RESUMEN
The results of managing of 129 injured persons, treated for injuries of the lower-thoracic and lumbar portions of vertebral column, are adduced. The puncture transcutaneous vertebroplasty was done in 58 patients, stabilizing systems "Sekstant" were installed in 15, the "Mantis" systems--in 13, rigid systems by the open method--in 43. The pain syndrome dynamics was estimated in of the patients in accordance to the visual analogue scale. Positive dynamics in a frame of the pain syndrome regression was noted postoperatively. Differentiated application of various methods of treatment in the patients, suffering nonstable compressional fracture of the lower-thoracic and lumbar portions of vertebral column, permits to reduce anesthesiological risk significantly, to improve the results of treatment, to reduce the patients rehabilitation duration.
Asunto(s)
Vértebras Lumbares/cirugía , Región Lumbosacra/cirugía , Dolor Postoperatorio/psicología , Dolor/psicología , Vértebras Torácicas/cirugía , Humanos , Vértebras Lumbares/lesiones , Región Lumbosacra/lesiones , Persona de Mediana Edad , Dolor/fisiopatología , Dolor/cirugía , Manejo del Dolor , Dimensión del Dolor , Dolor Postoperatorio/fisiopatología , Dolor Postoperatorio/cirugía , Proyectos de Investigación , Vértebras Torácicas/lesiones , Vertebroplastia/instrumentación , Vertebroplastia/métodosRESUMEN
Percutaneous laser discectomy (PLD) was performed in 273 patients with herniated disc-induced lumbosacral radiculitis. Indications for PLD were based on clinical and neurological findings and results of MR tomography: no benefit from conservative treatment, pain syndrome in the lumbago stage and sciatica not presenting with severe paresis and with herniated intervertebral discs down to 6 mm in size across.
Asunto(s)
Discectomía/métodos , Desplazamiento del Disco Intervertebral/cirugía , Terapia por Láser/métodos , Vértebras Lumbares/cirugía , Plexo Lumbosacro/cirugía , Radiculopatía/cirugía , Sacro/cirugía , Punción Espinal/métodos , Adulto , Contraindicaciones , Discectomía/instrumentación , Humanos , Desplazamiento del Disco Intervertebral/complicaciones , Terapia por Láser/instrumentación , Persona de Mediana Edad , Agujas , Radiculopatía/etiología , Punción Espinal/instrumentaciónRESUMEN
The puncture laser discectomy was conducted in 273 patients with discogenic lumbosacral radiculitis while the conservative therapy inefficacy, pain syndrome in a lumbago stage present and lumboischialgia with absent prominent locomotive disorders and if the intervertebral disc hernia has the size up to 0.6 cm.