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EXPERIENCE OF DENERVATION OF INTERVERTEBRAL JOINTS OF THE LUMBAR SPINE

In this work, the immediate and long-term results of denervation of intervertebral joints in 30 patients with pain syndrome in the lumbar spine were studied. The catamnesis was collected from 18 patients in terms from 1.7 months to 18 months after surgery. Pain syndrome on a visually analog scale after surgery decreased by an average of 20-30 mm. Subclinically expressed anxiety/depression persists in all patients with a “good” result of treatment, the assessment was carried out using the hospital Anxiety and Depression Scale (HADS). According to the Nurick scale, treatment results were assessed at level 2 (improvement) in 93.3% of cases (n=28), level 3 (unchanged condition) - 6.7% of cases (n=2). According to the results of the study, denervation of the intervertebral joints is an effective minimally invasive method of treating facet syndrome. It allows in the early and long-term postoperative periods to significantly reduce the pain syndrome and improve the quality of life of patients. The authors also admit that the pain syndrome in the back is polyethological, which requires careful selection of patients for this type of procedure.