Spondyloarthrosis: pathogenesis, clinic, diagnosis and treatment (literature review and own experience)
| Autor: | M. Yu. Dokish, Andrey G. Sosnin, A. A. Denisov, Olga A. Perlmutter, A. A. Boyarshinov, E. A. Pavlova, Sergey V. Masevnin, Anton V. Yarikov |
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| Rok vydání: | 2020 |
| Předmět: |
musculoskeletal diseases
Facet (geometry) medicine.medical_specialty Spondyloarthropathy lcsh:Medicine Disease spondyloarthrosis Facet joint Pathogenesis 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology medicine joint denervation Denervation Facet syndrome arcuate joint business.industry lcsh:R Perioperative musculoskeletal system medicine.disease Surgery medicine.anatomical_structure business facet syndrome 030217 neurology & neurosurgery |
| Zdroj: | Клиническая практика, Vol 10, Iss 4, Pp 61-73 (2020) |
| ISSN: | 2618-8627 2220-3095 |
| Popis: | 8590% of the elderly people are diagnosed with spondyloarthrosis There are various synonyms for this disease in the literature: facet syndrome, facet pain syndrome, arthrosis of the intervertebral joints, zygapophysial joint arthrosis and spondyloarthropathy. The article analyzes the pathogenesis, clinical picture and methods of diagnosis of this disease. Modern types of conservative and surgical treatment are presented. The advantages and disadvantages of the surgical methods for the facet syndrome treatment are analyzed: instrumental denervation (radio frequency, laser, etc.), chemical denervaion and intraarticular administration of drugs. The results of our own clinical work are presented. The facet joint denervation appears to be a productive minimally invasive method of treatment of the reflex forms of spondyloarthrosis. In the early and long-term postoperative period, it leads to a persistent decrease in the intensity of pain and improvement of the quality of life with a low risk of perioperative complications. |
| Databáze: | OpenAIRE |
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