PROSPECTIVE FOLLOW-UP OF THE RESULTS OF MICROSURGICAL TREATMENT OF LUMBAR COMPRESSION RADICULOPATHY IN THE LONG TERM

Аннотация

Vertebrogenic diseases of the nervous system occupy a leading place among human diseases, which predetermines the importance of their socio-economic and scientific-medical significance. A significant role among all lesions of the nervous system belongs to vertebrogenic nerve root compression syndromes. According to various sources, radiculopathy accounts for 10–30% in the structure of back pain syndromes [1, 2, 3]. Radiculopathy, resulting from pathological changes in the spine, is one of the most severe forms of neurological manifestations of vertebrogenic pathology of the peripheral nervous system, is multifactorial pathology, having a number of risk factors for development, which are often combined with each other [2, 4, 5]. In the case of compression of the spinal root, the duration of disability increases significantly, and expensive examinations and treatment are required. With an inadequate assessment of the existing symptoms of degeneration, permanent disability with a significant neurological deficit may occur [6, 7, 8]. To date, several improved methods of surgical treatment of lumbar compression radiculopathy are known, such as tubular and endoscopic methods, as well as method of W. Caspar [3, 4, 5, 7]. At the same time, the existing problems in the area of surgical intervention, recurrence of pain and radicular syndromes in lumbar compression radiculopathy, require further evaluation of existing surgical aids, identification of causal relationships of disease relapses and assessment of the quality of life of patients in the postoperative period. The aim of the study was to conduct a comparative analysis of the results of the long-term period (up to 45 days) after microsurgical treatment of lumbar compression radiculopathy.