ОПЫТ ДЕРЕЦЕПЦИИ МЕЖПОЗВОНКОВЫХ СУСТАВОВ ПОЯСНИЧНОГО ОТДЕЛА ПОЗВОНОЧНИКА

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In this paper, we studied the immediate and long-term results of denervation of intervertebral joints in 30 patients with pain syndrome in the lumbar spine. The criteria for exclusion from the study were-the presence of deformities and abnormalities of the spine, the presence of neurogenic intermittent claudication, signs of compression of neural structures, surgical intervention on the POP in the anamnesis. The catamnesis was collected in 18 patients in the period 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” treatment outcome, and the assessment was performed using the hospital Anxiety and Depression Scale (HADS). According to the Nurick scale, the results of treatment were estimated at level 2 (improvement) in 93.3% of cases (n = 28), level 3 (condition without changes) 6.7% of cases (n = 2). According to the results of the study, denervation of the intervertebral joints is an eff ective minimally invasive method of treating facet syndrome. It allows in the early and long-term postoperative periods to signifi cantly reduce the pain syndrome and improve the quality of life of patients. The authors also assume that back pain is polyethological, which requires careful selection of patients for this type of procedure