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ISSN 2073-8137

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Analysis of the results of clinincal and instrumental diagnosis of non-compression lumbar pain syndromes using puncture techniqu

Vadim Anatolievich Byvaltsev; Andrey Andreevich Kalinin; Alena Konstantinovna Okoneshnikova;

The results of clinical and instrumental diagnosis of non-compression lumbar pain syndromes using puncture techniques in 841 patients are presented. The analysis determined the relationship of clinical manifestations and morphological changes in the vertebral segments. The use of invasive provocation tests and a comprehensive analysis of the degree of degeneration of the supporting elements of the spine objectifies the existing neurological symptoms and determines a possible method of surgical treatment.


1. Byvaltsev V. A., Kalinin A. A., Okoneshnikova A. K. Analysis of the clinical efficacy of the facetoplasty method in the treatment of facet syndrome in the lumbar spine in elderly and senile patients. Uspehi gerontologii. – Advances gerontology. 2017;30(1):84-91. (In Russ.).
2. Bokov A., Perlmutter O., Aleynik A., Rasteryaeva M., Mlyavykh S. The potential impact of various diagnostic strategies in cases of chronic pain syndromes associated with lumbar spine degeneration. J. Pain Res. 2013;6:289- 296. https://doi.org/10.2147/JPR.S42646
3. Manchikanti L., Singh V., Datta S., Cohen S. P., Hirsch J. A. Comprehensive review of epidemiology, scope, and impact of spinal pain. Pain Physician. 2009;12(4):E35-E70.
4. Sun D., Li Q., Tang Y., Gong W., He L., Dou Z., Ni J. Comparison of coblation annuloplasty and radiofrequency thermocoagulation for treatment of lumbar discogenic pain. Medicine (Baltimore). 2017;96(47):e8538. https://doi.org/10.1097/MD.0000000000008538
5. Freynhagen R., Rolke R., Baron R., Tölle T. R., Rutjes A. K. [et al.]. Pseudoradicular and radicular lowback pain – a disease continuum rather than different entities? Answers from quantitative sensory testing. Pain. 2008;135(1-2):65- 74. https://doi.org/10.1016/j.pain.2008.07.021
6. Pfirrmann C. W., Metzdorf A., Zanetti M., Hodler J., Boos N. Magnetic resonance classification of lumbar intervertebral disc degeneration. Spine. 2001;26(17):1873-1878.
7. Fujiwara A., Lim T. H., An H. S., Tanaka N., Jeon C. H., Andersson G. B., Haughton V. M. The effect of disc degeneration and facet joint osteoarthritis on the segmental flexibility of the lumbar spine. Spine. 2000;25(23):3036- 3044.

Keywords: intervertebral disc, arcuate joint, protrusion, spondylarthrosis, lumbar spine, pseudoradicular syndrome, reflex pain syndrome

Stavropol State Medical Academy
Pyatigorsk State Research Institute of Balneotherapeutics
Pyatigorsk State Pharmaceutical Academy