Interventional surgery effectiveness in treatment of the cervical spine and shoulder joint chronic pain

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Relevance. Degenerative diseases of the spine are among the most common pathologies that cause significant medical, social and economic losses. Thus, a retrospective analysis of the Humana database from 2008 to 2014 indicates a sharp increase in discogenic neurocompression lesions of the cervical spine, which is 42 %. Degenerative processes are characterized by metabolic and structural changes in the intervertebral discs (IVD), which lead to the loss of its properties. The aim of the study was to analyze the results of intervertebral disc nucleoplasty and radiofrequency denervation of the facet joints in patients with cervical joint hernias. Materials and Methods . Intervertebral disc nucleoplasty and radiofrequency denervation of the facet joints in patients with hernias of the cervical spine was performed in 55 patients aged 18 to 74 years (mean age 36.28 ± 2.19 years), of which 56.36 % (31 patients) were men and 43.64 % (24 people) were women. Results and Discussion. The results demonstrate a significant improvement (p<0.001) in VAS and ODI in patients after treatment. The majority of patients (45.45 %) rated their health status as “good”, 41.82 % of respondents believe that after the intervention, their health status can be assessed as “excellent”. Only 3 patients (5.45 %) indicated an unsatisfactory condition, which may be due to individual psychological characteristics, comorbidities, or a reduced sensitivity threshold. Conclusion. Nucleoplasty of the intervertebral disc and radiofrequency denervation of the facet joints is an effective and safe method for the treatment of intervertebral hernias of the cervical spine.

About the authors

Medetbek D. Abakirov

Peoples’ Friendship University of Russia

ORCID iD: 0000-0002-5842-5904
Moscow, Russian Federation

Gennady E. Chmutin

Peoples’ Friendship University of Russia

ORCID iD: 0000-0003-4480-1902
Moscow, Russian Federation

Omar A. Al-Bawareed

City Clinical Hospital № 17

ORCID iD: 0000-0001-9119-0089
Moscow, Russian Federation

Mikhail A. Panin

Peoples’ Friendship University of Russia

ORCID iD: 0000-0001-5738-0524
Moscow, Russian Federation

Abdel Rahman A. Alenizi

Peoples’ Friendship University of Russia

Moscow, Russian Federation

Armenak S. Petrosyan

City Clinical Hospital № 17

ORCID iD: 0000-0001-1478-2654
Moscow, Russian Federation

Mutaz Alm Aldin

Peoples’ Friendship University of Russia

Moscow, Russian Federation

Adam R. Mayer

Peoples’ Friendship University of Russia

Author for correspondence.
ORCID iD: 0000-0002-9745-9779
Moscow, Russian Federation


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Copyright (c) 2022 Abakirov M.D., Chmutin G.E., Al-Bawareed O.A., Panin M.A., Alenizi A.R., Petrosyan A.S., Aldin M.A., Mayer A.R.

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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