Borschenko I.*, Baskov V.*, Baskov A.*, Sobol E.**
* "Orthospine" clinic, Moscow, Russia;
** Institute of Laser and Information Technologies of the Russian Academy of Sciences, Moscow, Russia
The research goal was to analyze life quality after puncture laser reconstruction of intervertebral discs in degenerative lesions of the spine.
Material and Methods. Puncture laser reconstruction (PLR) of discs is a minimum invasive method of treatment of pain syndrome in degenerative lesions of the spine. An optimized laser effect allows to induce regeneration of a disc cartilage. Inner changes within a disc result in reduction or arrest of discogenic pain syndrome. We performed 136 PLR of cervical and lumbar discs in 2002-2205. It was done under conditions of the Orthospine Clinic. The main indication was clinically significant and persistent pain syndrome, confirmed by MRI findings and provocative discography. A number of irradiated discs in a single patient varied from 1 to 5. After arbitrary selection of cases (n=56), the results of treatment, watched 1-24 (8.4±6.3) months after operation, were analyzed on the basis of the SF36 life quality questionnaire and the Visual-Analogue Scale of pain (VAS). The ANOVA method was used for statistical processing of data.
Results. The profound analysis of results, carried out with the help of international scales, demonstrated reliable improvement of life quality and reduction of pain syndrome. According to the SF36 Questionnaire, a preoperative mean score was 32.0±16.1. The postoperative index was 65.5±18.2. Mean pre- and postoperative scores, obtained in the VAS application, were 7.6±1.8 and 3.3±2.2.
Conclusion. The results of PLR of lumbar and cervical discs, studied in a remote period (6 months and later) are indicative of reliable improvement of life quality and pain reduction. PRL is an effective and minimum invasive method of treatment of persistent discogenic pain syndrome in degenerative lesions of intervertebral discs.