Minimally invasive methods of treatment of discogenic pain and facet syndrome in lumbar spine: literature review and own experience

Abstract

This article presents modern methods for the treatment of the facet syndrome: chemical denervation, radiofrequency ablation, intraarticular injection of drugs into the cavity in the intervertebral joints. We analyze the contemporary approaches to the elimination of the disco-radicular conflict, such as chemical denervation of the disc, chemonucleolysis, mechanical decompression, intradiscal electrothermal therapy, laser nucleotomy, hydrodiscectomy, nucleoplasty, laser reconstruction of the disc. The pathogenetic substantiation of the above methods is discussed, and the positive and negative sides of each of them are described. Our own clinical results are also presented.

Keywords

• spondylarthrosis
• nucleoplasty
• hydrodiscectomy
• radiofrequency neurotomy
• chemonucleolysis