Abstract
IIntroduction Sciatic nerve neuropathy is common pathology. Development of endoscopic method of decompression and neurolysis is extremely prospective. Objective Analyze the results of endoscopic decompression of sciatic nerve at a 1-year follow-up. Material and methods 15 patients (11 females – 79 %, 4 males – 21 %) were included into the study and were treated in the period from 2018 to 2022. Endoscopic sciatic nerve neurolysis and decompression were performed. Mean age of the patients was 47 ± 16 years. The severity of pain according to VAS was 8 ± 1. Motor dysfunction according to the BMRC scale was 2.6 ± 1.7 points. Degree of sensitive dysfunction according to Seddon scale was 2.9 ± 0.9 points. Functional activity of the lower limb according to LEFS scale was 49 ± 7 points. Results The severity of pain one year after surgery according to VAS scale decreased to 2.8 ± 2.6 cm. Degree of motor dysfunction according to BMRC scale became 4.4 ± 0.8 points. Degree of sensitive dysfunction according to Seddon scale became 3.7 ± 0.4 points. Functional activity of the lower limb according to LEFS scale increased to 68 ± 8.7 points. Efficacy of surgery in our study was 80 % (12 patients), there was one complication after surgery (6.7 %). Discussion Our study obtained clinical results that are comparable with the data of domestic and world literature. Conclusion Endoscopic decompression of sciatic nerve is an effective and low-traumatic method with a low rate of complications, which allows for pain relief, promotes restoration of function of the sciatic nerve and lower extremity.
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