Transcranial magnetic stimulation in the rehabilitation complex for patients with cervical spine hernia

Abstract

The purpose of the study is to analyze the results of using TMS in patients in the early period after removal of herniated discs of the cervical spine. Material and methods. The study was based on the analysis of 51 patients with cervical spine hernias (30 (58.8 %) men, 21 (41.2 %) women aged 23–72 years, with mean age of 42.8 years). All patients underwent discectomy of the cervical spine in the self-supporting department of the National Center for Rehabilitation and Prosthetics of the Disabled during the period of 2018–2022. The patients were divided into two groups. The first group consisted of 31 (60.7 %) patients who underwent discectomy of cervical hernias followed by TMS in the early postoperative period. The second group included 20 (39.3 %) patients who underwent discectomy without using TMS. Results and discussion. The results of open surgical interventions were assessed in two groups, according to the surgical intervention performed and the use of TMS. The first (study) group of 31 (60.7 %) patients underwent «discectomy with decompression of the spinal cord and subsequent stabilization with an improved cylindrical cage and the use of TMS in the early postoperative period». The second group of the patients underwent discectomy using cylindrical cages, laminectomy from the posterior approach, and laminectomy using transpedicular or transarticular stabilization without subsequent TMS. Conclusions. The use of an improved cylindrical cage for herniated cervical spine is justified and timely; the application of transcranial magnetic stimulation in the early postoperative stage in patients with a herniated disc of the cervical spine restores neurological deficits and awakens long-lost functions of a group of muscles and, in some cases, of entire organs.