Аннотация:
Objective: To compare the efficiency of medical and surgical treatments for discogenic low back radiculopathy. Patients and methods. 32 patients (including 13 men; mean age, 39.1±11.8 years) received inpatient medical treatment with epidural glucocorticoids; 32 patients (including 19 men; mean age. 42.3±12.1 years) had surgical treatment (removal of a herniated disk). A questionnaire [numerical pain rating scale (NPRS), Oswestry disability index, and quality of life questionnaire (QOL), SF-12] survey was carried out on admission to the clinic, after 7-14 days during treatment (pain intensity and functional status), and after 3, 6, and 12 months. Results and discussion. There were no clinical differences between the patient groups at baseline. Both groups showed a significant decrease in pain intensity and reduced disability after 7-14 days of treatment, with a persistent positive effect over 12 months (p < 0.01). During a year, both groups exhibited better quality of life (p < 0.01). I
Ключевые слова:
Disc herniation; Epidural glucocorticoid injection, discectomy; Radiculopathy
adult; Article; backache; clinical article; disability; discogenic pain; female; follow up; functional status; human; intervertebral disk hernia; leg pain; low back pain; male; numeric rating scale; Oswestry Disability Index; pain intensity; quality of life; Quality of Life Index; questionnaire; radiculopathy
Иванова М. А. Мария Алексеевна 1991-
Парфенов В. А. Владимир Анатольевич 1957-
Исайкин А. И. Алексей Иванович 1968-
Ivanova M. A. Mariya Alekseevna 1991-
Parfenov V. A. Vladimir Anatolyevich 1957-
Isaykin A. I. Aleksej Ivanovich 1968-
Surgical and medical treatments for discogenic low back radiculopathy
Текст визуальный непосредственный
Неврология, нейропсихиатрия, психосоматика
ИМА-Пресс
Т. 11 С. 40-45
2019
Статья
Disc herniation Epidural glucocorticoid injection, discectomy Radiculopathy
adult Article backache clinical article disability discogenic pain female follow up functional status human intervertebral disk hernia leg pain low back pain male numeric rating scale Oswestry Disability Index pain intensity quality of life Quality of Life Index questionnaire radiculopathy
Objective: To compare the efficiency of medical and surgical treatments for discogenic low back radiculopathy. Patients and methods. 32 patients (including 13 men; mean age, 39.1±11.8 years) received inpatient medical treatment with epidural glucocorticoids; 32 patients (including 19 men; mean age. 42.3±12.1 years) had surgical treatment (removal of a herniated disk). A questionnaire [numerical pain rating scale (NPRS), Oswestry disability index, and quality of life questionnaire (QOL), SF-12] survey was carried out on admission to the clinic, after 7-14 days during treatment (pain intensity and functional status), and after 3, 6, and 12 months. Results and discussion. There were no clinical differences between the patient groups at baseline. Both groups showed a significant decrease in pain intensity and reduced disability after 7-14 days of treatment, with a persistent positive effect over 12 months (p < 0.01). During a year, both groups exhibited better quality of life (p < 0.01). I