AB1407 EFFECTIVENESS OF TREATMENT OF FACET SYNDROME BY THE METHOD OF BLOCKADE OF INTERVERTEBRAL JOINTS UNDER ULTRASOUND CONTROL

Background recently there has been an increase in the prevalence of facet syndrome (spondyloarthrosis) back pain syndromes. This is due to hypodynamia, increased body weight, and specific gravity so-called “sedentary” professions. With hypertrophy intervertebral joints, chronic compression Lyushka nerve (return nerve), which directly causes pain, as well constant spasm innervating muscles. In treatment syndromes, many methods are used - drug treatment, massage, various physical influence, etc., but none these provides quick relief from syndrome. The blockade method for a long time with considerable success, even more works appearing that show much better efficiency manipulations high-precision introduction drugs under ultrasound or X-ray control. Objectives determine effectiveness blockades joints control Methods we conducted study patients whom clinical manifestations facets lumbosacral spine were confirmed by radiological research (radiographic MRI). level was assessed according VAS scale before start after 1 7 days treatment. Along traditional (NSAIDs, muscle relaxants, etc.), performed Results 50 (22 women 28 men) included. average age 43.28 years±0.80 years. 56.42% overweight. mass index 28.18±0.43 kg/m2. 80% had multilevel L3-S1. 20% monofacet at L4-L5 L5-S1. Patients divided into 2 groups 25 people. both prescribed therapy NSAIDs relaxants. first group additionally subjected control, solution corticosteroid local anesthetic injected affected areas. Depending on number lesion levels, procedure performed. Before procedure, 1st 84±1.7 mm, 2nd 82±2.3 mm. After day, 31±4.2 while 72±2.8 manipulation, 28±2.9 mm 51±3.7 second (who not manipulated). Conclusion modern, low-traumatic, highly effective complex References [1]Shuba N, Voronova T, Tarasenko Krylova A. New aspects pathogenesis osteoarthritis ways correction. Ukr.Rheumatol.J. 2012, 47(1):51-73. [2]Tarasenko O. et al. Acquired pseudarthrosis tubular bones: formation, features prevention. Int.scient.J. “Grail Science”. 2021,9:418–420. [3]Tarasenko Modern neurocompressive syndromes cervical spine. Ukr. Bul. Medical Social Expertise. 2015, 18(4):46-51. [4]Tarasenko Assessment consequences spinal cord injuries using international classification functioning practice medical social examination. Ukr.Neurosurg.J. 2016, 4:13-17. Acknowledgements: NIL. Disclosure Interests None Declared.