СLINICS, DIAGNOSTIC CRITERIA AND ENDОSCOPIC TREATMENT OF SPINE CANAL DEGENERATIVE STENOSIS

The results of percutaneous endoscopic and microsurgical decompression are compared. It was found that the time of surgery, significant bed-days and the period of disability were associated with the group of endoscopic decompression. Purpose: to study the effectiveness of endoscopic decompression in patients with degenerative lumbar spinal stenosis. The article is about the effectiveness of using endoscopic decompression in 120 patients who were treated as outpatients and inpatients in the Vertebrology Department of the RSSPMCTO clinic during the year 2020-2024, 56 of the patients were male and 64 were female, and the average age was 63.8±7.6. Patients were divided into 2 groups: main (62) and control (58). The main group of patients received endoscopic decompression that the control group received. The effectiveness of the treatment was evaluated on the basis of a comprehensive neurological and instrumental examination that all patients underwent, including traditional and functional radiography of the lumbosacral spine, MSCT (CT) and MRI, as well as electroneuromyography (ENMG). In both groups of patients, after operative treatment, it was found that pain decreased and clinical benefit increased. All main group patients had better results compared to the control group according to VASh, ODI, McNub scales. During the post-treatment MRI and CT examination, it was found that the neurological sign has improved and the back pain has decreased. Based on the study, we can say that the efficiency of endoscopic discectomy is comparable to the microsurgical technique. Considering that this method is comparable to endoscopic decompression in terms of its technical characteristics and capabilities, this technology can be used to remove herniated intervertebral discs. In some cases, the technical capabilities of the method allow decompression of nerve structures, which can be used in the treatment of non-discogenic spinal canal stenoses.