Method of the radio-frequency cold plasma nucleoplasty in treatment of a lumbar discogenic radiculopathy

Keywords: discogenic pain; lumbar radiculopathy; the cold plasma nucleoplasty; the intradisc coblation.

Abstract

Objective. To study the dynamics of the pain syndrome in the patients, suffering chronic lumbar discogenic radiculopathy, to whom transcutaneous radiofrequency cold plasma nucleoplasty (coblation) was applied.

Materials and methods. In the investigation were included 18 patients, ageing 26 - 52 yrs old, median age have constituted (41.0 ± 7.27) yrs, to whom transcutaneous radiofrequency cold plasma nucleoplasty was performed in Clinic «Neuromed» City of Kyiv and Department of Spinal Surgery of the Institute of Traumatology and Orthopedics. The pain syndrome was estimated in accordance to visual-analogue scale (VAS) in 1 and 6 mo.

Results. Complications after the procedure were absent. Before the treatment the pain syndrome in accordance to VAS was estimated in (7.44 ± 0.98) points, immediately after the procedure - in (3.44 ± 0.98) points, in 1 mo after the procedure – in (1.83 ± 0.98) points, in 6 mo – in (1.22 ± 1.52) points. At the same time 16 (33%) patients have informed about complete absence of the pain, in 2 (11%) patients positive dynamics was absent.

Conclusion. Transcutaneous radiofrequency cold plasma nucleoplasty constitutes a secure and effective method of treatment of chronic lumbar discogenic radiculopathy.

Author Biographies

B. B. Pavlov, Clinic «Neuromed», Kyiv

Pavlov Borys Borysovych, neurosurgeon,
«Neuromed» clinic,
Yenyseyskaya str, 8, Kyiv, 03028, Ukraine.
E-mail: doc.pavloff@ukr.net.
phone +380976205257
http://orcid.org/0000-0002-2865-1564

Ya. V. Fishchenko, Institute of Traumatology and Orthopedics, Kyiv

Fishchenko Iakiv - D.SC, orthopedist, neurosurgeon.
Leading Researcher Department of Spinal Surgery,
Institute of Traumatology and Orthopedics
st. Boulvarno - Kudryavskaya 27,Kiev, 01601 Ukraine.
E-mail: fishchenko@gmail.com
Phone: +380(50) 3808725; (044) 221- 08-30

L. D. Kravchuk, Institute of Traumatology and Orthopedics, Kyiv

Kravchuk Lyudmila, physical therapist
rehabilitation departments
Institute of Traumatology and Orthopedics
st. Boulvarno - Kudryavskaya 27,Kiev, 01601 Ukraine.
E-mail: kravchukwww@gmail.com
Phone: +380(097)8774167
ORCID 0000-0002-5317-0420

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Published
2019-07-07
How to Cite
Pavlov, B. B., Fishchenko, Y. V., & Kravchuk, L. D. (2019). Method of the radio-frequency cold plasma nucleoplasty in treatment of a lumbar discogenic radiculopathy. Klinicheskaia Khirurgiia, 86(7), 50-52. https://doi.org/10.26779/2522-1396.2019.07.50
Section
General Problems of Surgery