Neurosurgery
doi: 10.25005/2074-0581-2019-21-1-55-59
NEW APPROACH IN THE SPINAL DISC HERNIATION TREATMENT
1Department of Neurosurgery and Polytrauma, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
2Department of Surgical Diseases № 1, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
Objective: Improve the surgical results of interventions for intervertebral hernias using modern technology
Methods: The results of endoscopic surgeries performed by 82 patients were analyzed. All patients studied the clinical and neurological status before and after surgery, as well as CT and MRI. The results of the treatment were assessed by the MacNab scale, the severity of the pain syndrome – by the pain audit scale, and the parameter “quality of life” – by the questionnaire SF36 and the duration of the patient’s temporary disability
Results: Assessment of remote postoperative MacNab scores was performed 6 months after surgery. At the same time, 69 (84.1%) patients had an excellent result. In 8 (9.8%) cases, a good result was observed (at the time of discharge, there was a significant decrease in pain syndrome); in 3 (3.7%) cases the result was satisfactory, and in 2 (2.4%) observations there was an unsatisfactory result. At the same time, there was no need to perform reoperation interventions on acute spine pains with the redevelopment of intervertebral hernia. Long-term results of surgical endoscopic interventions in 98.8% of observations showed great efficiency and small injuries.
Conclusion: Endoscopic treatment of intervertebral disc hernia in comparison with the traditional open method helps to reduce the time of the operation and the terms of stay of the patient in a hospital and also more acceptable with the cosmetic point of view
Keywords: Intervertebral disc hernia, endoscopy, pain syndrome, surgical treatment.
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Author information:
Rakhmonov Khurshed Dzhamshedovich
Candidate of Medical Sciences, Associate Professor of the Department of Neurosurgery and Polytrauma, Avicenna Tajik State Medical University
Berdiev Rustam Namozovich
Doctor of Medical Sciences, Head of the Department of Neurosurgery and Polytrauma, Avicenna Tajik State Medical University
Ali-Zade Sukhrob Gaffarovich
Candidate of Medical Sciences, Assistant of the Department of Surgical Diseases № 1, Avicenna Tajik State Medical University
Information about support in the form of grants, equipment, medications
The authors did not receive financial support from manufacturers of medicines and medical equipment.
Conflicts of interest: No conflict
Address for correspondence:
Berdiev Rustam Namozovich
Doctor of Medical Sciences, Head of the Department of Neurosurgery and Polytrauma, Avicenna Tajik State Medical University
734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139
Tel.: +992 (918) 813282
E-mail: rnamozzoda@mail.ru
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