[Percutaneous laser denervation of the zygapophyseal joints in the pain facet syndrome].
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| Abstract |
Percutaneous laser denervation of archoappendicular joints in spinal pain was made in 15 patients from a study group. Percutaneous high-frequency denervation of archoappendicular joints was performed in a control group consisting of 15 patients with facet syndrome. A preoperative protocol for each patient included at least two diagnostic segmental blocks. A surgical intervention was morphologically substantiated during an experiment; the most optimum surgery protocol was chosen. Destruction was performed by 0.97-micron laser radiation for 4-6 sec at 5-10 W. The number of cases of a complete or partial pain regression, the duration of its impact, side effects and complications were determined. Of the 15 patients from the study group, 8 and 6 patients were observed to have a complete and significant pain regression (more than 50% of the baseline). No effect was achieved in one patient. The similar results were obtained in the control group. There were no postoperative infectious complications in the patients of both groups; transient pain dysesthesia was registered in one case. The findings have led to the conclusion that laser denervation of archoappendicular joints is effective in the pain facet syndrome.
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| Authors | A A Mogalles, O N Dreval', O V Akatov, A V Kuznetsov, I P Rynkov, V M Plotnikov, V P Minaev |
| Journal | Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko (Zh Vopr Neirokhir Im N N Burdenko) 2004 Jan-Mar Issue 1 Pg. 20-5; discussion 25-6 ISSN: 0042-8817 [Print] Russia (Federation) |
| Vernacular Title | Chreskozhnaia lazernaia denervatsiia dugootrostchatykh sustavov pri bolevom faset syndrome |
| PMID | 15055008 (Publication Type: Clinical Trial, Journal Article) |
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