Experience of treatment of patients with intervertebral hernias on lumbar level

Abstract

The article is devoted to the analysis of the results of examination and treatment of patients with spine pathology in lumbar segment. The data on the actuality of the problem of spine pathology (frequency of occurrence, invalidization). On the basis of their experience the authors propose complex approach to the treatment of patients with discogenic lumbar-sacral rediculitis, complicated by the disks hernias and pain syndrome, based on the definite algorithm in the form of treatment program. Lumbodynia and lumbar ischialgia prevailed in neurological status of the patients (45,2 %). Radicular disorders (radiculopathy, radiculoneuritis) are registered in 13,1 % of patients. Pain syndrome by the visually analogue scale corresponded to 7-6 (40 % of patients) and 5-4 points (60 % of patients). Protrusion of the disks (bulging of the disk up to 4 mm) are revealed in 24,3 % of cases. Median and paramedian hernias of disks (bulging of the disk from 4 to 8 mm) are revealed in 57,4 % patients. Posterolateral hernias of disks (bulging of the disk from 4 to 7 mm) are revealed in 18,3 % of patients. At the estimation of the effectiveness of treatment of 115 patients favorable results of treatment in the terms up to 1 year were registered in 99 of them.

Keywords

• osteochondrosis
• disk hernia
• diagnostics
• conservative treatment
• laser vaporization
• effectiveness of treatment