[Prediction of outcomes of surgical treatment of degenerative lumbar disk disease].
The paper focuses on algorithms of outcomes assessment of surgical treatment of the patients with degenerative lumbar disk disease. From 1997 to 2006 389 patients with discogenic lumbar pain were operated in the Medical Center of Central Bank of Russia. 185 patients underwent radiofrequency destruction of facet nerves, laser percutaneous lumbar discectomy was performed in 39 patients, microdiscectomy -- in 131, and decompression combined with lumbar spine stabilization -- in 31 cases. Clinical and radiological data of each patient were recorded in the database using 3-point scale according to intensity of the feature. Assessment of patients' condition was performed pre- and postoperatively (after discharge and after 6, 12 and 24 months interval). Postoperative outcome was recorded for the current period in compliance with modified criteria of Kawabata et al. Obtained data were mathematically and statistically processed. Developed algorithms allowed assessment of postoperative outcome in the patients with degenerative lumbar disk disease. Outcome data can be used for evaluation of feasibility of surgical treatment as well as for selection of surgical technique.
Zhuravlev
Iu I
IuI
Nazarenko
G I
GI
Cherkashov
A M
AM
Riazanov
V V
VV
Nazarenko
A G
AG
D000328:Adult; D000368:Aged; D019299:Decompression, Surgical / Q000379:methods; D017586:Diskectomy / Q000379:methods*; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000175:diagnosis / Q000601:surgery*; D053685:Laser Therapy / Q000379:methods; D017116:Low Back Pain / Q000175:diagnosis / Q000601:surgery*; D008159:Lumbar Vertebrae; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D019051:Rhizotomy / Q000379:methods; D013123:Spinal Fusion / Q000379:methods; D016896:Treatment Outcome; D055815:Young Adult