischerniation AT vepotapov ourexperienceofusinglaservaporizationfortreatmentoflumbardischerniation AT vasorokovikov ourexperienceofusinglaservaporizationfortreatmentoflumbardischerniation AT snlarionov ourexperienceofusinglaservaporizationfortreatmentoflumbardischerniation AT zvkoshkaryova ourexperienceofusinglaservaporizationfortreatmentoflumbardischerniation |