EVALUATION OF THE EFFECTIVENESS OF VARIOUS METHODS OF TREATMENT AT PAIN RELIEF AT PATIENTS WITH LUMBOSACRAL HERNIA: A RETROSPECTIVE STUDY
Introduction: Recently, the need to study the problem of pain syndrome at patients with lumbosacral hernia has increased. Minimally invasive methods of treatment are the safest and most effective at the treatment of spinal diseases for patients with pain syndrome. In Kazakhstan, this issue has not been fully studied and remains relevant for further research.
Aim of the study: To compare the outcomes of various methods of treatment, such as paravertebral blockade, surgical treatment, and RFD (radiofrequency denervation / ablation) to relieve pain at patients with lumbosacral hernia in the neurosurgical department of Emergency Hospital in Semey city.
Materials and methods of research: The retrospective study was carried out on the basis of the neurosurgical department of the Emergency Hospital in Semey city fr om January to October 2020. The object of the study is the medical history of patients with diagnosis M51.1 and M51.8 (ICD). Radiofrequency ablation was performed in the neurosurgical department of the Emergency Hospital in Semey city at the first time in a format of master class. The main method of treatment at patients of the neurosurgery department of the Emergency Hospital in Semey city to remove pain syndrome at disc hernia of the lumbosacral spine is the surgical intervention 80.51 (Extraction of the intervertebral disc) and conservative treatment (paravertebral blockade). To assess the effectiveness of a particular method of treatment, a pain assessment paper-sheet (Wong-Baker grimace scale) is used, where 0 is absence pain, 1-2 is minor pain, 3-4 is moderate pain, 5-6 is tolerable pain, 7-8 is severe pain, 9-10 - unbearable pain.
Results: Of the total number of patients, the lowest pain intensity (0 points) was described by 7.8% (5) patients who belonged to the group wh ere radiofrequency denervation was applied, the remaining 3 patients noted the presence of intermittent pain. Out of 8 patients of the third group (radiofrequency ablation), 2 people note a moderate efficacy of treatment and 6 patients note a significant efficacy after applying of the chosen method of treatment. All 100% of patients of this group refused from analgesics after the treatment.
Conclusions: Our study confirms that RFD (radiofrequency ablation / denervation) is the most effective treatment at pain syndrome at patients with lumbosacral hernia.
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Ibraimova A.K., Kultumanov A.S., Baibussinova A.Zh., Bekenov D.Zh., Shortombayev A.A. Evaluation of the effectiveness of various methods of treatment at pain relief at patients with lumbosacral hernia: a retrospective study // Nauka i Zdravookhranenie [Science & Healthcare]. 2021, (Vol.23) 3, pp. 118-126. doi 10.34689/SH.2021.23.3.012Related publications:
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