NEW APPROACH IN THE SPINAL DISC HERNIATION TREATMENT

Abstract

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.