EVALUATION OF THE EFFECTIVENESS OF VARIOUS METHODSOF TREATMENT AT PAIN RELIEF AT PATIENTS WITHLUMBOSACRAL HERNIA: A RETROSPECTIVE STUDY

Abstract

Introduction: Recently, the need to study the problem of pain syndrome at patients with lumbosacral hernia has
increased. Minimally invasive methods of treatment are the safest and most effective at the treatment of spinal diseases for
patients with pain syndrome. In Kazakhstan, this issue has not been fully studied and remains relevant for further research.
Aim of the study: To compare the outcomes of various methods of treatment, such as paravertebral blockade, surgical
treatment, and RFD (radiofrequency denervation / ablation) to relieve pain at patients with lumbosacral hernia in the
neurosurgical department of Emergency Hospital in Semey city.
Materials and methods of research: The retrospective study was carried out on the basis of the neurosurgical
department of the Emergency Hospital in Semey city from January to October 2020. The object of the study is the medical
history of patients with diagnosis M51.1 and M51.8 (ICD). Radiofrequency ablation was performed in the neurosurgical
department of the Emergency Hospital in Semey city at the first time in a format of master class. The main method of
treatment at patients of the neurosurgery department of the Emergency Hospital in Semey city to remove pain syndrome at
disc hernia of the lumbosacral spine is the surgical intervention 80.51 (Extraction of the intervertebral disc) and conservative
treatment (paravertebral blockade). To assess the effectiveness of a particular method of treatment, a pain assessment
paper-sheet (Wong-Baker grimace scale) is used, where 0 is absence pain, 1-2 is minor pain, 3-4 is moderate pain, 5-6 is
tolerable pain, 7-8 is severe pain, 9-10 - unbearable pain.
Results: Of the total number of patients, the lowest pain intensity (0 points) was described by 7.8% (5) patients who
belonged to the group where radiofrequency denervation was applied, the remaining 3 patients noted the presence of
intermittent pain. Out of 8 patients of the third group (radiofrequency ablation), 2 people note a moderate efficacy of
treatment and 6 patients note a significant efficacy after applying of the chosen method of treatment. All 100% of patients of
this group refused from analgesics after the treatment.
Conclusions: Our study confirms that RFD (radiofrequency ablation / denervation) is the most effective treatment at
pain syndrome at patients with lumbosacral hernia.