Effectiveness of one-stage microdiscectomy and radiofrequency denervation of intervertebral joints compared to microdiscectomy in patients with spinal disc herniation

Nazarenko G.I.

Meditsinskiĭ tsentr Banka Rossii, Moskva

Cherkashov A.M.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Shevelev I.N.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva;
Meditsinskiĭ tsentr Banka Rossii;
TsITO im. N.N. Priorova, Moskva

Kuz'min V.I.

Meditsinskiĭ tsentr Banka Rossii, Moskva

Konovalov N.A.

OOO Klinika spinal'noĭ neĭrokhirurgii «Aksis»;
NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

ORCID: 0000-0003-0824-1848

Nazarenko A.G.

OOO Klinika spinal'noĭ neĭrokhirurgii «Aksis»;
NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Asiutin D.S.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Gorokhov M.A.

Meditsinskiĭ tsentr Banka Rossii, Moskva

Sharamko T.G.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva;
Otdelenie neĭrokhirurgii Nizhegorodskogo nauchno-issledovatel'skogo instituta travmatologii i ortopedii

Effectiveness of one-stage microdiscectomy and radiofrequency denervation of intervertebral joints compared to microdiscectomy in patients with spinal disc herniation

Authors:

Nazarenko G.I., Cherkashov A.M., Shevelev I.N., Kuz'min V.I., Konovalov N.A., Nazarenko A.G., Asiutin D.S., Gorokhov M.A., Sharamko T.G.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2014;78(6): 4‑8

Downloaded: 22

To cite this article:

Nazarenko GI, Cherkashov AM, Shevelev IN, et al. . Effectiveness of one-stage microdiscectomy and radiofrequency denervation of intervertebral joints compared to microdiscectomy in patients with spinal disc herniation. Burdenko's Journal of Neurosurgery. 2014;78(6):4‑8. (In Russ., In Engl.)

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The article analyzes of the early and long-term outcomes in 113 patients who underwent surgical treatment for lumbosacral disc herniations. The first group of patients (n=32) underwent microdiscectomy in a combination with radiofrequency destruction (RFD) of the facet nerves. The control group patients (n=81) underwent microdiscectomy. This study demonstrates the advantage of combining RFD with open surgery. In this case, regression of both nerve root and back pain is achieved, which greatly accelerates rehabilitation of patients, restoration of their work ability, and therefore their return to normal life.

Keywords:

spondylarthrosis

disc herniation

radiofrequency destruction

microdiscectomy

Authors:

Nazarenko G.I.

Meditsinskiĭ tsentr Banka Rossii, Moskva

Cherkashov A.M.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Shevelev I.N.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva;
Meditsinskiĭ tsentr Banka Rossii;
TsITO im. N.N. Priorova, Moskva

Kuz'min V.I.

Meditsinskiĭ tsentr Banka Rossii, Moskva

Konovalov N.A.

OOO Klinika spinal'noĭ neĭrokhirurgii «Aksis»;
NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

ORCID: 0000-0003-0824-1848

Nazarenko A.G.

OOO Klinika spinal'noĭ neĭrokhirurgii «Aksis»;
NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Asiutin D.S.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Gorokhov M.A.

Meditsinskiĭ tsentr Banka Rossii, Moskva

Sharamko T.G.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva;
Otdelenie neĭrokhirurgii Nizhegorodskogo nauchno-issledovatel'skogo instituta travmatologii i ortopedii

List of references:

Baykov E.S., Russova T.V., Krut'ko A.V., et al. A relationship between biochemical parameters of the spinal motion segment and outcomes of surgical treatment for lumbar intervertebral disc herniations. Khirurgiya pozvonochnika 2013; 2: 43-49. In Russian.
Mikhaylov V.P., Krut'ko A.V., Strel’nikova A.V., et al. Changes in the postural balance after decompressive-stabilizing operations in patients with degenerative-dystrophic diseases of the lumbar spine. Khirurgiya pozvonochnika 2013; 2: 38-42. In Russian.
Cherkashov A.M., Rukhmanov A.A., Nazarenko A.G. Facet syndrome and its treatment by radiofrequency denervation. Vestn travmatol i ortoped 2001; 4: 3-8. In Russian.
De Palma M., Ketchum J., Saullo T., et al. Is the History of a surgical discectomy related to the source of chronic low back pain? Pain Phys 2012; 15: 53-58.
Yorimitsu E., Chiba K., Toyama Y., et al. Long-term outcomes of standard discectomy for lumbar disc herniation: a follow-up study of more than 10 years. Spine 2001; 26: 652-657.

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