The transcutaneous prosthetics of joint synovial fluid at patients suffered from lumbar spondylarthrosis

Objective. To estimate the clinical outcomes of using the transcutaneous puncture facet joint plasty with endoprosthesis replacement of facet joints by prosthetics of joint synovial fluid ViscoPlus® at patients with lumbar spondyloarthrosis. Material and methods. The comparative analysis of 120 patients treatment (age from 24 till 68 years old, men - 44, women - 76) was conducted. There were 3 analyzed groups of patients: 1st group - conservative treatment (50 clinical cases), 2d group - underwent facet joint plasty (20 clinical cases), 3d group - combination of facet joint plasty and following conservative treatment (50 clinical cases). The endoprosthesis of joint synovial fluid ViscoPlus® was injected via transcutaneous puncture into cavities of facet joints for improving the lubricating and dampening characteristics of joints. Results. The efficacy of conservative treatment achieved 61,6% comparing with 78,2% in case of facet joint plasty. The efficacy of combined therapy (conservative treatment+ facet joint plasty) was the highest and amounted to 86,5%. Conclusion. The transcutaneous puncture facet joint plasty with endoprosthesis replacement of facet joints by prosthetics of joint synovial fluid ViscoPlus® is effective method for treatment of facet syndrome. The clinical effect is multiplying while adding the conservative treatment.

фасеточный синдром, протез синовиальной жидкости, фасетопластика, facet syndrome, prosthetics of joint synovial fluid, facet joint plasty

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