[Experience with endoscopic interventions in diseases of the vertebral column].
The paper analyzes the results of treatment for various diseases of the vertebral column, by applying endoscopic technologies. Group 1 included 5 patients with cervical hernias appeared as cervical radiculopathy. Group 2 comprised patients with diseases of the thoracic vertebral column, including 8 patients with discal hernias, 6 with primary or metastatic lesions of the thoracic vertebrae, 2 with sympathalgia, and 5 with uncomplicated thoracic vertebral body fractures. Group 3 consisted of 86 patients with lumbosacral hernias, of whom 33 patients were endoscopically operated on and the remaining 53 patients made up a control group and were microsurgically operated on. The clinical findings were analyzed by using the current scales and questionnaires to make an objective assessment of subjective index, such as pain syndrome. A preliminary comparison of endoscopic and microscopic surgical treatments for diseases and lesions of the vertebral column demonstrate the noticeable advantages of endoscopic technology. Further development of neuroendoscopy in spinal neurosurgical care is expected to substantially enhance the efficiency of treatment due to the lower traumaticity rates of surgical interventions. Furthermore, mastering endoscopictechniques in surgery of bone tumors, but also spinal cord extra- and intramedullary neoplasms is promising, as considered by the authors.
Gushcha
A O
AO
Shevelev
I N
IN
Arestov
S O
SO
D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D019635:Neurosurgical Procedures / Q000295:instrumentation* / Q000379:methods*; D013122:Spinal Diseases / Q000601:surgery*; D013131:Spine / Q000601:surgery*; D016896:Treatment Outcome