Nonablative laser irradiation of the intervertebral discs as a method of reduction of recurrent disc herniations
Abstract
Background. To investigate outcomes associated with nonablative laser irradiation of the intervertebral discs as a method of reduction of recurrent disc herniations after lumbar microdiscectomy with 3-8 years follow-up. Methods. A total of 257 patiens were treated for herniated lumbar discs from 2005 to 2010. 159 patients after first-time microdiscectomy were treated in the presence of the nondestructive laser irradiation of the operated intervertebral disc. Patient self-reported measures included visual analogue scales for leg and back pain, Oswestry Disability Index. Subsequent reherniation surgical procedures were documented. Preoperative outcome measures were compared with follow-up visits. Results. The more frequently recurrent herniations were observed in the late postoperative period (2 years).There was no significant effect of gender and age of patients in the recurrence rate. Patient symptoms were improved after surgery in an equivalent manner in both study groups. In the overall study analysis, the rate of reherniation surgery was lower for laser irradiation patients (5,6 and 10,2 % respectively). Conclusions. Nonablative laser irradiation of the intervertebral discs has shown high efficiency at an eight-year follow-up.
About the Authors
V. A. Baskov
Russian Medical Academy of Postgraduate Education; Scientific Clinical Center of JSC Russian Railways
Russian Federation
Russian Federation
I. A. Drakin
Russian Medical Academy of Postgraduate Education; Scientific Clinical Center of JSC Russian Railways
Russian Federation
Russian Federation
O. N. Dreval
Russian Medical Academy of Postgraduate Education
Russian Federation
Russian Federation
A. V. Baskov
Russian Medical Academy of Postgraduate Education; Scientific Clinical Center of JSC Russian Railways
Russian Federation
Russian Federation
A. B. Shekhter
I.M. Sechenov First Moscow State Medical University
Russian Federation
Russian Federation
E. N. Sobol
Institute of Laser and Information Technologies, Russian Academy of Sciences
Russian Federation
Russian Federation
A. I. Drakin
Scientific Clinical Center of JSC Russian Railways
Russian Federation
Russian Federation
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Review
For citations:
Baskov V.A., Drakin I.A., Dreval O.N., Baskov A.V., Shekhter A.B., Sobol E.N., Drakin A.I. Nonablative laser irradiation of the intervertebral discs as a method of reduction of recurrent disc herniations. Pacific Medical Journal. 2015;(4):29-31. (In Russ.)
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